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Don't aim too high: Avoiding shoulder injury related to vaccine administration.

Cross, Gail B; Moghaddas, Jason; Buttery, Jim; Ayoub, Sally; Korman, Tony M.
Aust Fam Physician; 45(5): 303-6, 2016 May.
Artigo em Inglês | MEDLINE | Maio 2016 | ID: mdl-27166466
Resumo: BACKGROUND: Shoulder injury related to vaccine administration (SIRVA) is a previously described phenomenon that is the result of improper vaccine delivery. Appropriate injection technique for administration of intramuscular vaccinations can reduce the risk of shoulder injury. OBJECTIVE: In this article, we describe the cases of two patients who developed SIRVA. A literature review was conducted to find and describe other cases of shoulder injury that developed post-vaccination. DISCUSSION: SIRVA has previously been described in the world literature. Seventeen cases in women and five cases in men were found. Pain and reduction in the range of movement within a few hours of vaccination were cardinal signs of a shoulder injury. This included injuries to the soft tissues of the shoulder as well as injuries to bone and joint. SIRVA can be avoided with correct vaccination technique as described.