Don't aim too high: Avoiding shoulder injury related to vaccine administration

Gail Brenda Cross, Jason Moghaddas, Jim Buttery, Sally Ayoub, Tony M Korman

Research output: Contribution to journalArticleOtherpeer-review

47 Citations (Scopus)


Background Shoulder injury related to vaccine administration (SIRVA) is a previously described phenomenon that is the result of improper vaccine delivery. Appropriate injection technique for administration of intramuscular vaccinations can reduce the risk of shoulder injury. Objective In this article, we describe the cases of two patients who developed SIRVA. A literature review was conducted to find and describe other cases of shoulder injury that developed post-vaccination. Discussion SIRVA has previously been described in the world literature. Seventeen cases in women and five cases in men were found. Pain and reduction in the range of movement within a few hours of vaccination were cardinal signs of a shoulder injury. This included injuries to the soft tissues of the shoulder as well as injuries to bone and joint. SIRVA can be avoided with correct vaccination technique as described.

Original languageEnglish
Pages (from-to)303-306
Number of pages4
JournalAustralian Family Physician
Issue number5
Publication statusPublished - May 2016

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