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My daughter had one at a drive through place (I wasn't present) but told me it wasn't that bad and didn't really feel it which surprised me. She then had one in hospital when I was present and it was like your photo and she was less than happy with the experience.
The nurse did say that there are new, flexible swabs being rolled out that are far more pleasant.
greentricky
Ha! Tell that to the nurse who does ours...she goes several inches in, right to the back of your throat through both of our nostrils!