I, too, called the international travel clinic for my HMO. They recommended all of the above. So went & got today. I agree, the typhoid arm is really soar, but nothing I can't live with. I had heard if you move your arm a lot right after the shot, you won't be so soar. Because I remembered incorrectly, I moved the Hep arm all around(thinking that was the shot you had wrote was really painfull) and ignored the Typhoid arm. You know, my hep arm doesn't feel so bad!!! BUT, I CAN BARELY MOVE MY TYPHOID ARM!