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Commenters stated that this requirement violates the basic tenet of the packaging concept in that when observation services are ordered and furnished, the observation services become the primary service provided to such patients and the SI T procedure is provided ancillary to that primary service

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However, if pain persists for weeks or worsens, it may indicate a vaccine-related injury such as Shoulder Injury Related to Vaccine Administration (SIRVA)

B12 injections are more readily absorbed in the body and do not have to be administered as often as oral tablets