Vaccination-Induced Bursitis: Technique Matters
Authors: Sandra Adamson Fryhofer, George W. Fryhofer
Journal: Annals of Internal Medicine (2020)

Editorials18 August 2020Vaccination-Induced Bursitis: Technique MattersSandra Adamson Fryhofer, MD and George W. Fryhofer, MD, MTRSandra Adamson Fryhofer, MDEmory University School of Medicine, Atlanta, Georgia (S.A.F.) and George W. Fryhofer, MD, MTRUniversity of Pennsylvania, Philadelphia, Pennsylvania (G.W.F.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-3302 Annals Author Insight Video - Sandra Adamson Fryhofer, MD, and George W. Fryhofer, MD, MTR In this video, Sandra Adamson Fryhofer, MD, and George W. Fryhofer, MD, MTR, offers additional insight into the article, "Vaccination-Induced Bursitis: Technique Matters." (Duration 3:17) SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In their Centers for Disease Control and Prevention (CDC)–funded Vaccine Safety Datalink study of 2 943 493 vaccinated persons, Hesse and colleagues identified an increased risk for subdeltoid bursitis after influenza vaccination (an additional 7.78 cases per 1 million vaccinations), although the absolute risk for bursitis remained low (1). Concerns about vaccinations and subdeltoid bursitis are not new. The Institute of Medicine's 2012 report on adverse effects of vaccines raised similar concerns about vaccination and subdeltoid bursitis (2). The next 4 years saw a 20-fold increase in the number of claims to the National Vaccine Injury Compensation Program for shoulder problems after ...References1. Hesse EM, Navarro RA, Daley MF, et al. Risk for subdeltoid bursitis after influenza vaccination. A population-based cohort study. Ann Intern Med. 2020;173:253-61. doi:10.7326/M19-3176 LinkGoogle Scholar2. Institute of Medicine. Adverse effects of vaccines: evidence and causality. National Academies Pr; 2012. Google Scholar3. Hesse EM, Atanasoff S, Hibbs BF, et al. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010-2016. Vaccine. 2020;38:1076-1083. [PMID: 31771864] doi:10.1016/j.vaccine.2019.11.032 CrossrefMedlineGoogle Scholar4. Health Resources and Services Administration. National Vaccine Injury Compensation Program monthly statistics report. Accessed at www.hrsa.gov/sites/default/files/hrsa/vaccine-compensation/data/data-statistics-report.pdf on 14 May 2020. Google Scholar5. Walker-Bone K, Palmer KT, Reading I, et al. Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum. 2004;51:642-51. [PMID: 15334439] CrossrefMedlineGoogle Scholar6. Shimabukuro T. Reports of shoulder dysfunction following inactivated influenza vaccine in the Vaccine Adverse Event Reporting System (VAERS), 2010-2016. Advisory Committee on Immunization Practices; 2017. Google Scholar7. Kroger AT, Duchin J, Vázquez M. General best practice guidelines for immunization: best practices guidance of the Advisory Committee on Immunization Practices (ACIP). Advisory Committee on Immunization Practices; 2017. Google Scholar8. Centers for Disease Control and Prevention. 2016-2017 estimated influenza illnesses, medical visits, hospitalizations, and deaths averted by vaccination in the United States. Centers for Disease Control and Prevention; 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Emory University School of Medicine, Atlanta, Georgia (S.A.F.)University of Pennsylvania, Philadelphia, Pennsylvania (G.W.F.)Disclaimer: The use of material, including any references to CDC materials, does not imply endorsement of this editorial by the CDC or the U.S. government.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-3302.Corresponding Author: Sandra Adamson Fryhofer, MD, Emory University School of Medicine, 3290 Northside Parkway, Suite 840, Atlanta, GA 30327; e-mail, [email protected]com.Current Author Addresses: Dr. S. Fryhofer: Emory University School of Medicine, 3290 Northside Parkway, Suite 840, Atlanta, GA 30327.Dr. G. Fryhofer: 3737 Market Street, Philadelphia, PA 19104.This article was published at Annals.org on 23 June 2020. PreviousarticleNextarticle Advertisement Annals Author Insight Video - Sandra Adamson Fryhofer, MD, and George W. Fryhofer, MD, MTR In this video, Sandra Adamson Fryhofer, MD, and George W. Fryhofer, MD, MTR, offers additional insight into the article, "Vaccination-Induced Bursitis: Technique Matters." (Duration 3:17) FiguresReferencesRelatedDetailsSee AlsoRisk for Subdeltoid Bursitis After Influenza Vaccination Elisabeth M. Hesse , Ronald A. Navarro , Matthew F. Daley , Darios Getahun , Michelle L. Henninger , Lisa A. Jackson , James Nordin , Scott C. Olson , Ousseny Zerbo , Chengyi Zheng , and Jonathan Duffy Metrics Cited byArtificial Intelligence Model of Drive-Through Vaccination SimulationA Drive-through Simulation Tool for Mass Vaccination during COVID-19 Pandemic 18 August 2020Volume 173, Issue 4Page: 308-310KeywordsCOVID-19HospitalizationsMusclesNursesPatient advocacySafetySafety studiesShouldersTelemedicineVaccines ePublished: 23 June 2020 Issue Published: 18 August 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...