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. Author manuscript; available in PMC: 2008 Sep 17.
Published in final edited form as: Vaccine. 2007 Jul 26;25(37-38):6755–6763. doi: 10.1016/j.vaccine.2007.06.066

Table 1.

Solicited Local Reactions: Definitions, Terminology and Severity Scales

Injection site pain Injection site erythema1 Injection site swelling1
Memory Aid
term
Pain Redness Swelling
Definition See severity scale below for
definitions
Presence of redness
including the approximate
point of needle entry
Swelling at or near the
injection site*
Severity
scale
Mild: Easily tolerated
Moderate: Sufficiently
discomforting to interfere with
normal behavior or activities
Severe: Incapacitating, unable
to perform usual activities, may
require medical care or
absenteeism
Small: <2.5 cm
Medium: ≥2.5 to <5
Large: ≥5 cm
Small: <2.5 cm
Medium: ≥2.5 to <5
Large: ≥5 cm
*

Swelling or edema is caused by a fluid infiltration in tissue or cavity and, depending on the space available for the fluid to disperse, swelling may be either soft (typically) or firm (less typical) to touch and thus can be best described by looking at the size of the swelling