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This can lead to different kinds of anemia, fatigue, weakness, tingling in the fingers and toes, numbness, irregular heartbeat, mood swings, shortness of breath, very pale skin, memory loss, confusion, and more

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So if you have had an organ transplant and are taking immunosuppressant drugs or taking those drugs to treat an autoimmune disease, or if you're taking certain cancer chemotherapies, the immunosuppressive drug could decrease the efficacy of the vaccine, says William Moss, M.D., executive director of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health

The mean time interval between sessions was 6 months

A variety of medications may be ototoxic (damage the ear) and cause tinnitus