Criteria of Scheifele et al for Evaluating an Injection Site Reaction Following Vaccination

Description

Scheifele et al developed criteria for evaluating injection site reactions following vaccination. These can help describe the severity of the reactions seen. The authors are from the University of British Columbia in Vancouver.

Parameters:

(1) erythema (redness)

(2) swelling

(3) tenderness

(4) impaired arm mobility

Parameter	Finding	Grade
erythema	none or < 5 mm	none
	5 - 19 mm	mild
	20 - 49 mm	mild to moderate
	50 - 99 mm	moderate
	>= 100 mm	severe
swelling	none or < 5 mm	none
	5 - 19 mm	mild
	20 - 49 mm	mild to moderate
	50 - 99 mm	moderate
	>= 100 mm	severe
tenderness	none	none
	discernable effect but well-tolerated	mild
	some limitation of function	moderate
	severe limitation of function and activities of daily living	severe
impaired arm mobility	normal	none
	discernable effect but well-tolerated	mild
	some limitation of function	moderate
	severe limitation of function and activities of daily living	severe

Additional findings:

(1) fever (>= 38°C)

(2) skin rash

(3) headache

(4) vomiting

(5) respiratory symptoms

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

ICD-10