Covid Vaccine Given Too High On Arm

Updated | Posted
by andrusia andrusia, EMT-B (New) New Pre-Student

 

would-you-get-your-covid-vaccine-at-a-pharmacy.jpg.47d899b2cbb14a329c0118490dbb8059.jpgThe bruise was the injection site administered by a pharmacy tech at Walgreens.  Can't remember how far away my arm was from the side, so it's possible that the bursa was irritated.  Appears to be 3 cm below the lower edge of the acromion, though I think it should be 5-6 cm to avoid the bursa.  Any nurses care to comment?  I know that you would get your vaccines at the hospital, but would you go back to a Walgreens for shots?

covidarm.jpg.8fbfc26365647d53cf70248cc65ae22a.jpg

toomuchbaloney

toomuchbaloney

Specializes in NICU, PICU, Transport, L&D, Hospice. Has 43 years experience. 7,964 Posts

I've never gotten an injection from Walgreens. 

CrunchRN, ADN, RN

Specializes in Clinical Research, Outpt Women's Health. Has 25 years experience. 4,398 Posts

That is high up.

scuba-girl

scuba-girl, BSN

69 Posts

Are you saying your arm is hurting more than you expected?

I've received shots from walgreens because they offer preservative free, and tri and quad and egg free, etc.  

Maybe next time point to exactly where you want the shot, that could help.

andrusia

andrusia, EMT-B

2 Posts

I’m just a little sketched out by getting vaccines from major retailers, and the higher up vaccination placement just adds to the anxiety. No idea if the bursa was irritated or not. Arm just feels weaker even 10 days out. 

Realistically, I know that short of having a massive bruise or immobile arm, there isn’t anything that I can do. Arguing over 3-4 cm below the acromion vs 5-6cm wouldn’t get me anywhere with a doctor visit. 

I’ll just have to get my second vaccine(all future vaccines) at a hospital from now on. Nothing else I can really do. 

NotFlo

NotFlo

348 Posts

Mine (second one) was given at the hospital by an RN and was still way too high so don't know if going to hospital will solve the issue. 

CommunityRNBSN

CommunityRNBSN, BSN, RN

Specializes in Community health. Has 4 years experience. 785 Posts

I do not think it’s a Walgreens problem. In order to vaccinate 400 million people, LOTS of people are being drafted to vaccinate. At our clinic (an FQHC), if you have any sort of license that allows you to vaccinate, you’re up. Here are the syringes, get out there and get moving. So, no, everyone is not an expert vaccinator. Should we be doing more training and shadowing?  Sure, there are a lot of things that would be happening if we weren’t in the middle of a pandemic. My point is— don’t blame Walgreens. Going to a clinic or hospital wouldn’t guarantee a better outcome for shots.  In future if you’re anxious, you can always ask the tech to point with her finger where she’s going to inject. 

CABGpatch_RN

CABGpatch_RN, BSN

Specializes in Critical Care. Has 24 years experience. 151 Posts

Nurse vaccinator here.  I would go lower, but for what it's worth I don't think the picture above depicts an injection too high.  Wishing you nothing but the best.

https://healthjade.net/deltoid-muscle/

Edited by CABGpatch_RN
typo

CABGpatch_RN

CABGpatch_RN, BSN

Specializes in Critical Care. Has 24 years experience. 151 Posts

btw, yes.  Get your vaccine wherever it is available to you.  Including the retail pharmacies.

sideshowstarlet, BSN, RN

Specializes in Med-Surg, Developmental Disorders. Has 9 years experience. 1 Article; 207 Posts

I agree with the prior poster who said you should get the vaccination wherever and whenever it is available to you. I am surprised that you have had to wait this long for a first shot. In my area, frontline workers like EMTs were getting their first and even second shots before Walgreens even started administering them. Wishing you a smooth second shot and good health! 

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 45 years experience. 11 Articles; 17,185 Posts

The images below show correct deltoid locations for injections ---  first post picture site appears to be 2 fingerbreaths below shoulder tip--- acceptable location.

image.png.2579a0f530cef48cece0b609f1226b03.png

 

image.thumb.png.4acdda49cb12814bfb3919416df5d48c.png

image.thumb.png.ef29a4c23ff9b7947765cd67893db209.png

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 45 years experience. 11 Articles; 17,185 Posts

This  picture shows hand position I used to administer deltoid IM .

image.png.7b951d578a79968846faa509547855fd.png