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Mechanical irritation of the muscle fibers Localized inflammation supported by increased blood flow Short-term immune response concentrated in the injected arm These factors explain why temporary pain can build as the body processes the vaccine

[6] If this happens, vitamin B 12 deficiency may result in sense loss, loss of sensation in the feet, difficulty walking, poor balance, blurred vision, changes in reflexes, muscle weakness, decreased smell and taste, decreased level of consciousness, mood changes, memory loss, depression, irritability, clumsiness, disorientation, dementia and, in severe cases, psychosis

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