Around 60% of the respondents reported having chronic fatigue syndrome (ME/CFS) or fibromyalgia, leaving 40% who did not report having either one a result that I have trouble understanding given that I would be surprised: a) if the poll reached outside the ME/CFS/FM communities and; b) given that I dont know why other people would want to participate, anyway. We can see from these polls that a small minority are affected. One cup of coffee later I was feeling quite tired, which was odd. Ive had some serious health issues along the way, but I recover and get on with it. Objectives: This is clearly a very worrying situation for people in this group, especially when it comes to deciding on whether or not to have the second dose if you have still not fully recovered. We were all vaccinated against Yellow Fever, and Malaria for holidays and did so without a second thought. Have about half of pre-vaccine energy. Unable to perform any strenuous tasks. There are an estimated 25,000 people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) in New Zealand. What Should We Expect From Long COVID Treatment? My GP described it as Post Viral Fatigue. I have been told by GP not to have second vaccine, but no-one can tell me if/when I will improve. Median follow-up was 108 days after the first dose and 90 days after the second. University of Otago's Emeritus Professor Warren Tate says he is aware of serious reactions triggered by the Pfizer vaccine in several people who have the condition. A total of 39 episodes of uveitis relapse events occurred in 34 patients after the receipt of a dose of COVID-19 vaccine within 30 days. amzn_assoc_default_search_key = ""; They can help with your recovery and diagnose any new problems resulting from the coronavirus infection. Seventy-one percent reported their symptoms were over within a week, 9% within 2 weeks, 10% up to a month, and 9% were still having symptoms 30 days later (n=275). Someone else may be in bed for a few days after walking around the block. Unauthorized use of these marks is strictly prohibited. Thank you, {{form.email}}, for signing up. Sixty-three percent reported they were over the side effects by the first week, 18% by two weeks and 18 percent (2 people) reported they were still experiencing them a month later. My vaccination reaction was far, far worse than I could ever have imagined. 5thMarch -17thAprilStill very tired. Epub 2022 Aug 8. Please donate today so we can provide support and bring hope to people with ME/CFS A team of scientists have investigated a case of vaccine-associated chronic fatigue syndrome (CFS) and macrophagic myofasciitis in an individual demonstrating aluminium overload. Lancet. amzn_assoc_tracking_id = "patientrising-20"; First we hear from Dr Charles Shepherd, Hon. nausea, severe migraine type headache, severe joint pain, aching all over even to my fingertips, face and jaw pain, confusion/brain fog, unable to sleep, unable to eat, upset stomach. It has happened after outbreaks of SARS, MERS, West Nile fever, Epstein-Barr viral infections, and Ebola. This button displays the currently selected search type. Knowing that a bit of tiredness might be a side effect from the vaccine and with nothing too urgent in my workload, I decided to be kind to myself and I took the rest of the day off. Indeed, it may increase the risk of side effects since the reactogenicity (which is the expected symptoms you get from your immune system such as headaches, fevers, flu-like symptoms) is expected to increase with each dose," she said. Cold hands and feet. It happened again this week after the Energy Department confirmed that a classified report determined, with low confidence, that the virus escaped from a lab. Studies are planned to identify whether some people with delayed recovery develop an ME/CFS-like illness.. The B.1.1.7 variant from the U.K. appears to be about 65% more deadly than prior forms of the virus. I'm surprised I reacted so badly. After reviewing electronic health records in the Maccabi Healthcare Services database, the researchers identified 702 GBS patients, 579 of whom had received one Pfizer COVID-19 vaccine dose; 539 had received both doses. I'm not anti-vaccine. CFS commonly affects middle-aged people, but people of any age can get it. Post-COVID-19 pain is prevalent and can develop into more challenging and persistent pain. Most people appear to be having a far easier time getting over any side effects from the vaccine than getting over the coronavirus. Researchers estimate that roughly 80% of people who have COVID-19 continue to experience new or lingering symptoms more than two weeks after infection. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. A pharmacy technician preps doses of the Pfizer-BioNTech vaccine at a mass Covid-19 vaccination event on January 30 in Denver. Scientists are one step closer to developing a vaccine for cervical cancer after trials in mice showed it reduced tumours 80 per cent of the time.. The mixed-effects Cox regression model was used to account for the correlation of repeated measures on an individual, if necessary. Not for me but as a way of addressing that this is occurring and possibly finding a solution or help for those who will come after me. It is not intended as medical advice and should be used for informational purposes only. Your risk of getting the virus in the U.S. should be steadily declining over time. Thirty-four percent reported having no or mild or symptoms, 43% called their symptoms moderate, and 23% called their symptoms severe (n=329). I realise this sounds excessive, but it is truly how I felt. Seven weeks ago he developed Covid-19 symptoms that he describes as being like a bad flu. All patients had evidence of radiological activity on MRI. The patient had no medical nor family history. amzn_assoc_theme = "light"; She is one of thousands of Kiwis with CFS who have been unable to. The Claim. Russell Fleming, Content Manager, ME Association. The experience was awful, but nothing will deter me from doing it all again. DOS. The feeling went away almost as quickly as it came on. It has been approved for use in 60 countries. It really does seem to be based on the individual. Brain fog; unable to concentrate for long. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Not nice but Covid would be worse. Recent press coverage of myalgic encephalomyelitis (ME) or chronic fatigue syndrome has highlighted the potentially debilitating nature of this disease and related conditions. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. Your risk of getting the virus in the U.S. should be steadily declining over time. People with ME/CFS/FM reported that recovery from actually having the virus was often difficult. Side effects are common after COVID-19 vaccinations. We currently have very little feedback from people with ME/CFS who have had a second dose of either the AstraZeneca or Pfizer vaccines. FOIA In addition, it may pay to know that the local GP system has broken down in some areas. "So there's another sub-group that really would be at risk for vaccinations," Tate said. It is not intended to provide medical or other professional advice. 3 * Samples: 1. FULL STORY Recognizing COVID-19-related myocarditis: The possible pathophysiology and proposed guideline for diagnosis and management. Millions of people are now COVID-19 survivors. Many more people reported experiencing more severe symptoms with the first shot of the AstraZeneca vaccine (47% reported moderate symptoms and 31% reported severe symptoms). The vaccines dont stop people from getting infected. www.sciencedaily.com/releases/2008/11/081118141856.htm (accessed March 4, 2023). Alenna McLean had a severe flare up of her chronic fatigue syndrome (CFS) after she had her first Covid-19 jab in July. Among those who have had COVID-19, 11% say they currently have long COVID, 2 which often includes unrelenting fatigue, respiratory symptoms, neurological difficulties and joint or muscle pain, all of which may become worse after physical or mental exertion. Photo: Supplied/Kate Duder. Document Information click to expand document information . Don't miss another one. The system was so organised, there was no queue and I was in front of the nurse before I knew what was happening. It is highly unlikely that you will be offered a choice of vaccine that is just based on the fact that you have ME/CFS. I really think something happened after the vaccine to where my body is having an extended fight or flight response. ME/CFS sufferers' symptoms include pain in organs and tissues, cognitive dysfunction, headaches, debilitating fatigue, and disturbances of the autonomic nervous system, which regulates functions like heart rate, blood pressure and sleep. You should also consider reporting the reaction to theMHRA using the Yellow Cardsystem. The next three days were very bad, with dizziness, disorientation, extreme fatigue, very cold with uncontrolled shaking interspersed with uncontrollable sweating. The findings will be submitted to the Immunisation Advisory Centre (Imac) and the Ministry. Get the latest science news in your RSS reader with ScienceDaily's hourly updated newsfeeds, covering hundreds of topics: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. It may be a while before healthcare providers are able to identify whether people with post-COVID-19 symptoms experience PEM. Within half an hour I was asleep on the sofa and didnt wake until my husband came home around 4.30pm. Several medical recommendations for helping people recover from post-COVID-19 symptoms had surfaced by the end of the summer of 2020. 2020 Jul;17(7):365-367. doi:10.1038/s41585-020-0331-y, Lyons D, Frampton M, Naqvi S, Donohoe D, Adams G, Glynn K. Fallout from the COVID-19 pandemic - should we prepare for a tsunami of post viral depression? However, these symptoms are reported by patients 2-3 weeks after testing positive for COVID. This site needs JavaScript to work properly. I need to rest more and pace better. The following are the most common symptoms of CFS. Have any problems using the site? Note: Content may be edited for style and length. We recruited participants via collaborator community organisations in Canada, Ireland, UK and USA. This is to optimise vaccine protection. I do not have ME/CFS, but as a teenager I contracted Glandular Fever and was pretty unwell for some time. If there is a subset of people with ME with these long and severe adverse reactions it would be great to know how many, if it is related more often to one vaccine, what alternatives we have and what to do about it. While the course of vaccinations was cited by an industrial injuries tribunal as the cause of the CFS in the individual, it was not likely to be a cause of the elevated body burden of aluminium. openmindmag.org. They're a common part of ME/CFS and can be caused by a number of factors, such as an infection or an unplanned activity. The cause of CFS is unknown. 2020 May;70(Suppl 3)(5):S131-S135. I found Health Rising a few years ago, but I only started subscribing to receive it in my inbox in mid-2022. I have gone back to how I was 20 years ago. "It just doesn't match with what the Ministry [of Health] is trying to feed us at the moment - that there aren't vulnerable populations out there. What seems likely is that all those over 50, and those in vulnerable clinical groups (i.e., JCVI group 4 and possibly group 6), will now be offered a booster dose in September or October, possibly combined with the annual flu vaccine that is due at the same time. 2023 Feb 1;6(2):e2255804. The Johnson and Johnson one-shot vaccine as approved for use in the U.S. on Feb 27th. Most people are breezing through the first Pfizer/Moderna vaccination shots with about 2/3rds reporting mild or non-existent symptoms. The question whether or not to get a coronavirus vaccine hinges on two issues: the risk of getting sick from the vaccine versus the risk of getting sick from the virus. This study aims to explore factors that influence the risk of uveitis relapse after COVID-19 vaccination to guide the prevention of disease. 2022 May;52(3):511-525. Effect of 2 inactivated SARS-CoV-2 vaccines on symptomatic COVID-19 infection in adults: a randomized clinical trial. "We completely understand the concerns of people with long-term conditions such as ME/CFS around vaccination. It would seem from the feedback we have received, that they are not. I didnt have a headache as such, but my head felt muzzy, full of cotton wool. Anti PF4. Covid-19 & ME/CFS: Not everyone tolerated the first Covid vaccine. Chronic fatigue syndrome linked to lower levels of some gut bacteria People with chronic fatigue syndrome have less of a kind of "I have ME and react to a lot of things, so I've been very cautious about getting the vaccine when I can't even take supplements," Dudersaid. Severe symptoms with any exercise. doi: 10.1001/jamanetworkopen.2022.55804. PMC Results can be found by clicking on the blue Results link at the bottom of the poll. HIT assay using Accustar and Diamed have generally shown negative results and so cannot be relied upon. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Pauline, Annette, and Neil (MEA Chairman) have ME/CFS, but Caroline (MEA Magazine Editor) does not and yet she still experienced a bad reaction. The latter are extremely effective immunogens in their own right and so improve the immune response to whichever antigen is administered in their presence. Do another few emails for MEA and then back to lie on my bed and listen to my Audible books. For the most recent updates on COVID-19, visit ourcoronavirus news page. "The symptom overlap between ME/CFS and long-COVID is quite astounding," Professor Marshall-Gradisnik said. Geetika Gupta, MD, is a board-certified internist working in primary care with a focus on the outpatient care of COVID-19. Perrin R, Riste L, Hann M, Walther A, Mukherjee A, Heald A. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. CFS happens up to 4 times more often in women than in men. COVID Symptom Study. The only way to stop the virus completely is to develop herd immunity to it. Sheng Q, Sun Y, Zhai R, Fan X, Ying Y, Kong X. Still, psychogenic gaslighting continues. This is the first report linking aluminium overload with either of the two conditions and the possibility is considered that the coincident aluminium overload contributed significantly to the severity of these conditions in a patient. A month after the infection, 38% reported they were back to baseline, but 38% reported they were either moderately or much worse off than before theyd been infected. While the initial symptoms were more severe, 70% reported they were over their side effects within a week. amzn_assoc_placement = ""; At night I spent hours awake/asleep/awake/asleep, then couldnt drag my body off the bed in the mornings, the result being that I was spending more than 12 hours a night lying there feeling like Id been weighted down. Most ME/CFS sufferers develop the illness as a post-viral response. Hell, I could barely crawl up the stairs. Read our, Breathing Exercises for COVID-19 Survivors, Causes and Risk Factors of Chronic Fatigue Syndrome, What to Know About Fibromyalgia and COVID-19, Paresthesia in Fibromyalgia and Chronic Fatigue Syndrome, COVID-19 'Long-Haulers' Search for Answers About Chronic Cases, Swollen Glands or Lymph Nodes With Fibromyalgia and ME/CFS, A New Study Suggests Paxlovid Could Prevent Long COVID. Eighty-four percent reported they were over any side effects within a week, 7% recovered within 2 weeks, 5% (2 people) within a month, and 3% (1 person) reported still having symptoms after a month (n=346). Decisions. Twenty-eight percent reported that, at best, they were unable to leave house except rarely, and were confined to bed most of the day (3 or less on the FCS). Someone with a mild case of ME/CFS may be able to handle grocery shopping if they otherwise relax that day. S ome survivors of acute bouts of Covid-19 experience a range of persistent medical issues some lasting for weeks . Clipboard, Search History, and several other advanced features are temporarily unavailable. Concomitant use of systemic glucocorticoids at the time of vaccination was independently associated with a decrease in risk of relapse after vaccination (HR, 0.23 [95% CI, 0.07-0.74]; P value = 0.014). Chronic fatigue syndrome can occur at any age, but it most commonly affects young to middle-aged adults. This is a difficult symptom to spot in someone who's too fatigued to be very active, especially if they have other factors limiting their exertion levels, such as shortness of breath. assays by ELISA based technique should be done locally or can be sent to Filton NHSBT, or to UCLH. Still, seventy-plus percent of people trying the first shots of any of these three vaccines were over their symptoms within a week. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Investigation of Uveitis Relapse in Patients Who Had Received COVID-19 Vaccines. Serum. Time to uveitis relapse since the administration of each dose of COVID-19 vaccine was compared across participants with modifiable variables. PEM is a reaction in which mild physical or mental exertion triggers a ME/CFS symptom flare and leaves you unable to perform the same activity a day later. Nausea / stomach upset Muscle / joint pain Brain fog Difficulty standing without symptoms Problems Sleeping Other Symptoms from the first Pfizer vaccine shot lasted for: (If it's been less than a month and you are still having symptoms please answer this question after a month has passed). We dont know if these more severe or prolonged reactions are the result of any particular vaccine or indeed if anyone with ME/CFS is at any greater risk. Story continues "A number of people got in touch with me and they'd had very serious effects unfortunately from taking the vaccination.". The Pfizer, Moderna, AstraZeneca, and Johnson & Johnson coronavirus vaccines are effective at preventing the coronavirus from causing hospitalization and death. If theyre having trouble fighting off the virus, then getting the vaccine becomes more of a priority. It's been two and a half months. Pain over the brain, not the usual type of headache. "Vaccine-Related Chronic Fatigue Syndrome In An Individual Demonstrating Aluminium Overload." 2023 Dotdash Media, Inc. All rights reserved. Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. Tiffany St. Onge, 30, was diagnosed with COVID-19 after a positive test on May 6. amzn_assoc_height = 250; Age. It has been approved for use in 10 countries. Preliminary findings of a survey of ME/CFS sufferers and those with Long Covid, carried out by the Associated New Zealand ME Society (ANZMES), found nearly 20 percent of the 359 survey. Acute uveitis following COVID-19 vaccination. My daughter took on some of my workload to help me out fortunately, she has followed me into the same career. There are no home visits or physical examinations.From reading other's experiences it sounds as if this may not be only in my area. Ah well. Association between Vaccination with the BNT162b2 mRNA Coronavirus Disease 2019 Vaccine and Noninfectious Uveitis: A Population-Based Study. Its also time to start a new poll The Coronavirus Vaccine Side-Effects Poll for the Severely Ill to see if we can get some data on how the more severely ill among us are faring with the vaccine. A study by the Centers for Disease Control and Prevention (CDC) published in Feb. 2022 found that the vaccine's effectiveness begins to wane after about four months. I am in Buckinghamshire and my GP clinic has broken. If you get the virus, you run some risk of a very negative result - being hospitalized, dying or a severe relapse. All articles published by MDPI are made immediately available worldwide under an open access license. Reports of adverse events to VAERS following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem. -, Dai L., Gao L., Tao L., Hadinegoro S.R., Erkin M., Ying Z., He P., Girsang R.T., Vergara H., Akram J., Satari H.I., Khaliq T., Sughra U., Celi A.P., Li F., Li Y., Jiang Z., Dalimova D., Tuychiev J., Turdikulova S., Ikram A., Flores Lastra N., Ding F., Suhardono M., Fadlyana E., Yan J., Hu Z., Li C., Abdurakhmonov I.Y., Gao G.F. Efficacy and safety of the RBD-dimer-based covid-19 vaccine ZF2001 in adults. National Library of Medicine I went back to school assuming I was better, but within days was unable to get out of bed and ended up having six months off school. Depending on the severity, fatigue symptoms can range from . (The number of participants in each poll is given by n=x). 2020 Aug;25:100463. doi:10.1016/j.eclinm.2020.100463. Thus far, there is not a single drug that's specifically indicated for treating ME/CFS. However, the following days continued in the same manner, unfortunately with increasing exhaustion. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Vote in the latest website poll and view the poll archive. Thats always a sign that brain and fingers are not saying hello to one another. myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), Myalgic encephalomyelitis/chronic fatigue syndrome, Coronavirus may cause chronic fatigue syndrome, Fauci says, Into the looking glass: Post-viral syndrome post COVID-19, Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study, More than 50 long-term effects of COVID-19: a systematic review and meta-analysis, Post-discharge health status and symptoms in patients with severe COVID-19, Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery, Morbidity and mortality weekly report (MMWR): Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems networkUnited States, Immediate and long-term consequences of COVID-19 infections for the development of neurological disease, Long term complications and rehabilitation of COVID-19 patients, The multifaceted long-term effects of the COVID-19 pandemic on urology. But whereas Caroline did recover relatively quickly, the three with ME/CFS took longer or have still not recovered. I feel the same, now I don't have the headaches. Ir J Psychol Med. 25% of people with ME/CFS who have been reported to be housebound. Most common were fatigue, cognitive dysfunction, and post-exertional malaise, defined as a "worsening or relapse of symptoms after physical or mental activity" during Covid-19 recovery. medRxiv [Preprint]. It can arise even after common. I am writing to ask if you could please take up the plight for people with ME who are developing long and severe reactions to the vaccines. Please contact our Press Officer Tony Britton. I've recovered from the vaccination. I had Oxford Vaccine on 17th February and within two hours began to feel very unwell and had to go to bed. Brooks now leads the 'Immunity and Molecular studies of SARS-CoV-2 infection, post-viral conditions, and COVID-19 vaccination' study, launched in October, looking at immune dysfunction and multi-system dysregulation that occurs following Sars-CoV-2 infection and comparing it to those with ME/CFS. Medicines and Healthcare products Regulatory Agency (MHRA). Recovery is usually as quick as with the first shot, though, with seventy-plus percent of respondents reporting recovering within a week. "Temporary medical exemptions application process under the Vaccinations Order is also open to general population with the same strict criteria applying.". Seventy-plus percent, on the other, hand reported they were over the side effects from the first or second shots of the Pfizer or Moderna virus within a week. 2020 Jun 4;12(1):69. doi:10.1186/s13195-020-00640-3, Fotuhi M, Mian A, Meysami S, Raji CA. doi:10.2196/19462. The AstraZeneca adenovirus vaccine is from 70-90% effective. Heneka MT, Golenbock D, Latz E, Morgan D, Brown R. Immediate and long-term consequences of COVID-19 infections for the development of neurological disease. A letter to the editor of the medical journal Medical Hypotheses states, After the acute SARS episode some patients, many of whom were healthcare workers went on to develop a Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) like illness which nearly 20months on prevented them returning to work. A Chinese study showed that 16% of COVID-19 survivors still experienced fatigue three months after being discharged from the hospital.. Theres no evidence, on the other hand, that getting the vaccine is going to kill anyone, but you do run the risk of a relapse. Histograms indicate the frequency, Glucocorticoid Dose and Risk of Uveitis Relapse after COVID-19 Vaccination. First shot Sixty-six percent reported their side effects were mild or non-existent, 27% reported moderate symptoms, and 9% reported they were severe (n=466). Tate has also submitted data to Imac over his concerns. "Vaccine-Related Chronic Fatigue Syndrome In An Individual Demonstrating Aluminium Overload." It has been approved for use in 43 countries. Since that moment, her clinical conditions and pharmacological therapies have been managed at this MS centre where, according to national recommendations . Top Russian scientist who created Sputnik V Covid vaccine 'is strangled to death with a belt in his Moscow apartment in row with intruder' Andrey Botikov was a senior researcher involved in making . There was a trend in attenuating the risk of relapse with increasing prednisone dose from none to less than 20 mg per day and then to 20 mg per day or greater (P value for trend = 0.029). Glucocorticoid use was, MeSH One day after receiving her first dose of Moderna's Covid vaccine, Luz Legaspi, 72, woke up with bruises on her arms and legs, and blisters that bled . Sex. Declaration of competing interest The authors declare that they have no competing interests. Considerations for postacute rehabilitation for survivors of COVID-19. Sixty-three percent reported having at least moderate to severe symptoms with exercise or activity; 28% percent reported that, at best, they were unable to leave house except rarely, and were confined to bed most of the day. This poll is for people with ME/CFS or FM who are at 30 or below on Dr. Bells 0-100 Functional scale. For instance, previous coronavirus outbreaks have been inconsistent: a study on the coronavirus that caused MERS revealed that patients are unlikely to get re-infected within a short duration of the original infection; but, after the SARS outbreak, cases of relapse that were reported. Eighty percent of people in the poll did, however, report activity limitations. We also dont know the extent to which an exacerbation of ME/CFS symptoms, or indeed a relapse, is the result of a bad reaction to a vaccine, or because of, perhaps, post-exertional malaise. If social distancing wanes, though, it predicts that infections will increase in the U.S. until May when they begin declining again. The longer its out there in large numbers, the better chance that a really nasty variant gets produced. by Cort Johnson | Mar 17, 2021 | COVID-19, Pathogens | 126 comments. While its too soon to say how long lingering COVID-19 symptoms may last once youve recovered from the acute infection, there is a concern in the medical community that this virus could lead to chronic health conditionspossibly including ME/CFS or something similar. Other medical problems. Gradually I started to pick up and feel more like myself, but the first time I realised Id had a normal day was more than a month later. Participants said that their physical and mental health was worse because of the viral illness. I had my first vaccination in the early evening of 11th March. Pauline (ME/CFS relapsed after first vaccine) I have had ME for 21 years and gradually improved over that time to be roughly 50/60% of where I was before the symptoms developed. That was when the freelance architect, 42,. government site. amzn_assoc_width = 265; The median age was 41 years (interquartile range, 30 to 51), and 57.3% were female. Weerahandi H, Hochman KA, Simon E, Blaum C, Chodosh J, et al. occurring after coronavirus Vaccination . I suspect it may not be wise to have the 2ndjab at the moment feeling like this.

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