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This is VAERS ID 369109

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 369109
VAERS Form:
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 9/14/2017

VAERS ID: 369109 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 2/14/2018

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 6/14/2018

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 8/14/2018

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 9/14/2018

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 10/14/2018

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 12/24/2020

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 12/30/2020

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 5/7/2021

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.


Changed on 5/21/2021

VAERS ID: 369109 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:2009-09-22
Onset:2009-09-22
Submitted:2009-11-20
Entered:2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA049AA / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Physiotherapy, Complex regional pain syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GAVISCON
Current Illness: Unknown
Preexisting Conditions: Gastritis; No other medical history known. Gastritis had improved therefore GAVISCON stopped 2 months prior to immunisation.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0605284A

Write-up: This case was reported by a foreign regulatory authority (GB-MHRA-ADR 20507243) and described the occurrence of a complex regional pain syndrome type I in a 14-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). The subject''s medical history included gastritis. Concurrent medications included GAVISCON. On 22 September 2009, the subject received 1st dose (1 injection) of CERVARIX (intramuscular, batch details: AHPVA049AA). On 22 September 2009, moments after the vaccination with CERVARIX, the subject developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome type I. The regulatory authority reported that the event was disabling. The subject attended accident and emergency, returned to GP four days later, and then referred back to A&E. The subject was receiving physiotherapy and hydrotherapy treatment. At the time of reporting the events were resolved. Verbatim Text: Moments after injection of HPV vaccine-developed painful arm, then hand. Symptoms suggestive of complex regional pain syndrome. Occurred 3 weeks before the report was made. Attended accident and emergency, returned to GP four days later, referred back to A&E. Receiving physiotherapy and hydrotherapy treatment at present.

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