Dewitt Army Community Hospital, Ft. Belvoir, VA, USA.
J Am Board Fam Med. 2012 Nov-Dec;25(6):919-22. doi: 10.3122/jabfm.2012.06.110334.
A 22-year-old woman with no significant medical history developed acute left shoulder pain and severe restrictions in range of motion after a seasonal influenza vaccine injection. Imaging by MRI, approximately 8 weeks after the injection, and by ultrasound, approximately 9.5 weeks after the injection demonstrated contusions on the humerus, injury of the supraspinatus, and effusion in the subacromial bursa. Her reaction was reported to the Vaccine Adverse Event Reporting System as a case of shoulder injury related to vaccine administration, likely due to injection of the influenza vaccine into the subacromial bursa. This case serves as a catalyst for discussion regarding vaccination technique and the potential to prevent complications arising from vaccine overpenetration.
一位 22 岁的女性，无明显病史，在接种季节性流感疫苗后出现急性左肩部疼痛和严重活动受限。在接种后约 8 周进行 MRI 成像，以及在接种后约 9.5 周进行超声检查，显示肱骨瘀伤、肩袖上旋肌损伤和肩峰下囊积液。她的反应被报告给疫苗不良事件报告系统，作为与疫苗接种相关的肩部损伤病例，可能是由于流感疫苗注入肩峰下囊。该病例引发了关于疫苗接种技术和防止疫苗过度渗透引起并发症的潜在问题的讨论。
