To me, it looks like he's stretching the skin on either side of the injection site, not touching the needle. In high school, I participated in a program where I

To me, it looks like he's stretching the skin on either side of the injection site, not touching the needle. In high school, I participated in a program where I spent a summer in South America giving immunizations. Especially for the subcutaneous needles, which are tiny, touching the areas around the injection site made the shots less painful for children. For kids that were especially fearful, I found that pinching the skin at the injection site, then pressing hard when using the alcohol pad to clean and then quickly giving the shot made the area basically numb enough that the child never felt the needle.