An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. One of these conditions is rheumatoid arthritis (RA). Treatment for joint pain is available. In such cases, the goal of therapy is to relieve symptoms and prevent long-term complications. Some information may be out of date. As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Like most vaccines, the COVID-19 vaccine is injected into the deltoid muscle on the side of the arm. "We treat based on a full evaluation including history and physical findings, and imaging if needed," Kennedy said. It may be a normal reaction at the injection site. 20052022 MedPage Today, LLC, a Ziff Davis company. 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. However, there wasn't enough research to determine if . 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. Will Future Computers Run On Human Brain Cells? Opens in a new tab or window, Visit us on TikTok. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. However, 1530% of people may develop long-term arthritis and other joint issues. Wiesel and Keeling's paper notes that since the VICP was created in the late 1980s for childhood vaccine injury, the demographic has shifted, with more than 50% of claims now involving adults. 2022;40(18):2546-2550. You can learn more about how we ensure our content is accurate and current by reading our. Claimants must prove the vaccine caused the injury, unless it's covered under an injury table for CICP. Assessment 3: This will be carried out between 91 and 180 days after the onset of symptoms of COVID-19 infection. READ MORE: Covid pneumonia symptoms: Five . Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. (2021, February 18). Resting your body may help to. Oedema in Tamsulosin, how severe and when it was recovered? Research suggests that overactive bladder and COVID-19 have links. 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. Vaccine. 713-798-4710. But for some people, symptoms are more severe, long lasting and even bizarre, including rheumatoid arthritis flares, autoimmune myositis or "COVID toes.". Last medically reviewed on December 11, 2022. This article discusses arthritis after COVID-19, including the symptoms, treatment, and duration. 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. What is the link between joint swelling and COVID-19? Within a few hours of getting her first COVID-19 shot, Leah Jackson had severe pain in her left shoulder. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. All information is observation-only. The reactions can also be. However, his Tweets are now being viewed in a dangerous light, mostly by people attempting to promote anti-vaccination theories. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. . Jackson can still do her job as a veterinarian, but it can be painful lifting animals during surgery, for instance. 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. The initial symptoms of fever, cough, nausea, diarrhoea, and dysgeusia improved progressively until they resolved completely within 30 days. Physical medicine & rehabilitation physicians, or physiatrists, also play a large role in treating SIRVA. The HRSA spokesperson said the CICP covers "eligible serious injuries" -- generally, those that require hospitalization or that lead to significant disability. When the nurse got resistance, she redirected the vaccination into the joint space, Jackson said. Read on to learn more about how to clear mucus while having COVID-19. There are ways to manage pain that you may have after coronavirus (COVID-19). SIRVA (Shoulder injury related to vaccine administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. "An injury table for COVID-19 medical countermeasures will be developed when there is sufficient data to meet the 'compelling, reliable, valid, medical and scientific evidence' standard indicating that the covered countermeasure directly causes a particular injury," the spokesperson stated. What to know about COVID-19 and arthritis. Reactive arthritis usually disappears within 35 months. Vaccine. 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. Both programs are administered by the Health Resources and Services Administration (HRSA). 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. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Shoulder injury related to vaccine administration ( SIRVA) is " shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm . "In some patients, the nerves are injured (bright, enlarged) and in others, the problem is impaired blood flow (clots).". KAT authored the paper with edits made by FKT. COVID arm is a minor annoyance that will disappear within a few days. The symptoms of reactive arthritis can range from mild to severe. * Approximation only. Fever. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Sometimes it hurts while driving. Among them, 180 people (0.04%) have Tendonitis. Different individuals may respond to medication in different ways. Get the latest science news in your RSS reader with ScienceDaily's hourly updated newsfeeds, covering hundreds of topics: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Transformation. The vaccine should slow the spread of COVID-19 around the world. Epub 2022 Mar 21. Keeling and Brent Wiesel, MD, also an orthopedic surgeon at MedStar Georgetown University Hospital in Washington, D.C., recently published an overview of SIRVA in the Journal of the American Association of Orthopaedic Surgeons, stating that it's a "rare yet increasingly recognized complication of immunization.". But it's not clear if the vaccine itself causes the ear ringing. sharing sensitive information, make sure youre on a federal Surgical treatment options for rotator cuff tendonitis. Rotator Cuff and Shoulder Conditioning Program, The COVID-19 Vaccine and Your Bones and Joints. The .gov means its official. Joint pain may also be present in long COVID. Imaging (CT, MRI, ultrasound) can help explain why someone might have prolonged musculoskeletal symptoms after COVID, directing them to seek the right physician for treatment, such as a rheumatologist or dermatologist. Opens in a new tab or window. Bethesda, MD 20894, Web Policies However, such a table does not exist yet for the CICP, the spokesperson said. According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. Jackson and Noren said SIRVA attorneys advised that their injuries would not likely be compensated under the CICP. According to the Centers for Disease Control and Prevention (CDC), almost 85% of people experienced redness, swelling, and pain at the injection. Common reactions include: True allergic or life-threatening reactions following vaccination are extremely rare. 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. 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 For patients presenting with unremitting shoulder pain and reduced shoulder range of motion after recently receiving a SARS-CoV-2 vaccine, clinicians should consider SIRVA in their differential diagnosis, along with . 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. Beyond this, the injection is given in the deltoid muscle below the space where bursitis or tendinitis would occur and outside the glenohumeral joint where patients might experience arthritis. Even going to a toilet has its risks. This is to ensure that any problems you may experience after your procedure are not mistaken for side effects of the vaccine. Financial support for ScienceDaily comes from advertisements and referral programs, where indicated. Opens in a new tab or window, Share on LinkedIn. It is created by eHealthMe based on reports of 401,887 people who have side effects when getting Pfizer BioNTech Covid Vaccine from the CDC and the FDA, and is updated regularly. and transmitted securely. September 9, 2021. Share on Facebook. 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. 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. Although he was healthy before he received the COVID-19 vaccine, he began having symptoms of RA 4 weeks after his final vaccination. Of the initial COVID-19 claims, the . With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Questions and Answers for Patients Regarding Elective Surgery and COVID-19. If an MRI shows a complete muscle injury, surgical repair may be required. "It's important for doctors to know what's happening in order to treat correctly.". 18 January 2021. Now this toilet injury number may not seem directly comparable to the vaccine anaphylaxis numbers. Rashes in Tarceva, how severe and when it was recovered? The Trump administration recently tried to cut SIRVA from the $4 billion VICP -- which was initially authorized by the National Childhood Vaccine Injury Act of 1986, in response to a rush of lawsuits against vaccine manufacturers -- arguing that it was due to improper administration of vaccines, rather than the vaccine itself. If the infection is no longer active, this type of treatment does not help. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. 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. With the emergence of the rapidly spreading omicron variant, COVID-19 booster shots are now strongly recommended by the Center for Disease Control and Prevention. "That imaging allows us to see if COVID-related muscle and joint pain, for example, are not just body aches similar to what we see from the flu -- but something more insidious.". 2022 Jul 11;28:e937430. But as I sat for the required 15 minutes of observation time, a wave of something engulfed my body. Physical therapy helped improve his range of motion to an extent, but his pain lingers. (Photo: Getty) getty. 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. . We treated the patient with celecoxib and acetaminophen, and she recovered after about 2 months. Opens in a new tab or window, Visit us on YouTube. 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. government site. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. Recap. PMC ScienceDaily. MB), Help with You can use the study as a second opinion to make health care decisions. They discovered a strong association between post-COVID-19 arthritis and inflammation but not between post-COVID-19 arthritis and autoimmunity. The symptoms of reactive arthritis usually go away within 35 months. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. 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. "We might see edema and inflammatory changes of the tissues (fluid, swelling), hematomas (collections of blood) or devitalized tissue (gangrene)," Deshmukh said. Byron Jones was the 27th overall pick in the 2015 . One potential symptom of long COVID is joint pain. 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 is considered an overuse injury caused by repetitive hand or wrist motion. Credit: Northwestern University. To determine the cause of arthritis after COVID-19, the authors tested for markers of inflammation and autoimmunity in the participants. The vaccines that have been developed to protect against COVID-19 differ from traditional vaccines in that they do not inject a live or deactivated virus into the body. As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. One of these cases involves the ulnar nerve ( 4 ), which is rarely reported in PTS ( 1, 14 ). "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. The second possibility sounds like it could be carpal tunnel syndrome. 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"). 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. In a 2021 study, researchers tried to gauge how common this is. Northwestern University. Disclaimer. 5. There is still a very small chance that you can get COVID-19. Smoking, older age, and preexisting joint pain had links to post-COVID-19 arthritis. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. Usually, they start 16 weeks after an infection. For these reasons, you should continue to wear a mask, practice social distancing, avoid crowds and wash your hands often. Rashes in Tamsulosin, how severe and when it was recovered? Kristina Fiore, Director of Enterprise & Investigative Reporting, MedPage Today "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 . 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. Accessibility Is the ketogenic diet right for autoimmune conditions? 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. "There's no compensation for something that's painful and debilitating that was a medical error," Jackson said. Other Northwestern authors on the paper were Santhoshini Leela Ramani (Northwestern University medical student), Dr. Jonathan Samet (radiology), Dr. Colin Franz (PMR and neurology), Dr. Christine Hsieh (rheumatology), Dr Cuong Nguyen (dermatology) and Dr. Craig Horbinski (pathology). For example, Deshmukh said, if a patient has persistent shoulder pain that started after contracting COVID, their primary care provider might order an MRI/ultrasound. We declare no competing interests. By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. 2021 Nov;50(11):2293-2297. doi: 10.1007/s00256-021-03803-x. Before MNT is the registered trade mark of Healthline Media. Three months is a . 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. Achilles tendinitis is an overuse injury of the band of tissue that connects your calf muscles at the back of the lower leg to your heel bone. Other possible symptoms include: Although long COVID is more common in people who have had a severe case of COVID-19, it can happen even in those with a very mild case. The paper will be published Feb. 17 in the journal Skeletal Radiology. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Uncertainty persists as to the possibility that the COVID-19 vaccines might cause exacerbation of pre-existing autoimmune diseases. What is the latest research on the form of cancer Jimmy Carter has? COVID-19 vaccines produce an antibody reaction that protects you from the disease. If you are allergic to polyethylene glycolone of the ingredients used in the COVID-19 vaccinethe CDC advises against being vaccinated. Yale J Biol Med. Santhoshini Leela Ramani, Jonathan Samet, Colin K. Franz, Christine Hsieh, Cuong V. Nguyen, Craig Horbinski, Swati Deshmukh. an abnormal one at injection site), Injection site paraesthesia (abnormal skin sensations at injection site), Injection site pruritus (severe itching at injection site), Injection site urticaria (rash of round, red welts on the skin at injection site), Injection site vesicles (fluid- or air-filled cavity or sac at injection site), Ischaemic stroke (stroke; caused by an interruption in the flow of blood to the brain), Joint range of motion decreased (disease of joint movement), Leukocytosis (increased white blood cells), Lung infiltration (a substance that normally includes fluid, inflammatory exudates or cells that fill a region of lung), Lymphadenitis (inflammation or enlargement of a lymph node), Lymph follicular hypertrophy (an increase in the size of the lymph node follicles), Lymphoedema (localized fluid retention and tissue swelling), Malaise (a feeling of general discomfort or uneasiness), Mastication disorder (disease of chewing food), Maternal exposure during pregnancy (use of substance during pregnancy), Menstrual disorder (disease of menstrual cycle), Menstruation delayed (late menstruation cycle), Mental disorder (a psychological term for a mental or behavioural pattern or anomaly that causes distress or disability), Mental impairment (a condition affecting the body, perhaps through sight or hearing loss, a mobility difficulty or a health condition), Mental status changes (general changes in brain function, such as confusion, amnesia (memory loss), loss of alertness, loss of orientation), Metabolic encephalopathy (disorder or disease of the brain due to the body's disability to use energy), Middle ear effusion (fluid in middle ear), Migraine with aura (headache with vision weakness), Mitral valve incompetence (inefficient heart valve), Mobility decreased (ability to move is reduced), Monoplegia (a paralysis of a single limb), Mood swings (an extreme or rapid change in mood), Movement disorder (neurological syndromes where they may be excess of movement or a paucity of movement that is not connected to weakness), Multiple sclerosis (a nervous system disease that affects your brain and spinal cord. Epub 2021 Oct 1. 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. The incidence of post-COVID-19 arthritis was 37%. 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). Will Future Computers Run on Human Brain Cells? Bookshelf Med Sci Monit. official website and that any information you provide is encrypted Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. People may mistake these symptoms for arthritis. Opens in a new tab or window, Visit us on Twitter. Heart failure: Could a low sodium diet sometimes do more harm than good? You can use the study as a second opinion to make health care . However, the report does not confirm that this happened. Treatments generally include anti-inflammatory drugs, corticosteroid injections, and physical therapy. Note: Content may be edited for style and length. 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. That cancer patients delay all imaging for 4 to 6 weeks after the COVID vaccine. In some cases, radiologists may even suggest a COVID diagnosis based on musculoskeletal imaging in patients who previously didn't know they contracted the virus, Deshmukh said. 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 . Careers. But I do think it's possible, absolutely" for vaccine-related shoulder injury to occur. 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 cases, it may lead to arthritis flare-ups in people who already have RA. Also, even though the vaccine helps protect you from getting sick, it is not known if you could still be a carrier of the virus. MeSH 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. If a person has persistent joint pain after any infection, they should contact a doctor. Nonsteroidal anti-inflammatory drugs are the first-line treatment when reactive arthritis starts. Pain and reduction in the range of movement within a few hours of vaccination were cardinal signs of a shoulder injury. According to the federal Vaccine Adverse Event Reporting System (VAERS) [1], there were 21 deaths this flu season after 180+ million flu vaccines, a rate of 1 death per 9,000,000 vaccinations. The COVID virus triggered rheumatoid arthritis in this patient with prolonged shoulder pain after other covid symptoms resolved. "It's really rare and the literature to date is mostly case reports. Long COVID or post-COVID conditions. "Some doctors request imaging for patients with 'COVID toes,' for example, but there wasn't any literature on imaging of foot and soft tissue complications of COVID," Deshmukh said. Shes been a medical journalist for more than a decade and her work has been recognized by Barlett & Steele, AHCJ, SABEW, and others. 2023 eHealthMe.com. 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. These can include intra-articular, bursal, tendon . Reactive arthritis can occur after various infections, even if joint pain was not a symptom during the initial illness. Nausea. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . An official website of the United States government. Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. 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;. "We're certainly not seeing a pandemic of SIRVA" with COVID vaccines, D.J. Based on this, they concluded that lingering inflammation is the cause. 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. Japan College of Rheumatology 2022. It can happen if a person develops reactive arthritis due to the inflammation the infection causes. Vaccination infrequently causes severe, persistent . Most pain should eventually go away, but sometimes it might carry on for longer. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. SIRVA can be avoided with correct vaccination technique as described. If you've received monoclonal antibodies, you must wait 90 days after recovering from COVID-19 to receive the vaccine. Can poor sleep impact your weight loss goals? Symptoms may include frequent urination and burning pain while urinating. "I have previous tests to prove . This results when the injection site is too low or the needle is placed. Meyers says clearly, some people need an attorney to assist. It says musculoskeletal symptoms, such as joint pain and muscle pain, are among a number of common possible long Covid signs. Have any problems using the site? Is joint swelling a possible symptom of COVID-19? Arthritis can develop or flare up for many reasons. The study is based on data from the CDC and the FDA. But for some people, symptoms are more severe, long lasting and even bizarre, including rheumatoid arthritis flares,. Some patients may experience side effects after vaccination, but these are typically mild and go away in a few days. Original written by Kristin Samuelson. Can the Cornonavirus Affect My Bones and Joints? (2022). If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. This article will use the terms male, female, or both to refer to sex assigned at birth. All rights reserved. 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. Some patients worry that receiving an injection in this area could permanently injure their shoulder. Published by Oxford University Press. They can vary across different age groups. This may help reduce symptoms and increase quality of life. In some circumstances, however, your surgeon may recommend waiting for two or three days after vaccination to have your surgeryjust to ensure that you have no side effects. 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. Visit our coronavirus hub for the most recent information on the COVID-19 pandemic. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection.