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Well ya know...I don't know. I give the IM injection so deeply in the thigh muscle that if it does create a granulation, it's not appreciable.
Notably, the adults that I SQ'ed last year didn't develop granulations...I've only noted it in kids.
And, yes, the vaccine was still...
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I disagree, based on the description and location. C/D & T vaccine is known for it's granulation at the injection site...I'm almost positive this is what is being dealt with.
Yup, I started giving vaccinations SQ, too, until I found the bumps and freaked a little myself. I now do them IM in the thigh...I just don't like the bumps.