If its pain and not just tenderness I'd call my dr.
Is the area red and warm to the touch? You could have developed an infection if your body is trying to reject the pacemaker. Shortly after I had my pacemaker implanted I developed an infection. My doctor said it can be very dangerous because the infection can travel down the wires/leads to you heart. Then you really have problems. As kaismama said, if it is pain and not just tenderness, you should call your doctor immediately.
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