These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Since I got the COVID-19 vaccination in that shoulder, I have not been bothered with bursitis. doi: 10.1016/j.vaccine.2010.10.005. Many people report a sore arm, mild fever, or other symptoms after vaccination. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Arthritis? Take breaks often when doing repetitive tasks. Ive curtailed weightlifting. 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. Public health officials say to expect largely mild side effects. . Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. They help us to know which pages are the most and least popular and see how visitors move around the site. Experts say that after getting the COVID-19 vaccine, your immune response - the process in which your body builds antibodies to protect you against the virus - is basically the same whether. Physical therapy after an injury can help keep the shoulder flexible and strengthens the muscles that control the shoulder blade. NIH Research Matters Please enable it to take advantage of the complete set of features! Wood CT, et al. This type of bursitis, also called Haglund deformity, is in the bursa located between the skin of the heel and the Achilles tendon. The following are the most common symptoms of bursitis. Careers. Please try again. We apologize, but this video has failed to load. Visit our Community Guidelines for more information and details on how to adjust your email settings. Widespread and long-term inflammation during severe COVID-19 may cause the immune system to produce antibodies to pieces of the virus it wouldn't normally recognize. COVID-19 is a life threatening condition, and the vaccine is highly protective against the virus SARS-CoV-2, which causes . Centers for Disease Control and Prevention. Bethesda, MD 20894, Web Policies The most common causes of bursitis are injury or overuse, but it can also be caused by infection. The CDC has acknowledged reports of tinnitus post-vaccination, specifically with the Moderna and Pfizer vaccines. Far-right U.S. news outlet The Epoch Times reported on March 6 that 966 people had died after having the Pfizer or Moderna COVID vaccines. Is it normal for my shoulder to hurt after a COVID-19 vaccine? Some patients undergo surgery. This can occur within 48 hours of vaccination. Still, it didnt have to happen. media@cdc.gov, Elisabeth Hesse, MD, MTM&H, 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. High on the list are nonsteroidal anti-inflammatory drugs such as ibuprofen. Shoulder injuries become more likely as we age. That, too, is helpful in avoiding irritation and fungal overgrowth. Infection may also cause it. Curr Sports Med Rep. 2022 Mar 1;21(3):78-83. doi: 10.1249/JSR.0000000000000939. The COVID-19 vaccines are the best way to protect yourself and others. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. Overall, 226 cases of myocarditis or pericarditis after vaccination in people younger than age 30 have been confirmed, Dr. Tom Shimabukuro, deputy director of the CDC's Immunization Safety. 2010;28(51):80498052. MTM&H: The Uniformed Services University of the Health Sciences, 2011 Zeitoun A, Hallit S, Helali M, Chehade S, Allam C, Ibrahim A, Dimassi H, Karam R. J Pharm Policy Pract. My doctor prescribed 1,800 milligrams of ibuprofen daily. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. I saw a remarkable improvement after the first application, and, a few days later, the rash was gone. It's unclear how many patients were admitted to the hospital, or, for example, were discharged following a visit to the emergency room. Sign up to receive the daily top stories from the National Post, a division of Postmedia Network Inc. A welcome email is on its way. HHS Vulnerability Disclosure, Help Syncope (pronounced "sin ko pea") involves fainting or passing out and was the second most distressful symptom per the study, given a 4.3 out of 5. Practice good posture. Kempkes; Deutsche Jos Carreras Leukmie-Stiftung; Rhn Klinikum AG; German Center for Lung Disease; UTHSC/UofM SARS-CoV-2/COVID-19 Research CORNET; Sean N Parker Center COVID-19 Research Fund; Henry Gustav Floren Trust; Chan Zuckerberg Biohub; Frank Quattrone and Denise Foderaro Family Research Fund; Allen Institute for Immunology; Chen Family Research Fund; Searle Scholars Program; Fast Grants; CEND COVID Catalyst Fund. In 2012, more than 9.6 million Americans sought help from their physicians for shoulder problems, according to the American Academy of Orthopaedic Surgeons. 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. Bursitis is inflammation of a bursa. When should you see a doctor for shoulder pain after a vaccine? (General/PH)]: Walter Reed Army Institute of 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. doi: 10.1016/j.vaccine.2017.07.055. An imaging test that uses high-frequency sound waves to look at the internal organs and tissues. If you don't see it, please check your junk folder. (. It's true that if someone has a history of a severe allergic reaction to any ingredient in the vaccine, they should not receive it. This type of bursitis is also called Albert disease. Meloxicam may be used to relieve pain and inflammation associated with several different medical conditions, trauma, or surgery. My inoculation took place in a physicians office, administered by a nurse. The treatment of any bursitis depends on whether or not it involves infection. This is minor compared with health challenges that other people face. A hypothesis is that the first shot, the primer, gets your immune system ready. Honarmad AR, et al. (2022). Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. Bursitis is the painful swelling of a small, fluid-filled sac called a bursa. Its also important for medical professionals to be aware of SIRVA so that patients may be treated in a timely, effective manner. In contrast, only 15% of healthy controls had such antibodies. Fernndez Martnez AM, Cuesta Marcos MT, Rodrguez Prieto J. Cardiovasc Intervent Radiol. Now recovered after her surgery, Russo says: Who would have thought that a routine shot would cause so much misery and pain? Ultrasound. According to another 2021 report, a 52-year-old Thai male experienced shoulder pain with limited range of motion 3 days after getting the Sinovac COVID-19 vaccine. Bodor uses ultrasound imaging to target precise sites for cortisone injections, which cured Cassayre after several months of ineffective physical therapy. Some of those pieces might resemble human proteins enough to trigger the production of autoantibodies. This online resource is available under the Health eGuides tab at PeoplesPharmacy.com. Arthroscopic surgical management of shoulder secondary to shoulder injury related to vaccine administration (SIRVA). Shoulder Pain and Injury after COVID-19 Vaccination. Keywords: COVID-19, SIRVA, Bursitis, Vaccine, Shoulder, MRI, Ultrasound Introduction We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our. Then, when I got my COVID vaccinations, it totally disappeared and has not come back.. People with such symptoms often refer to themselves as "long-haulers." Other symptoms can include chest pain, heart palpitations, cough, brain fog and headache. "Similar to the flu vaccine, the side effects are pretty mild, and the most common one is fatigue," says Malaty Rivera. 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%). You need 2 doses for stronger and longer-lasting protection. They can also happen during everyday activities. 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. Possible side effects from vaccines. We take your privacy seriously. Treatments for shoulder bursitis focus on reducing inflammation and minimizing symptoms. National Library of Medicine Federal government websites often end in .gov or .mil. The major bursae (this is the plural of bursa) are located next to the tendons near the large joints, such as in the shoulders, elbows, hips, and knees. Shahbaz M, et al. While SIRVA may be long lasting, and even permanent, its symptoms are treatable. 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. Blood tests. 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. After eight days of pain, I called the practice. Vaccine. Posting comments is now limited to subscribers only. That can sometimes cause a problem termed SIRVA, shoulder injury related to vaccine administration. (2022). CDC ACIP meeting, September 22, 2021. Symptoms can include fever and fatigue, as well as shortness of breath and a very specific type of chest pain. Some experience. . Elbow bursitis. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. Bursitis is inflammation of a bursa, a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. Get urgent medical advice if you have any of these symptoms within a few days of being vaccinated: chest pain shortness of breath The virus that causes COVID, SARS-CoV-2, needs a target to latch. Following the presentation, Dr. Cody Meissner, chief of pediatric infectious diseases at the Tufts Children's Hospital in Boston, said "it is hard to deny that there's some event that seems to be occurring in terms of myocarditis.". EIS Class of 2017 FOIA Bursae (plural of bursa) are located throughout the body near joints such as the hips, knees, shoulders, elbows and heels. Pain, swelling, and tenderness near a joint are the most common signs of bursitis. Please visit the CDC's website for the most up to date information.. COVID-19 is characterized by a variety of symptomssome common to respiratory illness (fever, cough, runny nose) and others altogether strange (loss of taste and smell and "foggy brain"). Shimabukuro stresses, however, that a report does not necessarily mean the vaccine caused the injury, only that it occurred sometime after a vaccination. Pain, swelling, and tenderness near a joint are the most common signs of bursitis. 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. Nevertheless, the problem has received growing attention in recent years as more immunizations are done outside doctors offices, especially during flu season through vaccination clinics offered at workplaces, pharmacies and grocery stores. Despite 10 dermatologist appointments to get rid of it, I thought I was stuck with it. IE 11 is not supported. -, Batra S, Page B. Normally, fewer than 100 cases would be expected for this age group. Epub 2022 Jun 8. 2023 Feb;26(2):267-277. doi: 10.1111/1756-185X.14482. All rights reserved. Publication types Case Reports Intern(Transitional year): Walter Reed Army For questions about the EIS program, please contact us directly at EISApplication@cdc.gov. 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. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. COVID vaccines are being given in the upper arm- in the deltoid muscle because it is one of the strongest muscles of the body. 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. While SIRVA has not been on the list until now, the court has awarded compensation for such injuries based on growing evidence of causation. The CDC stated, "It is not recommended you take over-the-counter medicine, such as ibuprofen, aspirin, or acetaminophen, before vaccination for the purpose of trying to prevent vaccine-related side effects. We have enabled email notificationsyou will now receive an email if you receive a reply to your comment, there is an update to a comment thread you follow or if a user you follow comments. 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. Its caused by things like injury, disease, or shoes with rigid back support. 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. Full coverage of the coronavirus outbreak. By continuing to use our site, you agree to our Terms of Service and Privacy Policy. Climbing stairs is very painful. BA: Hiram College, 2005 The study was funded by several NIH components, primarily the National Institute of Allergy and Infectious Diseases (NIAID). These may lead to the deterioration of muscles and a limited range of motion in the affected joint. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The most common side effects from vaccination, including the COVID-19 vaccines and boosters, are mild. See this image and copyright information in PMC. These cookies may also be used for advertising purposes by these third parties. CDC twenty four seven. Before Some studies have found that the symptoms of SIRVA may last at least 6 months. This site needs JavaScript to work properly. Myocarditis is condition that involves inflammation of the heart muscle. Find more COVID-19 testing locations on Maryland.gov. "We clearly have an imbalance there," Shimabukuro said. You will be subject to the destination website's privacy policy when you follow the link. The powder may have an advantage in keeping this delicate area dry. Treatment may include: R.I.C.E. Vaccination against COVID-19 is much less inflammatory than infection with the virus. Information regarding COVID-19 and vaccines are continually evolving, new details may be available since this content was developed. This attaches the calf muscle to the back of the heel. The bursa is not infected. A: A surprisingly large number of medications can raise blood pressure. Bilateral upper extremity myositis after COVID-19 vaccination. The consequences of getting a vaccine-preventable disease can be far more serious. 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. The bursa becomes infected with bacteria. Ketamine therapy may help with chronic pain that doesn't respond to other treatments. Its okay when I go running, but it bothers me when I swim. Shoulder injury related to vaccine administration. Create an account or sign in to continue with your reading experience. Schools are stepping up to vaccinate them. By padding these areas, bursae (plural for bursa) decrease friction, rubbing and inflammation. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. This type of bursitis is more common in women and middle-aged and older people. An MRI showed excessive fluid buildup in the bursa. 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. To date, there has never been an epidemiologic study to determine how often deltoid bursitis occurs after vaccination. 2005-2023 Healthline Media a Red Ventures Company. Almost universally, when I ask where the shot went, they point really high up on the arm.. For Medicine . 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. The vast majority of the cases were sent home following a visit to a hospital as of the end of May. The pain is still there but much less. Common COVID-19 symptoms, according to the WHO, include: a dry cough fatigue a fever Other symptoms may include: aches and pains breathing difficulties gastrointestinal symptoms, such as diarrhea. Researchers are beginning to understand how the human immune system contributes to the varied responses to COVID-19. Can Pharm J (Ott) 2018;151(5):295299. We encountered an issue signing you up. Marlene Cimons writes frequently for The Washington Post on health, science and environmental issues. Always see a healthcare provider for a diagnosis. But nobody suffered any bad side effects from the vaccine in the phase 1 . So far, millions of people have been given a COVID-19 vaccine and reports of serious side effects, such as allergic reactions or clotting . This location should be above the level of your armpit when your arm is held straight by your side. 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. eCollection 2023 Jan. Int J Rheum Dis. What causes shoulder injury after a vaccination? (2019). Erika Edwards is a health and medical news writer and reporter for NBC News and "TODAY.". More serious or long-lasting side effects to COVID-19 vaccines are extremely rare. We see this with any type of injection or vaccine into your arm, not just with COVID vaccines. Learn how long COVID-19 vaccines may protect you, including data from Moderna, Pfizer-BioNTech, Johnson & Johnson, AstraZeneca, and NovaVax vaccines. Some less common side effects can include swollen lymph nodes (especially in the armpit) and swelling at the injection site. The 1st dose should give you some protection from 3 or 4 weeks after you've had it. Authorities are investigating this and similar cases. (2022). Shoulder injury related to vaccine administration (SIRVA), defined as shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm, is a well-established condition in the medical literature, yet underreported. As soon I got the shot, it hurt so bad, I jumped, says Debby Russo, 60, of Eagleville, Pa., who got a flu shot in 2011 at a pharmacy. The Claim. Watson OJ, et al. People are diagnosed with. Prostaglandins elevate body temperature and make nerve endings more sensitive to pain . Write to them in care of King Features, 628 Virginia Drive, Orlando, FL 32803, or email them via their website: PeoplesPharmacy.com. This inflammation results from local soft-tissue trauma or strain injury. Some of those pieces might resemble human proteins enough to trigger the production of autoantibodies. A 2010 study that examined 13 cases of post-vaccination shoulder injuries found nearly half of the patients reported that the vaccine was injected too high into the arm, suggesting that in some of our cases, the injury may have been the result of improper injection technique, the study said. 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. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. This is the body's natural response, as it's working hard to build immunity against the disease. As the long-awaited COVID-19 vaccine rollout begins across the country and everyone is eager to get back to normal life, it can be confusing to understand what you can and cannot do once you and those around you are vaccinated. and deltoid bursitis, or frozen shoulder, characterized by shoulder pain and loss of motion.. Relief has been temporary. Some have experienced side effects even when shots are correctly administered, said David Carney, a Philadelphia attorney who specializes in vaccine-injury cases. If needed, surgery can be done to remove the bursa. I remember thinking: Will I ever be able to roll out another pie crust for my grandchildren?. This type of bursitis may be caused by lack of stretching before exercise, tight hamstring muscles, being overweight, arthritis, or out-turning of the knee or lower leg. COVID arm is a minor annoyance that will disappear within a few days. -, Hexter AT, Gee E, Sandher D. Management of glenohumeral synovitis secondary to influenza vaccination. There is no single way to treat shoulder injuries, regardless of how they occur. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010-2017. Treatments that work for some may not work for others. A third of the patients needed surgery, some of them twice. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. The ideal placement for a vaccine in the upper arm is in the central and thickest part of the upper arms deltoid muscle. However, you may sometimes experience more severe side effects related to vaccination in the upper arm, including intense shoulder pain and limited range of motion. (Feb. 25, 2023) By now, most are likely aware of the swirling controversy surrounding the safety and efficacy, for which the CDC vouches, of the COVID-19 vaccines. Degenerative Disc Disease: Can Injections Help Relieve Back Pain? Hip bursitis. Shoulder injury related to vaccine administration: A rare reaction. I dont like taking drugs unless unavoidable and in this case I felt it would only be masking the pain so I ignored the advice. 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. The vaccine should be injected just into the surface of the muscle, not injected too deep. Shoulder injury related to vaccine administration (SIRVA) following mRNA COVID-19 vaccination: Report of 2 cases of subacromial-subdeltoid bursitis. To date, there has never been an epidemiologic study to determine how often deltoid bursitis occurs after vaccination. Septic bursitis. It hurts to put my arm through a sleeve or to pull a T-shirt over my head. Position your body properly when doing daily activities. Bldg. 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 . eCollection 2022 Sep 12. 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. A: Zeasorb AF contains the antifungal medication miconazole. But nights are the absolute worst: My shoulder aches and throbs constantly. All these months later, it still hurts. It went into the right place and didnt hurt a bit. As of May, the federal court that adjudicates such claims had awarded compensation for 102 of them, with payments totaling about $16 million. In a separate study that looked at COVID vaccination, none of the healthy volunteers developed autoantibodies. Absolute numbers of long-haulers aren't known, but a recent survey in the U.K. found about 13% of people who had COVID-19 continued to have symptoms three months after their initial infection.. Russo, for example, tried physical therapy, but it didnt work. Most people also need a booster dose to help improve the protection from the first 2 doses of the vaccine. Between 2011 and 2014, the compensation program received 136 claims alleging upper-extremity injuries, including SIRVA (along with others such as general arm pain and disfiguring lumps). 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/. Since then, Ive seen more than a dozen patients who have suffered shoulder injuries after vaccinations. doi: 10.1177/1715163518790771. No one should shun them because of the small risk of shoulder injury. From a tailored suit to hair wax to keep his coif in place, Don't miss this deal on Microsoft Office's full suite of applications and tools, Best Buy, Fable and DAVIDsTEA, to name a few. PMC Bursitis is usually a temporary condition. SIRVA can result in chronic or sometimes permanent injury to the arm and shoulder. PMID:34521836. Access all of our expanded, online-only, subscriber exclusive opinion writing. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. If you experience difficulty breathing, chest pain, confusion, loss of speech or mobility after your vaccine, contact your healthcare provider immediately. (404) 639-3286 However, after my Moderna booster shot, I noticed a big change in my bone-on-bone shoulder pain. This meant that there were an additional 2.5 cases of bursitis for every million people who got a flu vaccine that year. For this reason . Med Sci Monit. The chances of any of these side effects occurring after vaccination differ according to the specific vaccine . Most of the time, this soreness is mild and will go away without treatment in a few days. Chang SE, Feng A, Meng W, Apostolidis SA, Mack E, Artandi M, Barman L, Bennett K, Chakraborty S, Chang I, Cheung P, Chinthrajah S, Dhingra S, Do E, Finck A, Gaano A, Gener R, Giannini HM, Gonzalez J, Greib S, Gndisch M, Hsu AR, Kuo A, Manohar M, Mao R, Neeli I, Neubauer A, Oniyide O, Powell AE, Puri R, Renz H, Schapiro J, Weidenbacher PA, Wittman R, Ahuja N, Chung HR, Jagannathan P, James JA, Kim PS, Meyer NJ, Nadeau KC, Radic M, Robinson WH, Singh U, Wang TT, Wherry EJ, Skevaki C, Luning Prak ET,Utz PJ. In public settings, some people go in . Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Youre More Likely to Be Hit by Lightning Than to Have Severe Vaccine Allergy. 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. My shoulder started hurting the afternoon I got the shot, she says, and after several days it had gotten terribly painful and I couldnt lift my arm.
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