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From the 11/26/2021 release of VAERS data:

Found 6,037 cases where Vaccine is COVID19 and Manufacturer is MODERNA and Symptom is Cerebral venous sinus thrombosis or Cerebral venous thrombosis or Coagulopathy or Deep vein thrombosis or Disseminated intravascular coagulation or Embolism or Idiopathic thrombocytopenic purpura or Immune thrombocytopenia or Immune thrombocytopenic purpura or Ischaemic stroke or Myocardial infarction or Petechiae or Pulmonary embolism or Purpura or Thrombocytopenia or Thrombosis or Vasculitis

Government Disclaimer on use of this data



Case Details

This is page 14 out of 604

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VAERS ID: 1004801 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2020-12-26
Onset:2020-12-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J2OA / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Coronary artery occlusion, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metoprolol, simvastatin
Current Illness: none
Preexisting Conditions: none
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had a heart attack two days after receiving first Covid Vaccine. Doctor reports that artery was 99% blocked.


VAERS ID: 1006187 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-02-05
Onset:2021-02-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / UNK LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Erythema, Petechiae, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine 75 mg, Drosperinone
Current Illness: Healthy
Preexisting Conditions: Asthma
Allergies: Shellfish, Freshwater fish, Dairy
Diagnostic Lab Data:
CDC Split Type:

Write-up: shot at 1:40pm, itching arm at 1:50pm, 25mg Benadryl at 1:55pm, 25mg Benadryl at 2:00pm, red and itching behind arm left and right, red and hives on chest, petechiae small spots on belly area and back, 2:20pm redness and itching and hives and petechiae not improved.


VAERS ID: 1006416 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: California  
Vaccinated:2021-01-13
Onset:2021-01-31
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Death, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient died of a heart attack on 1/31/21, 2.5 weeks after vaccination


VAERS ID: 1006592 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-02
Onset:2021-02-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Injection site rash, Lipids, Metabolic function test, Petechiae, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Magnesium 250mg, fish oil, glucosamine, multivitamin.
Current Illness: N/A one month prior.
Preexisting Conditions: Dyslipidemia, osteoporosis, dyschronia, varicose veins, Leukopenia
Allergies: Morphine
Diagnostic Lab Data: Labs ordered today: CMP, lipid panel, TSH
CDC Split Type:

Write-up: Pt came into office today due to rash and lab work - noted by PCP to have petechial rash on injected arm from area of injection down to hand. pt reported this started about 1 day after injection and is present today when reported to PCP.


VAERS ID: 1006657 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-02-02
Onset:2021-02-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Chromaturia, Fatigue, Headache, Laboratory test normal, Myalgia, Petechiae, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: None
Diagnostic Lab Data: All lab tests cam back normal.
CDC Split Type:

Write-up: The symptoms started 12 hours after the shot, with chills, fatigue, severe muscle aches, headache, fever reaching 101 F, felt like was beaten up. Urine color was brown .Got a bit better after 30 hours, but temp didn?t go below 98.6 F. then After 48 hours notice rash on chest, 2 hours later the rash extended to neck, then to back and face. The fever got up to 101 again. Only to get better after injection with Benadryl and cortisone . 72 h later, rash better, but still there on chest with petechiae.


VAERS ID: 1007117 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Wyoming  
Vaccinated:2020-12-30
Onset:2021-01-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Alanine aminotransferase normal, Albumin globulin ratio normal, Alpha 1 foetoprotein normal, Anion gap normal, Anti-cyclic citrullinated peptide antibody positive, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Blood urine absent, Carbon dioxide normal, Complement factor C3, Complement factor C4, Electrophoresis protein normal, Eosinophil count normal, Eosinophil percentage, Full blood count, Globulin, Glomerular filtration rate normal, Glucose urine absent, Haematocrit normal, Haemoglobin normal, Hypoaesthesia, Immature granulocyte count, Light chain analysis normal, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration increased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count, Monocyte percentage, Neutrophil count, Neutrophil percentage, Nitrite urine absent, Platelet count normal, Protein albumin ratio normal, Protein total normal, Protein urine absent, Red blood cell count normal, Red cell distribution width normal, Rheumatoid factor negative, Specific gravity urine normal, Streptococcus test, Streptococcus test negative, Treponema test negative, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, Vascular malformation, Vasculitis, White blood cell count normal, White blood cells urine negative
SMQs:, Peripheral neuropathy (broad), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Vasculitis (narrow), Normal pregnancy conditions and outcomes (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Resulted Orders Comprehensive Metabolic Panel Result Value Ref Range Sodium Serum/Plasma 141 136 - 145 mmol/L Potassium Serum/Plasma 4.0 3.5 - 5.1 mmol/L Chloride Serum/Plasma 105 98 - 107 mmol/L Carbon Dioxide 24 21 - 32 mmol/L Anion Gap 12 4 - 15 mmol/L Glucose Serum/Plasma 93 74 - 106 mg/dL Blood Urea Nitrogen 13 7 - 18 mg/dL Creatinine Serum/Plasma 1.16 0.55 - 1.30 mg/dL Estimated GFR $g60 $g=60 mL/min/1.73 "square meters" Comment: The IDMS-traceable CKD-EPI equation for ages 18-97 years was used to approximate GFR. This calculation is often unreliable when someone is acutely ill or pregnant. This estimation assumes that one has an average physique and diet. If necessary, consider ordering cystatin C to further assess renal function and CKD. Estimated GFR (incl. race term) $g60 $g=60 mL/min/1.73 "square meters" Comment: The IDMS-traceable CKD-EPI equation for ages 18-97 years was used to approximate GFR. This calculation is often unreliable when someone is acutely ill or pregnant. This estimation assumes that one has an average physique and diet. If necessary, consider ordering cystatin C to further assess renal function and CKD. BUN/Creatinine Ratio 11.2 Calcium Serum/Plasma 8.9 8.5 - 10.1 mg/dL Protein Total Serum/Plasma 7.2 6.4 - 8.2 g/dL Albumin 4.3 3.4 - 5.0 g/dL Bilirubin Total 0.3 0.2 - 1.0 mg/dL Alkaline Phosphatase Total 54 46 - 116 U/L Aspartate Aminotransferase 20 15 - 37 U/L Alanine Aminotransferase 29 12 - 78 U/L Total Globulin 2.9 2.3 - 4.3 g/dL A/G Ratio 1.5 Ratio CBC with Auto Differential Result Value Ref Range White Blood Cell Count 9.0 3.9 - 10.7 10*9/L Red Blood Cell Count 4.86 4.41 - 6.07 10*12/L Hemoglobin 16.1 13.4 - 18.1 g/dL Hematocrit 44.2 40.8 - 53.0 % Mean Corpuscular Volume 90.9 81.0 - 99.1 fL Mean Corpuscular Hemoglobin 33.1 26.1 - 33.5 pg Mean Corpuscular Hemoglobin Concentration 36.4 (H) 31.0 - 35.3 g/dL Platelet Count 211 136 - 440 10*9/L Mean Platelet Volume 9.3 8.6 - 12.3 fL Red Cell Distribution Width CV 12.3 10.9 - 15.1 % NRBC Percent 0.0 <=0.0 % Neutrophils Absolute 5.1 1.7 - 6.7 10*9/L Lymphocyte Absolute 2.8 0.8 - 3.8 10*9/L Monocytes Absolute 0.7 0.2 - 1.0 10*9/L Eosinophils Absolute 0.4 0.0 - 0.4 10*9/L Basophils Absolute 0.1 0.0 - 0.1 10*9/L Immature Granulocytes Absolute 0.0 0.0 - 0.1 10*9/L Segmented Neutrophil Percent 56.5 % Lymphocyte Percent 30.8 % Monocytes Percent 7.3 % Eosinophils Percent 4.0 % Basophils Percent 1.0 % Rapid Plasma Reagin Antibody For Therapy Result Value Ref Range RPR Nonreactive Nonreactive UA Complete Urinalysis w/ Culture Reflex if Indicated Result Value Ref Range Color Urine Yellow Yellow Appearance Urine Clear Clear Specific Gravity Urine <=1.005 1.005 - 1.030 Leukocyte Esterase Urine Negative Negative Nitrite Urine Negative Negative pH Urine 5.5 5.0 - 8.0 Protein Urine Negative Negative mg/dL Glucose Urine Negative Negative mg/dL Ketones Urine Negative Negative mg/dL Urobilinogen Urine 0.2 0.2 - 1.0 EU/dL Bilirubin Urine Negative Negative Blood Urine Negative Negative White Blood Cells Urine 0 0 - 5 /HPF Vasculitis (ANCA) IgG Panel Result Value Ref Range Myeloperoxidase P-ANCA Quantitative <0.2 <1.0 AI Comment: Myeloperoxidase, p-ANCA Reference Range: Negative <1.0 AI (Antibody Index) Positive $g=1.0 AI Proteinase 3, C-ANCA Quantitative 0.2 <1.0 AI Comment: Proteinase 3, c-ANCA Reference Range: Negative <1.0 AI (Antibody Index) Positive $g=1.0 AI Partial Thromboplastin Time Result Value Ref Range Activated Partial Thromboplastin Time 31.2 24.4 - 34.9 seconds seconds Rheumatoid Panel Result Value Ref Range Rheumatoid Factor Screen Negative Negative Anti-Cyclic Citrullinated Pept Result Value Ref Range Anti-Cyclic Citrullinated Peptide Quantitative 3.0 (H) <3.0 U/mL Comment: Anti-Cyclic Citrullinated Peptide REFERENCE RANGE Negative < 3.0 U/ml Positive $g= 3.0 U/ml ANA Reflex Profile Result Value Ref Range Antinuclear Antibody Screen Negative Negative Comment: A negative ANA screen is interpreted as below cutoff and NEGATIVE for all of the following ANA component tests: dsDNA, Chromatin, Ribosomal P, SS-A, SS-B, Sm (Smith), RNP, Sm/RNP, Scl-70, Jo-1 and Centromere B. Method: Bio Rad Bio Plex Multiplex Flow Immunoassay Streptolysin O Antibody Result Value Ref Range Antistreptolysin O 41 <200 IU/mL C3 Complement Result Value Ref Range C3 Complement 100.0 88.0 - 165.0 mg/dL C4 Complement Result Value Ref Range C4 Complement 27.8 14.0 - 44.0 mg/dL SPEP with Reflex Immunofixation Result Value Ref Range SPEP Monoclonal Protein Qual None Detected None Detected SPEP Monoclonal Protein SPEP Interpretation Comment: An M-protein wasn''t identified by protein electrophoresis and reflex immunofixation. Paraproteins that aren''t detected by these methods can be investigated with serum free light chain measurement or 24 hour urine immunofixation when clinical suspicion persists. Albumin Protein Fraction Serum 4.2 3.5 - 4.8 g/dL Alpha 1 Protein Fraction Serum 0.19 0.16 - 0.34 g/dL Alpha 2 Protein Fraction Serum 0.7 0.5 - 1.0 g/dL Beta Protein Fraction Serum 1.0 0.8 - 1.5 g/dL Gamma Protein Fraction Serum 1.1 0.4 - 1.4 g/dL SPEP Protein Total Result Value Ref Range SPEP Protein Total 7.1 6.4 - 8.9 g/dL Serum Immunofixation Result Value Ref Range IgG Monoclonal IFE Serum None Detected None Detected IgA Monoclonal IFE Serum None Detected None Detected IgM Monoclonal IFE Serum None Detected None Detected Kappa Monoclonal IFE Serum None Detected None Detected Lambda Monoclonal IFE Serum None Detected None Detected Immunofixation Interp Serum Comment: An M-protein wasn''t identified by IFE. Refer to the sample''s concurrent protein electrophoresis interpretation for complete details.
CDC Split Type:

Write-up: Development of vascular lesions and vasculitis as well as numbness to the bilateral 1st and 3rd toes


VAERS ID: 1012079 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-01-21
Onset:2021-01-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bedridden, Contusion, Epistaxis, Fatigue, Full blood count, Gingival bleeding, Oral blood blister, Petechiae, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Promacta Viibryd Xanax Vitamin C Calcium Multi vitamins
Current Illness:
Preexisting Conditions: ITP
Allergies:
Diagnostic Lab Data: CBC, 25-Jan-2021, Platelet count critically low, Under 10k
CDC Split Type:

Write-up: My platelets dropped from 382k to under 10k 2 days after receiving Moderna Covid-19 Vaccine. I experienced bloody nose, Petechia, oral blood blisters, bruising, bleeding gums and was bedridden with fatigue.


VAERS ID: 1407112 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-01-05
Onset:2021-01-10
   Days after vaccination:5
Submitted: 2021-02-04
   Days after onset:25
Entered: 2021-02-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Deep vein thrombosis, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had positive COVID test 12/18/2020 and had the COVID vaccine 1/5/21. THis may have been too soon, as she presented to ER on 1/10/21 with N/V and new dx of left leg DVT. Could or could not have been related to vaccine vs recent COVID infection, not sure. Other Relevant Hx: Phlebitis & Nausea Vomitin


VAERS ID: 1007444 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-05
Onset:2021-02-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol succinate rosuvastatin amlodipine telmisartan hydrochlorothiazide
Current Illness: NA
Preexisting Conditions: HTN and HLD
Allergies: NKDA
Diagnostic Lab Data: Not yet
CDC Split Type:

Write-up: Purpura on bilateral inner lower legs within 3 hours of vaccination.


VAERS ID: 1008492 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-02-01
Onset:2021-02-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043L20A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Pulmonary embolism, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: I am not the treating physician, unknown.
CDC Split Type:

Write-up: Pt received first dose 1/5/2021. Pt received second dose 02/01/2021. Pt started to have SOB and tachycardia 2/2/20201. She presented to Hospital and was diagnosed and admitted with a pulmonary embolism. She is a paramedic in our EMS system. It is not known to me whether she had other risk factors for a pulmonary embolism.


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