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Neck pain after flu shot: 4 Types of Nerve Damage Caused by the Flu Shot

4 Types of Nerve Damage Caused by the Flu Shot

While most flu vaccinations do not result in any damage to the patient, the vaccine is not without risk.

By far the most common flu shot-related injury is shoulder damage related to the actual injection. This can cause shoulder and neck pain after flu shot. This type of vaccine injury is called SIRVA or Shoulder Injury as a Result of Vaccine Administration. However, the flu shot can cause serious nerve injuries causing paralysis or death.

The most common type of nerve damage from the flu shot is Guillain-Barré syndrome (GBS). GBS is a rare but serious condition in which the body’s immune system attacks the nervous system, causing weakness and paralysis. Other types of vaccine injury-related nerve damage linked to the flu shot include transverse myelitis (TM) and impact-related nerve damage. TM is a rare neurological condition that results in inflammation of the spinal cord. Impact-related nerve damage causes loss of sensation and pain.

Other complications may result in an injury that affects the nervous system. Patients may be able to recover from these nerve injuries after a regimen of physical therapy. In the interim, however, nerve damage from flu vaccinations can drastically impact the patient’s quality of life and ability to complete their daily activities.

Here is a list of 4 potential types of nerve damage that can result from the flu vaccine:

  • Brachial Neuritis
  • Guillain-Barre Syndrome
  • Shoulder Nerve Damage
  • Transverse Myelitis

Brachial Neuritis or Parsonage-Turner Syndrome

This illness primarily affects the nerves in the arm and hand. It will generally impact one side of the body, although in rare cases, it can impact both sides. Brachial neuritis is caused when there is damage to the nerves that carry messages from the spinal cord to the arms and hands.

The progression of brachial neuritis is the opposite of other neurological conditions that result from vaccinations. Here, patients will start with severe shoulder pain, which is then followed by weakness. The weakness then extends down the arm and into the hand. The arm will feel numb and tingly, and the patient may have difficulty moving it. In extreme cases, brachial neuritis can lead to paralysis of the affected arm.

Patients with brachial neuritis generally recover within 6 to 12 months. However, some patients may experience long-term nerve damage, which can cause chronic pain. Treatment for brachial neuritis focuses on managing the pain and helping the patient regain function in the affected arm. Physical therapy is often recommended to help stretch and strengthen the muscles in the arm. In some cases, surgery may be necessary to relieve pressure on the nerves.

While PTS can be treated, the symptoms will generally linger. It takes several months to several years for patients to make a recovery from PTS. Generally, the treatment for PTS will involve some sort of combination of steroids and physical therapy. If these are not effective, then surgery may be necessary.

Learn more about Brachial Neuritis
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Guillain-Barre Syndrome

Guillain Barre Syndrome is a rare but serious complication of flu vaccination. This illness usually occurs in the wake of an infection in the body. The immune system will work to fight off the infection. However, in the process, the immune system will also turn against the nervous system and damage the body’s nerves. There is no single theory as to why the flu vaccine can increase the risk for GBS, but the vaccination does introduce strains of infection into the body.

GBS varies in its severity. The disease can lead to a loss of feeling and movement in extremities. Since the nervous system is at issue, there can also be a loss of reflexes, and some patients report incontinence. In a more severe manifestation of GBS, the patient’s respiratory function may be affected, which can lead to death.

There have been several documented fatalities from GBS in patients who have received a flu vaccination. Rates of GBS will vary each year, depending on the content of that year’s flu vaccine. While the connection between receiving a flu vaccine and developing GBS is not certain, there is at least some interrelation between the two. Some who suffer from GBS may never fully recover, while others can mostly recover with physical therapy.

Learn more about Guillain-Barre Syndrome
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Shoulder Nerve Damage and Impact Related Nerve Damage

Can a shot hit a nerve? Flu shots can cause damage to the axillary, radial, ulnar, and median nerves.

Sometimes, an error in the method of injection can damage the nerves in the shoulder. Like SIRVA, when the injection is given to the wrong part of the shoulder, it can have adverse effects that result in a loss of motion in the shoulder. Patients will feel a tingling and weakness in the shoulder that will progress to sharp pain.

This type of nerve damage will also result from the injection being administered too high on the shoulder. In one case of axillary nerve damage, a man received a vaccination at a drive-through clinic. Within days, he began to experience weakness in his shoulder that degenerated over time. After five weeks, it was discovered that his deltoid muscle had atrophied.

Patients will generally require physical therapy to regain the full use of their shoulders. Patients who do not respond to physical therapy may need surgery to correct the problem. Many patients will regain most or all of the use of their shoulder, although some may have permanent symptoms.

What is axillary nerve damage?

The axillary nerve is a nerve that runs through the shoulder. It controls the muscles in the shoulder and allows for sensation in the upper arm. Axillary nerve damage can occur as a result of an injury or surgery to the shoulder, or it can be caused by compression or inflammation of the nerve. Symptoms of axillary nerve damage include weakness in the muscles controlled by the nerve, loss of sensation in the upper arm, and pain in the shoulder.

What is radial nerve damage?

The radial nerve is a nerve that runs down the arm. It controls the muscles in the hand and allows for sensation in the fingers. Radial nerve damage can occur as a result of an injury or surgery to the arm, or it can be caused by compression or inflammation of the nerve. Symptoms of radial nerve damage include weakness in the muscles controlled by the nerve, loss of sensation in the fingers, and pain in the arm.

What is ulnar nerve damage?

The ulnar nerve is a nerve that runs down the arm. It controls the muscles in the hand and allows for sensation in the fingers. Ulnar nerve damage can occur as a result of an injury or surgery to the arm, or it can be caused by compression or inflammation of the nerve. Symptoms of ulnar nerve damage include weakness in the muscles controlled by the nerve, loss of sensation in the fingers, and pain in the arm.

What is median nerve damage?

The median nerve is a nerve that runs down the arm. It controls the muscles in the hand and allows for sensation in the fingers. Median nerve damage can occur as a result of an injury or surgery to the arm, or it can be caused by compression or inflammation of the nerve. Symptoms of median nerve damage include weakness in the muscles controlled by the nerve, loss of sensation in the fingers, and pain in the arm.

Read more about Shoulder Injuries After Vaccination
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Transverse Myelitis

This is a serious side effect of a flu vaccination where part of the spinal cord becomes inflamed causing severe pain and disability.

The inflammation of the spinal cord damages the nerve cell’s insulation called myelin, interrupting the ability of the spinal cord to send messages throughout the body. As with anything that impacts the spine, there is the possibility of lasting damage, including the loss of the use of hands, arms, legs, and/or feet.

The symptoms of transverse myelitis can come on suddenly after the influenza vaccine or develop over a few days after the vaccine. Symptoms may include:

• Back pain or stiffness
• Numbness or weakness in the legs
• Loss of bowel or bladder control
• Difficulty walking or moving the legs
• Sexual dysfunction
• Pain in the trunk or back

Most often, transverse myelitis will impact the legs or feet. In a more severe case of transverse myelitis, the patient will experience a complete loss of the use of arms and legs or complete paralysis.

There will also be neuropathic pain, abnormal sensations, and possible incontinence. In the most severe cases, the patient will need emergency surgery when they experience compression of the spinal cord.

While transverse myelitis is a rare vaccine injury, there are roughly one to two cases for every million vaccinations. Given the number of flu vaccinations in the United States every year, there may be several hundred additional cases of transverse myelitis that result from this vaccination.

Learn more about Transverse Myelitis
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When you have experienced any one of these complications as a result of flu vaccination, you must consult with an attorney to find out if you may be eligible for compensation. The attorneys at Sadaka Law are well versed in these cases and can advise you on the specifics of the Vaccine Injury Compensation Program. Our attorneys can guide you through the process of filing a claim for your injuries.

What is the National Vaccine Injury Compensation Program?

The National Vaccine Injury Compensation Program is a no-fault program that was created to provide compensation to those who have been injured by a vaccine. The program is administered by the U.S. Department of Health and Human Services and is funded by a tax on vaccines. The program covers injuries caused by vaccines that are recommended by the Centers for Disease Control and Prevention (CDC) for routine administration to children, adolescents, and adults.

Learn more about VICP program

Do flu shots hurt?

The most common side effect of the flu shot is an injection site reaction, soreness, or redness at the injection site. Some people may also experience a low-grade fever, headache, or muscle aches. You may want to ask your doctor or nurse if you can have it done in your non-dominant arm. That way, if you do feel any discomfort, it will be in the arm that is less used for everyday activities.

How are flu shots administered?

Flu shots are usually given as an injection (shot) in the upper arm into the muscle or intramuscular injection. They can also be given as a jet injector, which is a needle-free device that uses high pressure to push the vaccine through your skin into the muscle.

Can vaccines cause other nerve injuries?

YES.  Vaccines can cause Bell’s palsy and other nerve injuries.

Guillain-Barré syndrome and Flu Vaccine



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  • What is Guillain-Barré syndrome (GBS)?
  • What causes GBS?
  • Who is at risk for developing GBS?
  • How common is GBS? How common is it among people who have been vaccinated against flu?
  • How do public health authorities investigate cases of GBS?

What is Guillain-Barré syndrome (GBS)?

Guillain-Barré syndrome (GBS) is a rare disorder in which a person’s own immune system damages their nerve cells, causing muscle weakness and sometimes paralysis. GBS can cause symptoms that usually last for a few weeks. Most people recover fully from GBS, but some people have long-term nerve damage. In very rare cases, people have died of GBS, usually from difficulty breathing. In the United States, an estimated 3,000 to 6,000 people develop GBS each year.

What causes GBS?

The exact cause of GBS is unknown, but about two-thirds of people who develop GBS experience symptoms several days or weeks after they have been sick with diarrhea or a respiratory illness. Infection with the bacterium Campylobacter jejuni is one of the most common risk factors for GBS. People also can develop GBS after having the flu or other infections (such as cytomegalovirus and Epstein Barr virus). On very rare occasions, they may develop GBS in the days or weeks after getting a vaccination.

Who is at risk for developing GBS?

Anyone can develop GBS; however, it is more common among older adults. The incidence of GBS increases with age, and people older than 50 years are at greatest risk for developing GBS.

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How common is GBS? How common is it among people who have been vaccinated against flu?

The background rate for GBS in the Unites States is about 80 to 160 cases of GBS each week, regardless of vaccination. The data on the association between GBS and seasonal flu vaccination are variable and inconsistent across flu seasons. If there is an increased risk of GBS following flu vaccination it is small, on the order of one to two additional GBS cases per million doses of flu vaccine administered.

How do public health authorities investigate cases of GBS?

CDC and the Food and Drug Administration (FDA) closely monitor the safety of vaccines approved for use in the United States. CDC uses two primary systems to monitor the safety of flu vaccines:

  1. Vaccine Adverse Event Reporting System (VAERS): an early warning system that helps CDC and FDA monitor problems following vaccination. Anyone can report possible vaccine side effects to VAERS. Reports are welcome from all concerned individuals: for example, patients, parents, health care providers, pharmacists and vaccine manufacturers. Generally, VAERS reports cannot determine if an adverse event was caused by a vaccine, but these reports can help determine if further investigations are needed.
  1. Vaccine Safety Datalink (VSD): A collaboration between CDC and eight integrated health care organizations which conducts ongoing vaccine safety monitoring and research.

Learn more about vaccine safety monitoring at Vaccine Safety Monitoring at CDC.

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The doctor warned about dangerous symptoms after a flu shot – Gazeta.

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Chief specialist of the First Moscow State Medical University. I. M. Sechenov, Doctor of Medical Sciences Vladislav Zhemchugov spoke about the dangerous symptoms after a flu shot, writes “Ridus” .

The expert noted that the symptoms were mild or severe. The former include a slight increase in body temperature, redness at the injection site and general malaise, while the latter include high temperature, suppuration at the injection site, pulsation and swelling.

Zhemchugov added that there is no need to worry about mild symptoms, but for serious ones, you need to contact Rospotrebnadzor and the hospital, in extreme cases, call an ambulance.

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See also

COVID-19 Vaccine Side Effects: Why They Happen and How to Manage Them

Mini Kamboj, Chief Epidemiologist at MSK, receives the vaccine.

After the injection, side effects may occur, which is typical for any vaccine. The good news is that COVID-19 vaccineshave similar side effects, which are usually mild and do not last long – about 1-3 days.

The most common side effects include arm pain, weakness (feeling tired), headache, aches and fever. Serious side effects are very rare and can be treated.

It’s hard to predict. Side effects are more likely to occur and may be more noticeable after a second dose of Pfizer-BioNTech (Comirnaty®) or Moderna (Spikevax™) COVID-19 vaccine.

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If you experience side effects, that’s a good sign. They indicate that the vaccine is working and triggering the immune system.

After vaccination, your immune system recognizes something foreign. The immune system automatically launches a mild attack against it. This process teaches your immune cells to recognize and respond to invaders. That’s why you may experience side effects. Let’s put it this way: the body’s reaction to the vaccine is like training before a real fight.

If you were to become infected with the virus that causes COVID-19 after a full vaccination, your immune system would be ready for an even larger and more powerful attack to protect you.

Just because you don’t have side effects doesn’t mean the vaccine didn’t work. In clinical trials of the vaccine, more than half of the participants did not experience any side effects, but we are confident that the vaccine works effectively in these people too.

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If you experience pain or discomfort after vaccination, ask your doctor if you can take over-the-counter drugs such as ibuprofen (Advil) or acetaminophen (Tylenol).

Ways to relieve pain and discomfort in the hand:

  • Cover the affected area with a cool, clean, damp cloth.
  • Warm up your arm or do some exercise with that arm.

In most cases, discomfort from heat or pain is normal. Contact your doctor in the following cases:

  • If redness and pain at the injection site worsens after 24 hours.
  • If the side effects bother you a lot or don’t go away after a few days.

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You should wait for the vaccination and then monitor how you feel. If side effects occur, over-the-counter medications (such as Advil or Tylenol) can be taken to lower fever, reduce chills, or relieve headaches or body aches. It is extremely important that you do not take these drugs before getting vaccinated, as there are theoretical concerns that some pain medications could interfere with the immune response to the vaccine. It is also not clear whether taking medications beforehand actually helps reduce symptoms after vaccination.

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Several very rare cases of serious side effects have been identified and investigated, but scientists have concluded that the risk of developing serious complications due to COVID-19 is much higher than the risk of these side effects. Below is evidence of this careful and ongoing study.

  • In mid-July 2021, the Centers for Disease Control and Prevention (CDC) said that about 100 of the 13 million Americans who received the J&J vaccine developed Guillain-Barré syndrome. Guillain-Barré syndrome is a rare neurological disorder in which the body’s immune system attacks nerve cells. More information can be found here »
  • At the end of June 2021, the CDC reported that more than 1,200 Americans had heart muscle damage, possibly related to the Pfizer-BioNTech and Moderna vaccines. Heart problems were very rare – for every million second doses of the vaccine given, there were 12.6 cases of heart muscle damage. More information can be found here »
  • The CDC and FDA say that as of the end of November 2021, there were 54 cases diagnosed with a bleeding disorder called thrombocytopenia following the J&J vaccine (among 16. 4 million doses). On Dec. 16, CDC experts recommended that Americans get Pfizer-BioNTech or Moderna instead of the J&J vaccine. More information can be found here »

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Some patients may experience some enlargement or tenderness of the lymph nodes after administration of the Pfizer-BioNTech or Moderna vaccines. In addition, swollen lymph nodes can be detected on medical imaging and mistaken for the progression of some types of cancer—primarily breast cancer, head and neck cancer, melanoma, and lymphoma.

This side effect of the vaccine is more common after the second dose. It usually occurs within 2-4 days after vaccination and can last an average of 10 days.

On imaging, lymph node enlargement may be detected for a longer time. Therefore, our recommendations would be:

  • If you experience these symptoms after vaccination, you should contact your doctor. In most cases, it is recommended to wait at least four weeks before undergoing an additional test, during which time the lymph nodes have decreased to normal sizes.
  • Vaccination against COVID-19 should be given after routine medical imaging. If you have already been vaccinated, we recommend that you have routine breast exams, including mammograms and MRIs, no earlier than six weeks later.
  • If you have had cancer, you should be asked to administer the COVID-19 vaccine, if possible, on the opposite side that was not affected by the cancer.
  • If enlarged knots cause you discomfort, you can apply a warm compress. Acetaminophen or non-steroidal anti-inflammatory drugs may be taken to relieve discomfort.

It is important to know that all types of vaccines can cause temporary enlargement of the lymph nodes. This may indicate that antibodies are being produced in the body, as it should be.

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Antibody testing to test for immunity to COVID-19 following Pfizer/BioNTech or Moderna vaccination is not recommended at this time. The COVID-19 antibody test used at MSK detects an immune response after infection with COVID-19.