Reactive arthritis usually disappears within 35 months. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a recent paper Keeling co-authored. Arthritis after COVID-19: Cause, treatment, and vaccine What are some of the best ways to clear phlegm with COVID-19? Instead of falling under the VICP, COVID-19 vaccines are covered under the Countermeasures Injury Compensation Program (CICP). 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. Three months is a . The . Joint pain may signal 'ongoing symptomatic Covid' According the ZOE Covid symptom study released last month and looking only at the Pfizer jab, about a third of vaccine recipients who had previously had Covid reported having a whole-body side . "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. Tendonitis | Johns Hopkins Medicine 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. Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. Rotator Cuff Tendinitis: Symptoms, Causes, and Treatments NSAIDs include well-known pain relievers and fever reducers such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). Link; Grimm L, et al. They examined 100 people from Egypt who had recovered from COVID-19 several months prior. Rashes in Tamsulosin, how severe and when it was recovered? Northwestern University. 2022;40(18):2546-2550. However, various side effects have been reported following vaccination. We would never know about this side effect (or others) but for publications like yours." COVID-19 infection itself has been associated. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. Sex and gender exist on spectrums. "It's really rare and the literature to date is mostly case reports. Chills. 04:20. Arthritis after COVID-19 is a potential complication of the illness. 2023 eHealthMe.com. Laura Keeling, MD, an orthopedic surgeon at MedStar Georgetown University Hospital in Washington, D.C., told MedPage Today that part of the reason SIRVA remains in the medicolegal realm is that it's "more of a constellation of symptoms and findings" rather than a specific diagnosis. However, we cannot exclude the possibility that the timing of the flare with regard to vaccination was coincidental, SARS-CoV-2 infection has resulted in more than 500000 deaths in the USA and 2500000 worldwide (see the. However, his Tweets are now being viewed in a dangerous light, mostly by people attempting to promote anti-vaccination theories. Heart failure: Could a low sodium diet sometimes do more harm than good? SIRVA (Shoulder Injury Related to Vaccine Administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. People may mistake these symptoms for arthritis. 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. Opens in a new tab or window, Visit us on LinkedIn. Tinnitus or ear ringing can happen after COVID-19 vaccines. (2021, February 18). "We might see edema and inflammatory changes of the tissues (fluid, swelling), hematomas (collections of blood) or devitalized tissue (gangrene)," Deshmukh said. Instead, a piece of laboratory-manufactured genetic material called messenger RNA (mRNA) is injected. pain and swelling in the joints, especially the large joints of the legs, such as the ankles and knees, symptoms that affect only one side of the body, performing strengthening exercises, which prevent muscle wasting. Common reactions include: Swelling or redness at the site of the injection Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue COVID arm is a minor annoyance that will disappear within a few days. 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. However, the report does not confirm that this happened. There is still a very small chance that you can get COVID-19. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. 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. Tinnitus in Tapazole, how severe and when it was recovered? But I do think it's possible, absolutely" for vaccine-related shoulder injury to occur. 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"). COVID-19 seems to have the potential to cause pain in a variety of ways, including damage to peripheral nerves causing neuropathy-like symptoms, by affecting pain pathways inside the brain, and by weakening or disrupting the activity of the musculoskeletal system. It is not intended to provide medical or other professional advice. 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. "Everyone ages 18 and older should get a booster shot when they are six months after their initial Pfizer or Moderna series," CDC Director Dr. Rochelle Walensky said in November. 5. Among them, 180 people (0.04%) have Tendonitis. Opens in a new tab or window, Visit us on TikTok. 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. Reactive arthritis after COVID-19 infection | RMD Open COVID-19 has even ruined our feet - Inquirer.com Even if the vaccine is inadvertently injected into either of these spaces, studies have shown that it will have no harmful side effects. Tendonitis (a condition that causes pain and swelling of tendons) is found to be associated with 1,831 drugs and 1,232 conditions by eHealthMe. Dr. Covid vaccine side-effects: what are they, who gets them and why? 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. This may help reduce symptoms and increase quality of life. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. Don't aim too high: Avoiding shoulder injury related to vaccine Case presentation: A 50-year-old Thai male began experiencing left shoulder pain about 3 hours following a COVID-19 vaccination. Flare of rheumatoid arthritis after COVID-19 vaccination This included injuries to the soft tissues of the shoulder as well as injuries to bone and joint. The symptoms of reactive arthritis usually go away within 35 months. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis. 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. An unexpected COVID-19 vaccine side effect - KevinMD.com Jackson and Noren said SIRVA attorneys advised that their injuries would not likely be compensated under the CICP. People Are Reporting Unexpected Side Effects After COVID-19 Vaccination Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection. To determine the cause of arthritis after COVID-19, the authors tested for markers of inflammation and autoimmunity in the participants. Materials provided by Northwestern University. If joint pain occurs as a result of long COVID, the symptoms could be unpredictable. It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. We treated the patient with celecoxib and acetaminophen, and she recovered after about 2 months. I'm still discovering new areas of damage -- Richard Quest. ScienceDaily. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. by "One of the most common neurological symptoms in COVID patients, which can still persist after the initial disease, is loss of smell and taste sensation. 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. This site needs JavaScript to work properly. KAT and FKT both contributed to direct care of the patient. The .gov means its official. Careers. Tendonitis It's also different from typical post-injection soreness, as the pain is more severe and it can impact mobility and function. Oedema in Tamsulosin, how severe and when it was recovered? Clipboard, Search History, and several other advanced features are temporarily unavailable. Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. Medpage Today is among the federally registered trademarks of MedPage Today, LLC and may not be used by third parties without explicit permission. Shoulder injury related to vaccine administration, or SIRVA, has been documented long before COVID-19 vaccination, and is most frequently reported after influenza vaccination. 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. The COVID virus triggered rheumatoid arthritis in this patient with prolonged shoulder pain after other covid symptoms resolved. SIRVA can be avoided with correct vaccination technique as described. When that table is developed, those who couldn't establish a "Table" injury have a year to file a request for benefits even if their previous request was denied. Disclaimer. Epub 2022 Jun 8. Tinnitus can develop after any vaccine and tends to happen more often with other vaccines. When to Get the Covid Vaccine After Having Covid - Cleveland Clinic You can use the study as a second opinion to make health care . Post Covid-19 Muscle Ache And Joint Pain: Why It Happens - Onlymyhealth Long COVID or post-COVID conditions. Additionally, 1550% may experience recurring episodes of arthritis. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. 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. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. The COVID-19 Vaccine and Your Bones and Joints - OrthoInfo - AAOS (Photo: Getty) getty. These can include intra-articular, bursal, tendon . Based on this, they concluded that lingering inflammation is the cause. All rights reserved. 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. "If physical therapy and injection don't work, then primary care refers to us.". Can COVID-19 Cause Tinnitus? - Cleveland Clinic Northwestern University. 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. 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. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. Despite an increase in SIRVA cases, the exact incidence of the disease is unclear, and there are a few reports of SIRVA about the COVID-19 vaccine. Yale J Biol Med. Med Sci Monit. The reactions can also be. Fever. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. 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. "How do you find something if you're unsure of what to look for? FDA warns about increased risk of ruptures or tears in the aorta blood Mayo Clinic Q and A: Repetitive motion injuries during COVID-19 READ MORE: Covid pneumonia symptoms: Five . Opens in a new tab or window. If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. MeSH The authors of the case report suggest that the vaccine may have triggered an inflammatory response that led to the mans symptoms. Both Noren and Jackson said their insurance covers their medical bills, and they both feel relieved that they can still work, but they're frustrated that there's no federal protection for SIRVA related to COVID-19 vaccines. What Is SIRVA? - WebMD - Better information. Better health. Nausea. 2021 Elsevier Ltd. All rights reserved. If you develop tinnitus after your COVID-19 vaccine, report it to VAERS. Smoking, older age, and preexisting joint pain had links to post-COVID-19 arthritis. Two of the vaccines, BNT162b2 (BioNTech-Pfizer) and mRNA-1273 (Moderna), are novel mRNA-based vaccines delivered via lipid nanoparticles. This article discusses arthritis after COVID-19, including the symptoms, treatment, and duration. 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%. This applies . "The . Opens in a new tab or window, Visit us on Instagram. If you are allergic to polyethylene glycolone of the ingredients used in the COVID-19 vaccinethe CDC advises against being vaccinated. Recap. The condition is also plagued by the lack of a solid evidence base, and causality is difficult to pin down. 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. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. It also examines joint pain with long COVID and flare-ups in preexisting arthritis. The AAOS Patient Safety Committee recommends avoiding musculoskeletal corticosteroid injections for two weeks before and one week after COVID vaccine administration. "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. Physical therapy helped improve his range of motion to an extent, but his pain lingers. 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. The nasopharyngeal swab was negative for SARS-CoV-2 30 days after the first symptoms. The vaccine should slow the spread of COVID-19 around the world. 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. Systemic reactions in persons aged 6-23 months, Pfizer BioNTech BNT162b2 COVID-19 vaccine and placebo a Any fever= 38.0C b Mild: decreased interest in eating; moderate: decreased oral intake; severe: refusal to feed; Grade 4: emergency room visit or hospitalization Researchers in Italy, for instance, studied 12 people who "reported shoulder stiffness and pain arising after COVID-19, with no apparent cause," according to a paper published in the. This results when the injection site is too low or the needle is placed. Studies show that these conditions occur no more often in patients who have received vaccination than they do in the overall population. Epub 2021 May 4. 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. He or she may also recommend waiting for a period of time after vaccination.Your doctor can answer any questions you may have about the timing of corticosteroid injections and COVID-19 vaccination. Accessibility It can happen if a person develops reactive arthritis due to the inflammation the infection causes. The Pfizer, Moderna, and Novavax vaccines have been shown to be at. The symptoms of reactive arthritis can range from mild to severe. it damages the myelin sheath), Muscle contractions involuntary (uncontrolled muscle contraction), Muscle strain (an injury to a muscle in which the muscle fibres tear), Musculoskeletal chest pain (pain in chest muscle or nerve or bones), Musculoskeletal discomfort (discomfort in the body's muscles, joints, tendons, ligaments and nerves), Musculoskeletal disorder (disease of the body's muscles, joints, tendons, ligaments and nerves), Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves), Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves), Myelitis transverse (a neurological condition consisting of an inflammatory process of the spinal cord), Myocarditis (inflammation of heart muscle myocardium), Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels), Nasopharyngitis (inflammation of the nasopharynx), Nausea (feeling of having an urge to vomit), Nervous system disorder (a general class of medical conditions affecting the nervous system), Neurological symptom (symptoms of nervous system disease), Neuropathy peripheral (surface nerve damage), Neutrophil count decreased (less than normal number of neutrophil a type of blood cell), Neutrophil count increased (excess than normal number of neutrophil a type of blood cell), N-terminal prohormone brain natriuretic peptide increased, Numbness and tingling (unusual prickling sensations), Ocular discomfort (a generic expression when there is lack of ease in/about the eyes), Ocular hyperaemia (an abnormally large amount of blood in eye), Oral discomfort (pain or irritation in mouth), Oropharyngeal discomfort (pain or irritation of oropharynx), Orthostatic hypotension (a medical condition consisting of a sudden decrease in blood pressure when a person stands up), Osteoarthritis (a joint disease caused by cartilage loss in a joint), Paleness (unusual lightness of skin colour), Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets), Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect), Paraesthesia oral (sensation of tingling, tickling, prickling, pricking, or burning of a person's oral with no apparent long-term physical effect), Parosmia (distortion of the sense of smell, as in smelling odours that are not present), Periarthritis (inflammation of the external coats of an artery and of the tissues around the artery), Pericardial effusion (fluid around the heart), Pericarditis (inflammation of the pericardium), Pharyngeal hypoaesthesia (pharyngeal -abnormally decreased sensitivity), Photophobia (extreme sensitivity to light), Photopsia (presence of perceived flashes of light), Pityriasis rosea (itchy rash develops over the trunk and extremities), Pleurisy (inflammation of the pleurae, which causes pain when breathing), Pneumonia aspiration (bronchopneumonia that develops due to the entrance of foreign materials into the bronchial tree), Pneumonia bacterial (pneumonia associated with bacterial infection), Pneumothorax (the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung), Pollakiuria (abnormally frequent passage of relatively small quantities or urine), Polymyalgia rheumatica (pain in many muscles), Postmenopausal haemorrhage (post-menopausal bleeding), Postural orthostatic tachycardia syndrome (abnormal increase in heart rate on becoming upright), Psoriasis (immune-mediated disease that affects the skin), Pulmonary congestion (congestion in the lungs), Pulmonary embolism (blockage of the main artery of the lung), Pulmonary oedema (fluid accumulation in the lungs), Pulmonary thrombosis (scarring in the lungs), Purpura (purplish discoloration of the skin), Rash maculo-papular (red area on the skin that is covered with small confluent bumps), Rash vesicular (rash with a small bubble), Raynaud's phenomenon (discoloration of the fingers, toes, and occasionally other areas), Red blood cell sedimentation rate increased, Renal impairment (severely reduced kidney function), Respiratory acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease), Respiratory disorder (respiratory disease), Respiratory distress (difficulty in breathing), Respiratory rate increased (excess breathing rate/min), Respiratory syncytial virus test negative, Respiratory tract congestion (blockage on respiratory system), Restless leg syndrome (a powerful urge to move your legs), Retching (strong involuntary effort to vomit), Retinal vessel occlusion (a blockage in one of the small arteries), Rhabdomyolysis (a condition in which damaged skeletal muscle tissue breaks down), Rheumatoid arthritis (a chronic progressive disease causing inflammation in the joints), Rotator cuff syndrome (a spectrum of conditions affecting the rotator cuff tendons of the shoulder), Salivary hypersecretion (excess saliva secretion), Scab (a hard coating on the skin formed during the wound healing), Sciatica (a set of symptoms including pain caused by general compression or irritation of one of five spinal nerve roots of each sciatic nerve), Scleroma (a hardened patch of tissue in the skin or mucous membranes), Seasonal allergy (allergic condition due to certain season), Seizure like phenomena (a variety of medical conditions may produce sudden episodes which have some similarities to epileptic seizures), Seizures (abnormal excessive or synchronous neuronal activity in the brain), Sepsis (a severe blood infection that can lead to organ failure and death), Septic shock (shock due to blood infection), Shock (a life-threatening condition with symptoms like low blood pressure, weakness, shallow breathing, cold, clammy skin), Sinus bradycardia (an unusually slow heartbeat due to heart disease), Sinus headache (headache caused by sinus infections), Sinus rhythm (normal beating of the heart), Sinus tachycardia (a heart rhythm with elevated rate of impulses originating from the sinoatrial node), Skin blushing/flushing (a sudden reddening of the face, neck), Skin discoloration - bluish (bluish colour of skin), Skin exfoliation (removal of the oldest dead skin cells), Speech impairment (adult) (inability to speak (adult)), Staphylococcal infection (an infection with staphylococcus bacteria), Stomatitis (inflammation of mucous membrane of mouth), Stroke (sudden death of a portion of the brain cells due to a lack of oxygen), Supraventricular extrasystoles (premature electrical impulse in the heart, generated above the level of the ventricle), Systemic inflammatory response syndrome (an inflammatory state affecting the whole body, frequently a response of the immune system to infection), Systemic lupus erythematosus (an autoimmune disease, which means the body's immune system mistakenly, attacks healthy tissue), Tenderness (pain or discomfort when an affected area is touched), Tendonitis (a condition that causes pain and swelling of tendons), The flu (the flu is caused by an influenza virus), Thrombocytopenia (decrease of platelets in blood), Thrombosis (formation of a blood clot inside a blood vessel), Tic (a sudden, repetitive, nonrhythmic motor movement or vocalization involving discrete muscle groups), Tonsillar hypertrophy (enlargement of the tonsils), Transient ischaemic attack (a transient episode of neurologic dysfunction caused by ischemia (loss of blood flow)), Tremor (trembling or shaking movements in one or more parts of your body), Tricuspid valve incompetence (inefficient heart valve), Trigeminal neuralgia (a painful condition of the nerve responsible for most facial sensation), Tunnel vision (the loss of peripheral vision with retention of central vision), Ulcerative colitis (inflammatory bowel disease (ibd).