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From the 11/12/2021 release of VAERS data:

Found 4,089 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUA3 or FLUA4 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1) and Disabled

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Case Details

This is page 39 out of 409

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VAERS ID: 197342 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Female  
Location: New York  
Vaccinated:2002-10-04
Onset:2002-10-06
   Days after vaccination:2
Submitted: 2003-02-05
   Days after onset:122
Entered: 2003-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Private
Symptoms: Dehydration, Difficulty in walking, Diplopia, Encephalitis, Vertigo
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Vestibular disorders (narrow), Ocular motility disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: encephalitis~Influenza (Seasonal) (no brand name)~~75.30~In Patient
Other Medications:
Current Illness: none
Preexisting Conditions: thryoid and high cholesterol;Osteoarthritis, degenerative joint disease
Allergies:
Diagnostic Lab Data: She ended up being diagnosed with encephalitis and vertigo.
CDC Split Type:

Write-up: My mother received the flu shot on October 4, 2002 and two days later was having problems walking. This progressed until the end of Dec. when she became sick and dehydrated and had double vision. The 60 day follow up states pt is in intensive care with encephalitis and as of today is not responding well.


VAERS ID: 197345 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:1999-10-08
Onset:1999-10-08
   Days after vaccination:0
Submitted: 2003-02-05
   Days after onset:1216
Entered: 2003-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: Private
Symptoms: Arthritis, Arthropathy, Pain
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Pills; Claritin; Flonase
Current Illness: N/A
Preexisting Conditions: Allergies: Seasonal, dust mites, mold, tree/grass pollens
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shot was given up high on my right shoulder. Soreness from shot continued. 3/14/00: I discussed pain in shoulder with Dr. while in the office for other purpose-he thought immunization might have hit the bursas in my right shoulder. Tried 3 ibuprophin twice daily in Sept/Oct 2001. 10/29/01: Dr. referred me to physical therapy for right should pain. 11/16/01-12/27/01: went to physical therapy. The therapist suggested that there might be other problems beyond what therapy could do for me. 1/21/02: x-ray of right shoulder. 2/4/02: Dr. diagnosed osteoartritis in my right shoulder and gave me my 1st cortisone shot. 11/11/02: Returned to Dr. and received a 2nd cortosone shot. Shoulder is still painful from the arthitis in the same location as I had received the flu shot. The follow up states the date of the flu immunization is incorrect in the letter and on the authorizations for release of info. It should be 10/8/99, not 10/8/02. I changed the date. I didn''t provide the following info when I filed the original report. I was taking a prescription medication for cyclobenzaprine 10mg after seeing physician''s assistant. This was also for the right shoulder (muscle strain). I received physical therapy from 11/16/01-12/27/01. I didn''t give you the name of the provider in the original report. I''m mailing the authorizations for release of info today. Degenerate AC joint change.


VAERS ID: 198299 (history)  
Form: Version 1.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2002-10-12
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2003-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxocobalamine, thyroxine
Current Illness:
Preexisting Conditions: Hypothyroidism, Addisonian pernicious anaemia.
Allergies:
Diagnostic Lab Data: Stool culture, date unknown, result negative
CDC Split Type: PJP2003000670

Write-up: A report was received from a regulatory authority on 2/17/03 concerning a 71 y.o. female vaccinee who developed chronic diarrhea which was considered disabling for an unspecified length of time after receiving Fluvirin on 10/12/02. Concomitant medications taken included thyroxine and hydroxocobalamin. The vaccinee has a history of hypothyroidism and Addisonian pernicious anaemia. On an unreported date the vaccinee developed chronic and frequent diarrhea. Stool culture was negative. No cause was found. The vaccinee had not recovered at the time of the event. There was insufficient info to determine the reporter''s causality assessment.


VAERS ID: 198477 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2002-11-01
Onset:2002-12-01
   Days after vaccination:30
Submitted: 2003-02-26
   Days after onset:87
Entered: 2003-02-28
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0984AA / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Cerebellar syndrome, Coordination abnormal
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: U200300076

Write-up: It was reported that a pt was vaccinated with an influenza vaccine in November 2002 by the army. Three weeks later he experienced cerebellitis and was hospitalized. As a cause wasn''t found, the treating physician felt a possible relationship with the influenza vaccination. He is treated with methylprednisone IV and slowly improving. At the time of this report he is not recovered yet. We asked for the hospital report. Further info is expected. A 15-day follow up report received 04/17/2003 adds: The pt was hospitalized from 12/09/2002 till 12/17/2002 for further investigations. First symptoms as feeling unsteadiness while walking and clumsiness of speech occurred on 12/05/2002. These symptoms progressed during the following days and necessitated a neurologic consultation. The cranial MRI showed no abnormalities. Physical examination showed a gaze-evoked nystagmus to the left, marked cerebellar dysarthria, dysdiadochokinesis on the right, on the left, moderate broad-based gait ataxia, slightly dysmetric finger-to-nose test and heel-to-shin test, slight action tremor, markedly hypermetric finger-finger-test. No tremor at rest, no myoclonus. No sensory abnormalities. No vegetative dysfunction. Exam of heart, vessels, lymphnodes, lung, abdomen, thyroid, skin unremarkable. The pt was treated with corticosteroid (500 mg methyprednisolone/day IV from 12/12 till 12/14/2002. After this treatment there seemed to be a slight improvement of dysarthria and gait ataxia. The diagnosis of cerebillitis due to a viral disease or immunization or a paraneoplastic mechanism was discussed to be the cause of the cerebellar syndrome, but none could be verified. At the time of this report the symptoms improved slowly but the pt was not yet recovered. No further info is expected. File closed.


VAERS ID: 199311 (history)  
Form: Version 1.0  
Age: 53.0  
Sex: Male  
Location: Texas  
Vaccinated:2002-11-19
Onset:2002-11-20
   Days after vaccination:1
Submitted: 2003-03-11
   Days after onset:111
Entered: 2003-03-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0983AA / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Anxiety, Apnoea, Cholecystitis, Goitre, Influenza like illness, Leukocytosis, Lung disorder, Myositis, Otitis media, Pain, Pharyngitis, Pneumonia, Pneumonitis, Polymyositis, Pulmonary fibrosis, Rhinitis, Sepsis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (narrow), Infectious biliary disorders (narrow), Gallbladder related disorders (narrow), Eosinophilic pneumonia (narrow), Hypothyroidism (broad), Hyperthyroidism (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 94 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Several negative-will provide data upon request
CDC Split Type:

Write-up: Body ache, flu-like symptoms that rapidly progressed. Was diagnosed with polymyositis and desquamative interstitial pneumonitis. The discharge summary states polymyositis, pulmonary fibrosis, pneumonia, staph aureus, bacteremia, cholecystitis, respiratory failure, anxiety disorder, and leukocytosis. The 60 day follow up received states polymyositis, interstial lung disease-receiving chemotherapy and steroids. Required to use oxygen 24/7. Readmitted to hospital-3 wk stay-8 days in ICU on ventilator. Must now consider medical retirement. The follow up received on 3/31/03 states, "triggered: polymyositis, interstitial lung disease, MRSA, respiratory failure, original diagnosis congestive heart failure, 94 days in hospital."


VAERS ID: 199649 (history)  
Form: Version 1.0  
Age: 3.5  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2003-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK MO / PO
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Difficulty in walking, Gait disturbance, Laboratory test abnormal, Lymphadenopathy, Osteomyelitis, Pain, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported
Current Illness:
Preexisting Conditions: 2 otitis media infections, mild eczema controlled with non-steroidal cream, thigh furuncle, R lower lobe consolidation, MAC, 3mo history L lower leg pain, 3 wk fever up to 38.9C,mycobacterium avium infection.
Allergies:
Diagnostic Lab Data: Chest X-ray- abnormal,purified protein derivative skin test - positive, Bronchoscopy grew acid-fast bacilli, gastric aspirate positive for MC,Radiology findings were absent for bone tumors, leukemia was unlikely since there was a lack of organomegaly and there was a relatively norm 1 complete blood cell count, even though the pt had fever and lytic lesions. The reporters felt that the pt''s presentation with fever, bone pain, leukocytosis, elevated ESR, and lytic bone lesion was concerning for osteomyelitic.
CDC Split Type: PJP200300094

Write-up: A report was rec''d concerning a child vaccinated who experienced mycobacterium avium complex (MAC) osteomyelitis an unspecified length of time after receiving influenza vaccine (brand unspecified), DTaP with hepatitis B (brand unspecified), inactivated polio vaccine (brand unspecified), oral polio (brand unspecified), and varicella vaccine (brand unspecified) on an unknown date. No BCG was administered. On an unspecified date the pt presented with a 3 month history of L lower leg pain and a 3 wk history of fevers up to 38.9C. the leg pain was constant dull ache that had increased gradually. Her pain localized over the anterior L lower leg but there was no swelling or erythema. She had a noticeable limp and avoided walking. There was no improvement with non-steroidal anti-inflammatory drugs. The was no history of previous leg pain, trauma, lymph node swelling, rash, insect bite, viral infection or joint swelling. the pt''s mother had a history of recurrent MAC osteomyelitis. The pt was not toxic on physical exam but was anxious and guarded her left leg. Her temp was 38.5C, pulse 120 beats/minute, respiratory rate 28 breaths/minute, and blood pressure 85/45. the exam was remarkable for 1X1cm non tender, soft, mobile, L submandibular lymph node. Her L tibia was tender to palpation without visible edema or erythema. There was no lymphadenopathy or organomegaly. Laboratory date initially revealed a leukocyte count of 17,500 cells/mm3 with 50% lymphocytes, 37 % neutrophils and 1% eosinophils. The haemoglogin was 7.3 g/dl and the platelet count was 583,000 cell/mm3. Erythrocyte sedimentation rate (ESR) and C-reactive protein were elevated at 105 mm/hr and 8.1 mg/dl, respectively. Plain X-rays demonstrated lytic lesions of the tibia and femur. In the opinion of the reporters, the dx was unlikely to have been growing pains as massage and acetaminophen did not help. In addition, growing pains are intermittent, and she had progressive unilateral lower leg pain. Cellulitis was ruled out as there was a lack of localized swelling AND ERYTHEMA OVER THE SYMPTOMATIC AREAS. The pt''s newborn screen was negative for sickle cell disease and titers were no sickle cells on the peripheral blood smear thereby excluding sickle cell disease. The presence of the lutic lesions sad the absence of joint symptoms, make JRA unlikely. There was insufficient information to determine the reporters causality assessment.


VAERS ID: 199740 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2002-11-06
Onset:2002-11-07
   Days after vaccination:1
Submitted: 2003-02-24
   Days after onset:109
Entered: 2003-03-18
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0950AA / 7+ RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0445M / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Hot flush, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol with codeine 2 prn day, Elavil at HS 25mg, Triamt/HTZ 5 day
Current Illness: NONE
Preexisting Conditions: Heart surgery at age 35 ? ductus arterosus; 1986 injury to neck C5-6 followed by ?, shoulder dislocation 1983
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Received vaccine 11/6/02. Saw physician 11/8/02 with localized pain. Large area of erythema, warmth, tenderness and edema affecting the upper extremity. Pt states symptoms have slightly improved over last 12-24 hrs. Pt noticed tingling in arm on evening 1/6/02 felt like "a warm fluid." Symptoms stayed constant 2 days going away on 3rd day. Now arm really really tender. Has hot flashes of arm being hot. Always tingly. The information entered in box #13 is from the documentation in the pt''s medical record. However, the pt insists he was given the pneumonia shot in the right arm and that is what he reacted to. He stated the nurse told him which arm each was injected into-states he remembers his left arm bled after the flu shot and he didn''t bleed after the pneumonia shot. Per 60 day follow up: It is unknown if the patient has recovered. The patient has not been seen at clinic since 11/08/2002. Pt. returned for an influenza vaccination 11/20/03. He had no other physician visits since 11-08-02.


VAERS ID: 201164 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: Ohio  
Vaccinated:2003-03-20
Onset:2003-03-21
   Days after vaccination:1
Submitted: 2003-03-27
   Days after onset:6
Entered: 2003-04-09
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0909AA / 4 - / -

Administered by: Public       Purchased by: Public
Symptoms: Pain, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Flu
Preexisting Conditions: Tuberculosis, Diabetes, HBP, GERD hyperliperdemia. Glaucoma COPD psychosis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in arms, drowsiness.


VAERS ID: 201943 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:2002-12-02
Onset:2002-12-23
   Days after vaccination:21
Submitted: 2003-04-11
   Days after onset:108
Entered: 2003-04-22
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0883AA / UNK LA / -

Administered by: Other       Purchased by: Public
Symptoms: Abdominal pain, Asthenia, Guillain-Barre syndrome, Paralysis
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Phenytoin, Cipro, Enoxaparin, Tylenol, Sevelamen, Epocrit, Nepro, Nifidipine, Atenolol
Current Illness: End stage renal disease; on dialysis since age 11.
Preexisting Conditions: Congenital urologic abnormality; Chronic anemia; Pancreatitis; Seizure history
Allergies:
Diagnostic Lab Data: Lumbar puncture done. CSF "consistent with GBS"
CDC Split Type:

Write-up: On 12/23/02 c/o abdominal pain but not much change till sent out to hosp 1/2/03 due to ascending weakness. Dx by MD as Guillain Barr? syndrome. Given IVIG 2 gram/kilo over five days. Returned to prison. Currently paralyzed but no breathing problems and can wiggle fingers and toes. Some improvement. Follow up: No additional information reported.


VAERS ID: 202812 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: Kansas  
Vaccinated:2002-11-01
Onset:0000-00-00
Submitted: 2003-04-25
Entered: 2003-05-09
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private       Purchased by: Other
Symptoms: Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown medication for urinary infection
Current Illness: Urinary infection
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: (+) EMG diagnosis of peripheral neuropathy
CDC Split Type:

Write-up: Peripheral neuropathy documented by EMG with symptomatic onset 7-14 days after 2000 flu vaccine and worsened 7-14 days after 2002 flu and pneumococcal vaccine (1 wk after urinary infection)$g. The 60 day follow up received on 8/11/03 states mild length-dependent primarily axonal peripheral neuropathy.


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