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One example of this is Shoulder Injury Related to Vaccine Administration (SIRVA) a rare but recognized condition that can occur when a vaccine is placed too high, too deep, or into the shoulder structures instead of the deltoid muscle

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Criteria to Enter Phase 4 Before adding impact you should meet all of the following: Perform 10 consecutive single-leg heel raises pain-free and to full height Dorsiflexion within 5 of the uninjured side when measured with a goniometer Walk 1 mile at a brisk pace with no limp or swelling spike the next morning Physician or physical therapist sign-off after reviewing your progress notes If any box is unchecked, circle back to Phase 3 drills for another week and reassess

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