Sutter Health.
Cook Children's Health Care System.
Workplace Health Saf. 2021 Feb;69(2):68-72. doi: 10.1177/2165079920952765. Epub 2020 Sep 23.
Shoulder injury related to vaccine administration (SIRVA) is an increasingly recognized complication of improper vaccine administration. Due to the growing number of mandatory workplace vaccination programs, especially for annual influenza vaccine, it is essential that occupational health providers are aware of this condition to improve prevention and/or treatment of this condition when it arises. Therefore, we describe the clinical presentation and course of treatment of five cases of SIRVA that were seen in an employer-based Occupational Health Services Clinic (OHS) after mandatory influenza vaccine administration.
A retrospective chart review was performed for five cases of SIRVA from 2017 to 2019.
Five cases met clinical definition of SIRVA as defined by the National Vaccine Injury Compensation Program. All cases were of similar characteristics including gender, age range, and body mass index (BMI). All were treated using multiple modalities including medication, physical therapy, and modified work with eventual resolution of symptoms and full return to work.
CONCLUSIONS/APPLICATION TO PRACTICE: Awareness of SIRVA is necessary in any occupational setting where vaccines are routinely administered. Avoidance of SIRVA by adhering to proper vaccination technique is crucial, as is awareness of how to recognize and manage the condition in affected employees to limit long-term impairment.
与疫苗接种相关的肩部损伤（SIRVA）是一种因疫苗接种不当而日益受到关注的并发症。由于越来越多的强制性工作场所疫苗接种计划，尤其是针对年度流感疫苗，因此，职业健康提供者必须了解这种情况，以便在出现这种情况时，改善对这种情况的预防和/或治疗。因此，我们描述了在强制性流感疫苗接种后，在雇主的职业健康服务诊所（OHS）中看到的五例 SIRVA 的临床表现和治疗过程。
对 2017 年至 2019 年期间的五例 SIRVA 病例进行了回顾性图表审查。
五例病例符合国家疫苗伤害赔偿计划定义的 SIRVA 的临床定义。所有病例均具有相似的特征，包括性别、年龄范围和体重指数（BMI）。所有病例均采用多种方法进行治疗，包括药物治疗、物理治疗和工作调整，最终症状缓解，且全部恢复工作。
结论/对实践的应用：在常规接种疫苗的任何工作场所，都必须意识到 SIRVA 的存在。通过遵守正确的接种技术来避免 SIRVA 至关重要，同时还要了解如何识别和管理受影响员工的病情，以限制长期损害。
