Shoulder Injury Related to Vaccine Administration

Catherine J. Frompovich
09/06/2010
Vactruth.com

There are numerous vaccine-related injuries reported in VAERS (Vaccine Adverse Event Reporting System) that federal government agencies maintain to track such injuries.

VAERS is co-sponsored by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), agencies of the U.S. Department of Health and Human Services, according to its website.

Vaccine damage reports can be made in three formats:

  1. Online at Instructions for Completing the VAERS On-Line Form
  2. By faxing a request to (877) 721-0366
  3. By mail: Mail a completed VAERS Form to VAERS, P.O. Box 1100, Rockville, MD 20849-1100. A pre-paid postage stamp is included on the back of the form.

During the September 2-3, 2010, Advisory Commission on Childhood Vaccines meeting held in Rockville, Maryland, we heard of a “new” type of vaccine injury that is surfacing that these agencies want to track. It’s called Shoulder Injury Related to Vaccine Administration, or SIRVA, for which the CDC and FDA are working on a reporting protocol and information bulletin. The damage centers on the shoulder and/or upper arm where a vaccine was administered. Many people complain of experiencing tremendous pain after receiving a vaccination. Sometimes there is an inability to use the affected arm.

Some of the symptoms and/or diagnoses can be: arm pain, shoulder pain, shoulder dysfunction, frozen shoulder, adhesive capsulitis, shoulder bursitis, and brachial neuritis.

Interestingly, and according to those who are working on the new project, all those complaining about SIRVA had no prior shoulder problems to receiving a vaccination. Within 24 hours of the injected vaccine, 93 percent had suffered shoulder pain with 54 percent complaining of immediate pain.

According to those damaged, they believe the vaccination was given too high up on the arm and resulted in limited range of motion, pain, tingling, numbness, and weakness. Subsequent MRIs performed on 69 percent of those complaining with symptoms revealed:

  • Fluid collection in the deep deltoid muscle or overlying tendons
  • Bursitis
  • Fluid greater than typically seen in the bursa
  • Tendonitis
  • Subchondral changes with severe tendonitis in one patient [1]

The symptoms can last from months into years. Of those studied, less than one third experienced complete recovery.

What seems to be contributing to SIRVA ranges from improper angle and/or position of the inserted hypodermic syringe (needle) to over penetration of the deltoid muscle, which can occur when there is not a heavy body mass. Muscle mass may be an issue. Too long a needle length will cause damage. Furthermore, previous rotator cuff damage may be aggravated due to inflammation of surrounding tissue.

One conclusion emanating from the research indicates

Shoulder pain and dysfunction can occur as a result of improper vaccination technique or inappropriate needle length. [2]

A preliminary technique for administrating vaccinations that is coming out of the research is that those who administer vaccines need to receive an updated proper procedure protocol that includes having both the vaccinator and the person being vaccinated seated, so that both their arms are at parallel levels and not have one above with the other below so that the jab goes into the upper deltoid or near the shoulder.

Another recommendation is that since fainting is common during vaccination, the person being vaccinated should be seated or, I think, lying down.

Needle length should be determined by body mass index (BMI) so that too large a needle that will over penetrate is not used.

The information above is based upon the work of Dr. Tom Ryan, HRSA, DVIC, Dr. Robert Lightfoot, Division of Rheumatology, University of Kentucky, and Dr. Rosemary Johann-Liang, Chief Medical Officer, HRSA, DVIC, and Dr. Sarah Antanasoff. Personally, I can’t thank them enough for this innovative approach to eliminating vaccine adverse effects.

During the meeting we heard that HPV (Human Papilloma Virus) claims were second to the 2009 H1N1 flu claims being filed. It would seem that adverse reaction events might be overwhelming the vaccine program, especially now with this ‘new’ one making its presence known.

As a consumer health researcher and writer/reporter, I think word ought to get out as quickly as possible to physicians, nurses, pharmacies, senior citizen centers, all school health clinics, and any persons who administer vaccines about the recommendations for precluding SIRVA so as to protect the public from additional vaccine damage.

Resource

[1] The National Vaccine Injury Compensation Program, Division of Vaccine Injury Compensation Update Advisory Commission on Childhood Vaccine Meeting Sept. 2, 2010, PowerPoint Presentation

[2] Ibid

  • Adrienne Crampton

    Why has it taken this long to recognise these injuries? Saw brachial neuropathy 30 years ago due to tetanus vaccination.

  • http://vactruth.com Jeffry John

    Vaccination is a surgical procedure. I wouldn’t be surprised if they find massive amount of injuries that are undocumented.

  • Laraine C. Abbey RN, MS, CNS

    As an attendee, along with Catherine, at the ACCV meeting I want to note that during the presentation, there was no clarity about how the vaccinations were causing the shoulder injuries. They were theorizing, and the one conclusion they came up with was an attempt to explain the phenomena. The conclusion about errors of technique or needle length may by incorrect or one of a group of factors involved. The possibility that a vaccine toxic brew could cause shoulder damage would not be a surprise to me.
    Further, as I think of it, it seems to me that in recent years I keep hearing about more and more people with rotator cuff damage and now I am wondering how much of this is contributed by shoulder vaccine injections.

  • David Sevier

    Is there a way to find the referenced information from the Sep 2010 meeting? Doesn’t come up on a search.
    My spouse, a DrPH, recently experienced exactly what is described and is now in recovery. We simply wish to inform our (military health) system about the problem of inappropriate immunization / “improper angle and/or position of the inserted hypodermic syringe (needle) to over penetration of the deltoid muscle…” to avoid future issues. Thanks.

  • Anna Nations

    FOUND THIS WHILE SEARCHING FOR INFO/FACTS/TREATMENTS…VERY INTERESTING. MY BOSSES WIFE WHO ALSO REC’D THE SHOT THE DAY I DID IS GOING THROUGH THE SAME THING WHICH GIVES CREDIBILITY TO THE “IMPROPER TECHNIQUE” THEORY. BELOW IS MY EXPERIENCE AND TODAY IT HAS BEEN ALMOST A MONTH SINCE MY VACCINE.

    I got the flu shot this year as I do every year. That was almost 3 weeks ago and my arm/shoulder still hurts. It was so bad that last week I went to the doc after reading threads like this online. He said we could spend a lot of money on tests (which may come back inconclusive) and physical therapy (which may not really speed up the healing process) but in the end it is probably just a matter of time. He DID give me a steriod pack which I finished yesterday morning…the last pill. The steriods helped immediately, however today when I woke up the stiffness is back in the shoulder and I am hoping it doesn’t get worse.

    At its worst, the pain was so bad that when I tried to remove my gown over my head I doubled over…unable to the complete the task. I had tingling and numbness in my arm and fingers, and down into my shoulder blade. I have never had anything from past flu shots other than a little arm soreness that lasted a couple of days. This is different. Like the others we believed that the shot was a little high and also towards the back of the shoulder.

    Because of a lowered kidney function my doc has told me to limit NSAID intake. This is bad news since that is the only thing that actually helped the pain. Since I can’t afford expensive tests or PT right now (and from reading the blog they don’t really seem to help much in the diagnosis or recovery) I’m gonna give it a little time…unless it gets worse and becomes unbearable again. I plan to keep checking back here and reporting the progress. I DID feel better after reading the posts because I realized this was apparently not just some funky anomaly that only I was experiencing.

    UPDATE: Well I went back to the doc Friday afternoon. I told him how the Medrol pak helped and how the pain had returned within 24 hours of the last pill. That the only thing that would touch the pain were NSAIDs. So, since I normally stay away from steriods he said another round of Medrol would be OK. Also he said because the kidney function number he was concerned about was so close to normal and the BUN and Creatine numbers were normal, he was going to put me back on Mobic once I hit the 3-pill day of the Medrol pak. I also shared with him what I have learned from this site and others. So the game plan is to follow Medrol with Mobic and give it a couple more weeks. If the pain is not much improved he will refer me to a shoulder doc for evaluation and possible cortisone injection. Honestly I cannot afford expensive PT right now but HAVE been doing gentle stretches, etc. Knock on wood but I don’t seem to have any range of motion issues if I can stand the pain. So, today shoulder is kinda achy but tolerable, today is 3-pill day so I will start the Mobic tonight. I should know by the end of the week if there is any improvement.

  • Kris Fox

    Well this is very disturbing to read since I had my Tetanus shot on the 16th of Dec 2010. My left shoulder still hurts to the point I can hardly get a shirt on. I have a tatoo on that shoulder and the trainee at the Base hospital gave me the shot high up to miss the tatoo. I told her it would not effect anything but she put the shot high anyway. This is ironic I guess, since I just had surgery on my right shoulder to repair a Labral tear thats been causing me pain for 10 years. Now as soon as thats feeling better they screw up my left shoulder. I suppose I’ll make another doctors appointment to figure out how to fix this mess. I will be filling a complaint with the hospital in hopes these people get the proper training in order to prevent these unnessesary problems.

  • Lorijbaca

    Hi, My name is Lori I got that same shot 09-15-10. Still in alot of pain. Like you my shot was given very high in my right arm, she was standing up the shot is to be given lower in you arm while they are sitting down or level with you .A MRI showed a tear in my right shoulder. From what i have understood is that the pain can last from months to years. Keep track of all you expenses. i hope you feel betetr soon.

  • Bill Barboza

    On Dec.23rd 2010 I made a very BIG mistake,I received the three in one h1n1 with the 2 types of seasonal flu,received the injection at a local pharmacy(the most painful injection I’ve ever had)That night fever,body pain and chills this lasted two days. I called the CDC they said not to worry just common effects.The site of injection hurt but not debilitating,then with in a few days the bursa began to HURT! fluid build up to the point I had to use my other arm and hand to move the right arm and forget sleeping, and this is still going on to a lesser degree.After seeing doctors twice they did order me an MRI,not good! fluid in bursa and damage to the rotator cuff.Surgery in mid-April ,its going to be a long hard road of pain.Oh yeah I’m really PO……! Incompetence –incompetence!! its everywhere,I should have given my decision more thought my mistake.96 miserable days and counting.This situation has made my life unbearable at times but I’ll hang-in there…..

  • http://vactruth.com Jeffry John Aufderheide

    Thank you for sharing your story, Bill. We wish you a speedy recovery from your pain and unfortunate situation. Please drop us a line and let us know how you are doing afterwards.

  • Juliaandbill

    hello Jeffry,Well had the surgery.You would probable ask,” how did it go?”I would answer “thank God it’s over and behind me.I had a very good surgeon and support team,very progressive,no Anchors used, I’m lucky so far. The doc feels that the pharmacist didn’t miss place the injection,so he’s off the hook.The belief is that I had a inflammatory reaction starting with an uncontrollable Bursitis and limited space within the Acromion Process causing an impingement leaving in its wake 2 small tears and a larger tear.All of this starting from the H1n1 + 2seasonal flu vaccine,this is still going on. I’ve started PT, there’s not much joy in this life yet physically and at times mentally, very painful.I just hope the doctor writes this proving to a larger degree the Vaccination Truth! Oh yeah still dealing with the inflammatory reaction so its not over yet just hoping for relief.Thank you for your time.BB

  • Juliaandbill

     Hey Jeffry,this Saturday 5-21-2011 will be the 150th day that I have been dealing with this problem,some improvement.Still much pain and not seeing light at the end of this miserable tunnel, I can only hope at this point things will get better soon.It’s very depressing at times which makes life uncomfortable for not only me but my wife too,she’s suffers with me.This proves the fact these problems effect many people not only the injured party….Thank you….Bill

  • Katherine

    Hello Anna:
    I am wondering how  your are doing? I received a flu shot, as I normally do during the last week of August and after two wks the pain in my shoulder had become unbearable.  I have not tried any medrol dost paks, or steroid injections.  I’m wondering how your pain is doing, and has it resolved?  since today is friday (night), I plan on contacting the CDC to see what other recommendations they may have to offer?  This pain may make me stop getting flu shots, which I’ve done for years (since I’m an ER phyisican,  this sucks!!!)

    Katherine

  • Psigler

    It has been three weeks now, since I received my flu shot. It was also given too high in my arm I think. I have been putting heat on it daily and no relief. First I had a large lump at the injection site and then an enormous black and blue mark, now pain in arm on lifting or touching. Is this going to ever go away. Was a nerve hit, or what happened??

  • Rose

    I have been in severe pain for a month since getting flu shot. After multiple doctor appointments including x ray & MRI the orthopedic doctor said I had a partial interstitial tear in subscapularis tendon (think rotator cuff), partial longitudinal split, severe tendinitis of supraspinatus tendon & inflammation plus other milder issues. I had no injury in this area & I am not active so could not have done anything to injure myself so I am convinced it was from the flu shot. Which by the way in over 15 years of shots I have never had one given so high up, never herd a pop (as I did with this shot when he removed needle) & never had any reactions before.

  • Anonymous

    My story continues but for the most part my LEFT shoulder (the flu shot one) is much better. Medrol immediately relieved my pain, which returned when I finished the pack. We got the shots at my work and the wives of both my boss and my co-worker had the same problem. One is my age around 50, the other mid 30′s. That’s 3 of the 5 females vaccinated here. The younger one recovered after a few months. Mine didn’t get noticably better until around four months (January 2011) and has slowly improved since then. If I really overdo it even now I can tell a difference from “pre-shot” but it does not really hurt. My bosses wife is still having problems. She went through intensive physical therapy that I didn’t. I have a theory (just my opinion) that while it is important to keep it moving to prevent frozen shoulder, I feel (based on other’s experiences) that TOO aggresive physical therapy is not the best approach. It seems to aggrevate the inflamation.My new issue is my right shoulder. After all those months of sleeping on only my right side I started noticing soreness. Then I got really sick around the holidays and spent about a week in bed…on my right shoulder. Turns out I have a bit of arthritis in my AC joint where the collar bone joins the top of the shoulder blade. So it flared up and was very painful for about six months. That, thankfully, is now easing but neither shoulder is getting a flu shot this year. Even if given properly I’m afraid the proximity to either shoulder just might cause a flare up. I may ask about getting it in the Glute or Thigh muscle at my local clinic. I was always pro flu vaccine but the level and duration of the pain I went through has made me rethink.If you read my posts on EmpowHer, http://www.empowher.com/community/ask/it-normal-my-arm-muscle-my-shoulder-hurt-2-weeks-after-flu-shot?page=40 WebMD, http://forums.webmd.com/3/cold-and-flu-exchange/forum/3760?pg=5 and MedHelp http://www.medhelp.org/posts/Senior-Health/Side-affect-of-flu-shot/show/350590
     you will have access to a lot of the resources I did. They have been aware of this “anomoly” since around 2007 when it was 1st noticed and published. Summer of 2010 at a convention of VICAP’s Advisory Commission on Childhood Vaccines it even warranted a few pages of their Power Point presentation. Some of the figures? Of those with shoulder issues, 82% were female with a mean age of 52. Pain onset less than 24 hrs later (mine was about 6 hrs) in 91% with 64% recalling immediate pain. Diagnoses: bursitis, rotator cuff injury, adhesive capsulitis. Sound familiar?My bosses wife was diagnosed with bursitis, her doc thinks the vaccine was injected directly into the bursa. I’m thinking mine may have been around the bicep tendon because of the symptoms I was having, but that is just a guess. I never had an MRI ($$$) or PT ($$$) because based on what I read online from other victims neither seemed to be a sure fire cure. I just didn’t have the money to spend on something that prob wouldn’t work or a test that was “inconclusive.” The only thing that seemed to help was time and possibly lots of it. I believe (and again, just my opinion I am not a doctor) based on all the info I have gathered that these symptoms are the result of a faulty injection…most likely too high on the shoulder. Since the problem affects middle aged females in higher percentages, I’m thinking maybe a combination of lower muscle mass plus that group’s higher suseptability to frozen shoulder. If you look at the Deltoid muscle, the upper third has significantly less mass than the lower 2/3. So, older women with generally less muscle mass more prone to inflammation given the shot high in the upper third thinner part of the delt equals problems. The needle seems to pass through the muscle entirely placing the vaccine where it doesn’t need to be. And it is prob not the dead flu bug causing the uproar…more likely the preservatives, mercury, etc. all the other nasty stuff in the cocktail.I also just found this new link. I don’t believe it was available last year when I did all my research. I hope the link posts correctly but it seems that the issue discussed in the summer of 2010 (the Power Point presentation I mentioned just touched on SIRVA) was summed up and published in a comprehensive PDF document. About 20 pages are devoted entirely to this issue…basically what we have already kinda/sorta figured out ourselves but here they go into detail. Good stuff! Still no suggestions of what to do ONCE YOU ARE INJURED to get better, mostly on prevention and better training of those administering the vaccines…good reading.http://www.hrsa.gov/vaccinecompensation/accvtranscript9310.pdf

    There is a published article in a Vaccine medical journal but you cannot access it unless you are a doctor or pay $30+.  SO…I think they are aware of the issues now…finally!

    So I DO think you will get well over time. Depending on your specifics prob a matter of months. BUT it does get better! Good luck and keep us posted!!!

  • Shoulderpainfromhell

    OMG!  All of these posts are way too familiar! I am a nurse and received the mandatory flu vaccine about October 1, 2011. I too immediately felt the pain and immobility. My shot WAS given in the bursa sac. I went to the ER doc where I work and they did an x-ray (not sure why?) and of course it showed nothing. He diagnosed me with bursitis. Nothing touches the pain and it is unbearable at night. I sleep 2-3 hours then awake from the aching and sharp pains. Then I can’t stay awake in the daytime. I have to use my right arm to “move” my left arm around – like a flaccid arm from a stroke. At about 4 weeks, I finally went to one of the hospital docs because the pain was not much better. Same diagnosis. He advised me he does not “do” pain meds when I expressed the amount of pain I was having especially at night.  I suggested Naproxen and he agreed. That didn’t help either with the terrible aching and I will describe my pain this way: If the current 94 million dollar winning lotto ticket was on the wall shoulder height and all I had to do was lift my shoulder to the wall and take it, I would just have to cry over the loss of the 94 million, because there is no way I can lift my shoulder! I have no ability to move my shoulder!

    Went back to the same doc yesterday (about 5 weeks now). The weekend before I saw some great improvement for some reason (no meds) and then when I got off shift (work 3 12hour shifts) it flared up again with a vengance! I told him it is worse than before and asked if I could be having an immune response and he said no that that would have already happened if it was that. (Don’t know if I agree). Reluctantly, he ordered an MRI and I had to practically beg for some pain meds. (still can’t sleep) He prescribed Norco 5/325mg which is the lowest dose with a big 6 day supply! Took two of those last night at bedtime hoping to sleep along with a benedryl (the vicodin makes me itch) and managed to get 4-5 hours sleep.

    The same doc called me yesterday to let me know the MRI came back showing a little too much fluid in my bursa sac and he added “that’s all”!  Well, the “that’s all” is making my life hell right now! So, I’m supposed to go see the ortho doc today and we’ll see what he recommends.

    I don’t know if it’s the 0.5 ml of extra fluid in the bursa sac (not much huh?) or if my body is reacting the contents of the injection as an antigen, but I do know I can’t move my shoulder and the pain is incredible. Oh yeah. The workman’s comp representative was really nice when I showed some improvement, but when I phoned him back to advise of the relapse and worsening condition, he was not so nice.

  • http://twitter.com/Twilightseven twilight N

    Good I”m not the only one dealing with this. I hate to think I may have to live with this pain for years. The Flu shot was given in my left shoulder.  I attended a drive-thru flu shot event in Edmond, Oklahoma. I really think the nurses were not paying any attention or putting a lot of thought in to where they were giving the shot.  It was outside at like 7:30 in the morning.  All the nurses were talking and to me they just seemed like they wanted to rush things so they can get through as many people as possible and get back inside in the warmth. It was a chilly morning when they did this outside.  Not sure why on earth they would want to do this outside in the early morning anyway…but they did.  The nurse was standing kind of over me as I was in the car when she administered the shot which like you said, was too high up on the shoulder.  And the strangest thing was, was she never swabbed down the arm, or stuck a band-aid over it like I’ve gotten for about 20 yrs before.  To others that might not sound strange, but it sure seemed strange to me.
    My arm started hurting an hour after i got the shot.  A friend suggested I might have just slept on the arm wrong, but its been hurting for two weeks now.  I know its a little premature maybe to post that my arm is still in a lot of pain. I also don’t have a lot of money (like a girl posted on another website on the same type of thread topic) so there’s no chance of PT or MRI’s.  So it looks like I’m just going to have to deal with it and take pain medication where I can.  I am so glad that I didn’t get in my right arm.  But so very frustrated that my left arm has to hurt this long.  And unfortuantlly I can’t really stop using my left arm.  Since I work in a school kitchen, I can’t take off from work to hopefully let it heal up, especially if you all are saying it could last for years.
    It hurts to brush my hair, to scrub my hair in the shower, to change clothing, to do a number of things at work, among other things that require the use of both arms. Even simple stretching can be extremely painful.    Oh and my shoulder pops randomly now which has never occured before I got the shot.  I also am not sure I want to get another flu shot. 

  • Psigler

    So what do we all do now, suffer forever because of a flu shot administered wrong. I didn’t get a bandaid either, I thought that was strange.  I contacted Customer Relations at Walgreen Administration, they are to call me back in 48 hrs. We will see, if there is anything they can do or shine some light on what has happened. I don’t want to suffer any longer. I had my flu shot in September and the pain has not yet let up.

  • Jeff Conken

    I received a Tetanus vaccination on 10/24/11 and my left shoulder pain (in my rotator area) is getting progressively worse.  The nurse gave me the shot way too high in my arm and actually gave me the shot in the rotator cuff area.  This report is very disturbing. 

  • Marnee

    Got my shot Dec. 13, 2011, can’t hold a serving dish in one arm, lift or reach at a diagonal or straight in front.  Need 3 Advils to sleep,  still have throbbing, and must sleep on my back. Injection given high up on the arm, 1st time ever in that location.  Had a Dtap 4 weeks earlier and after a week of soreness, like a black and blue mark, it went away. What do I do? Pharmacist says it is the first he’s heard of it. Sent him this article. Warned all my friends about getting shots up on the arm.  No more shots for me.

  • Marnee

    Forgot to mention. Filed a VAERS report. Encourage everyone who experienced this damage to file one as well.  Inexcusable damage if knowledge was had as far back as 2007. Who does one sue?

  • Sfunderburke

    I recieved a flu shot on October 16, 2011.  My shoulder hasn’t been the same since.  I kept thinking it would go away but not yet and now it is Jan 2012.  I got it done at a Walgreens.  Before I had always gotten one at my doctors office. I thought it seemed like he did it kind of high up on the arem.   Lesson learned I guess.  Anyone can jab a needle…..Hopefully this will eventually go away?  I have four children, one is a heavy baby and I carry him on that side – what a mess.

  • Sfunderburke

    I recieved a flu shot on October 16, 2011.  My shoulder hasn’t been the same since.  I kept thinking it would go away but not yet and now it is Jan 2012.  I got it done at a Walgreens.  Before I had always gotten one at my doctors office. I thought it seemed like he did it kind of high up on the arem.   Lesson learned I guess.  Anyone can jab a needle…..Hopefully this will eventually go away?  I have four children, one is a heavy baby and I carry him on that side – what a mess.

  • Mirshapiro

    Same with me. Flu shot Oct. 28, 2011, now it’s Feb. 2, 2012, with no end to the pain sight. Physical therapy didn’t help. Cortisone shot 2 weeks ago, little improvement. Does anyone know where we should turn to for help?


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