The patient provided informed consent to publish this case. 2023 eHealthMe.com. References: HRSA Countermeasures Injury Compensation Program: Link or toll-free number 1-855-266-2427 RSA Vaccine Compensation Program Frequently Asked Questions: LInk This information is provided as an educational service and is not intended to serve as medical advice. Claimants must prove the vaccine caused the injury, unless it's covered under an injury table for CICP. government site. "It's important for doctors to know what's happening in order to treat correctly.". COVID-19 vaccines can also cause temporary side effects that feel similar to those of arthritis or RA, such as: joint pain muscle aches fever fatigue These effects usually last a few days but. 20052022 MedPage Today, LLC, a Ziff Davis company. Assessment 3: This will be carried out between 91 and 180 days after the onset of symptoms of COVID-19 infection. "That imaging allows us to see if COVID-related muscle and joint pain, for example, are not just body aches similar to what we see from the flu -- but something more insidious.". Clipboard, Search History, and several other advanced features are temporarily unavailable. The symptoms of reactive arthritis usually go away within 35 months. Northwestern University. 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. The site is secure. While healthcare providers anticipate a sharp increase in reported cases in the coming year given the large volume of COVID vaccinations, Wiesel and Keeling warned that data on the condition are still limited -- they're "virtually absent from the orthopedic literature" -- and that the "current understanding of the diagnostic workup of SIRVA is limited to the medicolegal realm.". If an MRI shows a complete muscle injury, surgical repair may be required. Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder one year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). References: Mehta N, et al. "We might see edema and inflammatory changes of the tissues (fluid, swelling), hematomas (collections of blood) or devitalized tissue (gangrene)," Deshmukh said. The Lancet Regional Health Southeast Asia, The Lancet Regional Health Western Pacific, Avoiding diagnostic pitfalls in children with musculoskeletal symptoms, Anti-SARS-CoV-2 mRNA vaccine in patients with rheumatoid arthritis, US Centers for Disease Control and Prevention. Patients with SIRVA often land in their primary care physician's office first. HHS Vulnerability Disclosure, Help ScienceDaily. Opens in a new tab or window. it causes swelling, ulcerations, and loss of function of the large intestine), Urinary incontinence (inability to control the flow of urine and involuntary urination), Urinary retention (the inability to completely or partially empty the bladder), Urticaria (rash of round, red welts on the skin that itch intensely), Vaccination site erythema (redness around vaccination site), Vaccination site pruritus (severe itching of the skin at vaccination site), Vasculitis (inflammation of a blood vessel or blood vessels), Ventricular extrasystoles (premature cardiac contraction), Ventricular tachycardia (rapid heartbeat that originates in one of the lower chambers (the ventricles) of the heart), Vitreous floaters (spots before the eyes), Weight bearing difficulty (difficulty due to weight of thigh fat deposition), Wheezing (a high-pitched whistling sound made while you breath). The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . All rights reserved. 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. Opens in a new tab or window, Share on LinkedIn. "One of the most common neurological symptoms in COVID patients, which can still persist after the initial disease, is loss of smell and taste sensation. Tinnitus in Tapazole, how severe and when it was recovered? You may experience pain after coronavirus, especially if you were in hospital or less active than usual as a result of the virus. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Sex and gender exist on spectrums. The COVID-19 vaccine may trigger an RA flare in people who already have the condition, but experts still strongly urge people with the condition to get vaccinated. Rashes in Tamsulosin, how severe and when it was recovered? . You can learn more about how we ensure our content is accurate and current by reading our. 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. 2022 Apr 20;40(18):2546-2550. doi: 10.1016/j.vaccine.2022.03.037. Different individuals may respond to medication in different ways. Bancsi A, Houle SKD, Grindrod KA. This is considered an overuse injury caused by repetitive hand or wrist motion. "Then we develop a comprehensive rehabilitation plan that usually involves doing range of motion and strengthening exercises on a daily basis.". You can use the study as a second opinion to make health care decisions. According the ZOE Covid symptom study released last month and looking only at the Pfizer jab, about a third of vaccine recipients who had previously had Covid reported having a whole-body side . Epub 2021 May 4. Opens in a new tab or window, Visit us on TikTok. ScienceDaily, 18 February 2021. MB), Help with If even after 4-6 months post Covid, you are having persistent pain it needs to be investigated If the patient suffered from autoimmune arthritis then a rheumatologist must be involved While. Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. The New York City-based veterinarian said the nurse lodged the shot "extraordinarily high" into her left shoulder, hitting the bursa rather than the deltoid muscle. Bethesda, MD 20894, Web Policies Byron Jones was the 27th overall pick in the 2015 . That cancer patients delay all imaging for 4 to 6 weeks after the COVID vaccine. The American Academy of Orthopaedic Surgeons (AAOS) has recently stated that the benefits of the COVID-19 vaccine strongly outweigh the orthopaedic risks. 401,887 people reported to have side effects after getting Pfizer BioNTech Covid Vaccine. The incidence of post-COVID-19 arthritis was 37%. In some cases, it may lead to arthritis flare-ups in people who already have RA. One of those is muscle and joint pain from COVID-19. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis. All information is observation-only. SIRVA (Shoulder injury related to vaccine administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. People can develop reactive arthritis after COVID-19. Additionally, 1550% may experience recurring episodes of arthritis. The . For confirmation, a second nasopharyngeal swab was taken 7 days after the last negative one. As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. Med Sci Monit. Coronavirus disease 2019 (COVID-19) vaccines have been widely used and have been shown to be effective in combating the pandemic. If joint pain occurs as a result of long COVID, the symptoms could be unpredictable. Vaccine. Since the COVID-19 vaccine does not contain live or attenuated virus material, it cannot give you the disease. Note: Content may be edited for style and length. They discovered a strong association between post-COVID-19 arthritis and inflammation but not between post-COVID-19 arthritis and autoimmunity. "I think it's important to differentiate between what the virus causes directly and what it triggers the body to do," Deshmukh said. I'm still discovering new areas of damage -- Richard Quest. Smoking, older age, and preexisting joint pain had links to post-COVID-19 arthritis. All rights reserved. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Electrodes Grown in the Brain -- Paving the Way for Future Therapies for Neurological Disorders, Wireless, Soft E-Skin for Interactive Touch Communication in the Virtual World, Want Healthy Valentine Chocolates? As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. The second possibility sounds like it could be carpal tunnel syndrome. Scott Noren, DDS, an oral surgeon in Ithaca, New York, said he also developed significant pain in his left shoulder after his second COVID shot in early February: "It went in pretty deep and pretty high," he told MedPage Today. Therefore, to be safe, it's best to wait at least 14 days after you were either diagnosed with Covid-19 or started having Covid-19 symptoms before getting a Covid-19 vaccine. Both Noren and Jackson said their insurance covers their medical bills, and they both feel relieved that they can still work, but they're frustrated that there's no federal protection for SIRVA related to COVID-19 vaccines. The U.S. Centers for Disease Control and Prevention (CDC) lists common COVID-19 vaccine side effects as pain, swelling or redness at the injection site; fatigue; headaches; muscle pain; chills;. It was such a strange, unfamiliar sensation that I didn't realize what was happening. Learn. The reactions can also be. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder 1 year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). Transformation. The study is a retrospective review of data from patients who presented to Northwestern Memorial Hospital between May 2020 and December 2020. One potential symptom of long COVID is joint pain. This applies . Tendonitis is found among people who get Pfizer BioNTech Covid Vaccine, especially for people who are female, 60+ old, and in the first week of getting the vaccine. However, there are less frequent symptoms you probably wouldn't expect that follow some people both during the illness and long after recovery. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. However, such a table does not exist yet for the CICP, the spokesperson said. Some people recover from long COVID in a few weeks, but others do not recover completely. * Approximation only. The pain associated with Achilles tendonitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. All rights reserved. According to a 2022 review, reactive arthritis may occur in genetically predisposed individuals 14 weeks after a variety of infections, including the respiratory virus SARS-CoV-2 and some infections of the digestive or urinary tract. No studies have found a direct link between the vaccine and arthritis. Joint-related symptoms of reactive arthritis include: Reactive arthritis may also cause eye symptoms such as: If reactive arthritis is the result of an infection in the genital or urinary tract, it can produce inflammation. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. Resting your body may help to. If a radiologist knows COVID can trigger inflammatory arthritis and imaging shows joint inflammation, then they can send a patient to a rheumatologist for evaluation. Symptoms usually begin within a few hours of vaccine administration. Can the COVID-19 vaccine cause arthritis? Recap. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Opens in a new tab or window, Visit us on Instagram. It also examines joint pain with long COVID and flare-ups in preexisting arthritis. Read on to learn more about how to clear mucus while having COVID-19. The .gov means its official. Content on this website is for information only. "I just can't move my arm in certain motions," she said. According to the federal Vaccine Adverse Event Reporting System (VAERS) [1], there were 21 deaths this flu season after 180+ million flu vaccines, a rate of 1 death per 9,000,000 vaccinations. Original written by Kristin Samuelson. . If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. Although the mechanism of flare is not known, one could speculate that one of these components might have had non-specific adjuvant effect, or there could have been molecular mimicry between the viral spike peptides and the patient's self-peptides, activating a flare. But the Biden administration killed the rule in April. Opens in a new tab or window, Visit us on LinkedIn. BNT162b2 contains mRNA encoding for the SARS-CoV-2 spike protein encapsulated in lipid nanoparticles, in addition to other components that stabilise the vaccine in the circulation and promote its uptake into cells by endocytosis. We would never know about this side effect (or others) but for publications like yours." COVID-19 infection itself has been associated. "Pending establishment of COVID-19 Countermeasures Injury Table, claims may be filed as non-Table injuries and eligibility for compensation will be determined on a case-by-case basis by the Program," the spokesperson said. Like most vaccines, the COVID-19 vaccine is injected into the deltoid muscle on the side of the arm. Shoulder injury related to vaccine administration ( SIRVA) is " shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm . view more . Instead of going into the muscle, the vaccine goes into the shoulder bursa, causing a strong immune reaction. People with inflammatory or autoimmune arthritis may be at greater risk of contracting COVID-19 and developing more severe symptoms than others. Federal government websites often end in .gov or .mil. Tendonitis An official website of the United States government. "COVID-19 causes a variety of neurological symptoms, which can stay behind in a patient after initial recovery or can develop later," said Dr. Sanghavi. Houston, TX - Feb 11, 2021. Although he was healthy before he received the COVID-19 vaccine, he began having symptoms of RA 4 weeks after his final vaccination. COVID-19 is a life threatening condition, and the vaccine is highly protective against the virus SARS-CoV-2, which causes . Like any vaccine, a COVID-19 vaccine may cause pain, swelling, and fever after being administered. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a recent paper Keeling co-authored. This may help reduce symptoms and increase quality of life. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. SIRVA can be avoided with correct vaccination technique as described. There are ways to manage pain that you may have after coronavirus (COVID-19). They examined 100 people from Egypt who had recovered from COVID-19 several months prior. Dr. AAOS gives its full support for the widespread adoption of the vaccine. by COVID-19 vaccine trials provide valuable insight into the safety and efficacy of vaccines, with individually-randomized, placebo-controlled trials being the gold standard in trial design. Musculoskeletal corticosteroid injections are common procedures which are most often performed in an elective, outpatient setting. In such cases, the goal of therapy is to relieve symptoms and prevent long-term complications. It is created by eHealthMe based on reports of 401,887 people who have side effects when getting Pfizer BioNTech Covid Vaccine from the CDC and the FDA, and is updated regularly. But as I sat for the required 15 minutes of observation time, a wave of something engulfed my body. However, both mRNA vaccines have been linked to cases of myocarditis, or heart inflammation, in men aged 30 and younger after their second dose of COVID vaccine. Tinnitus can develop after any vaccine and tends to happen more often with other vaccines. Within a few hours of getting her first COVID-19 shot, Leah Jackson had severe pain in her left shoulder. When that table is developed, those who couldn't establish a "Table" injury have a year to file a request for benefits even if their previous request was denied. "We're certainly not seeing a pandemic of SIRVA" with COVID vaccines, D.J. Treatment for tendonitis and tenosynovitis Treatment may include: Changing your activities Icing the area to reduce inflammation and pain Putting a splint on the area to limit movement Steroid injections to reduce inflammation and pain Nonsteroidal anti-inflammatory medicine to reduce inflammation and pain Antibiotics if due to infection Surgery Many orthopaedic patients have questions about how the COVID-19 vaccine might impact theirbones and joints. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. Joint pain may also be present in long COVID. Some information may be out of date. FOIA 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. A Baylor College of Medicine vaccine expert weighs in on . All data and statistics are based on publicly available data at the time of publication. MNT is the registered trade mark of Healthline Media. PMC Opens in a new tab or window, Visit us on YouTube. (2021, February 18). Both programs are administered by the Health Resources and Services Administration (HRSA). Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Skeletal Radiol. Our phase IV clinical studies alone cannot establish cause-effect relationship. Other Northwestern authors on the paper were Santhoshini Leela Ramani (Northwestern University medical student), Dr. Jonathan Samet (radiology), Dr. Colin Franz (PMR and neurology), Dr. Christine Hsieh (rheumatology), Dr Cuong Nguyen (dermatology) and Dr. Craig Horbinski (pathology). Opens in a new tab or window, Share on Twitter. By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. If you've received monoclonal antibodies, you must wait 90 days after recovering from COVID-19 to receive the vaccine. Epub 2022 Jun 8. Read on to learn about the possible association between a SARS-CoV-2 infection and joint swelling. 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. "An injury table for COVID-19 medical countermeasures will be developed when there is sufficient data to meet the 'compelling, reliable, valid, medical and scientific evidence' standard indicating that the covered countermeasure directly causes a particular injury," the spokesperson stated. One of these cases involves the ulnar nerve ( 4 ), which is rarely reported in PTS ( 1, 14 ). According to the Centers for Disease Control and Prevention (CDC), almost 85% of people experienced redness, swelling, and pain at the injection. Santhoshini Leela Ramani, Jonathan Samet, Colin K. Franz, Christine Hsieh, Cuong V. Nguyen, Craig Horbinski, Swati Deshmukh. For permissions, please e-mail: journals.permissions@oup.com. However, the report does not confirm that this happened. Unauthorized use of these marks is strictly prohibited. SBI Recommendations for the Management of Axillary Adenopathy in Patients with Recent COVID-19 Vaccination . Symptoms include sudden onset joint pain and swelling, often in multiple joints. But it's not clear if the vaccine itself causes the ear ringing. Despite an increase in SIRVA cases, the exact incidence of the disease is unclear, and there are a few reports of SIRVA about the COVID-19 vaccine. This may lead to joint pain, eye inflammation, and symptoms that affect various parts of the body. For these reasons, you should continue to wear a mask, practice social distancing, avoid crowds and wash your hands often. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. In most individuals, the symptoms slowly decrease over time. It says musculoskeletal symptoms, such as joint pain and muscle pain, are among a number of common possible long Covid signs. Rashes in Tarceva, how severe and when it was recovered? September 9, 2021. It is created by eHealthMe based on reports of 401,887 people who have side effects when getting Pfizer BioNTech Covid Vaccine from the CDC and the FDA, and is updated regularly. COVID-19 vaccines can cause mild side effects after the first or second dose, including: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain Chills Joint pain Nausea and vomiting Swollen lymph nodes Feeling unwell Most side effects go away in a few days. National Library of Medicine Sometimes it hurts while driving. People may mistake these symptoms for arthritis. Before But for some people, symptoms are more severe, long lasting and even bizarre, including rheumatoid arthritis flares, autoimmune myositis or "COVID toes.". Treatments generally include anti-inflammatory drugs, corticosteroid injections, and physical therapy. pdf files, Reactivation of IgA vasculitis after COVID-19 vaccination, The Lancet Regional Health Southeast Asia, Statement on offensive historical content. The symptoms of reactive arthritis can range from mild to severe. Yale J Biol Med. Tendonitis in Johnson & Johnson COVID Vaccine, Abortion spontaneous (naturally occurring miscarriage), Acute myocardial infarction (acute heart attack), Acute upper airway obstruction (blockage occurs in the upper airway), Ageusia (loss of taste functions of the tongue), Agitation (state of anxiety or nervous excitement), Alopecia areata (patchy baldness that typically begins with rapid hair loss), Anaphylaxis (serious allergic reaction that is rapid in onset and may cause death), Angioedema (rapid swelling of the dermis), Appendicitis (inflammation of the appendix), Appetite - decreased (decreased appetite occurs when you have a reduced desire to eat), Appetite - increased (increased appetite is when you want to eat much more often or in larger quantities than your body requires), Ards (acute respiratory distress syndrome) (sudden failure of the respiratory (breathing) system), Arthritis (form of joint disorder that involves inflammation of one or more joints), Asthenopia (eyestrain-tiredness of the eyes caused by prolonged close work by a person with an uncorrected vision problem), Atelectasis (partial or complete collapse of the lung), Atrial fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles), Autoimmune disorder (a condition in which the immune system attacks the body's normal substances and tissue), Autonomic nervous system imbalance (autonomic nervous system is of net equal emphasis), Basedow's disease (autoimmune disease where the thyroid is overactive, producing an excessive amount of thyroid hormones), Belching (release of gas from the digestive tract), Blindness transient (sudden loss of vision), Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure), Blood thyroid stimulating hormone decreased, Blood thyroid stimulating hormone increased, Bradycardia (abnormally slow heart action), Breast lump (localized swelling that feels different from the surrounding breast tissue), Bronchitis (inflammation of the mucous membrane in the bronchial tubes), Bundle branch block right (absence of transmission of electric impulses from the atrioventricular (av) bundle of his to the right ventricle), Bursitis (inflammation of a bursa, typically one in the knee, elbow, or shoulder), Canker sores (painful, open sore in the mouth), Cardiomyopathy (weakening of the heart muscle), Cardio-respiratory arrest (sudden dysfunction of heart and lungs), Cerebral haemorrhage (bleeding within the brain), Cerebral infarction (less blood supply to brain resulting tissue damage), Cerebral thrombosis (blood clot in brain), Chapped lips (cracking, fissuring, and peeling of the skin f lip), Chronic obstructive pulmonary disease (a progressive disease that makes it hard to breathe), Cognitive disorder (mental health disorders affects learning, memory, perception, and problem solving), Concussion (short loss of normal brain function in response to a head injury), Coronary artery occlusion (complete obstruction of blood flow in a coronary artery), Coronary heart disease (narrowing or blockage of the coronary arteries), Crohn's disease (condition that causes inflammation of the gastrointestinal tract), Deep venous thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis), Dehydration (dryness resulting from the removal of water), Dermatitis (inflammation of the skin resulting from direct irritation by an external agent or an allergic reaction to it), Dermatitis contact (skin reaction (dermatitis) resulting from exposure to allergens), Diabetic ketoacidosis (diabetic ketoacidosis (dka) is high concentrations of ketone bodies), Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall), Drooling (drop saliva uncontrollably from the mouth), Dyskinesia (abnormality or impairment of voluntary movement), Ear pruritus (pruritus or itching is ""the unpleasant skin sensation that frequently provokes scratching"" in ear), Eczema (patches of skin become rough and inflamed, with itching and bleeding blisters), Ejection fraction (the percentage of blood that is pumped out of a filled ventricle as a result of a heartbeat), Ejection fraction decreased (systolic heart failure), Encephalopathy (functioning of the brain is affected by some agent or condition), Euphoric mood (excessively happy but may become angry or irritable), Eyelid ptosis (falling of the upper or lower eyelid), Eyelid twitch (spontaneous and uncontrolled spasms of the muscles), Facial paralysis (loss of function of face muscle), Facial paresis (weakness in facial muscle movement), Fainting (loss of consciousness and postural tone), Feeding disorder (when children refuse to eat certain food groups), Fibromyalgia (a long-term condition which causes pain all over the body), Flank pain (a distressing sensation experienced around the lower back and the upper abdomen), Flatulence (flatus expelled through the anus), Fluid retention (an abnormal accumulation of fluid in the blood), Formication (a sensation that exactly resembles that of small insects crawling on (or under) the skin), Gastroesophageal reflux disease (a condition in which stomach contents leak backward from the stomach into the oesophagus), Gastrointestinal disorder (functional problems of gastrointestinal tract), Gastrointestinal haemorrhage (bleeding gastrointestinal tract), Gaze palsy (disorders affecting the ability to move both eyes in the same direction), General physical health deterioration (weak health status), Glossodynia (a burning or painful sensation in the tongue), Gout (uric acid crystals building up in the body), Guillain-barre syndrome (the body's immune system attacks its peripheral nervous system), Haematochezia (passage of stools containing blood), Haematoma (collection of blood outside the blood vessels), Hallucinations (sensations that appear real but are created by your mind), Heart palpitations (feelings or sensations that your heart is pounding or racing), Hemiparesis (weakness on one side of the body), Hemiplegia (paralysis of one side of the body), Herpes simplex (herpes simplex is a common viral infection), Hyperacusis (disorder in loudness perception), Hyperhidrosis (abnormally increased sweating), Hyperkalemia (damage to or disease of the kidney), Hyperthyroidism (over activity of the thyroid gland), Hypervolaemia (abnormally increased volume of blood), Hypoaesthesia (reduced sense of touch or sensation), Hypoaesthesia oral (reduced sense of touch or sensation in mouth), Hyponatremia (abnormally low level of sodium in the blood; associated with dehydration), Hypotension (abnormally low blood pressure), Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development), Idiopathic pulmonary fibrosis (chronic lung disease), Incoherent (talking in a confused and unclear way), Incontinence (lack of moderation or self-control), Injection site erythema (redness at injection site), Injection site haemorrhage (bleeding from injection site), Injection site nodule (small swelling or aggregation of cells in the body, esp.
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