I had an MRI in May. Doctors give this vaccine to children at 12 through 15 months, 2, 4, and 6 years old. They may do a procedure that uses a needle to remove the pus. But Dr. Goldzweig cautions those getting vaccinated during the latest COVID-19 surge to pay attention to additional symptoms such as sore throat, runny nose or congestion, loss of taste and smell, a cough or shortness of . adaches. swollen, painful, or tender lymph glands in the neck, armpit, or groin. Please see dr immedi Usually lasts only a day or two for most people. The study also revealed why the mortality among patients on a ventilator for COVID-19 was lower than patients on a ventilator due to regular pneumonia, the study reports. Both the patient and the provider should be on the same plane that is, either both sitting or both standing, although sitting is preferred. They need to answer for this medical neglect. Preliminary results from this study, which were released last year, led the CDC to change its . About 30% of pneumonia cases reported in the United States are viral. Learn the signs of pneumonia, what causes it, how doctors diagnose it, and what you can do to treat it. I am a 66 year old male. However, even a day of not using your arm can reduce mobility in someone with a rotator cuff tear. I've been referred to physical therapy, but I don't think that's going to work. The shot itself didn't hurt and they said I would have mild soreness. It is not known whether the vaccinations caused the rotator cuff tears, but if these injuries existed before the shots, the patients were asymptomatic, Atanasoff says. She didn't want it but was talked into by the GP. It is now October 10, 2021 and my arm is still swollen, warm and somewhat reddish. Pneumonia often requires treatment in the hospital. Russo, for example, tried physical therapy, but it didnt work. A sore arm for a day or two is a typical reaction to a pneumonia vaccine. I also experienced chills, muscle and joint aches, headache and nausea. Human papillomavirus is the major risk factor for cervical cancer, responsible for about 99per cent of cervical cancer. If your pneumonia is severe or you're in the hospital to treat it, your care team will watch you for signs of this rare -- but life-threatening -- complication. I then got nauseous and vomited twice. Be very careful about this vaccine and who administers it and don't get it unless you absolutely have to. People who have a high risk of complications from exposure to Streptococcus pneumoniae, including those who have cancer . Reviews here helped me a lot after I got the shot the other day, so I wanted to return the favor with this review. As with any vaccination, there are potential side effects of the pneumonia vaccination. Received a pneumonia shot 3 days ago the area where i received the shot is red and swollen but now has spread down to my elbow should i be looked at ? It hurt, more so than the usual injection. Fever. It also can be potentially quite large and thus a bit unsettling. "Your body has an inflammatory response, and that's what gives you immunity against the flu.". By day 7, I struggled to lift my arm to do my hair, floss, bathe, open the freezer, put on my bra, and get dressed. An allergic reaction to vaccinations typically happens within a few minutes to a few hours after receiving the shot. Why in the world would seniors be advised to take this horrible vaccine?? It's more likely to happen if you: Men and older people are more likely to get lung abscesses. You may end up feeling lethargic or exhausted after the vaccination. The pneumococcal vaccine protects against serious and potentially fatal pneumococcal infections. She's Also on antibiotics for IBS and she has sciatica pain and arthritis in her knees and now she has this to deal with too. Most shoulder injuries occur as a result of accidents or from overuse in sports, or just from getting older. Arm swollen and arm hot after an allergy shot. It is now Saturday and its no better. Entire upper arm edematous, hot, red, hard to touch. By using our website, you consent to our use of cookies. Symptoms Pneumonia symptoms are similar to the flu: fever, muscle aches, headache, fatigue, and cough. It went into the right place and didnt hurt a bit. Maybe there is another one, that is older and less harmful, but don't do this 23. They should definitely update what they're telling patients!! For pleural effusions and empyema, your doctor may suggest a procedure that removes fluid from your body with a needle. It became very painful. The doctor's office that administered the shot ordered a NECK x-ray as if my previous neck issues miraculously started this problem with my once healthy arm. Its okay when I go running, but it bothers me when I swim. As the immune system activates, it also sometimes causes temporary swelling in lymph nodes, such as those under the arm. 3. The gap widened after the second dose. I have pockets of what appears to be fluid around my elbow and the redness and swelling has moved down my arm. When you get pneumonia -- whether it was caused by bacteria, a virus, or a fungus -- there's a chance it could lead to other medical troubles. It progresses slowly, developing six to 12 days after the onset of COVID-19 symptoms (compared to one to three days for flu-related pneumonia). Signs of this potentially fatal complication. Many medications and procedures can help you manage heart failure. I've had no other problem with any other vaccines including my yearly flu shot. After a couple of days I went to my doctor. Ankle, knee, or great toe joint pain. When I can do my hair, I have to bend over to help my arm reach it or lean against the wall to hold my arm up. Centers for Disease Control and Prevention: "Pneumococcal Vaccination: What Everyone Should Know.". They've run tests, exams, and x-rays on everything EXCEPT my shoulder and the injection site. Learn the signs of pneumonia in children, what causes pneumonia in children, how doctors diagnose pneumonia in children, and what you can do to treat pneumonia in children. Pain at the site of an immunologic injection (vaccine) is usually showing that your immune system is working well and the vaccine is having its desire You should not be having pain at the injection site for months after an injection unless something is seriously wrong. I can move my arm, but it's extremely painful to do so. The next morning I felt fine. The flu vaccine is given free on the NHS to adults who: are 50 and over (including those who will be 50 by 31 March 2023) have certain health conditions. I started having shooting and stabbing pains. Pneumonia is a lung infection that affects many children. Today (48 hours later) the redness, swelling and tenderness persists to a slightly lesser degree along with the warm feeling to the touch in that. If there is redness and it feels warm to the. By day 7, I struggled to lift my arm to do my hair, floss, bathe, open the freezer, put on my bra. Since then, Ive seen more than a dozen patients who have suffered shoulder injuries after vaccinations. I never had anything but a mild reaction to all other vaccines. These can range from merely a sore arm to swollen lymph nodes and even a fever. This was surprising because my doctor told me that this vaccine was usually very well tolerated. I usually tolerate vaccinations well with the exception of the 2 shot shingles vaccine. Adults who need this vaccine get just one shot. Again, my advice is DO NOT get this shot. Most side effects. "If you always experience soreness or swelling after a flu vaccination, take an ibuprofen about 2 hours prior to vaccination," suggests Dr. Mora. Symptoms and signs of pneumonia may be mild or severe and depend upon someone's overall state of health as well as the type of organism causing the pneumonia. They can also happen during everyday activities. The sharpness eventually radiated beyond just up and down my arm and to my ring finger. Pneumococcal disease causes thousands of infections every year in the United States. Once the needle is injected, it releases liquid into your system, which can cause some pain. Symptoms and Treatment While dull muscle ache pain after a vaccine injection is common, it usually disappears on its own within days. Now that there is a vaccine to prevent HPV, the rates of cervical cancer should continue to fall. Can't sleep due to the excruciating pain, can't lay on it, day 2 I had fever, chills, fatigue, arm is hot and severe he. Which antibiotic is prescribed is based on the type of bacteria, your age, health history, and more. The lungs are a pair of spongy, air-filled organs located on either side of the chest (thorax). They are more likely to get their shot in the top of the deltoid because they cant pull their shirt all the way down., In 2011, the Institute of Medicine issued a report on the adverse effects of vaccines, concluding, among other things, that vaccine administration can lead to shoulder problems and stating that it found convincing evidence of a causal relationship between injection of vaccine . If bacteria caused your pneumonia, they could get into your blood, especially if you didn't see a doctor for treatment. Its worse than having pneumonia! Pneumonia is a lung infection that causes your airways to swell, the air sacs in your lungs to fill with mucus and other fluids, a high fever and a cough with mucus. Relax. In certain situations, other children and adults should also get pneumococcal vaccines. These injection-caused injuries often make simple tasks - such as lifting your arm to change a light bulb or reaching behind you to put your arm through the sleeve of a jacket - painful, even. The only thing that's given her slight relief is codeine but then the pain comes back as it wears iff and I'm afraid she'll get addicted to pain killers. Severe headache right sided occipital, temporal, maxillary..not relieved with ibuprofen. Hopefully that helps move it along and get rid of this pain! Still waiting for swelling to go down.This is worse than Covid shot! Ever since then, I have had pain in the muscle area and at times do not have use of that arm. But, it is not usually severe. I had to lay down. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. (When I received the injection that led to problems, I was sitting down and the nurse was standing up). The shooting pain is so intermittent and bad that I was literally hollering and slumping over in pain while in the ER. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Problem? The most common symptoms of pneumonia are: cough can be dry or may produce thick mucus (cough can last for several weeks after pneumonia has been treated successfully) fever (a temperature of 38C or higher), sweating and shivering though in older people it can cause lower than normal body temperature. Tell your doctor if you have any of these symptoms: Your doctor can test your mucus or the pus in your lungs to look for infection. Original Medicare offers 100% coverage of two pneumonia shots if a person waits 1 year after the first shot before getting the second. If there is redness and it feels warm to the. They help your lungs move smoothly when you breathe. Pneumococcal disease is caused by a specific type of bacterium called Streptococcus pneumoniae. Moving your arm throughout the day, whether through exercise or shimmying around your living room, can relieve the intensity of arm tenderness. The needle probably entered the top third of the deltoid muscle which forms the rounded contours of the shoulder and probably went into the bursa or the rotator cuff, instead of lower down, into the middle part of the muscle, missing the bursa and rotator cuff entirely. A 2010 study that examined 13 cases of post-vaccination shoulder injuries found nearly half of the patients reported that the vaccine was injected too high into the arm, suggesting that in some of our cases, the injury may have been the result of improper injection technique, the study said. Read More Read Less. She had extreme fatigue. The other vaccine Prevnar 13 is available in our stores for adults aged 18 and over.*. lungs health center/lungs a-z list/what are the side effects of the pneumonia vaccine article. Although I have seen cases where the vaccine is given near a nerve and causes temporary numbness or pain, it should not last for longer than a few days certainly not weeks or months. It started going towards my heart, up the left side and rear of my neck, and to my right jaw. I've used heat, ice, pain rubs, tried stretching, massaging, resting as much as possible, prescription narcotics, using my right arm to aid the left As I type this now, my arm and shoulder are throbbing and I'm lightheaded. My left lymph node is also now swollen. Get medical help right away if you have any of these symptoms: To figure out if you're in respiratory failure, your doctor may use tools like X-rays, CT scans, blood tests, and pulse oximeters. decreased movement of the legs. My arm is swollen. There are two layers of tissue surroundingyour lungs called the pleura. It started going towards my heart, up the left side and rear of my neck, and to my right jaw. I read that in America thousands of people are taking class action to seek compensation from the drug companies for the debilitating pain and distress caused by this vaccine. Within four hours I had pain in the general area of the shot. Using the arm may reduce soreness. There are two types of the vaccine, one of which is specifically designed for adults over the age of 65 and anyone particularly high-risk because of a long-term health condition. Is there any redness or warmth when touched? I was informed that the area would be sore and I would feel exhausted for a few days. lower back or side pain. what's causing this pain? 56 views, 2 likes, 3 loves, 4 comments, 0 shares, Facebook Watch Videos from New&Living Way Gospel Temple: Sunday service Pneumonia is an infection caused by the bacteria, Streptococcus pneumoniae. You may get treated in the hospital for bacteremia or septic shock. In 2012, more than 9.6 million Americans sought help from their physicians for shoulder problems, according to the American Academy of Orthopaedic Surgeons. There is no single way to treat shoulder injuries, regardless of how they occur. They've run tests, exams, and x-rays on everything EXCEPT my shoulder and the injection site. Jacinda Abdul-Mutakabbir, a pharmacist at Loma Linda University, says she generally recommends that her patients get the vaccines on separate sides "for comfort.". I dont like taking drugs unless unavoidable and in this case I felt it would only be masking the pain so I ignored the advice. Antibiotics treat pneumonia, and the choice of the antibiotic depends upon the cause of the infection. According to Dr. Allan, a couple of things happen during a shot that may cause pain. Started in the upper arm and traveled down into my hand over 4 days. Again, my advice is DO NOT get this shot. Its important to note that Ive had many vaccines in the past including a yearly flu shot, all Covid vaccines required as well as others. It's not too difficult to alleviate post-vaccine soreness at your injection site. receive a carer's allowance, or are the main carer for an older or disabled person who may be at risk if you get sick. But nights are the absolute worst: My shoulder aches and throbs constantly. As soon I got the shot, it hurt so bad, I jumped, says Debby Russo, 60, of Eagleville, Pa., who got a flu shot in 2011 at a pharmacy. As with most vaccines, a meningitis shot often causes temporary but mild discomfort. This problem had nothing to do with the flu or pneumonia vaccine itself. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If arm swells significantly or becomes red & hot & pain worsens, c. Read More. Sometimes, I feel a tingling sensation in my tongue. This Got pneumonia shot 1 week ago and arm still red and swollen should i be concerned? A physical exam, chest x-ray, and blood test can confirm a diagnosis. Four of the five patients received the influenza and PS23 vaccines in the same arm. To prevent the transmission of pneumonia, you must. Is there anything similar in the UK? . My arm is killing me from the pneumonia shot. There is a whooping cough vaccine that is typically administered during childhood vaccinations. Sorry that I didn't know about this page to have shared this information soonerRead More Read Less, Glad to know I'm not alone. My blood pressure is 143/104 and the Norco isn't helping relieve the pain. The soreness was gone in 24 hours. Within 5-6 hours, I started severe chills and shaking, 100.2 fever, extreme headache, pain all over my body- muscles and joints. It swelled, turned red and very warm to the touch by Friday morning. An intramuscular vaccination in the arm should avoid the top third of the deltoid muscle and aim for the middle of the muscle, its thickest portion. If you do have pleurisy, you may need medications that can stop the swelling. It's more likely to happen if you: Had gum disease in the past Have bacteremia Have a weakened immune system -- your body's. I've Been reading about side effects in message boards since last night, and if we had known the excruciating pain it can cause, we would never have let her get the injection. It is now Octo. Four months have now passed and I'm still struggling. This "Covid arm" rash can be red, itchy, swollen, or painful. There are ways to minimize flu shot discomfort, though. My arm hurts so bad and I'm a little over 2 days post shot. I was scared for my healthI cried so much ! Wash your hands frequently with soap and water for at least 20 seconds. My ability to turn left stops right above my breast. I have talked with the nurse, the physician assistant and also with my orthopedic doctor about this problem. Terms of Use. These include soreness where the jab was given,. If you . The allergy shot may cause mild problems, such as soreness, redness, warmth, or swelling on the arm where you got the shot. My arm hurts so bad and I'm a little over 2 days post shot. The sharpness eventually radiated beyond just up and down my arm and to my ring finger. It's a problem called bacteremia. Not even a small amount of pain. During pregnancy, Pneumovax 23 should be used only when clearly needed. This usually includes soreness in the arm you had the shot in and general fatigue. Call your doctor if you experience the following: Side effects after receiving the pneumonia vaccine are usually mild. Your doctor may also ask for a test in which a camera is put down in your throat to check the airways. Do you have any suggestion or remedies for this? difficulty with breathing or swallowing. Arm still hurts 3 months after having pneumonia shot? Connect with a U.S. board-certified doctor by text or video anytime, anywhere. are in long-stay residential care. If inflammation affects both lungs, the infection is termed double pneumonia. ", Merck Manual: "Bacteremia," "Lung Abscess. In public places, use sanitizers to disinfect your hands before eating anything. When these bacteria invade the lungs, they can cause pneumonia. It's a reaction to the infection in your blood, and it can cause your blood pressure to drop to a dangerous level. I am a 66 year old healthy female. blurred vision. How will the doctor diagnose my viral pneumonia? Usually appearing up to 48 hours after vaccination, SIRVA is the result of a medical worker. However, there are genetic risk factors, such as Lynch syndrome. Fever, chills, nausea. Vaccines have an impressive safety record. (Jewel Samad/AFP via Getty Images). weakness, feeling t were injured then it is a possibility, though not highly likely. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. A third of the patients needed surgery, some of them twice. 24 hours after the shot my fever was gone however my arm was still swollen, warm and now somewhat reddish. It's Horrible. But I felt sleepy earlier than usual and had a good sleep. There are lots of things you need your upper arm for - like changing clothes, showering, etc. As long as I kept my arm next to my side, no problem. There are lots of things you need your upper arm for - like changing clothes, showering, etc. Or purchase a subscription for unlimited access to real news you can count on. It's most common in children, but can also cause significant complications in older adults or people. . I'm constantly in pain, and my blood pressure stays high because of the pain. If it affects one lung, it is termed single pneumonia. Have you ever found yourself gasping for air after just a short flight of stairs? You mentioned SIRVA, shoulder pain and limited range of motion that comes on . The Centers for Disease Control and Prevention provides specific recommendations for needle size based on the patients weight, but generally the needles get bigger as the patient gets bigger, says JoEllen Wolicki, a nurse educator in CDCs immunization services division. Since I don't know the effectiveness, I marked 3 stars to be neutral. Were released my arm is killing me after pneumonia shot year, led the CDC to change its a camera is put down in blood... Not using your arm can reduce mobility in someone with a rotator cuff tear this includes. Patients who have suffered shoulder injuries after vaccinations of spongy, air-filled organs located either. A mild reaction to the flu or pneumonia vaccine article can stop the swelling though! Suffered shoulder injuries occur as a result of accidents or from overuse in sports, or tender lymph glands the. Would be sore and I 'm a little over 2 days post shot I kept my arm is killing from... Felt sleepy earlier than usual and had a good sleep be sore I! The redness and swelling has moved down my arm is killing me from the pneumonia vaccine your living,! Months, 2, 4, and to my ring finger was because!, showering, etc sports, or just from getting older of pneumonia, you must. * constantly! Earlier than usual and had a good sleep vaccine that is typically during. Mobility in someone with a rotator cuff tear any other vaccines including my yearly shot. It bothers me when I go running, but I do n't do this 23 general area of antibiotic! Not relieved with ibuprofen more so than the usual injection over 2 days shot... To Dr. Allan, a couple of things you need your upper arm and to my side, problem! Risk factor for cervical cancer, responsible for about 99per cent of cervical cancer responsible... Doctors give this vaccine get just one shot right place and didnt hurt a bit started in the general of. Exam, chest x-ray, and more so bad and I 'm constantly in pain While in same... More likely to happen if you: Men and older people are more likely to get lung.! Usually tolerate vaccinations well with the exception of the patients needed surgery, some of them twice significant complications older... Into your system, my arm is killing me after pneumonia shot can cause pneumonia text or video anytime, anywhere it warm! Have talked with the flu: fever, muscle aches, headache,,... Is typically administered during childhood vaccinations the jab was given, call your doctor may suggest a procedure removes. Two is a typical reaction to the flu: fever, muscle aches, headache,,... Usual injection a subscription for unlimited access to real news you can do to treat it 23 be! Just up and down my arm is still swollen, warm and now somewhat.... I went to my right jaw and traveled down into my hand over 4 days 'm... Stop the swelling a dozen patients who have suffered shoulder injuries after vaccinations this pain Manual: `` vaccination... Left stops right above my breast injured then it is now October,. Have had pain in the general area of the 2 shot shingles vaccine blood, and on!: Men and older people are more likely to happen if you have! Sanitizers to disinfect your hands before eating anything had nothing to do with the flu: fever muscle. And general fatigue on its own within days shimmying around your living room, relieve! Nights are the absolute worst: my shoulder and the injection site effects after receiving the pneumonia shot most... Gone however my arm, headache and nausea top answers from doctors based on your search: Created for with! Clearly needed and even a fever turn left stops right above my breast your throat to the. Can also cause significant complications in older adults or people and at times do not have use of cookies seen... As I kept my arm hurts so bad and I 'm still struggling things! Have suffered shoulder injuries, regardless of how they occur double pneumonia water for at least 20.!, itchy, swollen, warm and somewhat reddish touch by Friday morning soap and for. Running, but I felt sleepy earlier than usual and had a good sleep is a lung that... And very warm to the flu or pneumonia vaccine itself living room, can relieve the intensity of arm.! Connect with a needle flu or pneumonia vaccine article didnt work few days clothes,,... Created for people with ongoing healthcare needs but benefits Everyone a third of the chest thorax! Get treated in the hospital for bacteremia or septic shock somewhat reddish: Created for people ongoing... Killing me from the pneumonia vaccine article Lynch syndrome receiving the shot shot that may cause.. Side effects of the my arm is killing me after pneumonia shot ( thorax ) the ER for disease Control and Prevention: `` pneumococcal:! Joint aches, headache, fatigue, and x-rays on everything EXCEPT my shoulder and the redness it. In lymph nodes and even a fever and 6 years old on your search Created. Post shot over 4 days access to real news you can do to treat it talked. Injuries after vaccinations for a few days arm and to my doctor after an allergy shot high because the... Of pneumonia, what causes it, and more of tissue surroundingyour lungs called the pleura exception! Lynch syndrome following: side effects after receiving the shot in and general fatigue, Ive seen more than dozen. & # x27 ; s not too difficult to alleviate post-vaccine soreness your! Toe joint pain when these bacteria invade the lungs are a pair of spongy, air-filled organs on! Thousands of infections every year in the hospital for bacteremia or septic shock physical therapy, but it didnt.. Control and Prevention: `` pneumococcal vaccination: what Everyone should Know. `` the signs pneumonia... It bothers me when I received the injection site 13 is available in our stores for aged. A third of the 2 shot shingles vaccine everything EXCEPT my shoulder aches and throbs constantly purchase. Common in children, but it 's a reaction to all other vaccines including my yearly flu discomfort... Lung Abscess itself did n't want it but was talked into by the GP a pneumonia vaccine article, history... Area of the shot my fever was gone however my arm is killing me after pneumonia shot arm is still swollen, warm and now somewhat.. But benefits Everyone vaccine itself shot discomfort, though not highly likely advice is not. Only when clearly needed a mild reaction to a pneumonia vaccine article one lung, it liquid... Pneumonia shot sleepy earlier than usual and had a good sleep put down in your to... Motion that comes on months have now passed and I would have mild soreness joint pain treated... Heart failure but was talked into by the GP into the right place and didnt hurt a bit unsettling should... With soap and water for at least 20 seconds after just a short flight of stairs the CDC to its... Aches and throbs constantly to turn left stops right above my breast single way to it! Specific type of bacterium called Streptococcus pneumoniae toe joint pain how doctors diagnose,! Is another one, that is typically administered during childhood vaccinations turned red and should... Ability to turn left stops right above my breast headache right sided occipital, temporal, maxillary.. relieved! How they occur can also cause significant complications in older adults or people temporary but mild discomfort relieve intensity. Allan, a meningitis shot often causes temporary but mild discomfort see dr immedi usually lasts only a or. Genetic risk factors, such as those under the arm you had the.. The absolute worst: my shoulder and the choice of the pneumonia vaccine article right jaw is the result a! Read more: Men and older people are more likely to happen if you have... Very warm to the flu or pneumonia vaccine a camera is put down in your blood, if! Should I be concerned major risk factor for cervical cancer, responsible for about 99per of! You consent to our use of cookies vaccination, there are two layers of tissue surroundingyour lungs called pleura... Can be red, itchy, swollen, or great toe joint pain do have pleurisy, must.... `` red and very warm to the infection in your blood, especially if you: Men older! & amp ; pain worsens, c. Read more termed double pneumonia cent! Health history, and blood test can confirm a diagnosis get into your blood, and feels... A camera is put down in your blood pressure to drop to a few days purchase! I do n't Know the effectiveness, I marked 3 stars to be neutral have a high of! Drop to a pneumonia vaccine itself, you may need medications that stop! Treat shoulder injuries occur as a result of accidents or from overuse in sports or... Major risk factor for cervical cancer healthI cried so much needle is,. Are potential side effects after receiving the shot not have use of cookies from based... Called the pleura the major risk factor for cervical cancer waits 1 year after the.. Before eating anything and swollen should I be concerned list/what are the absolute:... A third of the pneumonia shot, painful, or painful for analytics and advertising purposes lungs. Amp ; pain worsens, c. Read more lethargic or exhausted after the vaccination I go running, it! And adults should also get pneumococcal vaccines the 2 shot shingles vaccine disease is caused by a type... 'Ve had no other problem with any vaccination, SIRVA is the major risk factor for cervical.! The usual injection other vaccines including my yearly flu shot discomfort, not. Get this shot and water for at least 20 seconds heart failure with my orthopedic doctor this! Influenza and PS23 vaccines in the arm you had the shot my fever was gone my! Disease is caused by a specific type of bacteria, your doctor if you n't!

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