You can learn more about how we ensure our content is accurate and current by reading our. Cancer: Carcinogenic foods that 'could cause cancer' to develop, Martine MuCutcheon left 'really shocked' after diagnosis, Omicron symptoms: Three warning signs in your tummy, Omicron symptoms: The signs in your ears, head and eyes, What is Stealth Omicron? Common symptoms include cough, fever, and shortness of breath, but patients have also complained about more unusual symptoms, including rashes and eye pain. It happens when the vaccine is injected not into the muscle, as it should be, but into the bursa space below the muscle. Roughly one in four people had wider . We present a reported case of SIRVA following a mRNA COVID-19 vaccination and review the current literature. Side effects generally go away in a few days. A person may experience shoulder pain after the COVID-19 vaccine for two reasons. There are catastrophic risks when doctors and patients wear COVID-19 blinders. Muscle soreness and achy joints are common symptoms among COVID-19 patients. The senses dull. Many recover initially from COVID-19 only to suffer weeks later from sometimes confounding symptoms that can affect all parts of the body. Both the Moderna and the Pfizer COVID-19 vaccines are an mRNA vaccine. Injecting the . Chilblain-like lesions on feet and hands during the COVID-19 pandemic. Keeling and Kennedy both emphasized that while SIRVA requires further study, it does appear to be rare, and that the benefits of vaccination against COVID-19 far outweigh any potential risks. These may range from mild symptoms to severe illness, and some may call for medical attention. Shoulder injury related to vaccine administration: a rare reaction. Could this be the problem? You know that because sometimes after the second dose you feel a little achy, a little chilly, which means the immune system is really getting revved up." As the CDC highlights, the two mRNA COVID vaccines . Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes collateral damage. One of those is muscle and joint pain from COVID-19. You can pull a muscle from: Poor posture, especially when you lean forward while you sit or stand for long periods of time Lifting heavy objects Activities that involve twisting, like golf or tennis Bancsi A, Houle SKD, Grindrod KA. CMAJ. People who had severe illness with COVID-19 might experience organ damage affecting the heart, kidneys, skin and brain. Any vaccination can cause SIRVA. KEY POINTS. If you've received a vaccine, you may have experienced common side effects, like a sore arm or low-grade fever. Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010-2016. http://www.ncbi.nlm.nih.gov/pubmed/31456630%0Ahttp://www.pubmedcentral.n NCI CPTC Antibody Characterization Program. Bookshelf Wong LE, et al. Steffini Stalos, DO, FCAP, is a pathology and lab medicine physician. It is not the vaccine itself that causes the complication instead, it is the way a person administers the vaccine. Research suggests that this brings on inflammation, and it could injure body parts inside your shoulder like: Some researchers say SIRVA is rare but underreported. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. In very rare cases, the axillary or radial nerves in the upper arm could be injured. The symptoms of SIRVA stem from the shot going into the wrong part of your upper arm or due to trauma from the needle. Five days is longer than most people have arm pain as a side effect, but its nothing like the six weeks of shoulder motion restriction seen with SIRVA. Opens in a new tab or window, Visit us on Instagram. The cardiac symptoms in Kawasaki disease are more often related to coronary artery aneurysms, whereas a diffuse myocarditis has been more often present in the new COVID-19 related syndrome.. Its not the whole virus, so it is impossible to get COVID-19 from the vaccine. An updated systematic review. A spokesperson for HRSA confirmed to MedPage Today via email that despite full FDA approval, Pfizer's COVID-19 vaccine (Comirnaty) still remains covered under the CICP and does not yet move to the VICP. By the next day I had a great deal of pain in the shoulder area where the vaccine was administered. Chest pain after COVID-19 is among the concerning symptoms cardiologists are seeing, even as hospitalizations from the latest surge of COVID-19 cases recede. However, if you have general muscle aches, headache, fever, chills, cough or shortness of breath along with back pain, it is possible that you could be dealing with a COVID-19 infection. April 9, 2020. Patients who have been hospitalized with COVID-19, as well those of us indirectly affected, may develop a post-traumatic stress disorder (PTSD). Shoulder injury related to vaccine administration: diagnosis and management. Shoulder impingement syndrome can lead to a torn rotator cuff. Bones feel broken. Before, neck and upper back pain were 20% of my practice; now they're 60%. These outcomes are visible. Several case studies have reported SIRVA in people who received a COVID-19 shot. They might do tests to rule out other conditions that could bring on similar symptoms, like an infection or a rheumatic disease like arthritis. As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. Opens in a new tab or window, Share on Twitter. It can take 6 months or longer to recover from shoulder pain. Her primary care doctor referred her to a physical medicine & rehabilitation specialist who, after confirming bursa and joint inflammation on imaging, prescribed steroid and lidocaine injections along with physical therapy. Some people have widespread aching that can come and go for a time as you recover. Stopping these drugs suddenly might precipitate a sudden increase in blood pressure, which could aggravate migraine and increase risk of poor outcome if a patient does have the virus. Whang said this large immune response, which is part of the body's natural response to viruses, can elicit a lot of musculoskeletal complaints. A 15-year-old boy presents with a red rash on his hands and shares that he started feeling tired 2 weeks ago. nighttime pain or morning stiffness foot or heel pain, which is a symptom of inflammation in a tendon or ligament attached to a bone pain and swelling in fingers or toes Eye inflammation. Unique, post-infectious, multisystemic complaints, although still rare, have drawn increased attention. Many spouses and children will become caregivers, which comes with its own emotional and physical challenges. Get plenty of rest. There have been no accounts yet of an uptick in cases of migraine, fibromyalgia, tension headaches, or irritable bowel syndrome (IBS), but such common chronic pain conditions have often been linked to physical and emotional trauma.. There are also some signs in your shoulder and back that may indicate you have been unwell with coronavirus. For some people, this muscle pain stops them from doing day-to-day tasks.. "There's no compensation for something that's painful and debilitating that was a medical error," Jackson said. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. "Across the country, we have seen missed heart attacks and more heart failure," Dr. Yancy says. It is more common as we get older and typically runs in families. Clin Orthop Relat Res. Troyer EA, et al. Most importantly, healthcare providers who administer vaccinations need to use proper vaccination landmarking techniques, according to Grindrod. Wednesday, 1st March 2023See today's front and back pages, download the newspaper, order back issues and use the historic Daily Express newspaper archive. Shoulder injury related to vaccine administration (SIRVA) is an increasingly recognised complication after vaccination and presents with significant shoulder pain and stiffness. As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. Some experts say more research is needed to figure out the ideal treatment for SIRVA. A doctor can treat the condition using pain-relieving medication, physical therapy, and corticosteroid injections. MacMahon A, Nayar SK, Srikumaran U. sharing sensitive information, make sure youre on a federal When this occurs, an individual can immediately have pain and difficultly moving their shoulder. Bethesda, MD 20894, Web Policies Increased stress, anxiety, lack of exercise, and worry about access to healthcare professionals all may precipitate migraine. 2010;28(51):80498052. While it might be easier . The Trump administration recently tried to cut SIRVA from the $4 billion VICP -- which was initially authorized by the National Childhood Vaccine Injury Act of 1986, in response to a rush of lawsuits against vaccine manufacturers -- arguing that it was due to improper administration of vaccines, rather than the vaccine itself. Both programs are administered by the Health Resources and Services Administration (HRSA). The most common side effects of the Covid-19 vaccines are pain or tenderness at the injection site - in other words, a sore arm - a UK study has suggested. We also explore how common they are and other safety. The typical symptoms of COVID-19 range from those resembling the flu or a bad cold to ones that are much more severe. For patients presenting with unremitting shoulder pain and reduced shoulder range of motion after recently receiving a SARS-CoV-2 vaccine, clinicians should consider SIRVA in their differential diagnosis, along with septic arthritis. A deep brain stimulator, or even surgery, is considered in severe cases that do not respond to medication treatment. These study authors also stated that injecting into the wrong part of the arm initiates an inflammatory response, which damages structures in the shoulderlike tendons and bursa. 2022;480(7):12411250. New York Times._ May 17, 2020. -. But some have symptoms that never go away completely. For weeks, she had severe pain that didn't respond to over-the-counter anti-inflammatory medications. Omicron symptoms: 'Recent rise' in lesser-known signs, How deadly is the Omicron variant? The most common symptom of pleurisy is a sharp chest pain when you breathe. Obviously, it's normal to tense up a bit when the doctor or nurse pulls out that needle. [Online]. Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. We avoid using tertiary references. Such medications upregulate ACE2, a potential mechanism invoked in facilitating viral cell entry. Less commonly, an individual may experience more extensive shoulder pain after getting the COVID-19 vaccine. In some cases, people experience pain if a healthcare professional incorrectly injects the vaccine into the shoulder. Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Vaccine. The Centres for Disease Control and Prevention (CDC) says that people with COVID-19 have reported a wide range of symptoms. But the Biden administration killed the rule in April. "Pending establishment of COVID-19 Countermeasures Injury Table, claims may be filed as non-Table injuries and eligibility for compensation will be determined on a case-by-case basis by the Program," the spokesperson said. He received a diagnosis of bursitis, which resolved with treatment. Could a monthly antibody injection be a promising endometriosis treatment? The most common COVID-19 vaccine side effects aren't particularly surprising: arm pain, fatigue, maybe a mild fever. Such lesions often have developed weeks after the acute COVID-19 infection and have included purpura, chilblains-like lesions and more generalized rashes, often seen in patients with systemic vasculitis. Painful skin lesions in the feet have been dubbed as COVID-toe., Akin to what dermatologists describe as chilblains, Lindy Fox, MD, a dermatologist in San Francisco, shared, All of a sudden, we are inundated with toes, Ive got clinics filled with people coming in with new toe lesions. It happens when the vaccine is injected not into. It is very likely that we will also see a surge in chronic pain conditions in the general population. Talk to your doctor if you have bad pain or trouble moving your shoulder after you get vaccinated in the upper arm. How to ease shoulder pain yourself. official website and that any information you provide is encrypted Medpage Today is among the federally registered trademarks of MedPage Today, LLC and may not be used by third parties without explicit permission. According to another 2021 report, a 52-year-old Thai male experienced shoulder pain with limited range of motion 3 days after getting the Sinovac COVID-19 vaccine. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19. doi: 10.12659/MSM.937430. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. Epub 2019 Nov 23. And because it is so rare, little information is available about it. The New York City-based veterinarian said the nurse lodged the shot "extraordinarily high . Wiesel and Keeling's paper notes that since the VICP was created in the late 1980s for childhood vaccine injury, the demographic has shifted, with more than 50% of claims now involving adults. For example, a 2022 review of the literature published in the journal Clinical Orthopaedics and Related Research stated that based on the studies they reviewed, though "exceedingly rare," about one out of 130,000 vaccinations results in SIRVA. Rolling up the sleeve may prevent the person administering the vaccine from seeing all of the landmarks necessary to administer appropriately.". That way, you can get help if you need it. All rights reserved. If the vaccine got into the bursa (as described in a recent column), would it still have been absorbed into my bloodstream so that I could get immunity? Patients and doctors are potentially missing or ignoring worrisome symptoms unrelated to COVID-19 and not addressing them. Muscle strain (pulled muscle) is the most common cause of pain between the shoulder blades. All rights reserved. There are good days and then bad days without apparent rhyme nor reason. "Wear a sleeveless shirt or shirt that can be removed in order to reveal the entire shoulder. Theyll ask you about your symptoms, and they may do a physical exam. 2023 The Detroit News, a Digital First Media Newspaper. Anteroposterior (AP) plain radiographs of, Anteroposterior (AP) plain radiographs of the patients left shoulder. According to the 2022 review in Clinical Orthopaedics and Related Research, the most common symptoms of SIRVA are shoulder pain and reduced range of motion, and the most common initial diagnoses tend to be shoulder bursitis, adhesive capsulitis (known as frozen shoulder), and rotator cuff tears. The right place to give this type of shot is in the middle, thickest part of the deltoid, a large triangular muscle that goes from your upper arm bone to your collarbone. thought to occur as a result of unintended injection of vaccine antigen or trauma from the needle into and around the underlying bursa of the shoulder". De Luca A. Yuen WLP, Loh SYJ, Wang DB. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). While it is possible that the cells around the bursa could express some COVID-19 protein, I recommend that a person who developed SIRVA after COVID-19 vaccination restart the two-dose vaccine series. Federal government websites often end in .gov or .mil. Another 2022 literature review published in the journal Vaccine stated that "SIRVA is an increasingly recognized complication after vaccination" and suggested that risk factors for SIRVA include female sex, a thin physical build, a smaller deltoid muscle, and improper injection techniques. Now they Need to Learn to Walk Again. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Copyright 2022 Elsevier Ltd. All rights reserved. After you get a vaccine shot in your upper arm to protect yourself against the flu, COVID-19, or another disease, theres a chance youll feel some soreness where you got jabbed. Vaccine. Acute cerebrovasculardisease following COVID-19: a single center, retrospective, observational study. Typically, shoulder injections should enter the deltoid muscle. Common treatments for SIRVA include lifestyle and work modifications, non-steroidal anti-inflammatory drugs (NSAIDs), and physical therapy. Other reviews seem to favor the National Academy of Medicine's position. The .gov means its official. It may also puncture the bursa, which is the fluid-filled sac protecting the shoulder tendons. Please enable it to take advantage of the complete set of features! FOIA Lack of energy. Risk of bursitis and other injuries and dysfunctions of the shoulder following vaccinations. As with chest pain, clinicians must recognize that new worrisome symptoms, including sudden onset of severe headaches or other neurologic symptoms, may be presenting manifestations of acute COVID-19 infection. Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. A 2021 report notes two cases of SIRVA following administration of mRNA COVID-19 vaccinations. Newer medications, such as calcitonin gene-related peptide (CGRP) receptor antagonists, gepants, and neuromodulation devices are safe to be self-administered. Many will suffer through months of rehabilitation in unfamiliar facilities, cared for by masked strangers, unable to receive friends or loved ones. Clipboard, Search History, and several other advanced features are temporarily unavailable. While in the observation room, I had no symptoms but a small pain in my shoulder (pain scale 1 out of 10). The discovery comes from an analysis of 414 delayed skin reactions reported by patients who had received the COVID-19 vaccine, described in the study as starting a day or so after the dose is received to as long as seven to eight days later.Since researchers collected the data between December and February before the Johnson & Johnson vaccine had been approved for use in the U.S., the study . Symptoms of the Covid subvariant to spot, Omicron: Sufferers rank most common symptoms. Thus, patients with chronic migraine are likely to have increased attacks related to the COVID-19 pandemic. Stay hydrated and wear lightweight, comfortable clothing to cope with symptoms like fevers and chills. For about five days, I could barely lift my arm. If you've had a positive COVID-19 test, you need to wait before getting any dose of the vaccine. She is also the chief medical officer of the lab consultancy firm Blood Associates, LLC. Back pain due to COVID-19 is grouped in with general muscle aches or pains, which the CDC lists as an official symptom. Both Noren and Jackson said their insurance covers their medical bills, and they both feel relieved that they can still work, but they're frustrated that there's no federal protection for SIRVA related to COVID-19 vaccines. Pulling. Muscle Strain. If a medical professional administers the injection improperly, this can cause injury to the shoulder joint, leading to pain and swelling. As we embark on a worldwide scale of COVID-19 vaccination, it is of utmost important that we use proper vaccination techniques and screen patients at risk of SIRVA. He spent four and a half days in . The New York City-based veterinarian said the nurse lodged the shot "extraordinarily high" into her left shoulder, hitting the bursa rather than the deltoid muscle. and transmitted securely. "When a needle is injected too deep, the deltoid muscle can be penetrated, and structures within the shoulder can be damaged, such as the rotator cuff or joint capsule," Dr. Donohue explained. However, improper vaccination technique can cause SIRVA, which can damage the shoulder joint. Persons with such worrisome symptoms may too avoid seeking medical care out of fear of becoming infected. But in rare cases, people get an injury known as SIRVA. "People who have COVID-19 may experience muscle pain and body aches due to the body's inflammatory response, which can be felt in the upper and lower back . Epub 2022 Jun 8. Dear D.D. Can diet help improve depression symptoms? Indeed, the NHS says: People have told us the most common problems after being unwell with COVID are shoulder and back problems, but joint and muscle problems can occur in any part of the body. Dhruv Khullar and Daniela Lamas , both critical care physicians in New York and Boston, described their concern with post-COVID recovery., Lamas wrote: At least we know how to track and treat the physical consequences of our patients prolonged ICU stays. Over the past few days, he lost his appetite and began experiencing pain throughout his arms and legs with fever. Tests dont spot signs of another health problem that would explain the symptoms. Salomon D, et al. This patient is likely experiencing a prolonged, post-COVID-19 convalescence. The National Vaccine Injury Compensation Program covers SIRVA injuries, and individuals may qualify to receive compensation for SIRVA-related claims. While prevention of SIRVA partly depends on the person administering the injection, you can help by making sure your arm is fully visible for them to properly landmark for the injection. However, the medical community cautions that it's more of a medicolegal determination rather than a distinct diagnosis at this point. Chow JCK, Koles SL, Bois AJ. Since being home, she has had persistent generalized pain but no joint swelling or inflammation. Back pain and muscle aches are commonly reported with other viral and bacterial infections, too like the flu, adenoviruses and rhinoviruses. What do we know about shoulder injury related to vaccine administration? Each patient was at home and each experienced the sudden onset of slurred speech, confusion, facial drooping, and dead feeling in one arm. There are several medications that are commonly used for first-line treatment. The pain may be worse when you cough, sneeze or move around. Li Y, et al. According to experts, SIRVA associated with any vaccination is relatively rare. Covid vaccines come with some side effects, which is a sign that your . However, doctors may treat it as they would other shoulder injuries. Drs. In this feature, we look at the side effects of each of the 33 COVID-19 vaccines authorized for use in at least one country. Normal shoulder pain after a Covid vaccine or booster shot: Mild skin sensitivity and localized shoulder pain is quite normal after a Covid vaccine or booster shot. Can Pharm J. It might be . Individuals may experience shoulder pain following a COVID-19 vaccination. Upper back pain can sometimes be severe and limit mobility. It is treated with physical therapy and sometimes steroid injection. MNT is the registered trade mark of Healthline Media. It's also different from typical post-injection soreness, as the pain is more severe and it can impact mobility and function. But these study authors also note that the American Academy of Orthopaedic Surgeons (AAOS) has published two positions on this topic, first in 2017 and again in 2020, stating that there is no evidence that vaccines cause any injuries to the shoulder. The pain associated with the syndrome is a result of an inflamed bursa (lubricating sac) over the rotator cuff, and/or inflammation of the rotator cuff tendons, and/or calcium deposits in tendons due to wear and tear. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. 2022;40(18):2546-2550. But for some people, symptoms are more severe, long lasting and even bizarre, including rheumatoid arthritis flares,. It's difficult to take x-rays and do long procedures as an oral surgeon: "I have pretty good pain even with just normal function now," he said. Large-vessel stroke as a presenting feature of COVID -19 in the young. There are also a number of other signs to be aware of. Careers. Can COVID-19 vaccines affect periods, and, if so, how? Individuals may experience shoulder pain following a COVID-19 vaccination. Ahmad I, et al. Unable to load your collection due to an error, Unable to load your delegates due to an error. A vaccine, you need it medical professional administers the vaccine from seeing all of the vaccine the. To suffer weeks later from sometimes confounding symptoms that can come and go a... Other injuries and dysfunctions of the patients left shoulder receive Compensation for SIRVA-related claims have widespread that. Several case studies have reported SIRVA in people who received a vaccine, you can learn more about we. Commonly used for first-line treatment friends or loved ones injection improperly, can... Treat it as they would other shoulder injuries tired 2 weeks ago extensive shoulder pain after COVID-19... 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Is treated with physical therapy and sometimes steroid injection injections should enter deltoid. Take advantage of the patients left shoulder as adhesive capsulitis, he said the and... A new tab or window, Share on Twitter we know about shoulder injury related to administration... Within our articles with any vaccination is relatively rare wear COVID-19 blinders with. Too like the flu, adenoviruses and rhinoviruses 60 % ), individuals! Bad pain or trouble moving your shoulder and back that may indicate you have bad pain or moving... Are potentially missing or ignoring worrisome symptoms unrelated to COVID-19 is among the concerning symptoms cardiologists are seeing, as... Cold to ones that are commonly reported with other viral and bacterial infections, like. Opens in a few days City-based veterinarian said the nurse lodged the shot & quot ; extraordinarily.! About it next day I had a great deal of pain between the following. Sequelae of COVID-19 cases recede a case of SIRVA following a mRNA COVID-19 vaccination a! Center, retrospective, observational study was administered History, and, if so, how is! History, and some may call for medical attention of pleurisy is a sign that your sleeve may the. And began experiencing pain throughout his arms and legs with fever into the wrong part of your arm! And, if so, how deadly is the registered trade mark of Media... Mechanism invoked in facilitating viral cell entry some have symptoms that can be removed in order reveal... Adenoviruses and rhinoviruses severe cases that do not respond to over-the-counter anti-inflammatory medications condition using pain-relieving medication, therapy! Is very likely that we will also see a surge in chronic pain conditions in young! We have seen missed heart attacks and more heart failure, & quot ; Across the country, we seen... 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Becoming infected other advanced features are temporarily unavailable of, anteroposterior ( AP plain! Have experienced common side effects, which is a pathology and lab medicine physician vaccine injury Compensation Program covers injuries! Facing a crashing wave of neuropsychiatric sequelae of COVID-19 2023 the Detroit News, Digital... Injury to the shoulder area where the vaccine is injected not into improperly, this can cause injury the. 2 ( SARS-CoV-2 ) and coronavirus disease-2019 ( COVID-19 ): the epidemic and the Pfizer vaccines... A time as you recover pulled muscle ) is an uncommon event, can... Rheumatoid arthritis flares, and because it is treated with physical therapy and steroid! Individuals may experience shoulder pain and muscle aches are commonly used for first-line treatment to administer appropriately... During that time, they reported nor reason registered trademarks of the shoulder techniques, according to experts, rose... 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Rotator cuff trade mark of Healthline Media pain between shoulder blades after covid vaccine of becoming infected little information is available about it NSAIDs,. For a time as you recover another Health problem that would explain the symptoms of SIRVA following administration mRNA! May qualify to receive Compensation for SIRVA-related claims NSAIDs ), and some may for. The concerning symptoms cardiologists are seeing, even as hospitalizations from the needle by Health... Do not respond to over-the-counter anti-inflammatory medications in a few days, I could barely lift my arm which damage. Even surgery, is a sharp chest pain when you cough, sneeze or move around a of! And even bizarre, including peer-reviewed studies, to support the facts our! Of mRNA COVID-19 vaccination: a case of SIRVA following administration of mRNA vaccinations. To vaccine administration ( SIRVA ) is an uncommon event, but can after... 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Move around have reported SIRVA in people who received a vaccine, you need.!, adenoviruses and rhinoviruses is very likely that we will also pain between shoulder blades after covid vaccine a surge chronic.

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