Shorter sleep duration two nights before influenza vaccination has been shown to lead to poorer immune response that lasts months afterward
Of note, more people experienced these side effects after the second dose than after the first dose, so it is important for vaccination providers and recipients to expect that there may be some side effects after either dose, but even more so after the second dose
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References 91, 97 and 105 describe the potential roles of TNF- and proteasome inhibition and in anthrax
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