- Staat
- CO
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 01.12.2023
- Impfdatum
- 26.10.2023
- Beginn
- 27.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute myocardial infarction
Death
Symptomtext
Pt had vaccine on 11/26/23 approx 12 noon expired 10/27/23 presumed AMI
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute myocardial infarction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- DM copd cirrhosis depression glaucoma hld htn cad
- Andere Medikamente
- ondansteron lantus losartan levothyroxine lovastatin citalopram coq10 glipzide meloxicam metformin
- Allergien
- tetracycline spinach corn
- Vorherige Impfungen
- -
- Staat
- WY
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 11.12.2023
- Impfdatum
- 02.12.2023
- Beginn
- 03.12.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood test
Computerised tomogram
Diabetic neuropathy
Headache
IIIrd nerve paralysis
Magnetic resonance imaging
Symptomtext
Patient was diagnosed after 2 urgent care visits and 1 ER visit over the course of 1 week. Persistent headache with eyes both not tracking the same. ER visit was 12-10-23 prescribed Prochloperizine and Hydrocodone. Picked up meds on 12-11-23 and notified about adverse reaction. Official diagnosis is diabetic cranial third nerve palsy
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- IIIrd nerve paralysis
- Hospital-Tage
- -
- Labordaten
- 2 CAT scans in ER and MRI, bloodwork 3-4 times (3 times at ER) Phone consultation with opthamologist from in town Phone consultation with neurologist from out of town
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- diabetes, hypercholesterolemia, hypertension,
- Andere Medikamente
- lantus, Humalog, rosuvastatin, diphenoxylate-atropine, metoprolol er, ipratropium bromide 0.06%, lisinopril, fenofibrate,
- Allergien
- no known
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 13.12.2023
- Impfdatum
- 11.12.2023
- Beginn
- 11.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Injection site pain
Symptomtext
Severe limited range of motion of right arm, starting approximately 4 hours after administration of Pneumovax 23 to right arm 12/11. Pain and soreness, with no signs of systemic reaction at injection site. Unable to lift her right arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 31.12.2023
- Impfdatum
- 07.12.2023
- Beginn
- 09.12.2023
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash erythematous
Rash pruritic
Symptomtext
Patient reports that approximately 48 hours post-HD influenza immunization, she started experiencing an itchy rash/redness on various parts of her body. She reports that it moves to different areas of her body - she has been using Zyrtec and hydrocortisone cream (unsure if it is OTC or Rx) since rash appeared. Patient reports that she is contemplating seeing a dermatologist as this has persisted daily since the first appearance.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash erythematous
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Patient reports using Zyrtec and hydrocortisone cream.
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 21.12.2023
- Impfdatum
- 14.12.2023
- Beginn
- 14.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site rash
Rash erythematous
Rash pruritic
Symptomtext
Moderate, itchy, red rash that covered entire deltoid of right arm. Started night of vaccination and resolved mostly by today (12/21/23). Patient did not take anything orally or topically for the rash.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- high triglycerides, depression
- Andere Medikamente
- escitalopram 10mg daily, Omega 3 fatty acids 1gm daily
- Allergien
- neomycin/bacitracin/polymyxin topical ointment, Bactrim DS, Premarin tablet, aminoglycosides, Colistin, dihydroaminopryidine
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 18.12.2023
- Impfdatum
- 14.12.2023
- Beginn
- 14.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Contusion
Injection site bruising
Pain in extremity
Symptomtext
Patient received the 2 vaccines in the left arm, has reported significant bruising of the entire arm that started the next day and pain in the arm that started about an hour after the vaccinations we given. Bruising is improving per patient encounter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- Hypertension
- Andere Medikamente
- ASA 325mg OTC, Lisinopril 10mg, Metoprolol 25mg, Ropinirole 1mg, Mucinex 12 hour, B12
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 15.10.2023
- Impfdatum
- 15.10.2023
- Beginn
- 15.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Hyperhidrosis
Symptomtext
Sweating, felt like she was about to faint
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Lisinopril, losartan
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 05.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 05.10.2023
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Injection site warmth
Rash
Symptomtext
Patient presented to pharmacy roughly 48 hours after receiving Fluzone HD and Moderna Spikevax in the Left deltoid. On the same arm about 6 inches down from the injection sites the arm was red, warm, and itchy. The size of the rash was about 5 inches in diameter. Patient stated she woke up with it this morning (10/5/23) and it was that size and has not changed since.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Notified primary provider immediately after speaking to patient
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None listed
- Andere Medikamente
- unknown
- Allergien
- NSAIDs
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 20.12.2023
- Impfdatum
- 15.12.2023
- Beginn
- 15.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Product storage error
Symptomtext
MOderna vaccine was removed from the freezer on 11/10/2023 and refrigerated beyond use date was 12/10/2023. It was administered to patient 5 days past the beyond use date on 12/15/2023. No adverse reaction reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- heart disease
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 20.12.2023
- Impfdatum
- 18.10.2023
- Beginn
- 18.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
The patient was too young to receive the high-dose flu vaccine. There were no adverse events. This was a medical error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 18.12.2023
- Impfdatum
- 08.12.2023
- Beginn
- 08.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient was given a HD flu shot instead of a regular dose by MA student in our clinic. It was verified by another MA. Physician is out of office and will be informed upon his return 12/19/23. Vaccine supervisor and APM notified. Student MA and other MA counseled. Patient will be notified upon physician's return.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 02.12.2023
- Impfdatum
- 01.12.2023
- Beginn
- 01.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Symptomtext
Patient presented to pharmacy requesting a "Flu, RSV, and COVID" shots. He filled out all the paperwork, and received all the vaccines. An hour later, the patient's spouse called the pharmacy to report the patient had already received his Flu shot at the free drive-thru clinic sometime in October, and had 'forgotten' that he already received it. Patient did not have any reported adverse events or symptoms, but he should not have received the vaccine. The patient denied having already received the shot, and marked 'no' on the question if he had the vaccine before.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 16.11.2023
- Impfdatum
- 07.11.2023
- Beginn
- 07.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
patient received a high dose flu vaccine in October but the prescription was not scanned into the pharmacy software system, the patient presented to the pharmacy two weeks later and did not remember getting a flu shot and was re-vaccinated with a high dose flu shot
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- diabetes mellitus type II
- Andere Medikamente
- n/a
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 10.11.2023
- Impfdatum
- 10.11.2023
- Beginn
- 10.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Given flu shot last month, but also given flu shot today. Patient and caregiver informed, but did not report any side effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 03.11.2023
- Impfdatum
- 03.11.2023
- Beginn
- 03.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Local reaction
Product administered to patient of inappropriate age
Symptomtext
Patient given high dose flu instead of regular dose flu in error. patient's mother is monitoring patient for increased intensity of local reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Local reaction
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Quadriplegic spastic cerebral palsy Pantothenic acid deficiency Seizure disorder (off meds, no seizures in many years) Dysphagia/G-tube dependence
- Andere Medikamente
- Vital 1.2 Dietary supplement albuterol sulfate nebulizer treatments every 6 hours as needed for shortness of breath/wheezing Cetirizine 5mg daily as needed for seasonal allergies Polyethylene glycol 17 Gm daily
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 28.10.2023
- Impfdatum
- 28.10.2023
- Beginn
- 28.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Wrong product administered
Symptomtext
Patient came in to get her Moderna Spikevax 12+ vaccine dose but was given Fluzone HD 65+ QIV instead. She left the pharmacy before the pharmacist realized his mistake. She has already had a flu vaccine this season given by her primary care provider. Message was left at PCP office, but patient would not answer her phone, so she is unaware at the moment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hypertension, Hypercholesterolemia, Unknown Respiratory System disorder, Unknown Heart disease.
- Andere Medikamente
- Amlodipine 10mg tabs, Atorvastatin 20mg tabs, Clopidogrel 75mg tabs, Hydralazine 50mg tabs, Lisinopril 20mg tabs, Metoprolol ER Succinate 50mg tabs, Pantoprazole 40mg tabs, Prolia 60mg/ml injectable sol 1ml
- Allergien
- No known Allergies
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- -
- Geschlecht
- U
- Eingang
- 16.10.2023
- Impfdatum
- 09.10.2023
- Beginn
- 09.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Medication error
No adverse event
Symptomtext
fluzone hd qiv following administration to a patient today 09oct2023, who just received the same vaccine 4 weeks ago with no reported adverse event; Initial information received on 09-Oct-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves an unknown age and unknown gender patient for whom influenza quadrival A-B high dose HV vaccine [Fluzone High-Dose Quadrivalent] following administration today 09oct2023, who just received the same vaccine 4 weeks ago with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 09-Oct-2023, the patient received a dose of suspect influenza quadrival A-B high dose HV vaccine (with an unknown strength and formulation) (lot U8138DA, expiry date- 30-JUN-2024) via unknown route in unknown administration site for Immunization who just received the same vaccine 4 weeks ago with no reported adverse event (inappropriate schedule of product administration) (latency- same day). Action taken was not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 13.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 03.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Poor quality product administered
Product storage error
Symptomtext
received the FLUZONE HD QIV post transit duration excursion with no reported adverse event; Initial information received on 03-Oct-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 83-years-old female patient who had received the influenza quadrival A-B high dose HV vaccine [Fluzone High-Dose Quadrivalent] post transit duration excursion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included covid-19 vaccine for Immunisation. On 03-Oct-2023, the patient received 0.7 mL dose of suspect influenza quadrival A-B high dose HV vaccine (unknown formulation) (batch number: U8138DA; expiry date: Jun-2024) via intramuscular route in the right deltoid for Influenza and immunization, post transit duration excursion with no reported adverse event (poor quality product administered) (same day latency). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- COVID-19 VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 11.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 03.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Poor quality product administered
Product storage error
Symptomtext
received the FLUZONE HD QIV post transit duration excursion with no reported adverse event; Initial information received on 03-Oct-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case 2023SA303907. This case involves a 87 years old male patient, received the FLUZONE HD QIV post transit duration excursion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included COVID-19 vaccine for Prophylactic vaccination. On 03-Oct-2023, the patient received 0.7 ml dose of suspect Influenza quadrival A-B high dose HV vaccine lot U8138DA via intramuscular route in the deltoid nos for prophylactic vaccination (strength: unknown), received the FLUZONE HD QIV post transit duration excursion with no reported adverse event(poor quality product administered) (latency same day). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event poor quality product administered This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- COVID-19 VACCINE
- Allergien
- -
- Vorherige Impfungen
- -