TY - JOUR AU - Cagle, Paul J., Jr. TI - Shoulder Injury after Vaccination: A Systematic Review SN - 0102-3616 SN - 1982-4378 PY - 2020 JO - Rev Bras Ortop (Sao Paulo) JF - Revista Brasileira de Ortopedia LA - PT VL - 56 IS - 03 SP - 299 EP - 306 DA - 2020/12/16 KW - bursitis KW - impingement, shoulder KW - shoulder pain KW - influenza vaccines AB - Adverse reactions to vaccine injections are usually mild and incredibly rare in nature, but multiple cases of shoulder events including bursitis, generalized pain or decreased range of motion have been reported following routine vaccine administrations. These events are known as Shoulder Injury Related to Vaccine Administration or SIRVA.A systematic review of literature was performed to identify all published accounts of SIRVA. Twenty-seven papers reporting one or more accounts of SIRVA were identified. The most common vaccination involved was the Influenza vaccine. The most common symptoms were pain that began in 48 hours or less and loss of shoulder range of motion. The most common treatment modalities were physical therapy, corticosteroid injections and anti-inflammatory medication; but in some patients, surgery was required. Regardless of intervention, the vast majority of outcomes demonstrated improved pain and functional except in the occasions of nerve injury.The etiology of SIRVA injuries has multiple possibilities including needle length, mechanical injury from needle overpenetration and the possibility of an immune inflammatory response from the vaccine components, but a unique definitive test or quantifiably result does not yet exist. PB - Thieme Revinter Publicações Ltda. DO - 10.1055/s-0040-1719086 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0040-1719086 ER -