Vaccine. There are ways to manage pain that you may have after coronavirus (COVID-19). www.sciencedaily.com/releases/2021/02/210217151116.htm (accessed March 3, 2023). "I have previous tests to prove . 20052022 MedPage Today, LLC, a Ziff Davis company. Follow. 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.". 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. Our phase IV clinical studies alone cannot establish cause-effect relationship. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Radiographs showed calcification of the supraspinatus tendon, and magnetic resonance images showed continuous inflammatory findings from the subdeltoid bursa to the subacromial bursa. The symptoms may also disappear and recur. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). Meyers says clearly, some people need an attorney to assist. We avoid using tertiary references. 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. "We might see edema and inflammatory changes of the tissues (fluid, swelling), hematomas (collections of blood) or devitalized tissue (gangrene)," Deshmukh said. Treatments generally include anti-inflammatory drugs, corticosteroid injections, and physical therapy. In a 2021 study, researchers tried to gauge how common this is. If you are allergic to polyethylene glycolone of the ingredients used in the COVID-19 vaccinethe CDC advises against being vaccinated. Opens in a new tab or window, Share on Twitter. All rights reserved. A Baylor College of Medicine vaccine expert weighs in on . 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. These can include intra-articular, bursal, tendon . The use of the eHealthMe site and its content is at your own risk. Achilles tendinitis is an overuse injury of the band of tissue that connects your calf muscles at the back of the lower leg to your heel bone. It is not intended to provide medical or other professional advice. Content on this website is for information only. We declare no competing interests. For instance, a condition called 'shoulder injury related to vaccine administration' (SIRVA) is characterized by shoulder pain and limited range of motion after intramuscular injection of a vaccine into the deltoid muscle of the shoulder. MeSH According to the Centers for Disease Control and Prevention (CDC), almost 85% of people experienced redness, swelling, and pain at the injection. The puncture point should be chosen with the median point of the deltoid muscle or the anterior-posterior axillary line as landmarks because the more cephalad the puncture position, the greater the chance of causing SIRVA. Symptoms may include frequent urination and burning pain while urinating. Instead, a piece of laboratory-manufactured genetic material called messenger RNA (mRNA) is injected. Before If you have had an allergic reaction to another vaccine or to injectable medication, the CDC recommends that you consult your regular physician before receiving the COVID-19 vaccine. Some information may be out of date. The symptoms of reactive arthritis usually go away within 35 months. If the infection is no longer active, this type of treatment does not help. To determine the cause of arthritis after COVID-19, the authors tested for markers of inflammation and autoimmunity in the participants. The AAOS Patient Safety Committee recommends avoiding musculoskeletal corticosteroid injections for two weeks before and one week after COVID vaccine administration. But during the pandemic, many people's entire workday has been spent at home. Usually, they start 16 weeks after an infection. Vaccination infrequently causes severe, persistent . Smoking, older age, and preexisting joint pain had links to post-COVID-19 arthritis. The study is a retrospective review of data from patients who presented to Northwestern Memorial Hospital between May 2020 and December 2020. Many patients who have had the virus have a positive antibody test. Some patients may experience side effects after vaccination, but these are typically mild and go away in a few days. Share on Facebook. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Uncertainty persists as to the possibility that the COVID-19 vaccines might cause exacerbation of pre-existing autoimmune diseases. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. All data and statistics are based on publicly available data at the time of publication. . Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. government site. "The pain and the fatigue from the COVID-19 vaccine can overlap with axial spondyloarthritis symptoms, but the vaccine symptoms tend to be more widespread and usually not localized to singular joints," says rheumatologist John Miller, MD, Instructor of Medicine in the Division of Rheumatology at Johns Hopkins Medicine. "I think it's important to differentiate between what the virus causes directly and what it triggers the body to do," Deshmukh said. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. People may mistake these symptoms for arthritis. The first is a type of tendonitis known as De Quervain's tenosynovitis. Jackson can still do her job as a veterinarian, but it can be painful lifting animals during surgery, for instance. If you've received monoclonal antibodies, you must wait 90 days after recovering from COVID-19 to receive the vaccine. Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. and transmitted securely. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. Additionally, 1550% may experience recurring episodes of arthritis. 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. KAT authored the paper with edits made by FKT. Assessment 3: This will be carried out between 91 and 180 days after the onset of symptoms of COVID-19 infection. 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. doi: 10.12659/MSM.937430. Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Skeletal Radiol. Kennedy, MD, chair of physical medicine & rehabilitation at of Vanderbilt University Medical Center in Nashville, told MedPage Today. Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection. The body then develops immunity to the spike protein, which protects against the virus. Careers. Click here to learn more. Can poor sleep impact your weight loss goals? With the emergence of the rapidly spreading omicron variant, COVID-19 booster shots are now strongly recommended by the Center for Disease Control and Prevention. Unilateral Axillary Adenopathy in the Setting of COVID-10 Vaccine. The Trump administration recently tried to cut SIRVA from the $4 billion VICP -- which was initially authorized by the National Childhood Vaccine Injury Act of 1986, in response to a rush of lawsuits against vaccine manufacturers -- arguing that it was due to improper administration of vaccines, rather than the vaccine itself. Fewer people should get sick, and more lives can be saved. We use cookies to help provide and enhance our service and tailor content and ads. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. All rights reserved. National Library of Medicine All information is observation-only. ScienceDaily, 18 February 2021. Five years later, SIRVA was added to the Vaccine Injury Table, which guides allowable claims in federal vaccine court. "In some patients, the nerves are injured (bright, enlarged) and in others, the problem is impaired blood flow (clots).". Clinical Imaging. Claimants must prove the vaccine caused the injury, unless it's covered under an injury table for CICP. Since then, SIRVA claims have ballooned, rising from 10 in 2011 to 433 in 2016, according to the paper. It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. For these reasons, you should continue to wear a mask, practice social distancing, avoid crowds and wash your hands often. 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. Tinnitus can develop after any vaccine and tends to happen more often with other vaccines. Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. Share this article. These symptoms may last weeks or months. One potential symptom of long COVID is joint pain. 2 cm deep to the quadriceps tendon and involved the medial and lateral gutter (, Arthrocentesis of the right knee showed 24 mL of inflammatory-appearing effusion (, His rheumatoid arthritis was well controlled before the vaccination, and there were no other inciting events, so we believe that this flare might have been triggered by his immune response to a component of the BNT162b2 vaccine. NSAIDs include well-known pain relievers and fever reducers such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). This results when the injection site is too low or the needle is placed. Muscle soreness and achy joints are common symptoms among COVID-19 patients. What is the link between joint swelling and COVID-19? "Radiological images confirm 'COVID-19 can cause the body to attack itself': Imaging illustrates severity, long-term prognosis of COVID-19-related muscle, joint pain." 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. One of these cases involves the ulnar nerve ( 4 ), which is rarely reported in PTS ( 1, 14 ). Her primary care doctor referred her to a physical medicine & rehabilitation specialist who, after confirming bursa and joint inflammation on imaging, prescribed steroid and lidocaine injections along with physical therapy. The other injuries to receive compensation were anaphylaxis, shoulder pain, bursitis and one death. Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. Fatigue (feeling of tiredness): 25 people, 13.89%, Mobility Decreased (ability to move is reduced): 17 people, 9.44%, Arthritis (form of joint disorder that involves inflammation of one or more joints): 16 people, 8.89%, Muscle Aches (muscle pain): 15 people, 8.33%, Hypoaesthesia (reduced sense of touch or sensation): 14 people, 7.78%. Wiesel and Keeling's paper notes that since the VICP was created in the late 1980s for childhood vaccine injury, the demographic has shifted, with more than 50% of claims now involving adults. HHS Vulnerability Disclosure, Help The symptoms of reactive arthritis include inflammation, swelling, and pain in the joints. It can happen if a person develops reactive arthritis due to the inflammation the infection causes. Vaccine. I called the testing center. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. Shoulder Pain and Injury after COVID-19 Vaccination. An infection with the SARS-CoV-2 virus may cause new or worse symptoms. Skin reactions to the COVID vaccine aren't just limited to where you get your jab. After adjustment for baseline characteristics, the study found that the hazard of aortic aneurysm increased by 2.24-fold (95% CI=2.02-2.49) during a 30-day risk window following the treatment episode. For permissions, please e-mail: journals.permissions@oup.com. "Radiological images confirm 'COVID-19 can cause the body to attack itself': Imaging illustrates severity, long-term prognosis of COVID-19-related muscle, joint pain." If an MRI shows a complete muscle injury, surgical repair may be required. Of the initial COVID-19 claims, the . This article discusses arthritis after COVID-19, including the symptoms, treatment, and duration. However, there wasn't enough research to determine if . The initial symptoms of fever, cough, nausea, diarrhoea, and dysgeusia improved progressively until they resolved completely within 30 days. Rashes in Tarceva, how severe and when it was recovered? Musculoskeletal corticosteroid injections are common procedures which are most often performed in an elective, outpatient setting. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Send story tips to k.fiore@medpagetoday.com. "How do you find something if you're unsure of what to look for? 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. Have any problems using the site? an abnormal one at injection site), Injection site paraesthesia (abnormal skin sensations at injection site), Injection site pruritus (severe itching at injection site), Injection site urticaria (rash of round, red welts on the skin at injection site), Injection site vesicles (fluid- or air-filled cavity or sac at injection site), Ischaemic stroke (stroke; caused by an interruption in the flow of blood to the brain), Joint range of motion decreased (disease of joint movement), Leukocytosis (increased white blood cells), Lung infiltration (a substance that normally includes fluid, inflammatory exudates or cells that fill a region of lung), Lymphadenitis (inflammation or enlargement of a lymph node), Lymph follicular hypertrophy (an increase in the size of the lymph node follicles), Lymphoedema (localized fluid retention and tissue swelling), Malaise (a feeling of general discomfort or uneasiness), Mastication disorder (disease of chewing food), Maternal exposure during pregnancy (use of substance during pregnancy), Menstrual disorder (disease of menstrual cycle), Menstruation delayed (late menstruation cycle), Mental disorder (a psychological term for a mental or behavioural pattern or anomaly that causes distress or disability), Mental impairment (a condition affecting the body, perhaps through sight or hearing loss, a mobility difficulty or a health condition), Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation), Metabolic encephalopathy (disorder or disease of the brain due to the body's disability to use energy), Middle ear effusion (fluid in middle ear), Migraine with aura (headache with vision weakness), Mitral valve incompetence (inefficient heart valve), Mobility decreased (ability to move is reduced), Monoplegia (a paralysis of a single limb), Mood swings (an extreme or rapid change in mood), Movement disorder (neurological syndromes where they may be excess of movement or a paucity of movement that is not connected to weakness), Multiple sclerosis (a nervous system disease that affects your brain and spinal cord. "Some doctors request imaging for patients with 'COVID toes,' for example, but there wasn't any literature on imaging of foot and soft tissue complications of COVID," Deshmukh said. Santhoshini Leela Ramani, Jonathan Samet, Colin K. Franz, Christine Hsieh, Cuong V. Nguyen, Craig Horbinski, Swati Deshmukh. Note: Content may be edited for style and length. According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. September 9, 2021. And of course, most experts agree that if it's been more than five or six months since you got Covid-19 and you haven't been boosted yet, you should do so as soon as you're eligible. Vaccine. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Some of the side effects that occur after vaccination, such as fever, muscle aches and pain, and fatigue, may resemble symptoms related to an underlying condition. Note as well that despite the recent full FDA approval for the Pfizer COVID-19 vaccine, any injuries attributed to it at the present time still remain covered under the CICP. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Instead of going into the muscle, the vaccine goes into the shoulder bursa, causing a strong immune reaction. This included injuries to the soft tissues of the shoulder as well as injuries to bone and joint. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. The American Academy of Orthopaedic Surgeons (AAOS) has recently stated that the benefits of the COVID-19 vaccine strongly outweigh the orthopaedic risks. Opens in a new tab or window, Visit us on YouTube. Please enable it to take advantage of the complete set of features! You can use the study as a second opinion to make health care decisions. SIRVA can be avoided with correct vaccination technique as described. COVID-19 vaccines produce an antibody reaction that protects you from the disease. 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. Published by Oxford University Press. The report focuses on a 53-year-old man with a family history of RA. Symptoms from improperly administered vaccinations - known as SIRVA, for "shoulder injury related to vaccine administration'' - include chronic pain, limited Additionally, the COVID-19 vaccine may cause arthritis-like side effects that can last weeks. However, 1530% of people may develop long-term arthritis and other joint issues. On day 21, 1 day after starting physical therapy, he developed acute bilateral arthritis in his ankles, with mild enthesitis in his right Achilles tendon, without rash, conjunctivitis, or preceding diarrhoea or urethritis. Children and teens ages 6 months-17 years Adults 18 years and older After a second shot or booster If you develop tinnitus after your COVID-19 vaccine, report it to VAERS. Alternatively, arthritis that develops after COVID-19 may be the result of long COVID, or it may be a temporary side effect of the COVID-19 vaccine. Last medically reviewed on December 11, 2022. Clipboard, Search History, and several other advanced features are temporarily unavailable. A statement from Johnson & Johnson said that tinnitus was identified as an adverse event in its phase 3 clinical trials of the Covid-19 vaccine but also maintained that it was impossible to. It's also different from typical post-injection soreness, as the pain is more severe and it can impact mobility and function. The https:// ensures that you are connecting to the Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. CNN . All rights reserved. According to a 2021 study, post-COVID-19 arthritis may occur as a result of inflammation, which is part of the bodys natural immune response. But I do think it's possible, absolutely" for vaccine-related shoulder injury to occur. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. Some reports may have incomplete information. References: HRSA Countermeasures Injury Compensation Program: Link or toll-free number 1-855-266-2427 RSA Vaccine Compensation Program Frequently Asked Questions: LInk Yes, COVID-19 can trigger arthritis in some people. 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. How can imaging lead to better treatment? (2021, February 18). Learn. 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. It was such a strange, unfamiliar sensation that I didn't realize what was happening. Jackson and Noren said SIRVA attorneys advised that their injuries would not likely be compensated under the CICP. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Med Sci Monit. Three COVID-19 vaccines have been approved for emergency use in the USA so far. People can develop reactive arthritis after COVID-19. from the American Academy of Orthopaedic Surgeons, Swelling or redness at the site of the injection, Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue. (Photo: Getty) getty. https://www.ncbi.nlm.nih.gov/books/NBK499831/, https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/effects-on-your-body/joint-and-muscle-problems/, https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html, https://www.niams.nih.gov/health-topics/reactive-arthritis, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162104/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831681/, https://www.frontiersin.org/articles/10.3389/fimmu.2022.859926/full. Physical therapy helped improve his range of motion to an extent, but his pain lingers. 8600 Rockville Pike This may help reduce symptoms and increase quality of life. 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. Like any vaccine, a COVID-19 vaccine may cause pain, swelling, and fever after being administered. One of those is muscle and joint pain from COVID-19. Other potential reactive arthritis symptoms include: According to the National Library of Medicine, if a person still has the infection that led to reactive arthritis, treatment focuses on the infection. A new Northwestern Medicine study has, for the first time, confirmed and illustrated the causes of these symptoms through radiological imaging. Reports of people experiencing tinnitus, vertigo and other hearing problems after having COVID-19 started emerging earlier in the pandemic. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. If joint pain occurs as a result of long COVID, the symptoms could be unpredictable. The COVID-19 vaccine is safe and does not cause arthritis in the vast majority of people. Chills. The second possibility sounds like it could be carpal tunnel syndrome. SIRVA (Shoulder Injury Related to Vaccine Administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. Japan College of Rheumatology 2022. Other possible symptoms include: Although long COVID is more common in people who have had a severe case of COVID-19, it can happen even in those with a very mild case. 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.