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Reported injuries associated with intramuscular injection sites used for intramuscular injections include: Permanent damage to radial and axially nerves resulting in paralysis/ neuropathy Persistent nodules gramulomas, muscle contractures and/or palsy Peripheral nerve and bone injury Local irritation, pain local discomfort and redness at the site Infection, abscess, cellulitis and tissue necrosis Haematomas, bleeding, arterial punctures and, in rare cases, gangrene Muscle fibrosis