Inclusion Criteria:  Inclusion criteria will include age greater than 18 years old and having safely received the COVID-19 vaccine.  Exclusion Criteria:  Exclusion criteria will include age under 18 years old, malignancy/cancer, ongoing infection, coagulopathy history, use of anticoagulant medications, and fracture or acute injury of the torso neck or upper extremities. Lymphatic OMM is safe during pregnancy and this does not need to be an exclusion criteria.