1. If you are following good hygiene protocols and you have a reputable brand - the odds of infection are low. TRT and other injections over a decade and never had an infection. Knock on wood.
2. I had the strange feeling and minor cough, not from tren, from any AAS such as test/primo, but it passed quickly.
3. Move where you are injecting. Couple places that are easy - shoulders, all muscle and I never pull back on the syringe because at the ER and the nurses I know never do/indicate they are instructed not to. If I had an absess (
@OhBoy - man that is a lot of blood/junk you hauled out - did it heal up on it's own once you pulled out as much as possible?), I would be at the docs getting it lanced and cleaned (many may treat it themselves, but I would not). Ventro glutes seem to have less veins and there is zero pain, I use 11/2 inch needles for shoulders and everywhere on my glutes. Your picture is where everyone started injecting years ago or many did, but it has changed over the years. One place few do, and the only reason I have been told is it might hit your sciatic nerve, but I inject lower and there is zero pain, and I never have any blood or oil leak out. On the blood topic, periodically a little bit will come out and you potentially a small amount of the PED. Shoulders - if you are larger you can inject high, medium or low just above the bicep - that is 6 places on your shoulders. I stopped injecting where you do so I use ventro glutes and if your have larger glute muscles you can find two spots on the ventro glute area and I don't understand why people don't inject low on the glutes, just above your hams. It is below any nerves, zero pain, never once had blood / any compound come back up.
4. No, if you hit a vein the PED is not waisted, it won't all go into your blood stream immediately and get used, some may hence the cough, but I suspect a lot is absorbed into the muscle/any fat in the area and then slowly absorbed based on the ester and carrier oil.
5. If I did pull back and got a little blood in the needle, which I never do anyway, but it does not destroy the steroid. As long as it was a clean injection, and you swab another area, I would change the tip for a new one and inject again.
These are just my opinions, didn't read everything above, but I see a lot of smart guys commented who have a lot of experience.
Change where you inject if this happened twice and I am sure you will be fine. Just make sure you are very careful with hygiene as you don't want to deal with infections / abscesses like
@OhBoy did.
Best of luck!