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High-dose systemic corticosteroids, particularly in combination with other immunosuppressants, may reduce vaccine immunogenicity, as has been observed with annual influenza vaccination

minimise freeze-thaw cycles

2004;114(4):10121013 [DOI] [PubMed] [Google Scholar] 27

Gently tap the syringe until the air bubbles rise to the top of the syringe barrel
