It says musculoskeletal symptoms, such as joint pain and muscle pain, are among a number of common possible long Covid signs. Opens in a new tab or window, Visit us on TikTok. . The site is secure. 2021 Nov;50(11):2293-2297. doi: 10.1007/s00256-021-03803-x. 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. SIRVA (Shoulder Injury Related to Vaccine Administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. Treatment for joint pain is available. Still, most physicians interviewed by MedPage Today say it's likely that improper injection technique could lead to shoulder injury, and that these problems should be taken seriously and treated appropriately. A BIZARRE new side effect has been reported by people who have received their Covid-19 vaccine. Other possible treatments include: In addition to taking medications, a person may benefit from: Long COVID, or post-COVID syndrome, is a condition that causes long lasting symptoms after a person recovers from an initial COVID-19 infection. The HRSA spokesperson said the CICP covers "eligible serious injuries" -- generally, those that require hospitalization or that lead to significant disability. All information is observation-only. COVID-19 has even ruined our feet - Inquirer.com Since the COVID-19 vaccine does not contain live or attenuated virus material, it cannot give you the disease. The authors of the case report suggest that the vaccine may have triggered an inflammatory response that led to the mans symptoms. An official website of the United States government. People with inflammatory or autoimmune arthritis may be at greater risk of contracting COVID-19 and developing more severe symptoms than others. "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." The pain associated with Achilles tendonitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. What is the latest research on the form of cancer Jimmy Carter has? Materials provided by Northwestern University. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Byron Jones was the 27th overall pick in the 2015 . Assessment 3: This will be carried out between 91 and 180 days after the onset of symptoms of COVID-19 infection. Health regulators state that all vaccines have side effects and the most common can include pain in t Please enable it to take advantage of the complete set of features! Moderna Covid-19 Vaccine: Here Is The Risk Of Severe Allergic - Forbes Houston, TX - Feb 11, 2021. "Surely some mistake," I said grandly. It's difficult to take x-rays and do long procedures as an oral surgeon: "I have pretty good pain even with just normal function now," he said. Shoulder injury related to vaccine administration (SIRVA) following mRNA COVID-19 vaccination: Report of 2 cases of subacromial-subdeltoid bursitis. People may mistake these symptoms for arthritis. READ MORE: Covid pneumonia symptoms: Five . Best food forward: Are algae the future of sustainable nutrition? 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. Case presentation: A 50-year-old Thai male began experiencing left shoulder pain about 3 hours following a COVID-19 vaccination. If a radiologist knows COVID can trigger inflammatory arthritis and imaging shows joint inflammation, then they can send a patient to a rheumatologist for evaluation. "It's really rare and the literature to date is mostly case reports. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis. "It's important for doctors to know what's happening in order to treat correctly.". Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. References: HRSA Countermeasures Injury Compensation Program: Link or toll-free number 1-855-266-2427 RSA Vaccine Compensation Program Frequently Asked Questions: LInk The first is a type of tendonitis known as De Quervain's tenosynovitis. Would you like email updates of new search results? Shoulder injury related to vaccine administration, or SIRVA, has been documented long before COVID-19 vaccination, and is most frequently reported after influenza vaccination. Even if the vaccine is inadvertently injected into either of these spaces, studies have shown that it will have no harmful side effects. "In some patients, the nerves are injured (bright, enlarged) and in others, the problem is impaired blood flow (clots).". If you have any questions or need more information, please contact your orthopaedic surgeon. MNT is the registered trade mark of Healthline Media. By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. However, it is not known if the vaccine will cause a positive antibody test in patients who have been vaccinated but not had the virus. COVID long-haulers: Questions patients have about symptoms Shoulder Pain and Injury after COVID-19 Vaccination. Shes been a medical journalist for more than a decade and her work has been recognized by Barlett & Steele, AHCJ, SABEW, and others. Viral arthritis and COVID-19 - The Lancet Rheumatology It happens when the vaccine is injected not into the muscle, as it should be, but into the bursa space below the muscle. Kennedy, MD, chair of physical medicine & rehabilitation at of Vanderbilt University Medical Center in Nashville, told MedPage Today. The Strange Way the Vaccine Can Affect Your Fingers and Toes - Yahoo! Opens in a new tab or window, Visit us on YouTube. Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection. Is joint swelling a possible symptom of COVID-19? Careers. All rights reserved. The study is based on data from the CDC and the FDA. COVID-19 vaccine clinical guidance summary for patients with rheumatic and musculoskeletal diseases. Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder one year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). It is not intended to provide medical or other professional advice. ScienceDaily. 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A spokesperson for HRSA confirmed to MedPage Today via email that despite full FDA approval, Pfizer's COVID-19 vaccine (Comirnaty) still remains covered under the CICP and does not yet move to the VICP. A new Northwestern Medicine study has, for the first time, confirmed and illustrated the causes of these symptoms through radiological imaging. But as I sat for the required 15 minutes of observation time, a wave of something engulfed my body. KAT and FKT both contributed to direct care of the patient. Research suggests that overactive bladder and COVID-19 have links. Others can experience an ongoing cough, chest tightness, fatigue,. To update your cookie settings, please visit the, https://doi.org/10.1016/S2665-9913(21)00108-9, Flare of rheumatoid arthritis after COVID-19 vaccination, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/mrna.html, https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf, Download .pdf (.2 'Rest is the most important factor of treating SIRVA - you need to give the muscles, tendons and ligaments time to recover as this problem often causes inflammation. government site. In females, this can lead to inflammation in the genital and reproductive organs as well. They noted that the term "SIRVA" was introduced in 2010 by a team of physicians with the Vaccine Injury Compensation Program (VICP) who reported on 13 petitioners presenting with severe vaccine-related shoulder pain that persisted for longer than 6 months. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Vaccine. "I just can't move my arm in certain motions," she said. Doctors Work to Treat, Understand Post-Vaccine Shoulder Injury SIRVA (Shoulder injury related to vaccine administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. Opens in a new tab or window, Share on LinkedIn. Symptoms can vary depending on where the aberrant shot landed, resulting in various manifestations such as bursitis, tendonitis, or adhesive capsulitis (also known as "frozen shoulder"). Pfizer-BioNTech COVID-19 Vaccine Reactions & Adverse Events If a person has persistent joint pain after any infection, they should contact a doctor. Clipboard, Search History, and several other advanced features are temporarily unavailable. "I think it's important to differentiate between what the virus causes directly and what it triggers the body to do," Deshmukh said. The COVID virus triggered rheumatoid arthritis in this patient with prolonged shoulder pain after other covid symptoms resolved. Epub 2021 Oct 1. 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. What you need to know after getting the COVID-19 vaccine Factors that may contribute include: COVID-19 vaccines can also cause temporary side effects that feel similar to those of arthritis or RA, such as: These effects usually last a few days but can last up to several weeks. Radiological images confirm 'COVID-19 can cau | EurekAlert! You can use the study as a second opinion to make health care decisions. Recap. There is one caveat, however. COVID-19 vaccines produce an antibody reaction that protects you from the disease. 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. What Is SIRVA? - WebMD - Better information. Better health. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . What to Expect from a COVID-19 Vaccine If You Have a - Healthline Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder 1 year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). COVID-19 Vaccines - WebMD Joint pain may also be present in long COVID. One potential symptom of long COVID is joint pain. However, the medical community cautions that it's more of a medicolegal determination rather than a distinct diagnosis at this point. The condition is also plagued by the lack of a solid evidence base, and causality is difficult to pin down. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Muscle soreness and achy joints are common symptoms among COVID-19 patients. Unauthorized use of these marks is strictly prohibited. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. Heart failure: Could a low sodium diet sometimes do more harm than good? Additionally, the COVID-19 vaccine may cause arthritis-like side effects that can last weeks. This may help reduce symptoms and increase quality of life. Like most vaccines, the COVID-19 vaccine is injected into the deltoid muscle on the side of the arm. Three months is a . "Pending establishment of COVID-19 Countermeasures Injury Table, claims may be filed as non-Table injuries and eligibility for compensation will be determined on a case-by-case basis by the Program," the spokesperson said. Some patients may experience side effects after vaccination, but these are typically mild and go away in a few days. Does the COVID Vaccine Cause Tinnitus (Ear Ringing) - GoodRx MeSH AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. Sex and gender exist on spectrums. Bookshelf When COVID-19 Causes Lingering Pain - WebMD Parsonage-Turner Syndrome Following COVID-19 Vaccination - Radiology AAOS gives its full support for the widespread adoption of the vaccine. In some cases, it may lead to arthritis flare-ups in people who already have RA. Epub 2022 Jun 8. SBI Recommendations for the Management of Axillary Adenopathy in Patients with Recent COVID-19 Vaccination . 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. Flare of rheumatoid arthritis after COVID-19 vaccination Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). "There's no compensation for something that's painful and debilitating that was a medical error," Jackson said. Symptoms may include frequent urination and burning pain while urinating. Will Future Computers Run On Human Brain Cells? Opens in a new tab or window, Visit us on Facebook. Johnson & Johnson vaccine linked to rare cases of autoimmune - CNET Physical therapy helped improve his range of motion to an extent, but his pain lingers. Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. Vaccine. 18 January 2021. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. The patient provided informed consent to publish this case. "Many patients with COVID-related musculoskeletal disorders recover, but for some individuals, their symptoms become serious, are deeply concerning to the patient or impact their quality of life, which leads them to seek medical attention and imaging," said Deshmukh, an assistant professor of musculoskeletal radiology at Northwestern University Feinberg School of Medicine and a Northwestern Medicine musculoskeletal radiologist. Some patients worry that receiving an injection in this area could permanently injure their shoulder. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. There is still a very small chance that you can get COVID-19. As the long-awaited COVID-19 vaccine rollout begins across the country and everyone is eager to get back to normal life, it can be confusing to understand what you can and cannot do once you and those around you are vaccinated. 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. 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. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. 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. Normally, taking your shoes off when you get home at the end of the day isn't a big deal. Some information may be out of date. If symptoms persist, surgery to remove a spur on the acromion can increase the space available for the inflamed tendon and may prevent further fraying or complete rupture. Opens in a new tab or window, Share on Twitter. Learn. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. Muscle soreness and achy joints are common symptoms among COVID-19 patients. They reduce inflammationmarked by swelling, redness, and warmththat is controlled by the immune system. Some patients may experience side effects after vaccination, but these are typically mild and go away in a few days. The New York City-based veterinarian said the nurse lodged the shot "extraordinarily high" into her left shoulder, hitting the bursa rather than the deltoid muscle. Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. One of those is muscle and joint pain from COVID-19. it causes swelling, ulcerations, and loss of function of the large intestine), Urinary incontinence (inability to control the flow of urine and involuntary urination), Urinary retention (the inability to completely or partially empty the bladder), Urticaria (rash of round, red welts on the skin that itch intensely), Vaccination site erythema (redness around vaccination site), Vaccination site pruritus (severe itching of the skin at vaccination site), Vasculitis (inflammation of a blood vessel or blood vessels), Ventricular extrasystoles (premature cardiac contraction), Ventricular tachycardia (rapid heartbeat that originates in one of the lower chambers (the ventricles) of the heart), Vitreous floaters (spots before the eyes), Weight bearing difficulty (difficulty due to weight of thigh fat deposition), Wheezing (a high-pitched whistling sound made while you breath). "We've realized that the COVID virus can trigger the body to attack itself in different ways, which may lead to rheumatological issues that require lifelong management," said corresponding author Dr. Swati Deshmukh. Tendonitis Covid vaccine side-effects: what are they, who gets them and why? Visit our coronavirus hub for the most recent information on the COVID-19 pandemic. Timing of Musculoskeletal Cortisone Injections and COVID Vaccine Keeling and Kennedy both emphasized that while SIRVA requires further study, it does appear to be rare, and that the benefits of vaccination against COVID-19 far outweigh any potential risks. "COVID-19 causes a variety of neurological symptoms, which can stay behind in a patient after initial recovery or can develop later," said Dr. Sanghavi. This site needs JavaScript to work properly. However, 1530% of people may develop long-term arthritis and other joint issues. An infection with the SARS-CoV-2 virus may cause new or worse symptoms. Cardiovascular health: Insomnia linked to greater risk of heart attack. www.sciencedaily.com/releases/2021/02/210217151116.htm (accessed March 3, 2023). Northwestern University. Pfizer BioNTech Covid Vaccine and Tendonitis - eHealthMe It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. Vaccine. A COVID-19 vaccination precipitating symptomatic calcific - PubMed What to know about COVID-19 and arthritis. Three COVID-19 vaccines have been approved for emergency use in the USA so far. 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. Fact Check: Is Dolphins Star Byron Jones Retiring Due to Covid Vaccine Instead, a piece of laboratory-manufactured genetic material called messenger RNA (mRNA) is injected. Send story tips to k.fiore@medpagetoday.com. Published by Oxford University Press. 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. The symptoms may also disappear and recur. Santhoshini Leela Ramani, Jonathan Samet, Colin K. Franz, Christine Hsieh, Cuong V. Nguyen, Craig Horbinski, Swati Deshmukh. COVID arm is a minor annoyance that will disappear within a few days. MB), Help with If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. 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. Arthritis after COVID-19 is a potential complication of the illness. 2022 Jul 11;28:e937430. Tinnitus in Tapazole, how severe and when it was recovered? doi: 10.12659/MSM.937430. However, there wasn't enough research to determine if . FDA warns about increased risk of ruptures or tears in the aorta blood If someone believes they may have long COVID, they should make an appointment with a doctor, who can create a medical management plan for them. Bethesda, MD 20894, Web Policies Musculoskeletal corticosteroid injections are common procedures which are most often performed in an elective, outpatient setting. Read on to learn more about how to clear mucus while having COVID-19. Effects of Post-COVID-19 on Quadriceps Femoral Muscle-tendon Unit The Pfizer, Moderna, and Novavax vaccines have been shown to be at. 2022;40(18):2546-2550. For confirmation, a second nasopharyngeal swab was taken 7 days after the last negative one. Click here to learn more. (2022). But the Biden administration killed the rule in April. People Are Reporting Unexpected Side Effects After COVID-19 Vaccination Nausea. The U.S. Centers for Disease Control and Prevention (CDC) lists common COVID-19 vaccine side effects as pain, swelling or redness at the injection site; fatigue; headaches; muscle pain; chills;. Activities such as typing or texting, golfing, and gardening can worsen these conditions. 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. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. "Then we develop a comprehensive rehabilitation plan that usually involves doing range of motion and strengthening exercises on a daily basis.". (Photo: Getty) getty. 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. More complaints about tinnitus after vaccination The typical symptoms of COVID-19 range from those resembling the flu or a bad cold to ones that are much more severe. Although the mechanism of flare is not known, one could speculate that one of these components might have had non-specific adjuvant effect, or there could have been molecular mimicry between the viral spike peptides and the patient's self-peptides, activating a flare. Additionally, 1550% may experience recurring episodes of arthritis. According to the Food and Drug Administration (FDA), monoclonal antibodies are proteins made in a laboratory that mimic your body's immune response. The mRNA instructs the bodys cells to manufacture a spike protein that is found on the surface of the COVID- 19 virus. If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. Physical medicine & rehabilitation physicians, or physiatrists, also play a large role in treating SIRVA. Disclaimer. However, a 2022 case report notes that some people have developed new or worse symptoms of autoimmune conditions after receiving the COVID-19 vaccine. To date, three published cases describe PTS after COVID-19 vaccination ( 4 - 6 ), but none include imaging to substantiate the diagnosis. While the connection between tinnitus and the Covid vaccine are not yet understood: The British Tinnitus Association has labeled tinnitus a rare side effect of the vaccine. Treatment for tendonitis and tenosynovitis Treatment may include: Changing your activities Icing the area to reduce inflammation and pain Putting a splint on the area to limit movement Steroid injections to reduce inflammation and pain Nonsteroidal anti-inflammatory medicine to reduce inflammation and pain Antibiotics if due to infection Surgery Based on this, they concluded that lingering inflammation is the cause. 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.