What causes severe joints pain after having Hepatitis B vaccine?
It could be from the vaccine
although the hepatitis B vaccine is usually well tolerated with only minimal local side effects (redness and tenderness on the injection site), more serious effects have been reported.
Joint pain is one of them and it can be attributed to the vaccine unless another cause is possible. If you have no signs of infection for example (fever and/or other symptoms) then the vaccine is most likely the cause.
If it is the vaccine indeed, then you've got to give it some time and the symptoms will get better. Tylenol might be helpful in the meantime. Watch for signs of infection (fever is one of them, although dialysis may prevent it) and contact your doctor if you notice anything unusual.
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This is not common but it may occur
if you still have the package of the vaccine, you'll find the summary of product characteristics which should list all the recorded side effects of the vaccine.
The symptoms you've mentioned appear in less than 1% of patients receiving the vaccine. Since you're on dialysis and the dose is higher than in the general population, perhaps the side effects are higher intensity and frequency as well.
The vaccine is not supposed to cause direct kidney damage, so you shouldn't really worry about that. You can mention the side-effect to the nephrologist, but no other symptoms appear, it shouldn't be considered a serious incident.
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