The Teaching Point

Vaccine-related shoulder dysfunction is a known but uncommon complication of vaccination. Radiologists should be aware of this complication to help guide recommendations for imaging of a patient with persistent post-vaccination shoulder pain. An MRI or ultrasound may be considered to evaluate for the following: osteonecrosis, osteitis, bursitis, or myositis. Bursitis is a nonspecific finding and other etiologies, including infectious, inflammatory, or traumatic, may be considered depending on the clinical setting. Given the prevalence of yearly vaccination, vaccine-related bursitis should be considered when no other etiology is evident.






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From the manuscript

Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report

Free full text article: Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report

Abstract
Serious side effects of vaccinations are not common, though rare complications can occur. We present a case of one such uncommon side effect, influenza vaccine-related subacromial/subdeltoid bursitis. A 72-year-old female presented with severe shoulder pain following influenza vaccination. The pain persisted for up to two months despite conservative measures, and MRI demonstrated moderate subacromial/subdeltoid bursitis. Vaccine-related shoulder dysfunction includes a range of pathology, from osteonecrosis to bursitis, which will be reviewed in this report. Recognition of infrequent vaccine-related musculoskeletal pathology is important to prevent delay of diagnosis.






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