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Very rare but more serious side effects include irregular heartbeats/ palpitations or in extremely rare cases can cause an allergic reaction (anaphylaxis) but I have an EpiPen at hand to treat you immediately should this extremely rare occurrence happen.

However, efficacy against severe disease does appear more durable, with vaccines leading to a ~90% reduction in severe disease at 5 months postvaccination [30, 33]

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They also identified significant quantities in blood (7)

Pernicious anaemia is the root cause in up to 80% of these cases and is known to affect women 1.6 times more than men, confirming its autoimmune link