Unusual or severe muscle weakness (especially in a body area that was not injected with the medication);

Trouble breathing, talking, or swallowing;

Loss of bladder control;

Hoarse voice, drooping eyelids;

Vision changes, eye pain, severely dry or irritated eyes (your eyes may also be more sensitive to light);

Chest pain or pressure, pain spreading to your jaw or shoulder, irregular heartbeats;

Pain or burning when you urinate, trouble emptying your bladder;

Sore throat, cough, chest tightness, shortness of breath; or

Eyelid swelling, crusting or drainage from your eyes, problems with vision.