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I would think for the same reason that some people have inflammation on the arm they receive the shot in and not the opposite arm, but I don't know.

I see that some people note the their spike in tinnitus seems to be more in the ear that is on the same side as the arm they received the shot in. Which implies that proximity of the ear to the shot location may have some impact. Does anyone think getting a shot in your thigh or butt makes sense?