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Knot under skin

Q: I have a 4 month old Maltipoo. I noticed a small raised area or knot under the skin lox on her neck just above her left shoulder. Is this something she should be seen for right away or should I keep an eye on it. Skin is healthy and it does not seem to be painful to her.

A: The location and description of the knot would suggest it could be related to prior vaccination. You are fine to keep an eye on it and let me know of any changes. Most vaccine bumps resolve in 3 weeks or less.