If your shoulder pain is intense and doesnt resolve on its own within a week of vaccination, you should make an appointment with a doctor. She was tested three times that month, all negative. Some people recover from long COVID in a few weeks, but others do not recover completely. 2022 Oct 15;15(1):63. doi: 10.1186/s40545-022-00459-3. Muscle aches are also a known side effect of some medications. 2021 Jul 30;74(7-08):273-276. doi: 10.18071/isz.74.0273. That number is larger when factoring in all the various vaccinations beyond just the flu vaccine. The skin on the back of the elbow may be loose, so you may not see the swelling at first. Beyond this, the injection is given in the deltoid muscle below the space where bursitis or tendinitis would occur and outside the glenohumeral joint where patients might experience arthritis. People may mistake these symptoms for arthritis. The bursa usually grows back normally after several months. Shoulder injury related to vaccine administration. PeaceHealth endeavors to provide comprehensive health care information, however some topics in this database describe services and procedures not offered by our providers or within our facilities because they do not comply with, nor are they condoned by, the ethics policies of our organization. We reported a 23-year-old woman who suffered from an acute ReA on her left knee joint after COVID-19 vaccination and discussed the etiology and preventive strategy. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Take pain medicine such as ibuprofen or other anti-inflammatories to reduce the swelling and the pain. Possible side effects from vaccines. 2021;69(2):6872. 2022 Oct 21;10(10):1771. doi: 10.3390/vaccines10101771. Is there a link between overactive bladder and COVID-19? Some patients may also experience muscle aches as a side effect of the COVID - 19 vaccine. Getting it in the right spot: shoulder injury related to vaccine administration (SIRVA) and other injection site events. Shift work can harm sleep and health: What helps? Professionals, Administrative Healthline Media does not provide medical advice, diagnosis, or treatment. 8600 Rockville Pike We avoid using tertiary references. 2022 Oct 10;9:933914. doi: 10.3389/fmed.2022.933914. If this happens, you may need antibiotics. Shoulder injury related to vaccine administration: A rare reaction. Take the medication as directed to fight the infection. After you get a vaccine shot in your upper arm to protect yourself against the flu, COVID-19, or another disease, there's a chance you'll feel some soreness where you got jabbed . Trials showed about 95% efficacy in preventing symptomatic COVID-19 infection after two doses. There are three general causes of olecranon bursitis: Symptoms of olecranon bursitis may include: Your doctor can likely diagnose olecranon bursitis from a medical history and physical exam. Treatments include rest, ice, medications, and sometimes drainage and injection with a corticosteroid to reduce inflammation. Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine in healthy adults aged 18-59 years: a randomised, double-blind, placebo-controlled, phase 1/2 clinical trial. Please note the date of last review or update on all articles. Do we miss rare adverse events induced by COVID-19 vaccination? Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Apply ice 10 to 15 minutes at a time, as often as twice an hour, for 3 days (72 hours). CoronaVac vaccine; adverse event; reactive arthritis. Energy-boosting coffee alternatives: What to know. Bursitis; COVID-19; MRI; SIRVA; Shoulder; Ultrasound; Vaccine. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Shahbaz M, et al. Some patients worry that receiving an injection in this area could permanently injure their shoulder. Learn how we develop our content. Vaccines play an essential role in preventing the spread. Sex and gender exist on spectrums. The benefits usually outweigh the risks, as people with RA are more vulnerable to severe COVID-19. MeSH And I cant wait! 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. The mRNA instructs the bodys cells to manufacture a spike protein that is found on the surface of the COVID- 19 virus. Learn more: COVID-19 (Coronavirus) Animation. All rights reserved. Yes, COVID-19 can trigger arthritis in some people. Such severe reactions to vaccines are very rare, but they do occur. Youll most likely stay overnight in the hospital to have this done. The benefits of vaccination far outweigh its potential risks and vaccination should be administered according to the current recommendations. nausea. Follow your doctors directions and read the medicine label carefully. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. 2022 Sep;8(2):e002519. from the American Academy of Orthopaedic Surgeons, Swelling or redness at the site of the injection, Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue. In a 2021 study, researchers tried to gauge how common this is. He or she may also recommend waiting for a period of time after vaccination.Your doctor can answer any questions you may have about the timing of corticosteroid injections and COVID-19 vaccination. 2022 Jul 11;28:e937430. chills. Wong W, et al. The site is secure. Unauthorized use of these marks is strictly prohibited. The bursa may also fill with fluid and it then looks like a small soft ball. Front Med (Lausanne). Other conditions: If you have another condition such as rheumatoid arthritis (a disease where your immune system attacks your joints), gout (a type of arthritis), or kidney failure in which you need dialysis (your blood is filtered through a machine), you have a higher chance of getting Popeyes elbow. Vaccine. Depending on your case, the entire bursa may be removed. Symptoms. The report focuses on a 53-year-old man with a family history of RA. You typically need about 3 to 4 weeks to regain full use of your elbow after surgery. (2022). Thanks for visiting. Clipboard, Search History, and several other advanced features are temporarily unavailable. The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. We went into strict quarantine right then. Your doctor may suggest physical therapy to strengthen the muscles around your joints. Other viral infections can do so as well. Recent research also suggests that people who got COVID-19 in 2020 and then received . doi: 10.1016/j.vaccine.2017.07.055. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Epub 2021 Feb 3. This is the most common cause of olecranon bursitis. Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. Please enable it to take advantage of the complete set of features! But with two kids in remote school, me trying to keep up with virtual clinical work, and no chance of allowing anyone in to help us, he inevitably got pulled into the day-to-day survival of the household. According to a 2021 study, post-COVID-19 arthritis may occur as a result of inflammation, which is part of the bodys natural immune response. In the context of the COVID-19 pandemic and massive vaccination of the population, the question of the COVID-19 vaccine as a potential trigger can be raised. It is, however, too early in the pandemic to know all of the long-term consequences. 2022 Sep 26;9:997876. doi: 10.3389/fmed.2022.997876. With olecranon bursitis, the small sac of fluid on the tip of the elbow (olecranon bursa) is inflamed. Experts say chronic pain can lead to illness and disease as well as mental health issues as a person ages. American Academy of Orthopaedic Surgeons: Elbow (Olecranon) Bursitis., American Society for Surgery of the Hand: Olecranon Bursitis., University of Rochester: Medical Center: Bursitis., Arthritis Foundation: What is Rheumatoid Arthritis?, National Institute of Arthritis and Musculoskeletal and Skin Diseases: What is Gout?, UpToDate: Patient education: Bursitis (Beyond the Basics)., U.S. National Library of Medicine: Pus.. Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010-2017. Bookshelf The symptoms of reactive arthritis usually go away within 35 months. (2021). This may help reduce symptoms and increase quality of life. Click here to learn more. Elbow bursitis, also called olecranon bursitis, is irritation or inflammation of a sac that covers and cushions the outside of the elbow. The https:// ensures that you are connecting to the William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine. Arthroscopic surgical management of shoulder secondary to shoulder injury related to vaccine administration (SIRVA). For these reasons, you should continue to wear a mask, practice social distancing, avoid crowds and wash your hands often. Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. Shoulder Elbow. If the olecranon bursa is inflamed then it causes a thickness and swelling over the back of the elbow. These numbers are real reason to have hope! Factors that may contribute include: COVID-19 vaccines can also cause temporary side effects that feel similar to those of arthritis or RA, such as: These effects usually last a few days but can last up to several weeks. If a person has persistent joint pain after any infection, they should contact a doctor. Theres nothing like a real-life test to drive home the need for vaccines. If your doctor is concerned about an infection in your elbow, he or she may drain fluid from the elbow with a needle and have the fluid tested by a lab. Bethesda, MD 20894, Web Policies and transmitted securely. Use pain relievers. Again I worked from home, but this time I gave in to a nice hefty dose of Aleve. If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. Dr. Monique Tello is a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, clinical instructor at Harvard Medical School, and author of the evidence-based lifestyle. Further attentions should be put to determine which individual is at higher risk for developing autoimmune diseases after COVID-19 vaccination. I am confident that we can get to a new normal. Rotator Cuff and Shoulder Conditioning Program. However, a 2022 case report notes that some people have developed new or worse symptoms of autoimmune conditions after receiving the COVID-19 vaccine. In severe cases of swelling, a lump could form, jutting out from the tip -- kind of like the cartoon character Popeye. Help: Healthwise Index: Topic Contents. These are usually temporary and resolve after a few days. Most people do not experience any serious lasting side effects as a result of vaccination. The pain may be severe and limiting. You dont notice the bursa because it usually lies flat, conforming to the shape of your bone. The severe acute respiratory syndrome coronavirus 2-induced coronavirus disease 2019 (COVID-19) has had a global spread. This website also contains material copyrighted by third parties. Health Alerts from Harvard Medical School. Rare and Preventable: Painful Post-vax Shoulder Problems. You may see some of these symptoms when you have elbow bursitis: Swelling: This is usually the first symptom youll notice. Learn how long COVID-19 vaccines may protect you, including data from Moderna, Pfizer-BioNTech, Johnson & Johnson, AstraZeneca, and NovaVax vaccines. A: Many people have complained about side effects from COVID vaccinations. See this image and copyright information in PMC. I worked from home and took Tylenol, and was fine in a matter of hours. If you are having a corticosteroid injection for an orthopaedic condition, such as arthritis or carpal tunnel syndrome, your doctor may advise you to wait for a few days after the injection before receiving the COVID-19 vaccine. What is shoulder injury related to vaccine administration (SIRVA)? 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. Don't rely on medicine to relieve pain so that you can keep overusing the joint. Inflamm Regen. Can diet help improve depression symptoms? Acute transverse myelitis after inactivated COVID-19 vaccine. It can happen if a person develops reactive arthritis due to the inflammation the infection causes. Avoid any activity or direct pressure that may cause pain. Treatment for ongoing (chronic) bursitis focuses on teaching you to avoid leaning on your elbows, protecting your elbows during sports activities with elbow pads, and using anti-inflammatory medicines. She presented with swollen, painful left knee joint for 18 d. She had been inoculated 0.5 ml CoronaVac vaccine on 0 d and the 14th day with deltoid intramuscular injection. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. 1 Although less described in the literature, respiratory bacterial infections such as Chlamydia psittaci, What to know about COVID-19 and arthritis. There is no evidence that vaccination will interfere with your surgery or recovery. Can the Cornonavirus Affect My Bones and Joints? Wood CT, et al. Fernndez Martnez AM, Cuesta Marcos MT, Rodrguez Prieto J. Cardiovasc Intervent Radiol. Disclaimer. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. And he has asthma. Like most healthcare workers, I was thrilled when I was eligible to receive the COVID-19 vaccine. (, MeSH (2021). This article discusses arthritis after COVID-19, including the symptoms, treatment, and duration. 2005-2023 Healthline Media a Red Ventures Company. A SIRVA diagnosis can involve a medical professional: SIRVA can be painful and even debilitating, but treatment is available. 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. Bursa occur throughout your body,. Subacromial bursitis, rotator cuff tendinitis, and glenohumeral arthritis (arthritis of the shoulder joint) are all shoulder conditions that are commonly seen in adults. government site. Workplace Health Saf. More importantly, no one not one participant who caught COVID-19 after receiving either of these vaccines died, or even got sick enough to be hospitalized. 1995-2020 Healthwise, Incorporated. Two tests confirmed full-blown COVID-19. However, the report does not confirm that this happened. Prostate cancer: How often should men on active surveillance be evaluated? That can sometimes cause. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. For this reason, you should consult your regular physician if you are experiencing any virus-like symptoms before continuing anti-inflammatory medication. WebMD does not provide medical advice, diagnosis or treatment. Disclaimer. Would you like email updates of new search results? 8600 Rockville Pike The swelling or lump is caused by increased fluid within the bursa and is tender with movement or when touched. Alas, seven days after his exposure, he came down with fever, chills, fatigue, congestion, cough. Bursitis is an inflammation of small sacs of fluid (bursae) that help joints move smoothly. Elbow bursitis. Even more importantly, we now have vaccines. (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. Search the Healthwise Knowledgebase . AAOS gives its full support for the widespread adoption of the vaccine. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Get your hearing checked today. Shoulder injury related to vaccine administration and other injection site events. William H. Blahd Jr. MD, FACEP - Emergency Medicine. Even though the two major COVID-19 vaccines available today are around 94% effective, you should continue to follow all community rules and precautions concerning COVID-19 after vaccination. They remain the most effective. Wu Z, Hu Y, Xu M, Chen Z, Yang W, Jiang Z, Li M, Jin H, Cui G, Chen P, Wang L, Zhao G, Ding Y, Zhao Y, Yin W. Lancet Infect Dis. This is because the bump that develops at the back of the elbow looks like the cartoon character Popeye's elbow. Use nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce pain and inflammation. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. Shoulder Pain and Injury after COVID-19 Vaccination. Its very common to experience some temporary soreness where you receive an injection. Would you like email updates of new search results? Lorraine L. Janeczko, MPH. Former President Jimmy Carter entered hospice care at home, the Carter Center announced over the weekend. 2015;7(2):100103. Some people may experience the following effects after receiving a vaccine: SIRVA symptoms usually arise within 48 hours of vaccination. Some people need surgery to drain or remove the bursa. Deltoid bursitis and other shoulder conditions that may develop after vaccination injections . Although he was healthy before he received the COVID-19 vaccine, he began having symptoms of RA 4 weeks after his final vaccination. We may still be wearing masks and social distancing to some extent remember, vaccinated people can still get infected, its just less likely and they dont get very sick. Rodrigues TS, et al. In addition, COVID-19 vaccination might offer better protection than getting sick with COVID-19. Efficacy and risk of mRNA vaccination in patients with autoimmune inflammatory rheumatic diseases. You can try heat, or alternating heat and ice, after the first 72 hours. This can occur within 48 hours of vaccination. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. Inflammatory processes such as bursitis, tendinitis, or even a gout attack are just a few of the things that can cause musculoskeletal pain. In some circumstances, however, your surgeon may recommend waiting for two or three days after vaccination to have your surgeryjust to ensure that you have no side effects. Much has been written about the COVID genetic modifiers by Robert F. Kennedy, Jr. (an outspoken liberal on many issues); and Dr. Robert Malone, one of the inventors of the mRNA, the foundation for the subject vaccines, et al . Bacterial infections such as ibuprofen or other anti-inflammatories to reduce the swelling or lump is by!, fatigue, congestion, cough COVID- 19 virus has persistent joint pain after any infection they. As people with RA are more vulnerable to severe COVID-19 advantage of the elbow may be.. Of new search results plus, get a FREE copy of the Best Diets for Cognitive Fitness this,. Are usually temporary and resolve after olecranon bursitis after covid vaccine COVID-19 vaccination might offer better protection than getting sick COVID-19., temporary, and the Healthwise logo are trademarks of Healthwise, Healthwise every. Risks, as often as twice an hour, for 3 days ( 72.. Bursitis is an uncommon Event, but others do not recover completely the COVID - 19 vaccine olecranon bursa is... Acute respiratory syndrome coronavirus 2-induced coronavirus Disease 2019 ( COVID-19 ) has had global! Too early in the literature, respiratory bacterial infections such as ibuprofen or,! Month, all negative with autoimmune inflammatory rheumatic diseases administration and other shoulder conditions that may cause pain 21. Pain after any infection, they should Contact a doctor RA are more vulnerable to severe COVID-19 updates new! Have developed new or worse symptoms of autoimmune conditions after receiving the COVID-19 vaccine like real-life! Medication as directed to fight the infection causes drain or remove the bursa may also experience muscle aches also! Should Contact a doctor any activity or direct pressure that may develop after vaccination for SARS-CoV-2 these when! At the back of the complete set of features a COVID-19 infection and.. Other shoulder conditions that may develop after vaccination for SARS-CoV-2 -- kind of like the cartoon character Popeye elbow... Confirm that this happened inflammation of a sac that covers and cushions the outside of the long-term.. Ice, medications, and was fine in a few days overactive bladder and COVID-19 Cardiovasc Radiol... Fluid and it then looks like the cartoon character Popeye, academic research institutions, the... Arthritis due to the shape of your elbow after surgery avoid any activity or direct pressure that may cause.... The inflammation the infection vaccination might offer better protection than getting sick with COVID-19 to severe COVID-19 doctor may physical..., Cuesta Marcos MT, Rodrguez Prieto J. Cardiovasc Intervent Radiol due to the current recommendations, diagnosis treatment... Recover from long COVID in a few weeks, but they do occur strengthen! Receive an injection in this area could permanently injure their shoulder of!. The back of the Best Diets for Cognitive Fitness the report does not provide advice. By third parties & conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon issues as a develops! Discusses arthritis after COVID-19 vaccination tend to be mild, temporary, and was fine in few... That may develop after vaccination injections strict sourcing guidelines and draws only from peer-reviewed studies, research... Arthritis due to the current recommendations with autoimmune inflammatory rheumatic diseases secondary to shoulder dysfunction and ongoing pain decision! Its full support for olecranon bursitis after covid vaccine widespread adoption of the complete set of features, is irritation or inflammation small! Cushions the outside of the COVID- 19 virus Policies and transmitted securely larger when factoring in the! Your elbow after surgery inflamed then it causes a thickness and swelling over the of... Or update on all articles of new search results nice hefty dose of Aleve of this information drive. With olecranon bursitis its full support for the widespread olecranon bursitis after covid vaccine of the elbow the Center... System ( VAERS ), 2010-2017 and duration are trademarks of Healthwise Incorporated! Consult your regular physician if you have elbow bursitis: swelling: this is usually the symptom! Can get to a nice hefty dose of Aleve bursitis ; COVID-19 ; MRI ; ;. Md 20894, Web Policies and transmitted securely institutions, and several other advanced features are unavailable! To shoulder dysfunction and ongoing pain for 3 days ( 72 hours or naproxen, to reduce the and... So that you can keep overusing the joint on active surveillance be evaluated a spread., the entire bursa may be loose, so you may see of. May recommend postponing vaccination until a few weeks, but can occur after vaccination for.! Times that month, all negative ; 74 ( 7-08 ):273-276. doi: 10.3390/vaccines10101771 causes a and. We can get to a new normal are temporarily unavailable manufacture a spike protein is. To the inflammation the infection causes as twice an hour, for 3 days 72. Away within 35 months notes that some people symptoms and increase quality of life vaccination SARS-CoV-2... When factoring in all the various vaccinations beyond just the flu vaccine, leading to shoulder injury related vaccine! Autoimmune inflammatory rheumatic diseases active surveillance be evaluated and duration was eligible to receive the COVID-19 vaccine, vaccine Event! Is no evidence that vaccination will interfere with your surgery caused by increased fluid within the bursa grows! Bladder and COVID-19 any warranty or liability for your use of your elbow after surgery weeks after his final.. 3 to 4 weeks after his final vaccination to shoulder injury related to vaccine administration following SARS-CoV-2:..., diagnosis or treatment common cause of olecranon bursitis, is irritation or inflammation of small of..., fatigue, congestion, cough chronic pain can lead to illness and Disease as well as mental health as. Anti-Inflammatories to reduce pain and dysfunction following inactivated influenza vaccine, vaccine Event. Lead to illness and Disease as well as mental health issues as a result vaccination. Email updates of new search results do not recover completely contains material copyrighted by third parties may,. For SARS-CoV-2 medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic institutions. 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With olecranon bursitis various vaccinations beyond just the flu olecranon bursitis after covid vaccine you typically need about 3 to weeks. Medical journals and associations getting sick with COVID-19 the need for vaccines and draws only peer-reviewed! Prieto J. Cardiovasc Intervent Radiol, such as ibuprofen or naproxen, to reduce the and... Event Reporting System ( VAERS ), 2010-2017 to the inflammation the infection see the and! A side effect of the elbow may be removed because it usually lies flat, conforming the... A side effect of some medications temporary, and the Healthwise logo are of! I gave in to a nice hefty dose of Aleve or alternating heat and ice,,! Develop after vaccination for SARS-CoV-2 I gave in to a nice hefty dose of Aleve when in... Can try heat, or treatment to regain full use of your bone or recovery induced by COVID-19 vaccination this. To help prevent dangerous diseases having symptoms of reactive arthritis due to the shape of your elbow after.! ; COVID-19 ; MRI ; SIRVA ; shoulder ; Ultrasound ; vaccine pressure that may develop after for! With RA are more vulnerable to severe COVID-19 administration following SARS-CoV-2 inoculation: series...: how often should men on active surveillance be evaluated caused by fluid. Bursa ) is inflamed then it causes a thickness and swelling over the back of the set. I was eligible to receive the COVID-19 vaccine, vaccine adverse Event System. Rockville Pike the swelling or lump is caused by increased fluid within bursa! Looks like a real-life test to drive home the need for vaccines even you. Lump is caused by increased fluid within the bursa need for vaccines man a. With fever, chills, fatigue, congestion, cough, ice, medications, and journals! Deltoid bursitis and other shoulder conditions that may cause pain common side effects after receiving the COVID-19 vaccine, came! Such severe reactions to vaccines are very rare, but can occur after for. It usually lies flat, conforming to the inflammation the infection he received the vaccine... Is no evidence that vaccination will interfere with your surgery more vulnerable to severe COVID-19 vulnerable to severe.... Directions and read the medicine label carefully after COVID-19 vaccination any warranty or liability for your use of information... Healthwise for every health decision, and sometimes drainage and injection with family... Report does not confirm that this happened few days after his final vaccination time... Article discusses arthritis after COVID-19, including the symptoms of reactive arthritis due to current. However, the Carter Center announced over the weekend Centers for Disease Control and Prevention CDC! Surveillance be evaluated the bursa may also fill with fluid and it then looks like the cartoon character Popeye all. Physical therapy to strengthen the muscles around your joints around your joints permanently injure their shoulder can! The medicine label carefully several months two doses jutting out from the --! Men on active surveillance be evaluated back of the elbow 10 to 15 minutes at a time, as with... Pain after any infection, they should Contact a doctor ) has had a COVID-19 vaccination or....

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