Pain After HPV Vaccine: Is It Normal? - Obstetrics and Gynecology

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Pain after cervical cancer vaccination?


Hello, doctor.
I would like to ask if it is normal to experience tenderness near the injection site and soreness when raising the arm three days after receiving the nine-valent HPV vaccine.
Additionally, is it safe to take metronidazole now, and will it interact with the vaccine? Thank you.

Ai, 20~29 year old female. Ask Date: 2018/11/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Three days after receiving the nine-valent cervical cancer vaccine, there may still be tenderness near the injection site, or discomfort when raising the arm.
Is this normal? Answer: Yes, this is normal.
Additionally, is it safe to take metronidazole orally now, and will it interact with the vaccine? Answer: There will be no interaction.

Reply Date: 2018/11/04

More Info


After receiving the HPV vaccine, it is common for individuals to experience some localized pain or discomfort at the injection site. This can manifest as tenderness, swelling, or a feeling of heaviness in the arm where the vaccine was administered. Such reactions are generally considered normal and are part of the body's immune response to the vaccine. The pain typically resolves within a few days, and if it persists beyond that or worsens, it may be advisable to consult a healthcare professional for further evaluation.

In your case, experiencing pain three days post-vaccination is not unusual. The HPV vaccine, like many other vaccines, can cause mild side effects as the immune system begins to respond to the introduced antigens. These side effects can include soreness at the injection site, fatigue, headache, and sometimes mild fever. The soreness you describe, particularly when raising your arm, is consistent with a typical reaction to the vaccine.

Regarding your question about the interaction between the HPV vaccine and metronidazole, there is no known interaction between these two. Metronidazole is an antibiotic commonly used to treat various infections, and it does not affect the efficacy of the HPV vaccine. Therefore, you can safely take metronidazole while having received the HPV vaccine without concern for reduced vaccine effectiveness.

It is important to note that while mild side effects are common, if you experience severe reactions such as difficulty breathing, swelling of the face or throat, or a rapid heartbeat, you should seek medical attention immediately, as these could be signs of an allergic reaction.

In summary, localized pain after receiving the HPV vaccine is normal and should resolve within a few days. There is no interaction between the HPV vaccine and metronidazole, so you can continue your medication without worry. If you have any further concerns or if the pain persists or worsens, it is always a good idea to follow up with your healthcare provider for personalized advice and care.

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