MTM&H: The Uniformed Services University of the Health Sciences, 2011 Last December during a routine physical exam, I received a vaccination to protect against several strains of pneumonia. Publication types Case Reports Getting it in the right spot: shoulder injury related to vaccine administration (SIRVA) and other injection site events. says. What causes shoulder injury after a vaccination? The bursa becomes infected with bacteria. Call your healthcare provider if you have any of the following: Pain or trouble moving affects your regular daily activities, Pain doesnt get better or gets worse with treatment, A bulge or lump develops at the affected joint, Redness or swelling develops at the affected joint. "Syncope can happen if you have a sudden drop in blood pressure, a drop in heart . These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. You will be subject to the destination website's privacy policy when you follow the link. -, Batra S, Page B. The findings . Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. The report said it had drawn the data from . Ive curtailed weightlifting. You can help prevent bursitis by doing things like warming up before exercise or sports, increasing activity slowly, padding joints, taking rest breaks often, and stopping activities that cause pain. Martn Arias LH, Sanz Fadrique R, Sinz Gil M, Salgueiro-Vazquez ME. Its caused by things like injury, disease, or shoes with rigid back support. (2021). Fernndez Martnez AM, Cuesta Marcos MT, Rodrguez Prieto J. Cardiovasc Intervent Radiol. All these months later, it still hurts. Unauthorized use of these marks is strictly prohibited. Always see a healthcare provider for a diagnosis. COVID vaccines are being given in the upper arm- in the deltoid muscle because it is one of the strongest muscles of the body. To look at this question, researchers screened for a range of autoantibodies in blood samples from almost 150 people hospitalized with COVID-19 and 41 healthy volunteers. Watson OJ, et al. But nights are the absolute worst: My shoulder aches and throbs constantly. in patients with pain due to bursitis, the pain arises from . (2020). Vaccines have greatly reduced, and even completely eliminated, many infectious diseases in the United States and across the world. She had tried multiple biologics and baricitinib (Olumiant), a JAK inhibitor, and was being treated with the JAK inhibitor upadacitinib (Rinvoq) and the corticosteroid prednisone (5 mg per day) with a partial response. Rash, hives, or chickenpox-like lesions When dermatologists in Lombardy, Italy,. Patients tend to say their chest hurts more when they lean forward. It scares me to get shots now.. Access all of our expanded, online-only, subscriber exclusive opinion writing. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Funding:NIHs National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Heart, Lung, and Blood Institute (NHLBI), and National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS); Stanford Maternal and Child Health Research Institute; Stanford University; Carreras Foundation; Universities Giessen and Marburg Lung Center; German Center for Lung Research; University Hospital Gieen and Marburg (UKGM); Deutsche Forschungsgemeinschaft (DFG); Foundation for Pathobiochemistry and Molecular Diagnostics; Parker Institute for Cancer Immunotherapy; Stiftung P.E. Share this article. Bursitis is usually a temporary condition. The application period for EIS Class of 2024 is now open through June 5, 2023. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. This can lead to inflammation of the bursa located where the tendon attaches to the heel. Hip bursitis. "We clearly have an imbalance there," Shimabukuro said. For children age 12 to 18, there is an increased risk of fainting after a COVID-19 vaccine, which is fairly common for adolescents after any vaccine, according to the CDC. Shoulder injury related to vaccine administration. Practice good posture. The most common causes of bursitis are injury or overuse. (The American Academy of Orthopaedic Surgeons says that the treatment holds great promise for orthopedic injuries and that the risks associated with it are minimal.) Ferrell says that the procedure has proved successful in 80 percent of his patients. She consequently presented to the clinic ten days after her discharge, complaining of walking difficulties and radiating pain in her right hip. Epub 2022 Nov 30. This condition did not occur among the tens of thousands of clinical trial subjects, so it might be a complete coincidence. Vaccination against COVID-19 is much less inflammatory than infection with the virus. I decided to try it and had the injection on Oct. 23. The Vaccine Adverse Event Reporting System (VAERS), run jointly by the CDC and the Food and Drug Administration, has received about 1,200 complaints of post-vaccination shoulder-related. CDC will continue to monitor the rates of bursitis and other shoulder injuries following vaccination, and focus training and education programs accordingly. My doctor told me to take Tylenol for the pain instead of ibuprofen. I have not an uninterrupted, pain-free nights sleep in nearly a year. 82nd Civil Affairs Battalion Surgeon, U.S. Bursitis is also associated with other problems. Id had no prior symptoms, and Annunziata says the shot might either have caused the tear if the needle went into the cuff or stirred up a prolonged inflammatory response in the area, causing the tear to become painful. She then had an operation to remove the inflamed tissue, which solved the problem. The most common causes of bursitis are injury or overuse, but it can also be caused by infection. Bancsi A, et al. 2021;69(2):6872. Resident [Preventive medicine Some people may experience the following effects after receiving a vaccine: SIRVA symptoms usually arise within 48 hours of vaccination. The virus that causes COVID, SARS-CoV-2, needs a target to latch. Erika Edwards is a health and medical news writer and reporter for NBC News and "TODAY.". Take breaks often when doing repetitive tasks. They are right up there with the aging knee and aching lower back.. redness, swelling or bruising at and around the injection site. Cushion at risk joints by using elbow or knee pads. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. FOIA Q: Please warn people about overuse of ibuprofen. Bursitis is the painful swelling of a small, fluid-filled sac called a bursa. In the days that followed, the pain in my left shoulder worsened. Further investigation is needed, however, to confirm whether the vaccination was the cause of the heart problem. Information regarding COVID-19 and vaccines are continually evolving, new details may be available since this content was developed. Its okay when I go running, but it bothers me when I swim. For an optimal experience visit our site on another browser. . References:New-onset IgG autoantibodies in hospitalized patients with COVID-19. Colorized scanning electron micrograph of a cell (red) infected with a variant strain of SARS-CoV-2 virus particles (green), isolated from a patient sample. The vaccines made by Pfizer-BioNTech and Moderna set off a persistent immune reaction in the body that may protect against the coronavirus for years, scientists reported on Monday. Here is one story: After the shots, a wart disappeared from my thumb. The scientists found that about 20% of these didnt have any autoantibodies when they were first admitted but developed them over the course of their illness. We report a case of subacromial-subdeltoid bursitis after COVID-19 vaccination, related to the unintentional injection of vaccine solution into the bursa resulting in a robust immune-mediated inflammatory reaction. People are diagnosed with. and deltoid bursitis, or frozen shoulder, characterized by shoulder pain and loss of motion.. The authors declare no competing interests. Photograph of the patient receiving her first dose of the COVID-19 vaccine (Oxford-AstraZeneca,, Subacromial-subdeltoid bursitis on the right, Subacromial-subdeltoid bursitis on the right shoulder 8 weeks after the COVID-19 vaccination. Authorities are investigating this and similar cases. 713-798-4710. Vaccine. Im convinced this occurred because the nurse injected the vaccine too high on my arm. This Mix of Non-Opioid Medications Can Help Soothe Lower Back Pain, Study Finds, Former President Jimmy Carter Entered Hospice: Here's What That Means, Chronic Pain: Why Antidepressants May Not Be Effective, What to Know About Ketamine Therapy for Pain Management, Chronic Pain and Cannabis: Research Finds it May Help Some People Cut Down on Opioids, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, decreased arm mobility, including range of motion in the shoulder. On the other hand, we have also heard from numerous readers who report unexpected benefit. Shoulder problems are incredibly common, says Christopher Annunziata, head orthopedic physician for the Washington Redskins, whom I went to see after the pain did not go away. . Aberdeen Proving Ground, Maryland, 2015-Present; To avoid injury, its important not to inject the vaccination too high or too low on the upper arm. The American College of Rheumatology issued guidance regarding COVID-19 vaccination on Feb 8, 2021, and acknowledged a theoretical risk of flare of autoimmune disease after vaccination with moderate consensus. and transmitted securely. About 2.9 million people received a flu shot in the 2016-2017 flu season. 5B52, MSC 2094 Diagnosing SIRVA can be challenging, as shoulder pain is a common symptom shared by a variety of medical conditions. Inactivated vaccines, which are made from killed virus, contain adjuvants, or additional chemicals, that help promote a robust immune response. The U.S. Food and Drug Administration on Monday warned of an increased risk of Guillain-Barre, a rare neurological disorder, following the Johnson & Johnson vaccine after 100 preliminary cases of the syndrome were reported among the 12.5M doses administered. Autoimmune response found in many with COVID-19, A cellular map of brain lesions in multiple sclerosis, Critical time window for rehabilitation after a stroke, Subscribe to get NIH Research Matters by email, Mailing Address: Global impact of the first year of COVID-19 vaccination: a mathematical modelling study. We used the Vaccine Safety Datalink, a collaboration between CDC and eight participating healthcare organizations that examines electronic health and vaccine records, to see if we could answer that question with regard to flu vaccination. Moya D, Gmez D, Altamirano N, Alfano F, Pereira Corvaln JM, Dobkin F, Menon PH, Patinharayil G. J Orthop. According to the Cleveland Clinic it is caused by a temporary drop in the amount of blood that flows to the brain. The Immunization Action Coalition (IAC) provides information on vaccine administration based on the Advisory Committee on Immunization Practices (ACIP) guidance: For most people, getting a vaccine is a simple procedure that causes few if any side effects. I gave up. When should you see a doctor for shoulder pain after a vaccine? Masks are required inside all of our care facilities. Surgical drainage and removal of the infected bursa. official website and that any information you provide is encrypted Medical Center, Washington, DC, 2009-2010, Work Experience: Division Chief, Disease Epidemiology, Army Public Health Center, I say probably because I wasnt watching. Hibbs BF, et al. Keywords: Medical professionals can avoid causing their patients unnecessary and avoidable harm by staying up to date on their vaccination knowledge and by practicing proper vaccination techniques, including correct placement. Widespread and long-term inflammation during severe COVID-19 may cause the immune system to produce antibodies to pieces of the virus it wouldnt normally recognize. Instead of screaming in pain when I put on deodorant, I now just whimper., A number of other readers found that long-lasting warts disappeared after COVID shots. CDC ACIP meeting, September 22, 2021. 2023 Feb;46(2):292-294. doi: 10.1007/s00270-022-03319-4. Most reported side effects occurred after the second dose: fatigue (in 9.7% of recipients), muscle pain (8.9%), joint pain (5.2%), headache (4.1%), and redness at the injection site (2%). Every few months, I would get an injection of lidocaine to ease the pain. Aug. 10, 2022 While research has revealed that children and adults hospitalized with COVID-19 are more susceptible to developing long COVID symptoms, a new study found that children infected . Two of the patients in the ICU had other health problems. So far, millions of people have been given a COVID-19 vaccine and reports of serious side effects, such as allergic reactions or clotting . I had no symptoms before the shot, and pain has persisted since. Careers. Climbing stairs is very painful. One of the doctors suggested I take ibuprofen for a few days. U.S. Department of Health & Human Services, NIH Institute and Center Contact Information, Misdirected Antibodies Linked to Severe COVID-19, Early Treatment with Convalescent Plasma for COVID-19 Doesnt Show Benefit. Pain may be sudden and severe. Studies are underway to evaluate the effectiveness of this approach; this research may eliminate one of the reasons it is not covered by insurance. The condition, called myocarditis, is usually mild, but a handful of patients remain hospitalized. Would you like email updates of new search results? In addition to a complete medical history and physical exam, diagnostic tests for bursitis may include: X-ray. Rodrigues TS, et al. You can review and change the way we collect information below. Kneecap bursitis. An official website of the United States government. PJ Utz at Stanford University, Chrysanthi Skevaki at Philipps University Marburg in Germany, and Eline Luning Prak at the University of Pennsylvania. One condition that may result is known as shoulder injury related to vaccine administration (SIRVA). That number is larger when factoring in all the various vaccinations beyond just the flu vaccine. This attaches the calf muscle to the back of the heel. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). . Gradually increase the demands you put on your body. Some experience. It is aggravated by a type of walking that presses the soft heel tissue into the hard back support of a shoe. A recent study found that autoantibodies that existed before infection with SARS-CoV-2 may account for 20% or more of serious or fatal COVID-19 cases. New-onset inflammatory arthritis after COVID-19 vaccination: A systematic review. To learn more about such medications, as well as drugs to control high blood pressure and nondrug approaches, you may wish to review our eGuide to Blood Pressure Solutions. Learn how long COVID-19 vaccines may protect you, including data from Moderna, Pfizer-BioNTech, Johnson & Johnson, AstraZeneca, and NovaVax vaccines. -, Atanasoff S, Ryan T, Lightfoot R, Johann-Liang R. Shoulder injury related to vaccine administration (SIRVA) Vaccine. Board Certified: Preventive medicine. Office of Communications and Public Liaison. The British woman's illness - potentially related to receiving Oxford's vaccine - sent waves of concern around the world. But not everyone is celebrating this life-affirming milestone. Shimabukuro stresses, however, that a report does not necessarily mean the vaccine caused the injury, only that it occurred sometime after a vaccination. 2022 Jul 11;28:e937430. When that happens, he adds, an acute process can become chronic.. My orthopedist says I have subacromial bursitis, which is chronic inflammation and excess fluid buildup in the bursa (a thin, lubricated sac that prevents friction between a bone and surrounding soft tissue) separating the acromion bone at the top of the shoulder from the rotator cuff. Injections are given to adults in the middle of the deltoid, the meatiest part of the muscle, which provides lots of space to both maximize the immune response and minimize adverse reactions. We report a case of subacromial-subdeltoid bursitis after COVID-19 vaccination, related to the unintentional injection of vaccine solution into the bursa resulting in a robust immune-mediated inflammatory reaction. Treatment may include: Repeated aspiration of the infected fluid (a needle is used to take out the fluid). This attaches the calf muscles to the heel. Flu season is here, and recently I got the shot. While SIRVA may be long lasting, and even permanent, its symptoms are treatable. Measures you can take to relieve the pain of bursitis include: Rest and don't overuse the affected area. Ive had two cortisone injections and several months of physical therapy. He also prescribed medication to lower my blood pressure. Some people bounce back quickly. Some have experienced side effects even when shots are correctly administered, said David Carney, a Philadelphia attorney who specializes in vaccine-injury cases. . Download the NBC News app for full coverage of the coronavirus outbreak. Ketamine therapy may help with chronic pain that doesn't respond to other treatments. I now believe she inadvertently went too high up because I was sitting in a chair talking to someone else in the office and she was standing. Q: For many years, I have suffered with bursitis in my right shoulder. But why do the vaccines sometimes cause these unpleasant symptoms, and are they cause for concern? We are vaccinating all eligible patients. Most cases of SIRVA appear to be caused by poor needle placement by the person administering the vaccine or a localized reaction to the vaccine serum. Saving Lives, Protecting People, Flu Vaccination Injection Safety Infographic, Deputy Director for Public Health Science and Surveillance, Center for Surveillance, Epidemiology, and Laboratory Services, Division of Scientific Education and Professional Development, Alexander D. Langmuir Prize Manuscript Award, Anne Schuchat Distinguished Friend of EIS Award, Directors Award for Excellence in Epidemiology and Public Health Response, James H. Steele Veterinary Public Health Award, Jeffrey P. Koplan Award Excellence in Scientific Presentation, Mitch Singal Excellence in Occupational and Environmental Health Award, Paul C. Schnitker International Health Award, Stephen B. Thacker Excellence in Mentoring Award, U.S. Department of Health & Human Services. We avoid using tertiary references. I recently went to see John Ferrell, who practices regenerative orthopedics in the Washington area, to find out whether I might benefit from a therapy that uses the bodys own blood platelets to heal injuries. EIS Class of 2017 An imaging test that uses a combination of large magnets, radiofrequencies, and a computer to make detailed pictures of organs and structures within the body. Their newest book is Top Screwups Doctors Make and How to Avoid Them.. . Prostaglandins elevate body temperature and make nerve endings more sensitive to pain . Patients who, in response to vaccination, quickly mount appropriate antibody responses to the viral spike protein should be less likely to develop autoantibodies, Utz says. A third of the patients needed surgery, some of them twice. It's unclear how many patients were admitted to the hospital, or, for example, were discharged following a visit to the emergency room. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010-2017. Shoulder injury related to vaccine administration and other injection site events. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. When needed, treatment may involve anti-inflammatory drugs, such as ibuprofen, and in some cases, an intravenous medication called IVIG. The primary symptom of shoulder bursitis is pain, which can feel like: 3. The MHRA follows international standards of safety. This can occur within 48 hours of vaccination. Also, I dont want to quit my workouts, driving or walking my dogs for the months it would take for the initial phase of recuperation. More serious or long-lasting side effects to COVID-19 vaccines are extremely rare. Fifteen patients remain hospitalized, with three in intensive care units. NIH Research Matters Curr Sports Med Rep. 2022 Mar 1;21(3):78-83. doi: 10.1249/JSR.0000000000000939. Here's how it works and what to consider before trying it. Wong W, et al. Millions of doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic. A bursa is a jelly-like sac that serves as a cushion to reduce friction between bones and soft tissues of the body. Bethesda, MD 20892-2094, Probiotic blocks staph bacteria from colonizing people, Engineering skin grafts for complex body parts, Links found between viruses and neurodegenerative diseases, Bivalent boosters provide better protection against severe COVID-19. Bilateral upper extremity myositis after COVID-19 vaccination. Marlene Cimons writes frequently for The Washington Post on health, science and environmental issues. The vast majority of the cases were sent home following a visit to a hospital as of the end of May. BJR Case Rep. 2022 Sep 12;8(5):20220002. doi: 10.1259/bjrcr.20220002. A: Many people have complained about side effects from COVID vaccinations. A diagnostic test that uses invisible electromagnetic energy beams to make pictures of internal tissues, bones, and organs on film. NIH Research Mattersis a weekly update of NIH research highlights reviewed by NIHs experts. 2022 Nov 12;35:79-84. doi: 10.1016/j.jor.2022.11.005. A vaccine is an immunologically sensitive substance, and if you were to receive an injection too high in the wrong place you could get pain, swelling and reduced range of motion in that area, says Tom Shimabukuro, deputy director of the Centers for Disease Control and Preventions immunization safety office. In 2012, more than 9.6 million Americans sought help from their physicians for shoulder problems, according to the American Academy of Orthopaedic Surgeons. The following are the most common symptoms of bursitis. HHS Vulnerability Disclosure, Help Vaccines are intended to cause a response by the body, but doing so in the bursa will cause weeks of poor shoulder function. In some people, the levels of autoantibodies were very high, close to the levels seen in autoimmune diseases. Vaccine safety experts are always on the lookout for a range of possible side effects following any new vaccine. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Vaccines Prevented up to 140,000 COVID-19 Deaths in U.S. Intranasal COVID-19 Vaccine Effective in Animal Studies, Most COVID-19 Hospitalizations Due to Four Conditions, How COVID-19 Variants Evade Immune Response. Covid cases are rising among teens. Septic bursitis. It went into the right place and didnt hurt a bit. However, Vaccine allergy is so rare that youre more likely to be struck by lightning this year than have an allergic reaction to a vaccine. doi: 10.1016/j.vaccine.2017.07.055. Army, Ft. Stewart, Georgia, 2012-2015 The CDC has acknowledged reports of tinnitus post-vaccination, specifically with the Moderna and Pfizer vaccines. Until definitive links are made, health officials overwhelmingly recommend Covid-19 vaccinations for everyone ages 12 and older. eCollection 2023 Jan. Int J Rheum Dis. These usually last from a few hours to a few days after vaccination. Also called prepatellar bursitis, this type of bursitis is common in people who are on their knees a lot, such as carpet layers and plumbers. doi: 10.1177/2165079920952765. 2017;35(37):48704876. ncbi.nlm.nih.gov/pmc/articles/PMC6347325/, cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html, sciencedirect.com/science/article/pii/S1930043321005872, who.int/news-room/facts-in-pictures/detail/immunization, cdc.gov/vaccines/covid-19/info-by-product/pfizer/reactogenicity.html, cdc.gov/vaccines/vac-gen/side-effects.htm, ncbi.nlm.nih.gov/pmc/articles/PMC8094125/, journals.sagepub.com/doi/pdf/10.1177/2165079919875161, ncbi.nlm.nih.gov/pmc/articles/PMC6707642/, thelancet.com/journals/laninf/article/PIIS1473-3099(22)00320-6/fulltext, journals.lww.com/jaaos/Abstract/2021/09010/Shoulder_Injury_Related_to_Vaccine_Administration.2.aspx, ncbi.nlm.nih.gov/pmc/articles/PMC8797178/. The shoulder is one of the most complex and unstable joints in the body, making it especially vulnerable to wear and tear, and to injury. In 2012, the Institute of Medicine reported that the injection of a vaccine can cause deltoid bursitis, a type of shoulder injury that can include severe inflammation and pain. It should be 2 to 3 fingerbreadths (the width of your fingers when held together) down from your acromion process the bony part of your shoulder above your deltoid muscle. It's published bythe Office of Communications and Public Liaison in the NIH Office of the Director. This site needs JavaScript to work properly. In 2012, the Institute of Medicine reported that the injection of a vaccine can cause deltoid bursitis, a type of shoulder injury that can include severe inflammation and pain. These include arthritis, gout, tendonitis, diabetes, and thyroid disease. Bethesda, MD 20894, Web Policies 2023 National Post, a division of Postmedia Network Inc. All rights reserved. An MRI showed excessive fluid buildup in the bursa. Like you, many experienced reduced joint pain. They found that nearly one-third had digestive symptoms, including loss of appetite, nausea, vomiting, or diarrhea. Elbow bursitis. Its very common to experience some temporary soreness where you receive an injection. Infection may also cause it. Hackensack Meridian Health also recommends waiting up to 90 days for a vaccination after recovering from the virus. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. It hurt, more so than the usual injection. Elbow bursitis can be caused by injury or constant pressure on the elbow (for example, when leaning on a hard surface). National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, U.S. Department of Health and Human Services. Treatments for shoulder bursitis focus on reducing inflammation and minimizing symptoms. Meloxicam works by blocking the effects of the enzymes cyclooxygenase (COX)-1 and COX-2 which prevents prostaglandin synthesis. 31, Rm. Cannabis has been used for years by people with chronic pain to manage their symptoms, with medical cannabis products available to these people in 37, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Former President Jimmy Carter entered hospice care at home, the Carter Center announced over the weekend. Weisel B, et al. If you experience difficulty breathing, chest pain, confusion, loss of speech or mobility after your vaccine, contact your healthcare provider immediately. There is no evidence that proves NSAIDs exacerbate COVID-19. But nobody suffered any bad side effects from the vaccine in the phase 1 . My doctor prescribed 1,800 milligrams of ibuprofen daily. Epub 2022 Jun 8. Get urgent medical advice if you have any of these symptoms within a few days of being vaccinated: chest pain shortness of breath The SBI also recommends that, if possible and when it does not unduly delay care, clinicians consider scheduling screening exams before the first dose of a COVID-19 vaccination or 4-6 weeks after . To date, there has never been an epidemiologic study to determine how often deltoid bursitis occurs after vaccination. In contrast, only 15% of healthy controls had such antibodies. Pain, swelling, and tenderness near a joint are the most common signs of bursitis. Similarly, a fatal blood disorder suffered by a Florida physician two weeks after receiving a COVID-19 vaccine raised concerns that it was triggered by the vaccine.