ArticleVaccine2020
Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010-2016.
Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Individualized Deltoid Landmark and Needle Length for Safe Intramuscular Vaccination in Southeast Asian Adults: An Ultrasound Study.Life (Basel, Switzerland) · 2026Article
- Shoulder Injury Related to Vaccine Administration (SIRVA) After COVID-19 Vaccination: A Retrospective Study.Cureus · 2025Article
- Shoulder Injury Related to Vaccine Administration (SIRVA) Following COVID-19 Vaccination: Correlating MRI Findings with Patient Demographics.Tomography (Ann Arbor, Mich.) · 2025Article
- Dynamic ultrasound evaluation and treatment of subcoracoid bursitis after HPV vaccination: a case of shoulder injury related to vaccine administration (SIRVA).Journal of ultrasound · 2025Article
- Frozen shoulder after COVID-19 vaccination versus idiopathic frozen shoulder: similar clinical features and functional improvement at 1-year follow-up.JSES reviews, reports, and techniques · 2024Article
- Adhesive capsulitis after COVID-19 vaccine injection: a peculiar case treated with combined bursa distention and glenohumeral capsular hydrodilatation.Journal of ultrasound · 2023Article
- Vaccine administration during COVID-19 pandemic: an overview of safe injection technique and local complications.Singapore medical journal · 2023Article
- Arthroscopic debridement for acute hemorrhagic subacromial bursitis following COVID-19 vaccine administration: A case report.Shoulder & elbow · 2023Article
- Does COVID-19 vaccine exacerbate rotator cuff symptoms? A prospective study.BMC musculoskeletal disorders · 2023Article
- Safety of COVID-19 vaccine delivery by dentists: An observational cohort study.Journal of dental sciences · 2023Article
- Side Effects Associated With Homologous and Heterologous COVID-19 Vaccines: A Cross-Sectional Study in Saudi Arabia.Cureus · 2023Article
- Shoulder injury related to vaccine administration (SIRVA): What do we know about its incidence and impact?Exploratory research in clinical and social pharmacy · 2022Article
- Healthcare Practitioners Knowledge of Shoulder Injury Related to Vaccine Administration (SIRVA).Vaccines · 2022Article
- Frozen shoulder after COVID-19 vaccination.JSES international · 2022Article
- Shoulder Pain and Injury after COVID-19 Vaccination.The Yale journal of biology and medicine · 2022Article
- Identifying Cases of Shoulder Injury Related to Vaccine Administration (SIRVA) in the United States: Development and Validation of a Natural Language Processing Method.JMIR public health and surveillance · 2022Article
- Risk for Shoulder Conditions After Vaccination: A Population-Based Study Using Real-World Data.Annals of internal medicine · 2022Article
- Article
- Local Response and Barrier Recovery in Elderly Skin Following the Application of High-Density Microarray Patches.Vaccines · 2022Article
- Shoulder Injury Related to Vaccine Administration: Diagnosis and Management.Journal of hand surgery global online · 2022Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundSince 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.
objectiveTo conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.
methodsWe queried the VICP's Injury Compensation System database for medical reports of alleged SIRVA and SIRVA-like injuries. Medical reports are summaries of petitioner claims and supporting documentation along with a VICP clinician reviewer diagnosis and assessment of criteria for concession. We conducted a descriptive analysis of SIRVA petitioner claims recommended by the VICP for concession as SIRVA injuries.
resultsWe identified 476 petitioner claims recommended for concession. Claims per year increased from two in 2011, the first full year in the analytic period, to 227 in 2016. Median age was 51 years, 82.8% were women, and median body mass index was 25.1 (range 17.0-48.9). Four hundred cases (84.0%) involved influenza vaccine. Pharmacy or store (n = 168; 35.3%) was the most common place of vaccination followed by doctor's office (n = 147; 30.9%). Fewer than half of cases reported a suspected administration error; 172 (36.1%) reported 'injection too high' on the arm. Shoulder pain, rotator cuff problems, and bursitis were common initial diagnoses. Most (80.0%) cases received physical or occupational therapy, 60.1% had at least one steroid injection, and 32.6% had surgery. Most (71.9%) healthcare providers who gave opinions on causality considered the injury was caused by vaccination. A minority (24.3%) of cases indicated that symptoms had resolved by the last visit available in medical records.
conclusionsMost conceded claims for SIRVA were in women and involved influenza vaccines. Injection too high on the arm could be a factor due to the risk of injecting into underlying non-muscular tissues. Healthcare providers should be aware of proper injection technique and anatomical landmarks when administering vaccines.
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