“…In a large web-based study on SARS-CoV-2 vaccination in patients with neuroimmunological disorders, including MOGAD and AQP4-IgG+NMOSD, no post-vaccination relapses were detected, although 17.8% of patients reported new or worsening of previous symptoms requiring in some cases specific treatment (Lotan et al, 2021). Of note, distinction of relapses vs pseudo-relapses is mandatory and often challenging, since infection or vaccination side effects (as fever) can per se cause transient worsening of Similarly, no attacks were reported among 9 NMOSD patients that received the Beijing/Sinopharm-BBIBP-CorV (n = 8) or BNT162b2-Pfizer-BioNTech vaccines (n = 1) (Jovicevic et al, 2021). These data are in line with our findings, although we observed a higher frequency of minor side effects, particularly pain at vaccine injection site (Lotan et al, 2021;Jovicevic et al, 2021).…”