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Examples include: Reduced ability to lift a child with the injected arm Continued swelling after treatment Strength loss in the non dominant arm affecting work tasks Sleep disruption due to shoulder pressure Long term therapy or medicine needed to reduce pain These real scenarios appear in compensated cases involving influenza, tetanus and human papillomavirus vaccines

Thyroid 24(12):16701751 Ethics declarations Conflict of interest The authors declare that they have no conflict of interest

DOI: 10.11622/smedj.2015153

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Avoid freezing reconstituted solution as this damages peptide structure