RT Journal Article
SR Electronic
T1 A “Needling” Problem: Shoulder Injury Related to Vaccine Administration
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 919
OP 922
DO 10.3122/jabfm.2012.06.110334
VO 25
IS 6
A1 Matthew G. Barnes
A1 Christopher Ledford
A1 Karen Hogan
YR 2012
UL http://www.jabfm.org/content/25/6/919.abstract
AB 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.