Shoulder Pain and Injury after COVID-19 Vaccination
Yale Journal of Biology and Medicine
; 95(2):217-220, 2022.
Article
in English
| EMBASE | ID: covidwho-2235142
ABSTRACT
Shoulder injury related to vaccine administration (SIRVA) is a term given to describe shoulder pain and dysfunction arising within 48 hours after vaccine administration and lasting for more than one week. While SIRVA is most commonly seen after influenza and tetanus vaccines, there have been a few recent case reports describing SIRVA-like symptoms after COVID-19 vaccine administration. Two patients presented to the shoulder surgeon's practice center with complaints of shoulder stiffness and pain following the COVID-19 vaccine. The first patient was a 33-year-old man;he presented within 2 days of onset of the pain and 14 days from the vaccine date. He had a complete restriction of shoulder motion (0degree flexion, and no external or internal rotation) at presentation. This patient was treated with non-steroidal anti-inflammatory drugs (NSAID) and rested in a sling for a week. The second patient was a 53-year-old woman;she presented with a 6-week duration of mild restriction of active shoulder motion and shoulder pain. Her magnetic resonance imaging (MRI) revealed the presence of subacromial-subdeltoid bursitis. She was treated with subacromial steroid injection and range of motion shoulder exercises. Both patients recovered a near-normal range of motion recovery within a month, and their pain improved significantly. The main lessons from this case report were (1) patients presenting with a recent increase in pain and acute loss of shoulder movements after vaccination may be managed conservatively with rest and NSAID medications and (2) in case of a subacromial-subdeltoid bursitis in the MRI, subacromial injection of steroid may provide good pain relief. Copyright © 2022, Yale Journal of Biology and Medicine Inc. All rights reserved.
covid-19; shoulder pain; sirva; vaccine; adult; article; case report; clinical article; common cold symptom/si [Side Effect]; coronavirus disease 2019/dt [Drug Therapy]; coronavirus disease 2019/pc [Prevention]; coughing/si [Side Effect]; diabetes mellitus; disease duration; female; fever/si [Side Effect]; frozen shoulder; human; male; medical history; middle aged; nose obstruction; nuclear magnetic resonance imaging; patient care; physical examination; rhinorrhea; shoulder disease/di [Diagnosis]; shoulder impingement syndrome/di [Diagnosis]; shoulder impingement syndrome/dt [Drug Therapy]; shoulder injury/di [Diagnosis]; shoulder pain/di [Diagnosis]; shoulder pain/dt [Drug Therapy]; shoulder pain/si [Side Effect]; shoulder radiography; vaccination; visual analog scale; bupivacaine/cb [Drug Combination]; bupivacaine/dt [Drug Therapy]; covaxin/ae [Adverse Drug Reaction]; covaxin/dt [Drug Therapy]; naproxen/dt [Drug Therapy]; triamcinolone/cb [Drug Combination]; triamcinolone/dt [Drug Therapy]; vaxzevria/ae [Adverse Drug Reaction]; vaxzevria/dt [Drug Therapy]; supraspinatus calcification/di [Diagnosis]
Search on Google
Collection:
Databases of international organizations
Database:
EMBASE
Topics:
Vaccines
Language:
English
Journal:
Yale Journal of Biology and Medicine
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS