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Additionally, if providers administer the vaccine during a significant, separately identifiable evaluation and management (E/M) service, such as an office visit, they can document the work and report an E/M code in addition to vaccine and administration codes, the American Academy of Family Physicians advises

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[17] A COA documents selected quality-control results for a specific batch

or family members or guests have recurring symptoms of gastrointestinal illness

However, clinical trials in humans have demonstrated mixed results

Antioxidants fight molecules that damage cells in the body called free radicals