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Found 753 cases where Vaccine is RV5 and Symptom is Intussusception and Appearance Date on/before '2012-04-30'

Case Details

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VAERS ID: 303294 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Maryland  
Vaccinated:2007-12-28
Onset:2007-12-28
   Days after vaccination:0
Submitted: 2008-01-22
   Days after onset:25
Entered: 2008-01-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR CZ607AA / 2 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR ME852AA / 2 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0170-2 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 808666D / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0971U / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Physical examination normal
SMQs:, Gastrointestinal obstruction (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: barium enema X-ray 01/03/08 intussusception resolved; physical examination 01/14/07 normal. Labs and Diagnsotics: UC (-). LP with CSF with (+) RBCs. CSF protein 47. otherwise WNL. CBC with Hct 30.8, Hgb 10.4, WBCs 13.1. Labs and Diagnostics: Abd X-ray (+) for distended bowel loops. ABd US (+) for R mid/lower quadrant intussusception. Barium enema (+) for IS
CDC Split Type: WAES0801USA03165

Write-up: Information has been received from a physician concerning a 17 week old female with no pertinent medical history or drug allergies who on 02-NOV-2007 and 28-DEC-2007 was vaccinated PO with her first and second doses of RotaTeq (lot# 657459/0509U, 656387/0971U). There was no concomitant medication. On 28-DEC-2007 the patient experienced intussusception and was hospitalized on 03-JAN-2008. The intussusception was resolved with a barium enema. The patient did not require surgical interventions. On approximately 06-JAN-2008 2-3 days after hospitalization, the patient was discharged home and was noted to be recovered. On 14-JAN-2008 the patient was seen for a follow-up visit with the physician and her exam was normal. On that same day after the exam, therapy with RotaTeq was discontinued by the physician. There was no product quality complaint. Additional information has been requested. 01/25/2008 Vax record received and data entered. 01/29/2008 MR received for ER visit 1/3/08. Infant to ER with screaming, vomiting, and listlessness. No po intake that day. Impression: Viral syndrome. Vomiting. Child transfered to another facility for further care. 03/27/2008 MR received for DOS 01/4-6/2008 with D/C DX: Intussusception. Infant presented to local hospital with lethargy, decreased po intake and vomiting. Pt later had a bloody stool. IS noted on Abd US. Air contrast enema successful in reducing IS. Pt began taking PO well and became more alert and was d/c home.


VAERS ID: 303317 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Unknown  
Vaccinated:2007-09-19
Onset:2008-01-09
   Days after vaccination:112
Submitted: 2008-01-15
   Days after onset:6
Entered: 2008-01-23
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0769U / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Lethargy, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 3/14/08-records received-PMH: respiratory syncytial virus.
Allergies:
Diagnostic Lab Data: Unknown 3/14/08-records received-CT scan showed ileocolic intussusception and an attempt to reduce with barium enema which was unsuccessful. RSV and rotavirus negative. Labs WNL except for Glucose of 121.
CDC Split Type: WAES0801USA02370

Write-up: Information has been received from a nurse concerning an 8 month old female who on 06-JUN-2007 was vaccinated with the first dose of Rotateq (Lot # 656393/0240U). On 19-SEP-2007, the patient was vaccinated with the second dose of Rotateq (Lot # 657522/0769U). On 09-JAN-2008 the patient came into the office lethargic and spitting up. The patient was sent to a local hospital and was transferred to another hospital where she was admitted. The patient had surgery on 09-JAN-2008 for intussusception. As of 10-JAN-2008, the patient was "stabilized". The nurse felt that the intussusception was life-threatening and an other important medical event. A lot check has been requested. Additional information has been requested. 3/14/08-records received for DOS 1/9-1/11/08-DC DX: Intussusception. Hx of 1 bloody stool, vomiting and lethargy. Refused to eat. Exploratory laparotomy with reduction of intussusception and appendectomy.


VAERS ID: 303591 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Iowa  
Vaccinated:2007-10-24
Onset:2008-01-13
   Days after vaccination:81
Submitted: 2008-01-25
   Days after onset:12
Entered: 2008-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124CA / 3 LL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0676U / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08700K / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1391U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception, Ultrasound scan
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Ultrasound 2/14/08-records received- Hemoccult test of stool positive. US confirmed intussusception, water enema given without resolution. Therapuetic enema resolved intussusception after 4th attempt.
CDC Split Type:

Write-up: Developed intussusception at 8mo of age, 1-13-08. Unrelated to Rotateq? Transferred to hospital where this was corrected. 2/14/08-records received for DOS 1/8-1/12/08-DC DX: Intussusception. Intermittent fussiness began Wed, seen in ED treated with suppository with positive stool and vomiting resolved. Thursday fussy, black stool and low grade temp.


VAERS ID: 303729 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Male  
Location: California  
Vaccinated:2008-01-11
Onset:2008-01-12
   Days after vaccination:1
Submitted: 2008-01-21
   Days after onset:9
Entered: 2008-01-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B137AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C42993 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1193U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Haematochezia, Intussusception, Surgery
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None. PMH: none except recent mild URI. NKDA.
Allergies:
Diagnostic Lab Data: surgery revealed intussusception. Labs and Diagnostics: KUB showed gas in the L colon and a soft tissue density in the R colon with distended bowel. Barium enema (+) for IS. CBC with WBC 15.8, Hgb 10.9, electrolytes WNL. CO2 20. Glucose 111. Stool 1+ WBCs. Stool cx (-).
CDC Split Type:

Write-up: Child received immunizations 1/11/08. Went to ER on 1/12/08 - bloody stools - diagnosed with intussusception (surgical reduction required). 01/31/2008 MR received from CDC including vax record confirming vax as reported and hospital records from DOS 1/12-15/2008 with DX: Ileocolic Intussusception. Infant presented to ER with progressive nausea, vomiting and bloody diarrhea. PO intake decreased. Surgical consult PE (+) for lethargy, abdominal tenderness and a RUQ density on deep palpation. IS was not reducible by BE so pt had surgical reduction of IS and appendectomy.


VAERS ID: 304208 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-02-01
Entered: 2008-02-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


VAERS ID: 304268 (history)  
Form: Version 1.0  
Age: 0.31  
Gender: Male  
Location: Alabama  
Vaccinated:2008-02-01
Onset:2008-02-02
   Days after vaccination:1
Submitted: 2008-02-04
   Days after onset:2
Entered: 2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B128AB / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF213AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54013F / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0969U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea haemorrhagic, Enema administration, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: DRY PATCHES ON SKIN, SNEEZING
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal ultrasound, Barium enema, Stool culture, Stool O&P and Stool for rotavirus 2/25/08-records received-US demonstrated intussusception. Air contrast enema showed evidence of a resolved intussusception. Stool hemoccult positive. Stool positive for Salmonella group B.
CDC Split Type:

Write-up: Patient presented to ER on 2/2/08 with vomiting, bloody diarrhea; had Abdominal U/S which showed intussusception which was followed by a barium enema which showed resolution of intussusception, still in hospital as of today 2/4/2008. 2/22/08-records received for DOS 2/3-2/4/08-Gastroenteritis with hematochezia resolved intussusception. C/O diarrhea 2/2/08, watery stools. Vomiting and blood noted in stool. Fussy.


VAERS ID: 304412 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-02-05
Entered: 2008-02-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, Decreased appetite, Diarrhoea, Explorative laparotomy, Intussusception, Vitello-intestinal duct remnant, Volvulus, Vomiting
SMQs:, Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0801USA05329

Write-up: Information has been received from a post-marketing evaluation program concerning a 5 month old female who was vaccinated PO with the first dose of Rotateq. Subsequently 7 days post dose, the patient was brought to the office with complaints of vomiting, diarrhea, poor appetite. The patient was admitted for exploratory laparotomy with reduction of partial volvulus, resection of Meckel''s diverticulum and appendectomy and was hospitalized for 6 days. The patient was discharged on day 6 with a diagnosis of ileocolic intussusception with partial volvulus. Subsequently, the patient recovered. The events were considered to be other important medical events (surgery) by the reporter. Additional information has been requested.


VAERS ID: 304413 (history)  
Form: Version 1.0  
Age: 0.54  
Gender: Male  
Location: Illinois  
Vaccinated:2007-08-22
Onset:2007-10-02
   Days after vaccination:41
Submitted: 2008-02-05
   Days after onset:126
Entered: 2008-02-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 3 - / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1273F / 3 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 3 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0971U / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown. PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnsotics: Abd US (+) for IS, Barium Enema (+) for IS. Abd X-ray with paucity of bowel gas. Appendix showed lymphoid hyperplasia on path exam.
CDC Split Type: WAES0801USA05635

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with a 2.0 ml dose of Rotateq (no lot# provided) (dose of series unknown). Subsequently the patient experienced intussusception. The patient sought unspecified medical attention. Subsequently, the patient recovered from intussusception. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of two reports from the same source. Additional information has been requested. 03/31/2008 MR received for DOS 10/3-5/2008 with DX: Intussusception. S/P Laparoscopic Appendectomy and reduction of Intussusception. Infant presented with fever, vomiting, abdominal pain and bloody stool. Abd US (+) for IS and pt transferred to current facility for Tx. Unable to reduce by Barium Enema so taken to OR for surgical reduction. D/C home on POD#2.


VAERS ID: 304434 (history)  
Form: Version 1.0  
Age: 0.53  
Gender: Female  
Location: Nevada  
Vaccinated:2007-11-01
Onset:2007-11-15
   Days after vaccination:14
Submitted: 2008-02-06
   Days after onset:83
Entered: 2008-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B126BB / 3 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2463AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007C / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1192U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Barium enema, Bowel movement irregularity, Gastroenteritis viral, Gastrointestinal sounds abnormal, Intussusception, Ultrasound abdomen abnormal, Urinary system X-ray
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None PMH: flu w/diarrhea which resolved after 3 days 2 wks prior to admit
Allergies:
Diagnostic Lab Data: ER LABS: US of abdomen revealed ileoceal IS. BE failed to reduce IS. KUB WNL. WBC 12.52 (H), plts 576 (H). Urine w/3+ ketones, WBC 10-12 (H). Hosp LABS: Repeat US revealed IS. Gastrofraffin enema reduced IS.Plt count 499 (H). Mono count 1.0 (H), CO2 19 (L).
CDC Split Type:

Write-up: The patient presented in the office on November 16, 2007 with vomiting, cramping abdominal pain. She had not had a bowel movement for 2 days. Her abd./gastro was soft and hypoactive. She was diagnosed with viral gastroenteritis. Pt. mom was told to supplement with Pedialyte 1/2 ounce every 15-20 minutes until the patient had not vomited for 6 hours. She was told no solids for 24 hours and to give Mylicon drops every 4 hours as needed. She was also told to go to the ER if it worsened over the weekend. The patient then presented to the Emergency Room 11/18/2007 at 4:15 a.m. with worsening symptoms. The ER did a KUB that showed nonspecific bowel gas pattern the ER physcian then consulted a General Surgeon who ordered an abdominal ultrasound. The abdominal ultrasound was postive for intussusception localized in the right upper quadrant mainly pointing at an ileoceal or ileo-ascending colon intussusception. The patient then underwent a hydrostatic barium enema reduction of her intussusception that failed. So the patient was then transported to another facility where the intussuception was reduced. 2/7/08 vax rec received; no update needed- vax/lot # are as reported. 2/8/08 Reviewed ER medical records which reveal patient experienced abdominal pain & bilious vomiting x 3 days. Transferred to higher level of care for peds surgical consult. 2/19/08 Reviewed hospital medical records which reveal patient experienced IS unable to reduce via BE at outlying hospital. Had bilious emesis & abdominal pain 3 days prior to admit, seen by pcp & dx w/recurrence of viral infection. Resolved & recurred again & crying inconsolably. Admitted 11/18-11/19/2007. Surgical consult done. FINAL DX: Intussusception, enema reduced.


VAERS ID: 304562 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Illinois  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-02-07
Entered: 2008-02-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0802USA00691

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with a 2.0 ml dose of Rotateq (no lot# provided) (dose of series unknown). Subsequently the patient experienced intussusception. The patient sought unspecified medical attention. Subsequently, the patient recovered from intussusception. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of two reports from the same source. Additional information has been requested.


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