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Myalgic encephalomyelitis or chronic fatigue syndrome: how could the illness develop

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Procedures should be in place to avoid injury from fainting In two postmarketing observational studies, an increased risk of febrile seizures was observed in the first day following vaccination with FLUARIX or FLULAVAL among children 6 months through 4 years of age Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of FLUARIX and FLULAVAL If FLUARIX or FLULAVAL is administered to immunosuppressed persons, including individuals receiving immunosuppressive therapy, the immune response may be lower than in immunocompetent persons The most common (10%) solicited local adverse reactions with FLUARIX in adults were pain (55%) and redness (18%), and the most common systemic adverse reactions were muscle aches (23%), fatigue (20%), and headache (19%)

What is the quality of the evidencerandomized trials, observational studies, or anecdotal reports

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