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Signs include: Hives or widespread rash beyond the injection site Swelling of face, lips, tongue, or throat Difficulty breathing or wheezing Rapid heartbeat Feeling faint or losing consciousness These symptoms require immediate medical attention

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Pharmacy vaccine billing has expanded significantly (particularly for influenza, COVID-19, and shingles), though workflow differences exist in NDC reporting, place of service codes, and payer-specific enrollment requirements compared to physician office billing.

And I had great success