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Article ; Online: Shoulder injury following COVID-19 vaccine administration: a case series and proposed diagnostic algorithm.

Petrakis, Nikki / Addison, Mel / Penak, Bianca / Schrader, Silja / Mallard, John / Clothier, Hazel J / Buttery, Jim P / Crawford, Nigel W / Cheng, Daryl R

Expert review of vaccines

2023  Volume 22, Issue 1, Page(s) 299–306

Abstract: Background: Shoulder Injury Related to Vaccine Administration (SIRVA) is a preventable adverse event following incorrect vaccine administration, which can result in significant long-term morbidity. There has been a notable surge in reported cases of ... ...

Abstract Background: Shoulder Injury Related to Vaccine Administration (SIRVA) is a preventable adverse event following incorrect vaccine administration, which can result in significant long-term morbidity. There has been a notable surge in reported cases of SIRVA as a rapid national population-based COVID-19 immunization program has been rolled out across Australia.
Methods: Surveillance of Adverse Events Following Vaccination in the Community (SAEFVIC) in Victoria identified 221 suspected cases of SIRVA following the commencement of the COVID-19 vaccination program, reported between February 2021 and February 2022. This review describes the clinical features and outcomes of SIRVA in this population. Additionally, a suggested diagnostic algorithm is proposed, in order to facilitate early recognition and management of SIRVA.
Results: 151 cases were confirmed as SIRVA, with 49.0% having received vaccines at state vaccination centers. 75.5% were suspected incorrect administration site, with most patients experiencing shoulder pain and restricted movement within 24 hours of vaccination, lasting on average 3 months.
Conclusion: Improved awareness and education regarding SIRVA is imperative in a pandemic vaccine roll-out. The development of a structured framework for evaluating and managing suspected SIRVA will aid in timely diagnosis and treatment, essential to mitigate potential long-term complications.
MeSH term(s) Humans ; Algorithms ; COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19 Testing ; COVID-19 Vaccines/administration & dosage ; Shoulder Injuries ; Vaccination ; Vaccines ; Victoria/epidemiology
Chemical Substances COVID-19 Vaccines ; Vaccines
Language English
Publishing date 2023-03-09
Publishing country England
Document type Review ; Journal Article
ZDB-ID 2181284-6
ISSN 1744-8395 ; 1476-0584
ISSN (online) 1744-8395
ISSN 1476-0584
DOI 10.1080/14760584.2023.2189463
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Zs.A 6077: Show issues Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

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