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Healthcare providers now routinely observe: Unilateral axillary enlargement following arm injections Onset within 2-4 days of vaccination Resolution within 2-6 weeks in most cases More common with mRNA vaccines (Pfizer, Moderna) This phenomenon has led to updated mammography guidelines , with recommendations to schedule breast imaging either before vaccination or 4-6 weeks afterward to avoid confusion with malignant lymphadenopathy

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However, what really determines whether such effective measures will be adopted in each country is the determination of the civil society, the public health community and the elected representatives to make a stand against tobacco industry interference, lobbying and legal action