This page provides links to other resources about Shoulder Injury Related to Vaccine Administration (SIRVA). SIRVA articles are listed by type, ranging from media stories for public to pieces written by doctors to papers in medical journals. Below the articles of interest for SIRVA patients are articles about proper, safe vaccine injection to avoid causing a shoulder injury.

The most reliable source of information about SIRVA comes from peer-reviewed, scientific or medical journals. However, many of those articles are behind a paywall and/or are not written for the layperson. Links to the most important and interesting articles are posted regardless of whether the article is publicly available.

Do you have any suggestions for articles to add? Email me or leave a message on any of the Blog posts!

Articles about SIRVA

Newspaper/Magazine Articles

Wired Magazine, 2015: “Why are cases of shoulder injuries from vaccines increasing?”

Washington Post, 2015: “I got a pneumonia shot — and then the pain began”

Chicago Tribune, 2016: “6 things to know about needle injection shoulder injuries”

General Articles by Health Professionals

Dr. Bodor: “Shoulder Recovery from Vaccine Injection”

AAP News, 2017: “Shoulder injury related to vaccine administration reported more frequently”

Dr. Skyhar: “Vaccine Induced Shoulder Pain”

[pdf] Department of Health & Human Services Presentation, 2015: “PREVENTION OF SIRVA”

ScienceDaily, 2018: “Protecting against vaccine administration injury”

Dr. Ko, 2017: A nice video interview of an MD presenting her poster of a SIRVA case study

Papers in Medical Journals

Some of these papers are behind a paywall; however, the abstract provides some useful information and links to how the article can be purchased. Others are fully available to the public. The order of articles listed here is somewhat random but with the most highly recommended and/or publicly available ones on top.

Barnes et al., 2012: “A ‘Needling’ Problem: Shoulder Injury Related to Vaccine Administration”

Bansci et al., 2019: “Shoulder injury related to vaccine administration and other injection site events”

Cook, I., 2014: “Subdeltoid/subacromial bursitis associated with influenza vaccination” 

Atanasoff et al., 2010: “Shoulder injury related to vaccine administration (SIRVA)”

Arias et al., 2017: “Risk of bursitis and other injuries and dysfunctions of the shoulder following vaccinations”

[pdf] Bodor and Montalvo, 2007: “Vaccination-related shoulder dysfunction”

[pdf] Messerschmitt et al., 2012: “Progressive osteolysis and surface chondrolysis of the proximal humerus following influenza vaccination”

Degreef and Debeer, 2015: “Post-vaccination Frozen Shoulder Syndrome. Report of 3 Cases”

[pdf] Floyd et al., 2012: “Pseudoseptic arthritis of the shoulder following pneumococcal vaccination”

Salmon et al., 2015: “Bone erosion and subacromial bursitis caused by diphtheria–tetanus–poliomyelitis vaccine”

[pdf] Egol et al., 2015: “Vaccination induced rotator cuff tear: A case report”

Hexter et al., 2015: “Management of glenohumeral synovitis secondary to influenza vaccination”

Uchida et al., 2012: “Subacromial bursitis following human papilloma virus vaccine misinjection”

Kuether et al., 2011: “Atraumatic osteonecrosis of the humeral head after influenza A-(H1N1) v-2009 vaccination”

DeRogatis et al., 2018: “Septic Shoulder Joint After Pneumococcal Vaccination Requiring Surgical Debridement”

Patel and Gronski, 2018: “SIRVA: Uncommon yet debilitating cause of flu vaccine administration” (poster abstract)

[pdf] Jotwani and Narducci, 2019: “Case Report”

Sataloff, 2019: “Shoulder Injuries Related to Vaccine
Administration: An ENT Problem?”

Wright et al. 2019, “Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report”

Erickson et al. 2019, “Lytic Lesion in the Proximal Humerus After a Flu Shot: A Case Report”

Szari et al. 2019, “Shoulder Injury Related to Vaccine Administration: A Rare Reaction”

Shahbaz et al. 2019, “Shoulder Injury Related to Vaccine Administration (SIRVA): An Occupational Case Report”

Darnley et al. 2019, “Septic arthritis of the glenohumeral joint following influenza vaccination”

Macomb et al., 2020: “Treating SIRVA Early With Corticosteroid Injections: A Case Series”

[PDF] Farford, 2020: “Case Report”

Bansal and Di Lorenzo, 2020: “Septic arthritis of the glenohumeral joint following influenza vaccination: case report and review of the literature”

Natanzi et al. 2020, Teres minor injury related to vaccine administration

[pdf] Veera et al. 2020, “Use of Osteopathic Manipulation for Treatment of Chronic Shoulder Injury Related to Vaccine Administration”

Hesse et al. 2020, “Risk for Subdeltoid Bursitis After Influenza Vaccination”

Articles about Safe Injection

Cook, I., 2011: “An evidence based protocol for the prevention of upper arm injury related to vaccine administration (UAIRVA)”

Cook, I., 2015: “Best vaccination practice and medically attended injection site events following deltoid intramuscular injection”

Cross et al., 2016: “Don’t aim too high: Avoiding shoulder injury related to vaccine administration”

[pdf] Addison, M., 2017: “Shoulder Injury Related to Vaccine Administration (SIRVA): Are you on Target?”

Pharmacy Today: “Proper vaccination technique is key to avoiding shoulder injury”

Fahlen, M. [in Swedish]: “SIRVA undviks med UAIRVA: Inför evidensbaserad metod för intramuskulär vaccination”

Immunization Action Coalition, 2018: “Let’s Get It Right! How to Avoid Shoulder Injury with Deltoid Intramuscular Injections”

The Pharmaceutical Journal, 2019: “Highlighting shoulder injury related to vaccine administration”

[PDF] Davidson and Bertram, 2019: “Best practice for deltoid intramuscular injections in older adults: Study in cadavers”

Fryhofer and Fryhofer 2020, “Vaccination-Induced Bursitis: Technique Matters”

Articles about Imaging/Diagonstics

Taylor and Hinke, 2014: “Radiological Case: Shoulder injury related to vaccine administration”

[pdf] Okur et al., 2014: “Magnetic resonance imaging of abnormal shoulder pain following influenza vaccination”

Articles about Legal Recourse and Vaccine Injury Reporting


NBC article/video, May 2019: “Federal Program Pays Out Millions for Shots Given Incorrectly But Only for Certain Vaccines”

Science Magazine, 2017: “Vaccines on trial: U.S. court separates fact from fiction”

NBC, 2018: “Half of All New Federal Vaccine Cases Allege Injury From Shots Given Incorrectly”

NYT, 2019: “Vaccine Injury Claims Are Few and Far Between”


Hibbs et al., 2020: “Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017”

Thompson et al. 2020: “Performance of the United States Vaccine Injury Compensation Program (VICP): 1988–2019”

Hesse et al. 2020: “Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016”