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Do not tap the pen to remove air bubbles and administer the injection per instructions

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Replicating vector vaccines infect cells in which the vaccine antigen is produced as well as more infectious viral vectors able to infect new cells that will then also produce the vaccine antigen

GI side effects such as nausea, vomiting and reflux are most common in the early weeks of therapy and can lower oral pH, promoting enamel erosion and changes to the oral microbiome