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Seek emergency medical attention (call 999) if you experience: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Widespread rash or hives developing rapidly Severe dizziness or feeling faint Chest tightness or wheezing Anaphylaxis to hydroxocobalamin is uncommon but documented in the product information

If cloudiness persists, allow vial to rest for 5-10 minutes and gently swirl again

Allergies and medical conditions Those with allergies or medical conditions should always inform a doctor before receiving a vitamin B12 shot