If youre on immunosuppressants for an autoimmune disease, you may be at higher risk both of contracting the virus and having more severe symptoms. Lockdowns, furloughs, unemployment, periods without access to healthcare providers, and possible medication shortages are just some of the factors that can have a significant impact on daily life. A flare up is a normal reaction to a vaccine or an actual illness for me. The effect of novel coronavirus disease 2019 (COVID-19) on fibromyalgia syndrome [Abstract]. Took about 4 days for the second shots big flare to work through. A UCLA rheumatologist. U.S. Centers for Disease Control and Prevention. Strengthen your leg muscles and improve your stability to make going up and down stairs safer and easier. Byler J, Harrison R, Fell LL. Some people who get sick with COVID-19 experience symptoms that linger for months afterward. Bacterial arthritis and Lyme disease are examples of direct bacterial invasion, which may result in chronic joint damage. Next in this series: a look at long COVID clinics and new approaches to the care of patients with unexplained, chronic, medical illness. Iannuccelli C, Lucchino B, Gioia C, et al. See how we're aiming to address the growing shortage of arthritis specialists, especially in under-served parts of the country. Development of Autoantibodies Following BNT162b2 mRNA COVID-19 Vaccination and Their Association with Disease Flares in Adult Patients with Autoimmune Inflammatory Rheumatic Diseases (AIIRD) and the General Population: Results of 1-Year Prospective Follow-Up Study. Hromi-Jahjefendi A, Barh D, Uversky V, Aljabali AA, Tambuwala MM, Alzahrani KJ, Alzahrani FM, Alshammeri S, Lundstrom K. Vaccines (Basel). The effect of COVID-19 public health restrictions on the health of people with musculoskeletal conditions and symptoms: the CONTAIN study. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. Skeletal muscle in hypoxia and inflammation: Insights on the COVID-19 pandemic.. Front Nutr. RA and Fibro Patient Experience with COVID-19 Vaccine. Myopathy may occur in people who are hospitalized and/or placed on bedrest for prolonged periods of time (post-ICU syndrome). Among the symptoms reported during the acute viral illness. Nancy did well with her first shot, but the next one caused a long painful episode. When youre fully vaccinated, you can get outside and socialize with more confidence, an important part of maintaining your mental wellness. With the COVID-19 pandemic, there has been great uncertainty about whether the virus could exacerbate autoimmune diseases such as rheumatoid arthritis given that infection can lead to an overactivation of the immune system, which is thought to play a part in severe cases in the general population.1,2 A review of the literature shows there has been one case report so far of a flare of . The vast majority of patients with persistent musculoskeletal pain after SARS-CoV-2 will have no joint swelling or inflammation and the physical examination will typically be unrevealing. COVID-19 vaccinations and arthritis flare-ups: What to know However, many people with fibromyalgia have other health conditions (comorbidities) that do raise the risk for severe COVID-19. PMC https://doi.org/10.1007/s10067-021-05818-0, https://doi.org/10.1007/s10067-021-05738-z, https://doi.org/10.1007/s00296-014-3075-2, https://doi.org/10.1016/j.jaut.2006.09.004. 2022;9:865402. Highways into the San Bernardino Mountains are closed to drivers, LA County passes motion requiring retrofit of some buildings by 2033, CA's snowfall so far rivals state's record-setting season: Officials. Studies have shown that people with fibromyalgia are struggling with anxiety and access to support systems and treatments due to COVID restrictions. Fibromyalgia: A New Feature of Long COVID? | MedPage Today Psychol Health. 2023 Jan 17;11(2):208. doi: 10.3390/vaccines11020208. They should go away within a few days. While you're correct about the overlap, some COVID symptoms are not associated with fibromyalgia, including: Being on alert for these telltale signs can help you distinguish between your typical symptoms and a possible coronavirus infection. - Develop programs to meet the needs of you and your community . Doctors couldn't explain why. Coronavirus disease 2019 (COVID-19): People with certain medical conditions. However, there has been no evidence that SARS-CoV-2 has caused any other unique, systemic immune disorder or musculoskeletal damage. Can COVID-19 Vaccines Induce Premature Non-Communicable Diseases: Where Are We Heading to? Ali M, Bonna AS, Sarkar A-S, et al. Fibromyalgia: a new facet of the post-COVID-19 syndrome spectrum? COVID-19 vaccines and IBD: What patients need to know Baden LR, et al. Our Supporting partners are active champions who provide encouragement and assistance to the arthritis community. Fibromyalgia | Cooper University Health Care However, these numbers have dropped with the emergence of new virus variants. Targeting inflammation and cytokine storm in COVID-19. MeSH 2021;7(3):e001735. "The second shot was awful," she said. On March 11, 2020, the World Health Organization, realizing the level of spread worldwide and the severity of the condition, accepted coronavirus disease 19 (COVID-19) as a pandemic. A web-based application was developed to inquire about fibromyalgia-like post-COVID symptoms. This app, termed POCOS, was developed as a rehabilitation tool focusing on patients with a fibromyalgia-like phenotype. Overall, the studies carried out on long COVID to date have been 12 to 18 months post- infection, so we do not yet know what percentage of these individuals may develop a chronic, long-standing illness. Male gender and obesity correlated with fibromyalgia symptoms, although these two correlates may have been related to an increased hospitalization rate in that patient subset. However, other illnesses such as diabetes and obesity that occur with fibromyalgia may make you more vulnerable. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The https:// ensures that you are connecting to the Treasure Island (FL): StatPearls Publishing; 2022 Jan. Part 3 discusses how long COVID clinics may offer a model for pain management. In addition, Gallium-67 scintigraphy demonstrated an increased uptake in multiple joints. The virus causes a mild respiratory illness (Covid-19) that can develop into pneumonia and be fatal in some cases. And the rollercoaster nature of COVID-19 is providing ample opportunities for both. One of the factors is the increased psychological burden after COVID-19. Laboratory testing should be kept to a minimum, possibly just an ESR or CRP, which will usually be normal. The researchers found that about 30 percent of respondents with post-COVID syndrome seemed to meet the diagnostic criteria for fibromyalgia. Before 2021;162(12):2832-2840. doi:10.1097/j.pain.0000000000002306, Di Girolamo FG, Fiotti N, Sisto UG, et al. Before 2022 Mar;89(2):105334. doi: 10.1016/j.jbspin.2021.105334. Keywords: Getting vaccinated can help provide peace of mind, which benefits your physical and mental health. Proud Partners of the Arthritis Foundation make an annual commitment to directly support the Foundations mission. And even a mild case of COVID-19 may cause fibromyalgia symptoms to flare up. sharing sensitive information, make sure youre on a federal 2022 May 18. And all it takes is just 10 minutes. Both PCR and antigen tests can detect current infections. We avoid using tertiary references. Vaccination programmes are being rolled out globally, but most of these vaccines have been approved without extensive studies on their side-effects and efficacy. Chronic pain and COVID-19 hospitalisation and mortality: a UK Biobank cohort study [published online ahead of print, 2022 Apr 22]. And keep up your prevention efforts by wearing a mask, washing your hands frequently, and social distancing. Modulating factors of fibromyalgia in women during the COVID-19 pandemic: A protocol for systematic review. 2021 Jan-Dec;12: 21501327211030826. Learn about the connection between arthritis, depression and anxiety and how these conditions can make your arthritis worse. Geetika Gupta, MD, is a board-certified internist working in primary care with a focus on the outpatient care of COVID-19. Median duration of acute COVID-19 was 13 days, and 10.7% were hospitalized. hepatits C), or with symptom complexes extensively overlapping with that syndrome (e.g. Some viral infections, such as hepatitis B and Ross River virus, trigger a subacute polyarthritis, considered to be an immune, serum-sickness disorder, but this has not been documented with SARS-CoV-2. 2020;323:1239-42. Need for COVID-19 vaccines create dilemma for fibromyalgia and chronic Fibromyalgia and COVID-19 vaccine side effects, COVID-19 vaccine guidelines for people with fibromyalgia, Centers for Disease Control and Prevention (CDC). DOI: Agergaard J, Leth S, Pedersen TH, et al. If it's positive, isolate and contact a provider or pharmacy for treatment options. sharing sensitive information, make sure youre on a federal Pope JE. Long COVID is a collection of ongoing symptoms that may last weeks, months, or even years after a person has. Become an Arthritis Foundation member today for just $20 and you'll receive access to helpful tools.. and more. A total of 202 systemic rheumatic disease flares were reported by 165 patients (14.9%). We herein report a 71-year-old woman presented with a fever, arthralgia, general malaise and leg muscle stiffness following administration of the COVID-19 mRNA vaccine (Comirnaty, Pfizer-BioNTech). Would you like email updates of new search results? Research suggests some immunosuppressants used to treat UC are associated with poorer COVID-19 outcomes. 2020;12(1):69. doi:10.1186/s13195-020-00640-3. This can be accomplished initially with telemedicine triage. Some people who get the COVID-19 vaccine wont have any side effects. However, with how closely theyre related and how similar the symptoms are, its possible that both conditions will see an upswing in diagnoses in the near future. Join us today and help lead the way as a Champion of Yes. Multisystem inflammatory syndrome in U.S. children and adolescents. 2011;11:37. doi:10.1186/1471-2377-11-37. A level of 5.7% to 6.4% is considered pre-diabetes, according to the . Multisystem inflammatory syndrome is an example of SARS-CoV-2 triggering a severe immune, systemic disease. 81872687/National Natural Science Foundation of China, 2021zhyx-B04/Research Fund of Anhui Institute of Translational Medicine, 2108085Y26/Natural Science Foundation of Anhui Province, 2108085QH361/Natural Science Foundation of Anhui Province. . JAMA. Ottaviani S, Juge PA, Forien M, Ebstein E, Palazzo E, Dieud P. Joint Bone Spine. Stay up to date with your COVID-19 vaccines. They suggested that lingering inflammation and/or virus-induced damage to the endothelium (lining of the blood vessels) or immune system might be to blame. Disclaimer. Youre helping break down barriers to care, inform research and create resources that make a difference in peoples lives, including your own. What to Expect from a COVID-19 Vaccine If You Have a - Healthline doi:10.12659/AJCR.931616, Suh J, Mukerji SS, Collens SI, et al. and transmitted securely. Objectives: To analyse the frequency and characteristics of post-COVID-19 syndrome in patients with primary Sjgren's syndrome (pSS) affected by acute SARS-CoV-2 infection. 2020;383(4):393-395. doi:10.1056/NEJMe2023158, Hastie CE, Foster HME, Jani BD, et al. Similarly, severe acute respiratory syndrome (SARS), which is also caused by a coronavirus, led to long-term post-viral illness that, according to a 2011 study, overlaps with the clinical and sleep features of [fibromyalgia] and chronic fatigue syndrome.. 8600 Rockville Pike Epub 2021 May 18. Long COVID, FibroCOVID, and Musculoskeletal Pain: Why Pre-Existing This has left people who don't develop side effects. Prevalence of comorbid diseases in patients with fibromyalgia: A retrospective cross-sectional study. Of more than 7,000 people, only seven reported having fibromyalgia. Since the needs of thejuvenile arthritis (JA) communityare unique, we are currently working with experts to develop a customized experience for JA families. Unable to load your collection due to an error, Unable to load your delegates due to an error. Healthline Media does not provide medical advice, diagnosis, or treatment. (2021). Keep an ample supply of your medications on hand. Approximately 20% to 30% of patients describe muscle pain during acute COVID infection. In people who have been hospitalized for severe COVID, chronic muscle pain has been associated with muscle atrophy and is likely the consequence of prolonged hospitalization and physical inactivity.. Verywell Health's content is for informational and educational purposes only. The sheer volume of potential patients with long COVID may quickly overwhelm the US specialty-oriented, siloed medical system. 2020;bjophthalmol-2020-316586. 2022 Mar 15;61(6):903-906. doi: 10.2169/internalmedicine.8829-21. MMWR Morb Mortal Wkly Rep 2022;71:713717. 2020;382:1708-20. (2022). Fibromyalgia, infection and vaccination: two more parts in the - PubMed Influenza vaccination is safe and effective in patients suffering from fibromyalgia syndrome [Abstract]. Discover symptoms such as fibro fog, restless legs, and more. How would I even know if I have COVID?. doi:10.1097/RHU.0000000000001685. Amital M, et al. Initially there was concern that COVID-19 may be the cause of newly described systemic, immune diseases. Changes in the autonomic nervous system with the effect of SARS-CoV-2 may induce the emergence of FMS-related symptoms. J Pak Med Assoc. 2021 Jul;121:102663. doi: 10.1016/j.jaut.2021.102663. Specifically, patients reported an impact on pain, sleep, mood, and general well-being. So, knowing the vaccine could cause flare-ups in patients with fibromyalgia, CFS, Lupus, vasculitis, rheumatoid arthritis and other conditions, Dr. Volkmann offers this advice: make sure you sleep and eat well before you get a shot and schedule time to rest afterwards. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. CDC strengthens recommendations and expands eligibility for COVID-19 booster shots. Future studies should focus on elucidating FMS-related symptoms occurring post-COVID-19. There were no major demographic differences in the infected and non-infected patients. An official website of the United States government. Our Visionary partners help us plan for a future that includes a cure for arthritis. These findings met the diagnostic criteria for polymyalgia rheumatica (PMR), and when we started steroid treatment, her symptoms improved rapidly. Still, if you begin to have symptoms associated with COVID-19, take a test right away (either an at-home test or in a provider's office). Every gift to the Arthritis Foundation will help people with arthritis across the U.S. live their best life. Epub 2022 Jul 15. HHS Vulnerability Disclosure, Help Vaccines (Basel). Careers. Neuroimmunology: What role for autoimmunity, neuroinflammation, and small fiber neuropathy in fibromyalgia, chronic fatigue syndrome, and adverse events after human papillomavirus vaccination? Getting vaccinated will help protect you from severe illness and prevent a mild case of COVID-19 from potentially triggering a fibromyalgia symptom flare. In other words, it's safe to assume that COVID-19 has intensified the natural feeling of anxiety that people with fibromyalgia normally feel. J Prim Care Community Health. Strong, outspoken and engaged volunteers will help us conquer arthritis. The Arthritis Foundations one-of-a-kind podcast. However, some conditions that frequently overlap with fibromyalgia are, including: If you're concerned about your risk, be extra diligent with the preventive measures: masks, handwashing, and social distancing. Fibromyalgia often makes 73-year-old Nancy Ries feel invisible. 2022. By Adrienne Dellwo 2020;324(6):603-605. doi:10.1001/jama.2020.12603. Molecular mimicry, the production of particular autoantibodies and the role of certain vaccine adjuvants seem to be substantial contributors to autoimmune phenomena. MMWR Morb Mortal Wkly Rep. 2020;69:382386. National Library of Medicine Fibromyalgia is not on the list of pre-existing conditions that appear to make COVID-19 more severe. Learn about the National Juvenile Arthritis Conference, a place for families to connect, share and learn. 2023 Feb 2;12(2):233. doi: 10.3390/pathogens12020233. Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. COVID-19 Can Trigger Self-Attacking Antibodies Effectiveness of BNT162b2 vaccine against Omicron variant in South Africa. This is the first study to show that infections can trigger a dramatic increase in the incidence of fibromyalgia - putting FM solidly in the post-infectious disease category for the first time. Clin Neurophysiol. And it's probably worse for people who have contracted the virus or know someone who has been hospitalized for or perished from COVID-19. One study evaluated the persistent symptoms at 6 months in 616 subjects with SARS-CoV-2, including 77% women, with only 11% hospitalized. One-third of these individuals met the American College of Rheumatology criteria for fibromyalgia at 6 months. Recognizing that the majority of persistent musculoskeletal symptoms following COVID are likely related to FM will allow for a more tailored approach to diagnosis and management. For the latest on COVID-19, visit ourcoronavirus news page. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. official website and that any information you provide is encrypted Aloush V, Gurfinkel A, Shachar N, Ablin JN, Elkana O. Tenforde MW, Kim SS, Lindsell CJ, et al. Unable to load your collection due to an error, Unable to load your delegates due to an error. Pain. In one study of 100 subjects suspected of long COVID, 82% were women with a mean age of 45 years. Subsequently, quarantine conditions were implemented around the world, and these triggered particular results. Some of the side effects of the COVID-19 vaccine overlap with fibromyalgia symptoms. This patient developed PMR after receiving a COVID-19 mRNA vaccine (Comirnaty, Pfizer-BioNTech). Bookshelf Perspectives on vaccine induced thrombotic thrombocytopenia. Whether it is supporting cutting-edge research, 24/7 access to one-on-one support, resources and tools for daily living, and more, your gift will be life-changing. There are currently no reports of significant side effects in individuals with fibromyalgia whove been vaccinated. They are called long-haulers because they deal with symptoms for the long haul. Clinical trials found that the Pfizer-BioNTech and Moderna vaccines were 95 percent and 94.1 percent, respectively, effective at preventing COVID-19. Difference between flare and normal reaction to Covid vaccine? (2021). 2022;11(2):e32193. A history of suspected/confirmed COVID-19 occurred in 7.9% with systemic rheumatic disease flare and 6.7% without systemic rheumatic disease flare. This effect may result in lung, cardiac, and central nervous system organ damage. These patients had no evidence for organ damage and their symptoms and clinical course are similar to fibromyalgia, CFS, and other post-infectious syndromes. The site is secure. Lee YH, Kim JH, Song GG (2015) Association between the COMT Val158Met polymorphism and fibromyalgia susceptibility and fibromyalgia impact questionnaire score: a meta-analysis. Unable to load your collection due to an error, Unable to load your delegates due to an error. The pain is considered a non-specific manifestation of the acute, inflammatory response. One of the factors is the increased psychological burden after COVID-19. However, whether the association between COVID-19 vaccine and autoimmune manifestations is coincidental or causal remains to be elucidated. As mentioned in prior PPM articles on long COVID, it is helpful to distinguish chronic symptoms after SARS-CoV-2 infection as those attributed to organ damage and those with no defined organ damage or disease biomarkers. People with certain medical conditions. 2021;39 Suppl 130(3):153-160. And even a mild case of COVID-19 may cause fibromyalgia symptoms to flare up. An anxiety attack and general stress can trigger flares. Before Pre-existing chronic pain may be a risk factor for long COVID. Clipboard, Search History, and several other advanced features are temporarily unavailable. Testimonials from individuals with fibromyalgia also contain no mention of flare-ups after getting the COVID-19 vaccine. Myalgia as a symptom at hospital admission by SARS-CoV-2 infection is associated with persistent musculoskeletal pain as long-term post-COVID sequelae: a case-control study. Fibromyalgia often makes 73-year-old Nancy Ries feel invisible. Patients with Rheumatic Disease May Experience Flares after SARS-CoV-2 "If you do this, I think that you can, you know, easily recover from getting this vaccine and it's far better again than getting the COVID infection," Volkmann said. doi:10.1136/bjophthalmol-2020-316586. This episode was originally released on January 19, 2021. There are currently no reports in the scientific or medical literature of fibromyalgia flare-ups following the COVID-19 vaccine. Health experts widely believe the benefits of the vaccine outweigh the risks of a potential reaction or flare-up, since immunocompromised people have an increased risk of a severe form of COVID-19. There arent any specific COVID-19 vaccine guidelines for people with fibromyalgia. (2022). Thus far, it's not classified as an autoimmune disease, where your immune system attacks healthy cells by mistake, although evidence suggests that it may have an autoimmune component. Results from a web-based survey. Research from 2021 has found that fibromyalgia itself doesnt put you at an increased risk of severe COVID-19. NCI CPTC Antibody Characterization Program, Gonzlez-Gay MA, Matteson EL, Castaeda S. Polymyalgia rheumatica. This is because mRNA vaccines are more effective and have a better overall safety profile than the J&J vaccine. These tips can help. I want information on ways to remember the AF in my will, trust or other financial planning vehicles. 2020 Oct 5;10:CD013717. If you have any vaccine-related questions or concerns, be sure to discuss them with a doctor. A web-based survey published in 2021 found that 31% of people with "long COVID" reported symptoms that meet the diagnostic criteria for fibromyalgia six months after having COVID-19. Dasgupta A, Kalhan A, Kalra S.Long term complications and rehabilitation of COVID-19 patients. The most painful sites were the head/face, chest, and lower extremities. Br J Ophthalmol. Study Shows That Fibromyalgia is a Post-infectious Disease Too covid vaccine and small fiber neuropathy New chronic musculoskeletal pain after COVID-19 infection: In the report of hospitalized patients noted above, persistent muscle pain was present at 7 months in more than one-third of COVID patients and this correlated with other long COVID symptoms. In another study, 50% of people seen at a long COVID clinic at a mean of 8 months after initial infection had myopathic changes on electromyogram (EMG)., New chronic, widespread pain and fibromyalgia have been reported following COVID-19. FMS-related symptoms occur in a subset of individuals following COVID-19. (2021). This article explains which conditions appear to make COVID-19 more severe, and fibromyalgia isn't one of them. This trend appears to be continuing: Fibromyalgia has not emerged as one of the conditions healthcare providers and hospitals are seeing in a lot of people theyre treating for COVID-19. Travel-related control measures to contain the COVID-19 pandemic: a rapid review. An Unusual Side Effect of the COVID-19 Vaccine: A Possible - Cureus They contribute $100,000 to $249,999. Fibromyalgia is a chronic condition that causes pain in muscles and soft tissues all over the body. Published 2022 May 19. doi:10.1186/s12891-022-05436-0. Accessibility Efficacy, Safety and Immunogenicity of Anti-SARS-CoV-2 Vaccines in Patients with Cirrhosis: A Narrative Review. Rheumatology (Oxford). ai thinker esp32 cam datasheet In the subjects with fibromyalgia features, muscle pain was the most prominent symptom, present in 90%, followed by fatigue (74%), dyspnea (43%), and orthostatic intolerance (38%). Although general expectations were negative, some FMS patients were able to manage the pandemic conditions and even turn them in their favor. 2019;20(20):5164. doi:10.3390/ijms20205164. If you have fibromyalgia, getting vaccinated, and staying up to date with booster shots, is the best way to protect yourself. Gallium-67 scintigraphy performed 72 hours after intravenous injection shows an increased uptake in multiple joints (arrows). Thrombotic thrombocytopenia after ChAdOx1 nCov-19 vaccination. New-onset IgA nephropathy following COVID-19 vaccination. -. There is a need to determine distinctions between the FMS clinical status that emerged following COVID-19 and the regular patient group in terms of diagnosis, treatment, and follow-up. If you have fibromyalgia, you should follow the general recommendations for people in your age group. COVID-19; SARS-CoV-2; adverse events; autoimmune diseases; vaccines. Laboratory findings showed an elevated C-reactive protein level and erythrocyte sedimentation rate. Vaccination programmes are being rolled out globally, but most of these vaccines have been approved without extensive studies on their side-effects and efficacy. 2022 Dec 30;101(52):e32577. Acupuncture may be one way to reduce fibromyalgia pain especially when combined with other forms of treatment. This article reviews suitable. "I was not myself, meaning I didn't feel well for about 10 months.". We herein report a 71-year-old woman presented with a fever, arthralgia, general malaise and leg muscle stiffness following administration of the COVID-19 mRNA vaccine (Comirnaty, Pfizer-BioNTech). The Arthritis Foundation recently launched an initiative to build stronger relationships and increase recognition of our most engaged practices. https://doi.org/10.1016/j.ijid.2022.05.050, CDC 2022 Clinical Practice Guideline on Prescribing Opioids for Chronic Pain, Uncommon, mainly in children, usually self-limited, and responds to immune-mediated therapy. Some COVID symptoms are not associated with fibromyalgia, including chills, congestion or a runny nose, cough, fever, and sore throat. 2021;132(8):1974-1981. doi:10.1016/j.clinph.2021.04.009, Ursini F, Ciaffi J, Mancarella L, et al. These inspired and inventive champions have contributed $1,500,00 to $1,999,999. JMIR Res Protoc. The COVID-19 pandemic has been particularly challenging for people living with fibromyalgia, a condition characterized by widespread pain and tenderness throughout the body. Learn about the four most common warning signs. Be sure to talk to your healthcare provider and weigh the risks and benefits before making any decisions. This series won a Fall 2022 Silver Digital Health Merit Award. Gout is an inflammatory type of arthritis that can come and go. ucla environmental science graduate program; four elements to the doctrinal space superiority construct; woburn police scanner live. More About Volunteering. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Possible side effects after getting a COVID-19 vaccine. Currently this program is for the adult arthritis community. This site needs JavaScript to work properly.
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