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Brief ReportBrief Report

A “Needling” Problem: Shoulder Injury Related to Vaccine Administration

Matthew G. Barnes, Christopher Ledford and Karen Hogan
The Journal of the American Board of Family Medicine November 2012, 25 (6) 919-922; DOI: https://doi.org/10.3122/jabfm.2012.06.110334
Matthew G. Barnes
From the Dewitt Army Community Hospital, Ft. Belvoir, VA (MGB, CL, KH); and the U.S. Air Force Wilford Hall Medical Center, San Antonio, TX (MGB).
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Christopher Ledford
From the Dewitt Army Community Hospital, Ft. Belvoir, VA (MGB, CL, KH); and the U.S. Air Force Wilford Hall Medical Center, San Antonio, TX (MGB).
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Karen Hogan
From the Dewitt Army Community Hospital, Ft. Belvoir, VA (MGB, CL, KH); and the U.S. Air Force Wilford Hall Medical Center, San Antonio, TX (MGB).
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Abstract

A 22-year-old woman with no significant medical history developed acute left shoulder pain and severe restrictions in range of motion after a seasonal influenza vaccine injection. Imaging by MRI, approximately 8 weeks after the injection, and by ultrasound, approximately 9.5 weeks after the injection demonstrated contusions on the humerus, injury of the supraspinatus, and effusion in the subacromial bursa. Her reaction was reported to the Vaccine Adverse Event Reporting System as a case of shoulder injury related to vaccine administration, likely due to injection of the influenza vaccine into the subacromial bursa. This case serves as a catalyst for discussion regarding vaccination technique and the potential to prevent complications arising from vaccine overpenetration.

  • Arthritis
  • Case Reports
  • Immunizations
  • Immunology
  • Shoulder
  • SIRVA
  • Sports Medicine
  • Vaccination
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The Journal of the American Board of Family     Medicine: 25 (6)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 6
November-December 2012
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A “Needling” Problem: Shoulder Injury Related to Vaccine Administration
Matthew G. Barnes, Christopher Ledford, Karen Hogan
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 919-922; DOI: 10.3122/jabfm.2012.06.110334

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A “Needling” Problem: Shoulder Injury Related to Vaccine Administration
Matthew G. Barnes, Christopher Ledford, Karen Hogan
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 919-922; DOI: 10.3122/jabfm.2012.06.110334
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Keywords

  • Arthritis
  • Case Reports
  • Immunizations
  • Immunology
  • Shoulder
  • SIRVA
  • Sports Medicine
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