Shoulder injury a rare potential side effect of vaccination
A retrospective cohort study found that shoulder injury occurred in fewer than 1 in 10,000 patients who received an intramuscular vaccinations administered in the deltoid muscle between April 2016 and December 2017 (pre-COVID-19 pandemic). The authors say that given the high burden of shoulder conditions, clinicians should pay attention to any factors that may further increase risks. While shoulder conditions may be preventable if caused by inappropriate vaccine administration, their study did not determine the cause of vaccine-associated shoulder injuries. The findings are published in Annals of Internal Medicine.
The National Vaccine Injury Compensation Program (VICP) provides financial compensation to those who had serious adverse effects listed in its vaccine injury table. In 2017, shoulder injury related to vaccine administration (SIRVA) was added to the vaccine injury table based on convincing evidence of a causal relationship between the injection of a vaccine and deltoid bursitis. Besides bursitis, other shoulder conditions have been linked to vaccination. The proposed mechanism is that the shoulder conditions are caused by immune responses when vaccines are injected into the shoulder joint, instead of the deltoid muscle. However, epidemiologic data on shoulder conditions after vaccination are limited.
https://www.acpjournals.org/doi/10.7326/M21-3023
intramuscular vaccinations,Annals of Internal Medicine,deltoid muscle,shoulder injury,injury,muscles,Chengyi Zheng,Kaiser Permanente Southern California,Steven J. Jacobsen,
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