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Cyanocobalamin: usually room temperature Cyanocobalamin is generally stable at controlled room temperature, away from heat and direct sunlight, though you should still check the BNF entry and the product leaflet for the exact storage line

However, injections should always be given following a healthcare consultation

Refrigeration slows this degradation to negligible levels, preserving the medication's intended therapeutic profile over the full shelf life, typically 12-24 months

CNBC spoke to a few individuals, some participating in Pfizers trial and others in Modernas trial who said much the same thing: the side effects were intense and included a high fever body aches, bad headaches and exhaustion in addition to the more common side effects, but were worth it for protection from Covid-19

I have had a systemic allergic reaction with full body hives and lip swelling once in my life (perhaps six years ago) but the causal agent was never found