Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016
Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing. To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP. We queried the VICP’s Injury Compensa...
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| Veröffentlicht in: | Vaccine 2020-01, Vol.38 (5), p.1076-1083 |
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| creator | Hesse, Elisabeth M. Atanasoff, Sarah Hibbs, Beth F. Adegoke, Oluwasegun J. Ng, Carmen Marquez, Paige Osborn, Mark Su, John R. Moro, Pedro L. Shimabukuro, Tom Nair, Narayan |
| description | Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.
To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.
We 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.
We 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.
Most 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. |
| doi_str_mv | 10.1016/j.vaccine.2019.11.032 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9169064</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0264410X19315579</els_id><sourcerecordid>2344713113</sourcerecordid><originalsourceid>FETCH-LOGICAL-c495t-b982cd17cd9cc87ea0f95d3388b9057e85772f3ef56092bc417785720db0b9603</originalsourceid><addsrcrecordid>eNqFUcuO0zAUtRCIKQOfAIrEBiQSfOO8PAtQVfGoNILRDIzYWY59M3WUxMVOKs2OH2DFH_IluKRUsGJ1pevzuMeHkMdAE6BQvGyTnVTKDJikFHgCkFCW3iELqEoWpzlUd8mCpkUWZ0C_nJAH3reU0pwBv09OGJQlVEW2IN-vNnbqNLpoPbSTu40usZMj6mi00fVsEC11bwbjRydHY4fo2dX68nr5_Cy6wNHsN4GsOml6vyeNG4w-_AbK7qhw0F7ZfouDn2UunL1xsn8Rhfvpz28_wigeknuN7Dw-OsxT8vntm0-r9_H5x3fr1fI8VhnPx7jmVao0lEpzpaoSJW14rhmrqprTvMQqL8u0YdjkBeVprbIQN-xSqmta84KyU_Jq1t1OdY9a4RDCdWLrTC_drbDSiH9fBrMRN3YnOBScFlkQeHoQcPbrhH4UrZ1ciOxFyrKsBAbAAiqfUcpZ7x02RwegYt-iaMWhRbFvUQCI0GLgPfn7vCPrT20B8HoGYPiknUEnvDI4KNTGoRqFtuY_Fr8A-hGyGA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2344713113</pqid></control><display><type>article</type><title>Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Hesse, Elisabeth M. ; Atanasoff, Sarah ; Hibbs, Beth F. ; Adegoke, Oluwasegun J. ; Ng, Carmen ; Marquez, Paige ; Osborn, Mark ; Su, John R. ; Moro, Pedro L. ; Shimabukuro, Tom ; Nair, Narayan</creator><creatorcontrib>Hesse, Elisabeth M. ; Atanasoff, Sarah ; Hibbs, Beth F. ; Adegoke, Oluwasegun J. ; Ng, Carmen ; Marquez, Paige ; Osborn, Mark ; Su, John R. ; Moro, Pedro L. ; Shimabukuro, Tom ; Nair, Narayan</creatorcontrib><description>Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.
To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.
We 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.
We 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.
Most 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.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2019.11.032</identifier><identifier>PMID: 31771864</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Body mass index ; Body size ; Bursitis ; Causality ; Child ; Child, Preschool ; Compensation ; Compensation and Redress ; Concession ; Excise taxes ; Federal court decisions ; Female ; Health care ; Humans ; Immunization ; Infant ; Infant, Newborn ; Influenza ; Influenza Vaccines - adverse effects ; Injection ; Injuries ; Male ; Medical records ; Middle Aged ; National Vaccine Injury Compensation Program (VICP) ; Pain ; Petitioner claims ; Rotator cuff ; Shoulder ; Shoulder Injuries - chemically induced ; Shoulder injury ; Shoulder injury related to vaccine administration (SIRVA) ; Steroids ; Surgery ; Tendons ; Vaccination ; Vaccination - adverse effects ; Vaccines ; Young Adult</subject><ispartof>Vaccine, 2020-01, Vol.38 (5), p.1076-1083</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>2019. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-b982cd17cd9cc87ea0f95d3388b9057e85772f3ef56092bc417785720db0b9603</citedby><cites>FETCH-LOGICAL-c495t-b982cd17cd9cc87ea0f95d3388b9057e85772f3ef56092bc417785720db0b9603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0264410X19315579$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31771864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hesse, Elisabeth M.</creatorcontrib><creatorcontrib>Atanasoff, Sarah</creatorcontrib><creatorcontrib>Hibbs, Beth F.</creatorcontrib><creatorcontrib>Adegoke, Oluwasegun J.</creatorcontrib><creatorcontrib>Ng, Carmen</creatorcontrib><creatorcontrib>Marquez, Paige</creatorcontrib><creatorcontrib>Osborn, Mark</creatorcontrib><creatorcontrib>Su, John R.</creatorcontrib><creatorcontrib>Moro, Pedro L.</creatorcontrib><creatorcontrib>Shimabukuro, Tom</creatorcontrib><creatorcontrib>Nair, Narayan</creatorcontrib><title>Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.
To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.
We 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.
We 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.
Most 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Bursitis</subject><subject>Causality</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Compensation</subject><subject>Compensation and Redress</subject><subject>Concession</subject><subject>Excise taxes</subject><subject>Federal court decisions</subject><subject>Female</subject><subject>Health care</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Influenza</subject><subject>Influenza Vaccines - adverse effects</subject><subject>Injection</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>National Vaccine Injury Compensation Program (VICP)</subject><subject>Pain</subject><subject>Petitioner claims</subject><subject>Rotator cuff</subject><subject>Shoulder</subject><subject>Shoulder Injuries - chemically induced</subject><subject>Shoulder injury</subject><subject>Shoulder injury related to vaccine administration (SIRVA)</subject><subject>Steroids</subject><subject>Surgery</subject><subject>Tendons</subject><subject>Vaccination</subject><subject>Vaccination - adverse effects</subject><subject>Vaccines</subject><subject>Young 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Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016</title><author>Hesse, Elisabeth M. ; Atanasoff, Sarah ; Hibbs, Beth F. ; Adegoke, Oluwasegun J. ; Ng, Carmen ; Marquez, Paige ; Osborn, Mark ; Su, John R. ; Moro, Pedro L. ; Shimabukuro, Tom ; Nair, Narayan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-b982cd17cd9cc87ea0f95d3388b9057e85772f3ef56092bc417785720db0b9603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Bursitis</topic><topic>Causality</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Compensation</topic><topic>Compensation and Redress</topic><topic>Concession</topic><topic>Excise taxes</topic><topic>Federal court 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Oluwasegun J.</au><au>Ng, Carmen</au><au>Marquez, Paige</au><au>Osborn, Mark</au><au>Su, John R.</au><au>Moro, Pedro L.</au><au>Shimabukuro, Tom</au><au>Nair, Narayan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2020-01-29</date><risdate>2020</risdate><volume>38</volume><issue>5</issue><spage>1076</spage><epage>1083</epage><pages>1076-1083</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.
To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.
We 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.
We 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.
Most 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.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>31771864</pmid><doi>10.1016/j.vaccine.2019.11.032</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0264-410X |
| ispartof | Vaccine, 2020-01, Vol.38 (5), p.1076-1083 |
| issn | 0264-410X 1873-2518 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9169064 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Body mass index Body size Bursitis Causality Child Child, Preschool Compensation Compensation and Redress Concession Excise taxes Federal court decisions Female Health care Humans Immunization Infant Infant, Newborn Influenza Influenza Vaccines - adverse effects Injection Injuries Male Medical records Middle Aged National Vaccine Injury Compensation Program (VICP) Pain Petitioner claims Rotator cuff Shoulder Shoulder Injuries - chemically induced Shoulder injury Shoulder injury related to vaccine administration (SIRVA) Steroids Surgery Tendons Vaccination Vaccination - adverse effects Vaccines Young Adult |
| title | Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016 |
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