CASE: There has been a recent campaign to vaccinate patients in an effort to prevent widespread flu pandemic. Although the complication rate after vaccine is low, there have been reports of Guillain-Barré syndrome and shoulder injury related to vaccine administration (SIRVA). In this case presentation, we discuss a patient who developed a large lytic lesion in the proximal humerus after a deeply administered flu shot. CONCLUSIONS: SIRVA is a rare cause of shoulder pain after injections, but one that progresses and often necessitates operative management. Clinicians should be wary of persistent shoulder pain after a flu shot.
CASE: There has been a recent campaign to vaccinate patients in an effort to prevent widespread flu pandemic. Although the complication rate after vaccine is low, there have been reports of Guillain-Barré syndrome and shoulder injury related to vaccine administration (SIRVA). In this case presentation, we discuss a patient who developed a large lytic lesion in the proximal humerus after a deeply administered flu shot. CONCLUSIONS: SIRVA is a rare cause of shoulder pain after injections, but one that progresses and often necessitates operative management. Clinicians should be wary of persistent shoulder pain after a flu shot.
Authors: Chengyi Zheng; Jonathan Duffy; In-Lu Amy Liu; Lina S Sy; Wansu Chen; Lei Qian; Ronald A Navarro; Denison S Ryan; Sunhea S Kim; Cheryl Mercado; Steven J Jacobsen Journal: Ann Intern Med Date: 2022-03-22 Impact factor: 25.391
Authors: Chengyi Zheng; Jonathan Duffy; In-Lu Amy Liu; Lina S Sy; Ronald A Navarro; Sunhea S Kim; Denison S Ryan; Wansu Chen; Lei Qian; Cheryl Mercado; Steven J Jacobsen Journal: JMIR Public Health Surveill Date: 2022-05-24