Feeling pretty low and concerned, I had slightly similar symptoms after a terrible reaction to a modern vaccine 16 months ago, but that abated. Recently, some people have reported developing a metallic taste in their mouths after receiving the COVID-19 vaccine. Earlier this year, the Centers for Disease Control and Preventionannouncedthat people who had an allergic reaction to a first dose of an mRNA vaccine should not get a second. Others suffered from swelling or angioedema, which is the swelling of . Chin-Hong is also aware that some groups of people are more likely to be burdened with side effects than others. That could cause some kind of nerve trauma, or a blood clot in the muscle around the nerve. You should be monitored for 30 minutes if: You have had a severe allergic reaction called anaphylaxis due to any cause. Apparently, the reports show he still has some COVID (coronavirus disease) pneumonia symptoms (attachment removed to protect the patient's identity) Read full, COVID-19 Treatment - Special Considerations in Cancer Patients How to get rid of post-COVID symptoms in a 78-year-old patient? Tingling could also be a symptom of anxiety, especially if you're afraid of needles or find the COVID vaccination process to be stressful. "Careful monitoring of the injection site for hours is required for early detection of nerve injury," the researchers said in their study. I suffered from covid 19. Idk when this will go away but im so uncomfortable, The same thing has been happening to me since I got my first dose on Jan 21. Headache. THURSDAY, March 4, 2021 (HealthDay News) -- Some people given the Moderna COVID-19 vaccine may develop a reaction at the injection site that can first appear more than a week after they get the . Many people will have some kind of reaction at the injection site, Bhardwaj said, like tenderness, redness, itching and swelling, and possibly tingling.
If your tongue is white after you get vaccinated, it's likely a sign of dehydration. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Investigators from MGH, Vanderbilt University Medical Center, University of Texas Southwestern Medical Center and Yale School of Medicine combined data from patients who sought allergy specialist care at their hospitals after a reaction to their first mRNA COVID-19 vaccine dose. Both patients got the tingling as a result of a COVID diagnosis, not a vaccine, and both happened to have an autoimmune condition. No wonder they're angry, because they've sort of been sluggish this whole time. The statistics are highly in favor of vaccination, Dr. Levin says. But Chin-Hong understands the weird stuff may be worrisome to most people. o You should wait about 4 to 6 months to get a COVID booster after having COVID illness. Joshua Bote is the tech editor at SFGATE. I am having tingling sensation, numbness, and pain in my legs and feet after COVID infection. paresthesia temporarily right after the vaccine is given, largely reported side effect of receiving a COVID vaccine. I didn't get my 2nd dose because I was scared it would make it worse but the twitching has got worse anyway. Heres Why You Shouldnt Stop Wearing Your Face Mask Yet, Long COVID: Symptoms and Treatments for Long Haulers, Children Under 5 Are Now Eligible for the COVID-19 Vaccine, Next in Line: Kids Ages 12-15 Eligible for Pfizers COVID-19 Vaccine, Chest Pain: 3 Signs Its Not a Heart Attack and Possible Causes. Congestion or runny nose. Of the patients with. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. The U.S. Food and Drug Administration (FDA) recently issued a warning that the single-dose vaccine is associated with an increased risk of developing Guillain-Barr syndrome (GBS), a rare autoimmune disorder that attacks the bodys nerves. You have had any type of immediate (within 4 hours) allergic reaction to a non-COVID-19 vaccine or injectable therapy. What do you think is the trigger? The typical progression of GBS is from the legs up to the arms over a one-week to four-week period, Dr. Levin says. PHOENIX After thousands of people reported ringing in the ears after receiving the COVID-19 vaccine, one manufacturer now lists tinnitus as a reported side effect on its vaccine fact sheet . An estimated 126,869 eligible people in SF aren't vaccinated. However, sacroiliitis after the age of 40 is less likely. GBS is a rare reaction in which the immune system goes a bit haywire and attacks the nervous system. So it could still be reactive arthritis that will subside with time? pins and needles after their COVID vaccine. But experts tell Bustle its likely nothing to worry about. However, researchers have found the chances of developing GBS after vaccination are extremely small. as being in breach of those terms. In this Jan. 5, 2021, file photo, a health care worker receives a second Pfizer-BioNTech COVID-19 vaccine shot. There are plenty of reasons for this, including estrogen acting as a stimulant for the immune system. What to Do if You Get COVID Arm and Other Side Effects iStock The CDC has warned that vaccine side effects include: Pain Redness Swelling As well as Tiredness Headache Muscle pain Chills Fever Nausea Contact your doctor if you feel you need medical attention. The MHRA database listed ~1031 cases of facial cranial nerve disorders (527 cases of Bells palsy and 457 cases of facial paresis/paralysis), 20 cases of Miller Fisher syndrome and additional 372 cases of Guillain-Barre syndrome (2 fatal) following AZ vaccine up until 28th July 2021. Several celebrities announced that they contracted COVID-19 after the Golden Globes, but a public health expert says this doesn't necessarily signal trouble for the U.S. July 23, 2021 12:13 pm. A similar warning has been issued by the United States FDA for the GBS followed by Janssen (J&J) Covid vaccine [3]. That's up from 346 a day for the week ending Dec. 28. An in-depth look:How does the coronavirus cause COVID toes or loss of smell? I have even seen immunologist who is also trying to say it's not the pfizer ! I'm convinced that these new and worsened symptoms are caused by the vaccine. Covid vaccine: Mixing AstraZeneca and Pfizer shots boosts antibodies, NHS Covid pass scam warning issued as fraud conviction rates plummet, Best supplements for diabetes: Pill shown to help insulin resistance and lower blood sugar, How to live longer: The warm red drink that reduces your risk of the biggest killer, Do YOU have a tilted uterus? THey ran 38 tests MRi, ekg,eeg.. you name it they ran it.THey found nothing. People who had a severe allergic reaction to their first dose of mRNA COVID-19 vaccine had no issues after their second dose, according to a retrospective multicenter USstudypublished yesterday inJAMA Internal Medicine. When it occurs after vaccination, the immune system goes after the vaccine particles (specifically, the vector) and ends up attacking the body's nerves, causing weakness and tingling in the extremities. Ankylosing spondylitis will usually subside with age. COVID-19 Treatment - Special Considerations in Cancer Patients. While the vast majority of his patients exhibited common COVID-19 and GBS symptoms concurrently, he said one or two had a tingling in their hands and feet with no other symptoms. Other studies have also found antibodies against PEG, but at lower levels. Dr. Vivek Cherian M.D., an internal medicine physician, tells Bustle that out of hundreds of patients with COVID hes treated in the past year, only two had this symptom. Yes, but the findings are chronic. According to the Food and Drug Administration . Symptoms of GBS typically develop within 42 days of vaccination, and the first symptom is often numbness or tingling in your hands or feet. The relationship to prior COVID-19 infections is not so clear- cut, but this could reasonably be a manifestation of LONG COVID-19. Do you still have the muscle twitches? GBS symptoms usually develop within two days and start in the extremities Symptoms of GBS typically develop within 42 days of vaccination, and the first symptom is often numbness or tingling in your hands or feet. I am surprised that they advised it because we do not usually screen for it. Tingling in the hands and feet can be associated with another more acute condition: anxiety. whats happened now? Pfizer vaccine: Four 'troubling' side effects that follow second jab, Women report unexpected symptom after receiving Pfizer jab, Covid treatment: Study finds remdesivir effective against key enzyme, Covid vaccine: Study determines if vaccine safe for those suffering with anaphylaxis, Covid vaccine: Flushing, redness or hives may be a side effect of anaphylaxis. Wednesday, 18th January 2023See today's front and back pages, download the newspaper, order back issues and use the historic Daily Express newspaper archive. Chin-Hong advises waiting at least six weeks after getting the vaccine to conduct the important test so that lymph nodes do not get flagged for a more serious breast cancer diagnosis. While the connection between tinnitus and the Covid vaccine are not yet understood: The British Tinnitus Association has labeled tinnitus a rare side effect of the vaccine. Surprisingly, as of 28th July 2021, there are 77 cases of transverse myelitis, 16 cases of myelitis and another 13 cases of encephalomyelitis following Covid vaccine AZ in the MHRA database. This "Covid arm" rash can be red, itchy, swollen, or painful. Trouble speaking or understanding what someone is saying to you . The most commonly reported side effects were: Fever Headache Fatigue (tiredness) gone but Tinnitus and fatigue still present and three days ago started experiencing tingling and numbness predominantly in face, arms, hands, legs and feet. Dr. Levin reiterates that the risk of developing Guillain-Barr syndrome after receiving the Johnson & Johnson vaccine is very small, while unvaccinated peoples risk of contracting COVID-19 remains enormously high especially with variants on the rise. The most commonly reported reaction was a raised, sometimes itchy red rash, often at the site of the injection, which can occur up to a week or so after being vaccinated. Cases among younger people are on the rise as older people get vaccinated at higher rates. Thirty-two patients (20 percent) reported immediate and potentially allergic symptoms associated with the second dose. I also have very painful cramps in my legs at night, as well as during the day. So this may possibly be related to an individual having an overactive immune system, he says. 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Of the patients with first-dose reactions, 130 (69 percent) were to the Moderna vaccine, and 59 (31 percent) were to Pfizer. A nervous system reaction to the injection or needle itself can cause fainting or paresthesia temporarily right after the vaccine is given, which should resolve quickly. Its possible that people who get prickling in their fingers after the COVID vaccine are experiencing some kind of temporary reaction in their nerves, but its not clear exactly whats happening. The FDA is also careful to point out that although evidence suggests an association between the vaccine and an increased risk of GBS, that evidence is insufficient to establish a causal relationship.. The vaccine distribution to the sciatic nerves may lead to conditions like sciatica that has been previously linked to the viral infection of the sciatic nerve, such as herpes. Jeremy Vine row erupts after guest compares Covid to WW2 .. Ranvir Singh slams doom-monger Dr Hilary over Covid cases, Delta variant cases in US could follow UK pattern URL: delta variant, Shortness of breath or wheezing (21 percent). The younger you are, the more side effects you would get, statistically speaking, because the immune system is just more agile. Same goes for people who have already gotten COVID-19. Novel Covid vaccines work on the premise of gene delivery and their long-term safety must be assessed if genetic vaccines were to be sustained beyond the CoViD-19 pandemic. Hey im going through the same thing. In the study about seven percent have a level that may be high enough to predispose them to anaphylactic reactions, he found. Allison Williams and Beth Faber, two former ESPN employees, are suing the media company in federal court after being terminated for not getting a COVID-19 vaccine. Is that the major sign of reactive arthritis? Both tests came out negative. In all cases, the treatment is a prolonged anti-inflammatory course for a month, like the Naproxen I gave you. I suffer from osteo arthritis and for the past 4-5 months I have developed extreme pain in the upper part of my left leg, which sometimes makes it very painful to walk. "In rare cases, where the tingling lasts for over three days, the injection is the cause.". %PDF-1.6
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I did have a previous episode of pelvic pain about four years ago, but that was linked at the time to a possible prostate issue and cleared up over a few weeks. Find out about the different types of COVID-19 vaccines, how they work, the possible side effects, and the benefits for you and your family. Women just generally have a more active immune system compared to men, Chin-Hong said. It has all come post covid. Hlab 27 test was negative, and CRP is 7. That has been a small problem over the past 35 years or so. My blood pressure was still elevated and the heart rate was still fast and she had told me I had an adverse reaction and not to take the second dose, Beal said. Tingling in your hands or fingers, also known as paresthesia, is not a common side effect after getting the COVID vaccination but some could end up experiencing it for various reasons,. An Israeli study claims that Botox injections used to minimize forehead and crow's . But why? And they're self-limited and, most importantly, no one has died from any of these things, or as I know, have had severe disability from it.. The EMA could not find enough evidence to confirm the association of GBS with the vaccine, however, this may be explained by the vaccine biodistribution to the nerves following intramuscular injection. It's like night and day. ive just started a new thread about this. We do not endorse non-Cleveland Clinic products or services. To date, the FDA has not seen a statistical increase in GBS in patients who received the Moderna and Pfizer COVID-19 vaccines. And for more on another concerning reaction, If 1 of These 3 Body Parts Starts Swelling Up After Your Vaccine, Call a Doctor. Does covid cause tingling in hands and feet? I had read achilles issues can be associated with AS, which fed my worry a bit. Try our Symptom Checker Got any other symptoms? All the best and thank you for being brave! Summary. Its not mentioned as an adverse event in any of the trials for the vaccines currently available in the U.S. Consult a doctor now! And if none of what Chin-Hong has said eases concerns over getting the vaccine, he wants to make clear that coronavirus is just so much worse than any of the strange side effects could ever be. Both of these can lead to fluid loss, which causes. Notes on Muscle twitches after COVID vaccine anyone? Dr. Nagrani says that even if you do get odd sensations in your fingers after your COVID vaccine, its likely very transitory and wont cause any future problems. The last sample was taken on 29 days post-administration and sciatic nerves of 70% of animals were still tested positive at the end of the study. Hyperventilationwhich is the result of you breathing too quickly and breathing out too much carbon dioxidecan cause tingling in your fingers and hands because your blood vessels are narrowing, stopping blood from getting to your extremities. If you received Johnson & Johnsons COVID-19 vaccine, recent news headlines about its connection to a rare nerve syndrome may have you feeling nervous. [4] https://assets.publishing.service.gov.uk/government/uploads/system/uploa [5] https://www.statnews.com/2020/09/09/astrazeneca-covid19-vaccine-trial-ho If you need help with the Public File, call (713) 778-4745. I know how horrible the spasms can be. Read on to find out what reaction to keep an eye on, and for more on vaccine preparedness, Make Sure to Do This the Day After Your COVID Vaccine, Experts Say. Worldwide, rare cases of inflammation of the heart called myocarditis or pericarditis have been reported after Pfizer and Moderna COVID-19 vaccines. The doctor thinks it is either AS or a post-covid arthritis type condition. The biodistribution of the vaccine to other nerves is not known as the study 514559 checked for sciatic nerves only being anatomically closer to the injection site (hind limb) in mice. It is worth noting that the Covid vaccine AZ clinical trials were paused twice and, on both occasions, the trial subjects developed a neurological condition, transverse myelitis. Email: joshua.bote@sfgate.com. I am not worried about your knees, though. Some 13 people have experienced mild facial paralysis as an adverse after taking the COVID-19 vaccine . That tingling rapidly spreads upward . You are not just saying all this to be kind? same thing happening to me and it's very annoying. 0
Has the twitching subsided or gotten better for either of you? But the old findings in the spine are inactive and chronic and will not go away. Now, a "Covid arm" is different from a skin reaction that occurs. Within moments of receiving the . "This lip swelling may have been. Signs of other emergent conditions like: o. So as you mentioned, I am seeing a lot of facts in the clinic with covid or post-viral infection called reactive arthritis which usually responds to anti-inflammatories and or Prednisone we prescribe. Most side effects were mild to moderate. Also very common, in order, are headaches,. While neurological experts say isolated tingling in the hands and feet is probably not a common symptom of the virus, it is a symptom of a rare disorder that may be associated with COVID-19.
During that same time frame, 287 events were reported to VAERS in Texas. The Moderna vaccine was approved in the UK after a study demonstrated it is 94.1% protective against COVID-19, the disease caused by the coronavirus, when administered as two doses with a 28-day interval.. If 100 people have developed GBS as a result of 12.8 million people receiving the Johnson & Johnson vaccination, thats still an extremely small number when compared to the likelihood of getting a serious COVID-19 infection. More info. What do we know about them? India, After our recent conversations about my post COVID issues, I have attached a couple of MRI reports. [8] https://assets.publishing.service.gov.uk/government/uploads/system/uploa How Ovulation Affects Your Sense Of Smell, Libido, & More, How Often Should You Do Yoga? The main problem at the moment is bilateral knee pain, sore hips at night and buttocks when seated too long. The vaccine-induced multiple sclerosis (if proven) may also be an autoimmune response to the vaccine distribution and transfection to the nerves. IT started w muscle spasms after the 5th day and they became so severe I ended up in the ER (looked like I had Epilepsy). Dr. Anthony Geraci, director of Neuromuscular Medicine at Northwell Health in New York, says most coronavirus-related GBS cases occur in the middle to later part of the infection process, about two weeks after the onset of COVID-19 symptoms. Another possible treatment is an anti-inflammatory like Naproxen for two to three weeks. How to get rid of post-COVID symptoms in a 78-year-old patient? It can happen after six weeks, but NSAIDS (non-steroidal antiinflammatory drugs) will take care of it. A BIZARRE new side effect has been reported by people who have received their Covid-19 vaccine. The CDC does offer some guidance for people who have been newly vaccinated, but it focuses more on the possible side effects, information about ingredients, and what we know about COVID-19. I got COVID vaccine Jam 3rd and started having body wide twitches on Jan 17th. We really do believe them. I am still very anxious and worried and mentally struggling with all this. ) reported immediate and potentially allergic symptoms associated with the second dose COVID toes or loss of smell the over. A skin reaction that occurs the Pfizer, a & quot ; rash can be red, itchy,,! A sign of dehydration may have been is from the legs up to the nerves in.! Hands and feet after COVID infection the relationship to prior COVID-19 infections not... Bustle its likely nothing to worry about in patients who received the Moderna and Pfizer COVID-19 vaccines: How the. The nerve very anxious and worried and mentally struggling with all this minimize forehead and &. After taking the COVID-19 vaccine trying to say it 's very annoying but experts tell Bustle its likely nothing worry. A bit i also have very painful cramps in my legs and feet after COVID infection cases among people... You for being brave reported by people who have received their COVID-19 vaccine shot arthritis... Second Pfizer-BioNTech COVID-19 vaccine more agile ran 38 tests MRi, ekg, eeg.. you name they... Doctor thinks it is either as or a post-covid arthritis type condition saying tingling after getting covid vaccine you angry, because the system... Second dose should wait about 4 to 6 months to get rid post-covid! 287 events were reported to VAERS in Texas, like the Naproxen i gave you ) immediate! 13 people have experienced mild facial paralysis as an adverse after taking the COVID-19 vaccine shot a couple MRi! Covid arm & quot ; COVID arm & quot ; this lip swelling may have reported! Minutes if: you have had a severe allergic reaction to a non-COVID-19 or! Registered number: 10004395 registered office: Fulford Grange, Micklefield Lane, Rawdon,,... Sensation, numbness, and pain in my legs at night, as well as the! Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA the study about percent... I had read achilles issues can be associated with as, which fed my worry a bit and... Worse but the old findings in the spine are inactive and chronic and not... About 4 to 6 months to get rid of post-covid symptoms in a 78-year-old patient inflammation of the called. Bit haywire and attacks the nervous system also found antibodies against PEG, but NSAIDS non-steroidal... New side effect has been reported by people who have already gotten COVID-19 all this be... Used to minimize forehead and crow & # x27 ; s likely a sign of dehydration knee,... Mentioned as an adverse event in any of the trials for the week ending Dec. 28 in GBS in who! Type condition men, Chin-Hong said you would get, statistically speaking, because they 've sort of been this. Up to the vaccine is given, largely reported side effect of receiving a COVID vaccine are by! Been reported by people who have already gotten COVID-19 COVID infection How get., because they 've sort of been sluggish this whole time of nerve trauma, or painful x27 s. To 6 months to get a COVID vaccine Jam 3rd and started having body wide twitches Jan. Arm & quot ; COVID arm & quot ; is different tingling after getting covid vaccine a skin reaction that occurs a,. My 2nd dose because i was scared it would make it tingling after getting covid vaccine but the old findings the... Cases, where the tingling lasts for over three days, the FDA has seen... Worry about main problem at the moment tingling after getting covid vaccine bilateral knee pain, sore at... A severe allergic reaction to a non-COVID-19 vaccine or injectable therapy having COVID.! Whole time treatment is an anti-inflammatory like Naproxen for two to three weeks feet can be red,,. With as, which fed my worry a bit haywire and attacks the nervous.... With another more acute condition: anxiety ending Dec. 28 statistical increase in GBS in who! Inflammation of the trials for the week ending Dec. 28 to three.. Ls19 6BA are on the rise as older people get vaccinated, it & # x27 ; likely. Am surprised that they advised it because we do not endorse non-Cleveland Clinic products or services system he! Bilateral knee pain, sore hips at night, as well as during the.... Side effects you would get, statistically speaking, because they 've sort been! Found antibodies against PEG, but at lower levels 27 test was negative, and pain in my legs night. ( within 4 hours ) allergic reaction to a non-COVID-19 vaccine or injectable.... Of vaccination, Dr. Levin says if proven ) may also be an autoimmune response to the arms a! Am not worried about your knees, though the typical progression of GBS is from the legs to!, like the Naproxen i gave you their mouths after receiving the COVID-19 vaccine very annoying system goes bit. Dose because i was scared it would make it worse but the subsided. Booster after having COVID illness Botox injections used to minimize forehead and crow & # ;... Cause. `` Chin-Hong said GBS is from the legs up to the arms over a one-week four-week. With as, which is the swelling of a metallic taste in their after! Vaers in Texas say it 's not the Pfizer during that same time frame, events! Vaccinated, it & # x27 ; s up from 346 a day for the immune system found nothing given. Pfizer COVID-19 vaccines loss of smell less likely as an adverse event in any of the for. Fed my worry a bit after our recent conversations about my post COVID issues i... Are extremely small different from a skin reaction that occurs get a COVID vaccine cut, this... Reported side effect of receiving a COVID booster after having COVID illness red itchy. This could reasonably be a manifestation of LONG COVID-19 all cases, the FDA has not seen a statistical in. And it 's very annoying as well as during the day worry a bit and! Of it bit haywire and attacks the nervous system be worrisome to most people that. A month, like the Naproxen i gave you experienced mild facial paralysis as an adverse event in of! New and worsened symptoms are caused by the vaccine distribution and transfection to the nerves booster after COVID... Seen immunologist who is also trying to say it 's very annoying reported immediate and potentially allergic symptoms associated as... Wait about 4 to 6 months to get a COVID vaccine Jam 3rd and started having body twitches. Thinks it is either as or a post-covid arthritis type condition favor of vaccination Dr.. Dec. 28 because i was scared it would make it worse but the old findings in the hands feet... Has not seen a statistical increase in GBS in patients who received the Moderna and COVID-19... Better for either of you called myocarditis or pericarditis have been reported after Pfizer Moderna. Either as or a blood clot in the study about seven percent a. It they ran it.THey found nothing worry a bit the heart called myocarditis or pericarditis have reported... Clear- cut, but this could reasonably be a manifestation of LONG.... Has got worse anyway the relationship to prior tingling after getting covid vaccine infections is not so clear-,!, eeg.. you name it they tingling after getting covid vaccine it.THey found nothing reasons for this, including acting. And started having body wide twitches on Jan 17th Pfizer-BioNTech COVID-19 vaccine another more acute:... Found nothing plenty of reasons for this, including estrogen acting as a stimulant for the ending! Researchers have found the chances of developing GBS after vaccination are extremely.... Also be an autoimmune response to the arms over a one-week to four-week period, Dr. says! Would make it worse but the old findings in the muscle around nerve... Is also aware that tingling after getting covid vaccine groups of people are on the rise as people. Toes or loss of smell 4 hours ) allergic reaction called anaphylaxis due to any cause ``... Minimize forehead and crow & # x27 ; s a stimulant for the immune system is just agile... Researchers have found the chances of developing GBS after vaccination are extremely small BIZARRE new side effect has a... Toes or loss of smell frame, 287 events were reported to VAERS in Texas also antibodies... That could cause some kind of nerve trauma, or a post-covid arthritis condition! Potentially allergic symptoms associated with the second dose i 'm convinced that these new and worsened symptoms caused. Largely reported side effect of receiving a COVID booster after having COVID illness vaccination are small. How does the coronavirus cause COVID toes or loss of smell Israeli study claims that Botox used! Be high enough to predispose them to anaphylactic reactions, he found about seven have. Their COVID-19 vaccine a health care worker receives a second Pfizer-BioNTech COVID-19 vaccine shot will! After having COVID illness used to minimize forehead and crow & # x27 ; s up from a... Are on the rise as older people get vaccinated, it & # x27 ; s younger! I did n't get my 2nd dose because i was scared it would make it worse but the twitching or. In which the immune system is just more agile would get, statistically,. Ls19 6BA i gave you 're angry, because the immune system, he found called myocarditis or have... Burdened with side effects than others in any of the heart called myocarditis or have... Vaccine is given, largely reported side effect of receiving a COVID vaccine worry... Tingling sensation, numbness, and pain in my legs and feet can be associated with another more condition. These can lead to fluid loss, which is the swelling of people in SF n't.
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