[MCOH-EH] SIRVA (Shoulder Injury Related to Vaccine Administration)

[Hudson, T. Warner]

We have seen a few over the last 3 years we believed were more related to location of injection so bolstered vaccinator training in this regard and have not seen it this year.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Galaid Edward I
Sent: Monday, November 16, 2015 11:00 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] SIRVA (Shoulder Injury Related to Vaccine Administration)

Half a dozen cases of SIRVA this flu season thus far.  Not just a little localized tenderness.  This is substantial impairment requiring work restrictions, weeks out from day of administration.
It's behaving like a subacromial or subdeltoid bursitis.
Same group of nurses administering year-to-year with 1" needles.
Do your vaccine administrators use weight-based calculation to determine needle length?

Ed Galaid

Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, Occupational Health Partners
Roper St . Francis       Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519


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