The images showed excessive fluid buildup and inflammation in the bursa, and a small incomplete tear in my rotator cuff. Magnetic resonance imaging (MRI). Gradually increase the demands you put on your body. By the time I got home, I couldnt lift my arm out to the side., Elizabeth Cassayre, 81, a retired schoolteacher from Napa, Calif., developed frozen shoulder that plagued her for months after getting her flu shot at a grocery store about 10 years ago. What is bursitis? However, the health agency said that "the data from safety monitoring are not sufficient to conclude a causal relationship between vaccination and tinnitus." COVID Q&A Mar 23, 2022 Boston Mar 16, 2022 Flu season is here, and recently I got the shot. Their newest book is Top Screwups Doctors Make and How to Avoid Them.. I now believe she inadvertently went too high up because I was sitting in a chair talking to someone else in the office and she was standing. Publication types Case Reports Like any vaccine, the COVID-19 vaccines do come with potential side effects. Epub 2021 Oct 1. (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. says. Write to them in care of King Features, 628 Virginia Drive, Orlando, FL 32803, or email them via their website: PeoplesPharmacy.com. Fewer than 2% have reported a high fever. To date, there has never been an epidemiologic study to determine how often deltoid bursitis occurs after vaccination. Vaccines are intended to cause a response by the body, but doing so in the bursa will cause weeks of poor shoulder function. Its unclear whether I had the tear before the shot or whether the shot caused it. But nights are the absolute worst: My shoulder aches and throbs constantly. Information regarding COVID-19 and vaccines are continually evolving, new details may be available since this content was developed. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. All information these cookies collect is aggregated and therefore anonymous. They help us to know which pages are the most and least popular and see how visitors move around the site. In a separate study that looked at COVID vaccination, none of the healthy volunteers developed autoantibodies. 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. This Mix of Non-Opioid Medications Can Help Soothe Lower Back Pain, Study Finds, Former President Jimmy Carter Entered Hospice: Here's What That Means, Chronic Pain: Why Antidepressants May Not Be Effective, What to Know About Ketamine Therapy for Pain Management, Chronic Pain and Cannabis: Research Finds it May Help Some People Cut Down on Opioids, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, decreased arm mobility, including range of motion in the shoulder. You can help prevent bursitis by doing things like warming up before exercise or sports, increasing activity slowly, padding joints, taking rest breaks often, and stopping activities that cause pain. This type of bursitis is also called Albert disease. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. The condition, called myocarditis, is usually mild, but a handful of patients remain hospitalized. Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness. Often, SIRVA treatment includes one or more of the following: The exact treatment a person receives differs from person to person, depending on their symptoms. After all, a lot of people have died from COVID-19. Try the following measures to prevent bursitis: Warm up before exercising or before sports or other repetitive movements. 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. and lower their collar, exposing only the top of the deltoid, says Marko Bodor, a California orthopedist who authored a 2006 report that described vaccination-related shoulder injuries in two of his patients. Like you, many experienced reduced joint pain. The authors declare no competing interests. Elbow bursitis can be caused by injury or constant pressure on the elbow (for example, when leaning on a hard surface). Schools are stepping up to vaccinate them. To look at this question, researchers screened for a range of autoantibodies in blood samples from almost 150 people hospitalized with COVID-19 and 41 healthy volunteers. However, after my Moderna booster shot, I noticed a big change in my bone-on-bone shoulder pain. Risk of bursitis and other injuries and dysfunctions of the shoulder following vaccinations. It is not known whether the vaccinations caused the rotator cuff tears, but if these injuries existed before the shots, the patients were asymptomatic, Atanasoff says. Test Widget. This site needs JavaScript to work properly. They are right up there with the aging knee and aching lower back.. Results were published on September 14, 2021, in Nature Communications. People with such symptoms often refer to themselves as "long-haulers." Other symptoms can include chest pain, heart palpitations, cough, brain fog and headache. The study was funded by several NIH components, primarily the National Institute of Allergy and Infectious Diseases (NIAID). The most common causes of bursitis are injury or overuse, but it can also be caused by infection. I say probably because I wasnt watching. BJR Case Rep. 2022 Sep 12;8(5):20220002. doi: 10.1259/bjrcr.20220002. 2021 Jun 15;7(1):18. doi: 10.1186/s40794-021-00142-6. We ask you to keep your comments relevant and respectful. NIH Research Mattersis a weekly update of NIH research highlights reviewed by NIHs experts. Masks are required inside all of our care facilities. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. The treatment of any bursitis depends on whether or not it involves infection. The needle probably entered the top third of the deltoid muscle which forms the rounded contours of the shoulder and probably went into the bursa or the rotator cuff, instead of lower down, into the middle part of the muscle, missing the bursa and rotator cuff entirely. The vast majority of the cases were sent home following a visit to a hospital as of the end of May. 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. Army, Ft. Stewart, Georgia, 2012-2015 Localized shoulder pain at the site of your vaccine injection is also normal. Vaccination process evaluation at COVID-19 vaccination centers in Lebanon: a national study. Apply ice to reduce swelling for the first 48 hours after symptoms occur. -, Bancsi A, Houle SKD, Grindrod KA. About 2.9 million people received a flu shot in the 2016-2017 flu season. This type of bursitis is more common in women and middle-aged and older people. Cookies used to make website functionality more relevant to you. 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. Our website services, content, and products are for informational purposes only. eCollection 2022 Sep 12. (2019). Shoulder injuries become more likely as we age. They are more likely to get their shot in the top of the deltoid because they cant pull their shirt all the way down., In 2011, the Institute of Medicine issued a report on the adverse effects of vaccines, concluding, among other things, that vaccine administration can lead to shoulder problems and stating that it found convincing evidence of a causal relationship between injection of vaccine . Also called prepatellar bursitis, this type of bursitis is common in people who are on their knees a lot, such as carpet layers and plumbers. Symptoms from improperly administered vaccinations - known as SIRVA, for "shoulder injury related to vaccine administration'' - include chronic pain, limited range of motion, nerve damage, frozen shoulder (the inability to move the shoulder) and rotator cuff tear. These include NSAIDs, antidepressants, corticosteroids and estrogen. Zeitoun A, Hallit S, Helali M, Chehade S, Allam C, Ibrahim A, Dimassi H, Karam R. J Pharm Policy Pract. 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. These put extra strain on the lower part of the Achilles tendon. Q: Please warn people about overuse of ibuprofen. Also called trochanteric bursitis, hip bursitis is often the result of injury, overuse, spinal abnormalities, arthritis, or surgery. 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 . Almost universally, when I ask where the shot went, they point really high up on the arm.. 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). The researchers found that about half of the people hospitalized with severe COVID-19 had at least one type of autoantibody circulating in their bloodstream. . Autoantibodiesimmune system proteins that mistakenly target the bodys own tissuesmay underlie some of this variation. I remember thinking: Will I ever be able to roll out another pie crust for my grandchildren?. Here's how it works and what to consider before trying it. Most cases are generally mild and go away on their own. None had experienced symptoms before the shots, according to Sarah Atanasoff, the studys author and a medical officer in the National Vaccine Injury Compensation Program, which is run by the federal governments Health Resources and Services Administration, or HRSA. In July, HRSA proposed adding SIRVA to the programs list of covered injuries. Please try again. Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. Most shoulder injuries occur as a result of accidents or from overuse in sports, or just from getting older. 2022 Jul 11;28:e937430. Since I got the COVID-19 vaccination in that shoulder, I have not been bothered with bursitis. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. Aberdeen Proving Ground, Maryland, 2015-Present; 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. A recent study showed that, in COVID, macrophages and monocytes respond to high levels of glucose with worrying consequences. While SIRVA may be long lasting, and even permanent, its symptoms are treatable. In a small study, about half of people hospitalized with COVID-19 had antibodies in their blood that could mistakenly attack thebodys own proteins and tissues. and transmitted securely. Climbing stairs is very painful. Since then, Ive seen more than a dozen patients who have suffered shoulder injuries after vaccinations. These injection-caused injuries often make simple tasks such as lifting your arm to change a light bulb or reaching behind you to put your arm through the sleeve of a jacket painful, even impossible. This can lead to inflammation of the bursa located where the tendon attaches to the heel. 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. Symptoms are severe if theyre persistent and do not resolve with taking over-the-counter pain medications. Until definitive links are made, health officials overwhelmingly recommend Covid-19 vaccinations for everyone ages 12 and older. 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/. The tear is in line with the fibers of my cuff, much like a split in a seam. Epub 2022 Nov 30. More than a year and a half into the COVID-19 pandemic, much about how the human body responds to SARS-CoV-2, the virus that causes COVID-19, remains unclear. Acute injuries usually require prompt medical evaluation and may include: For this reason . Moreover, their shoulders began to hurt either immediately or within 24 hours, causing pain and limited range of motion. 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 . 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. More work is needed to see if these autoantibodies contribute to the symptoms of long COVID, or have other effects later in life. The bursa becomes infected with bacteria. Elbow bursitis. Aspiration. The platelets cells responsible for promoting clotting once injected in high concentrations at the injury site, act as a beacon to summon stem cells to repair the injury, Ferrell says. We take your privacy seriously. Treatments for shoulder bursitis focus on reducing inflammation and minimizing symptoms. The agency noted that 95 of the cases were serious and required hospitalization. The pain tends to abate when they lean back. Like many, I avert my eyes at the sight of an approaching needle. 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. Two of the patients in the ICU had other health problems. Shoulder injury related to vaccine administration: A rare reaction. Some patients undergo surgery. Teenagers and people in their early 20s accounted for more than half of the myocarditis cases reported to the CDC's safety monitoring systems following Covid-19 vaccination, despite representing a fraction of people who have received the shots. CDC National Center for Emerging and Zoonotic Infectious Diseases This was years ago when I first learned about it. It went into the right place and didnt hurt a bit. This type of bursitis, also called Haglund deformity, is in the bursa located between the skin of the heel and the Achilles tendon. Its very common to experience some temporary soreness where you receive an injection. The most common causes of bursitis are injury or overuse, but it can also be caused by infection. Martn Arias LH, Sanz Fadrique R, Sinz Gil M, Salgueiro-Vazquez ME. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. This condition did not occur among the tens of thousands of clinical trial subjects, so it might be a complete coincidence. Ive curtailed weightlifting. "We clearly have an imbalance there," Shimabukuro said. . How Long Do the COVID-19 Vaccines Protect You? Shoulder Injury Related to Vaccine Administration (SIRVA) An Occupational Case Report. Disclaimer. 5B52, MSC 2094 She had tried multiple biologics and baricitinib (Olumiant), a JAK inhibitor, and was being treated with the JAK inhibitor upadacitinib (Rinvoq) and the corticosteroid prednisone (5 mg per day) with a partial response. Most people also need a booster dose to help improve the protection from the first 2 doses of the vaccine. Former President Jimmy Carter entered hospice care at home, the Carter Center announced over the weekend. Bodor uses ultrasound imaging to target precise sites for cortisone injections, which cured Cassayre after several months of ineffective physical therapy. Some people bounce back quickly. The COVID-19 vaccines are the best way to protect yourself and others. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues 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. It hurts to put my arm through a sleeve or to pull a T-shirt over my head. Q: For many years, I have suffered with bursitis in my right shoulder. This is called a bursectomy. 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. Every few months, I would get an injection of lidocaine to ease the pain. The findings . 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. One of the doctors suggested I take ibuprofen for a few days. Bilateral upper extremity myositis after COVID-19 vaccination. Hackensack Meridian Health also recommends waiting up to 90 days for a vaccination after recovering from the virus. The soreness was gone in 24 hours. Download the NBC News app for full coverage of the coronavirus outbreak. By padding these areas, bursae (plural for bursa) decrease friction, rubbing and inflammation. Such severe reactions to vaccines are very rare, but they do occur. Pain, swelling, and tenderness near a joint are the most common signs of bursitis. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Research, Silver Spring, Maryland, 2010-2012 It's unclear how many patients were admitted to the hospital, or, for example, were discharged following a visit to the emergency room. Honarmad AR, et al. After eight days of pain, I called the practice. A: Many people have complained about side effects from COVID vaccinations. The CDC had information on the recovery of patients in 220 cases; in more than 80 percent of these cases, patients got better on their own. (General/PH)]: Walter Reed Army Institute of Cushion at risk joints by using elbow or knee pads. Im convinced this occurred because the nurse injected the vaccine too high on my arm. 2023 National Post, a division of Postmedia Network Inc. All rights reserved. Take breaks often when doing repetitive tasks. Is it normal for my shoulder to hurt after a COVID-19 vaccine? The MHRA follows international standards of safety. Posting comments is now limited to subscribers only. By continuing to use our site, you agree to our Terms of Service and Privacy Policy. Vaccines linked to heart issue in teens and young adults, CDC investigates rare heart problem in a few young vaccine recipients. Epub 2022 Nov 12. Position your body properly when doing daily activities. A hypothesis is that the first shot, the primer, gets your immune system ready. The following are the most common symptoms of bursitis. Last medically reviewed on July 15, 2022. Antibiotics are used if infection is found. The vaccines made by Pfizer-BioNTech and Moderna set off a persistent immune reaction in the body that may protect against the coronavirus for years, scientists reported on Monday. But rare and serious complications may occur. This attaches the calf muscle to the back of the heel. 31, Rm. 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. These may lead to the deterioration of muscles and a limited range of motion in the affected joint. (404) 639-3286 2022 Oct 15;15(1):63. doi: 10.1186/s40545-022-00459-3. The opinions expressed in reader comments are those of the author only and do not reflect the opinions of The Seattle Times. But nobody suffered any bad side effects from the vaccine in the phase 1 . and deltoid bursitis, or frozen shoulder, characterized by shoulder pain and loss of motion.. Symptoms from such mishaps known as SIRVA, for shoulder injury related to vaccine administration include chronic pain, limited range of motion, nerve damage, frozen shoulder (the inability to move the shoulder) and rotator cuff tear. Some experience long-lasting pain, especially if the shot is administered too high on the arm. Dull/aching pain at rest and during everyday activities. Most people get symptom relief with these nonsurgical treatments: Bursa (steroid) injections to ease pain and swelling for a couple of months. ISS. Marlene Cimons writes frequently for The Washington Post on health, science and environmental issues. Board Certified: Preventive medicine. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Arthritis? New research has found that there may be an ideal mix of non-opioid medication that can effectively treat lower back pain in many patients. . Shahbaz M, et al. Having rejected surgery, Ive decided to try something else, safe but still regarded in some circles as experimental. Nobody believes people who say theyve been hurt by flu shots, but it can happen.. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Measures you can take to relieve the pain of bursitis include: Rest and don't overuse the affected area. Arthroscopic surgical management of shoulder secondary to shoulder injury related to vaccine administration (SIRVA). Bookshelf 2021. Millions of doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic. 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. After being vaccinated, it's common and normal to have temporary side effects, even after a COVID-19 infection. During the 2016-2017 flu season, included in this study of vaccine-related bursitis, vaccination prevented 72,000 hospitalizations and 5200 deaths. When needed, treatment may involve anti-inflammatory drugs, such as ibuprofen, and in some cases, an intravenous medication called IVIG. The primary symptom of shoulder bursitis is pain, which can feel like: 3. Widespread and long-term inflammation during severe COVID-19 may cause the immune system to produce antibodies to pieces of the virus it wouldnt normally recognize. High on the list are nonsteroidal anti-inflammatory drugs such as ibuprofen. HHS Vulnerability Disclosure, Help 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Medical Center, Washington, DC, 2009-2010, Work Experience: Division Chief, Disease Epidemiology, Army Public Health Center, The virus that causes COVID, SARS-CoV-2, needs a target to latch. . An imaging test that uses high-frequency sound waves to look at the internal organs and tissues. (2020). official website and that any information you provide is encrypted The CDC will hold a meeting of its Advisory Committee on Immunization Practices on June 18 to further look at the evidence and assess the risk of myocarditis following vaccination. 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. So please, keep vaccinating! The Vaccine Adverse Event Reporting System (VAERS), run jointly by the CDC and the Food and Drug Administration, has received about 1,200 complaints of post-vaccination shoulder-related injuries since 1990, according to the CDC. This location should be above the level of your armpit when your arm is held straight by your side. Health officials are not . Read more about cookies here. U.S. Department of Health & Human Services, NIH Institute and Center Contact Information, Misdirected Antibodies Linked to Severe COVID-19, Early Treatment with Convalescent Plasma for COVID-19 Doesnt Show Benefit. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Generally, children who have myocarditis will follow up with a cardiologist for about six months to make sure there are no other significant problems. Bldg. Possible side effects from vaccines. You may feel pain and redness at the injection site, fatigue, a headache, joint and muscle aches, and/or a fever. Q: I am surprised no one has given you this information for under-breast rash. Unauthorized use of these marks is strictly prohibited. Wood CT, et al. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Bruising and swelling may develop soon after the injury. 2023 Feb;46(2):292-294. doi: 10.1007/s00270-022-03319-4. Most people who had this recovered following rest and simple treatments. (2019). Also, I dont want to quit my workouts, driving or walking my dogs for the months it would take for the initial phase of recuperation. Watson OJ, et al. Advisory Committee on Immunization Practices (ACIP). Some have experienced side effects even when shots are correctly administered, said David Carney, a Philadelphia attorney who specializes in vaccine-injury cases. Annunziata thinks surgery stitching the tear and removing the inflamed bursa (another one will grow back) could help. We apologize, but this video has failed to load. Bancsi A, et al. 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. National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, U.S. Department of Health and Human Services. Many people with low levels of autoantibodies in their blood have no obvious symptoms. Fernndez Martnez AM, Cuesta Marcos MT, Rodrguez Prieto J. Cardiovasc Intervent Radiol. 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. Intern(Transitional year): Walter Reed Army I had an MRI in May. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. You need 2 doses for stronger and longer-lasting protection. Kneecap bursitis. Typical side effects include pain at the injection site, fever, fatigue, headache, muscle pain, chills and diarrhoea. On the other hand, we have also heard from numerous readers who report unexpected benefit. Reported side effects of COVID-19 vaccines have mostly been mild to moderate and have lasted no longer thana few days. 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"). Symptoms may include: intense shoulder pain. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. Bursitis is a condition in which there is inflammation of a bursa. My inoculation took place in a physicians office, administered by a nurse. Thank you for taking the time to confirm your preferences. 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.
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