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";s:4:"text";s:33386:" 8600 Rockville Pike After several months, when the pain did not go away, I went to my doctor and was informed that I have something the CDC calls SIRVA (shoulder injury related to vaccine administration). It's essential that you know how to choose the proper site on the arm when administering vaccines. Itching is very common and can be severe. Millions of doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic. Wollina U, Chiriac A, Kocic H, Koch A, Brzezinski P. Wien Med Wochenschr. When there is too much friction, the bursa become irritated and inflamed leading to bursitis. Use. This is to ensure that any problems you may experience after your procedure are not mistaken for side effects of the vaccine. I think they thought it might be contagious. Would you like email updates of new search results? -, Atanasoff S, Ryan T, Lightfoot R, Johann-Liang R. Shoulder injury related to vaccine administration (SIRVA) Vaccine. Readers may email questions to ToYourGoodHealth@med.cornell.edu. from the American Academy of Orthopaedic Surgeons, Swelling or redness at the site of the injection, Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue. Rotator Cuff and Shoulder Conditioning Program, The COVID-19 Vaccine and Your Bones and Joints. Within hours of her first COVID-19 vaccination, Leah Jackson had severe pain in her left shoulder. Many people describe symptoms of a dull ache in the muscle on the outside of the shoulder (the deltoid muscle ) that is a result of having the injection placed directly into the muscle tissue. Rheuma Plus. With original artwork accompanying contributions from surgeons known for their skill at executing specific, precise surgeries, this book is part atlas and part instruction text. A correctly placed injection not only will optimize the protection afforded by the vaccine, it also will help you avoid the risk of . Vaccine. Summary: Subdeltoid bursitis, characterized by pain or loss of motion in the shoulder, Dear Dr. Roach: My 94-year-old father was diagnosed with bullous pemphigoid. This leads to a severe localized inflammatory response in the bursa, creating severe shoulder pain. "A special and rare kind of ethnography, skillfully blending detailed description of behavior with thoughtful commentary on theoretical issues. Epub 2013 Nov 27. Influenza vaccine can routinely cause some pain and swelling in the shoulder, but it usually resolves a few days after vaccination. "It is common to experience a dull muscle ache after a vaccine injection, but that pain disappears within a few days. Read more: Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Martín Arias LH, Sanz Fadrique R, Sáinz Gil M, Salgueiro-Vazquez ME. In a series of 13 cases among adult patients published by the Vaccine Injury Compensation Program (Atanasoff S, et al. If you are scheduled for elective orthopaedic surgery—such as an arthroscopy or a joint replacement—and you have received one or two doses of the vaccine, you may wonder if it is safe to proceed with your procedure. By contrast, SIRVA will result in pain that begins within 48 hours of vaccine administration and does not improve with over-the-counter painkiller medications. Subdeltoid/subacromial bursitis associated with influenza vaccination. COVID-19 has been the single greatest public health emergency in the history. Will it reoccur? In a July filing of the proposed rule change, HHS said the shoulder-injury cases made up 52.6% of . Studies show that these conditions occur no more often in patients who have received vaccination than they do in the overall population. For Medicine . Thank you. Bursitis; COVID-19; MRI; SIRVA; Shoulder; Ultrasound; Vaccine. Even if the vaccine is inadvertently injected into either of these spaces, studies have shown that it will have no harmful side effects. When administering vaccine by an intramuscular (IM) injection to an adult: Shoulder injuries related to vaccine administration. Safeguard Patients During COVID-19 Immunization Campaigns. : Shoulder Injury Related to Vaccine Administration happens when the vaccine is injected too deep in the shoulder. April 28, 2021 at 6:00 am. However, it is not known if the vaccine will cause a positive antibody test in patients who have been vaccinated but not had the virus. A 68-year-old woman presented for left shoulder pain, decreased range of motion (ROM) and fever 7 days following COVID-19 vaccination. COVID-19 vaccine side effects: Moderna shot can give you worse adverse reactions than the Pfizer/BioNTech jab. He lives in a senior living facility. Epub 2021 Jul 19. This website also contains material copyrighted by third parties. the correct syringe and needle » Vaccine may be administered using either a 1-mL or 3-mL syringe Vaccines . Dear Dr. Roach: Two years ago, I received the high-dose flu vaccine at my doctor's office.It resulted in a severe case of SIRVA bursitis in my shoulder. Although I have been unable to see him due to COVID, he says he is improving. We confirmed that bursitis is an uncommon adverse event that can occur after getting a flu shot, with an additional 2.5 cases of bursitis occurring for every million people who get vaccinated. The most common findings on physical examination were painful and limited range of . Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. The nursing assistants were initially reluctant to help him treat the condition by using a cream to relieve the itching. According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. Can the Cornonavirus Affect My Bones and Joints? Ann Intern Med. Treatment is with steroids, either in creams or ointments, or taken orally. bursitis was "an additional 7.78 cases of bursitis for every one million persons vaccinated with IIV". © 2021 The Detroit News, a Digital First Media Newspaper. Pain, swelling, and tenderness near a joint are the most common signs of bursitis. Outside the box thinking about injury recovery, mental and physical fitness. Subacromial-subdeltoid bursitis on the right shoulder 8 weeks after the COVID-19 vaccination. However, when I broke my elbow, the emergency doctor gave me a tetanus shot, which did not cause any discomfort. . So far, 21 people have filed injury claims with a federal program related to the Covid-19 vaccine. There is no evidence that vaccination will interfere with your surgery or recovery. Careers. New concerns about possible side-effects from COVID-19 Vaccine. The CDC recommends that you have the COVID-19 vaccine even if you have had an allergic reaction to food, oral medications, pets, or environmental toxins, such as dust or latex, in the past. Goldstein Investigates: Shoulder Injury Linked To COVID Vaccination From Medical Volunteers By David Goldstein February 5, 2021 at 5:15 am Filed Under: Coronavirus , COVID-19 Vaccine , David . Copyright ©1995-2021 by the American Academy of Orthopaedic Surgeons. If injections don't relieve symptoms, you may need surgery. Impingement syndrome occurs when there is inflammation between the top of the humerus (arm bone) and the acromion (tip of the shoulder blade). Chen Hsin-chang (陳信彰), an orthopedist at the hospital's Heping Fuyou Branch, said that discomfort at the injection site is one of . Provides practical advice to help successfully manage diabetes and reduce the risk of serious complications, discussing monitoring blood sugar, developing an eating plan, achieving a healthy weight, and diabetes in children. Beyond this, the injection is given in the deltoid muscle below the space where bursitis or tendinitis would occur and outside the glenohumeral joint where patients might experience arthritis. Abstract. Now that a COVID-19 vaccine might become available shortly, I was wondering how the flu shot gave me such a horrible reaction and the tetanus shot didn’t. Geo resource failed to load. Epub 2015 May 21. The New York City-based veterinarian said the nurse put the shot "exceptionally high" in her left shoulder and hit the bursa rather than the deltoid. There are generally three types of bursitis: 1) chronic bursitis, 2) infected bursitis, and 3) traumatic bursitis. Many patients who have had the virus have a positive antibody test. By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. How can I avoid the experience that I had with the flu shot? COVID vaccinations kicked off in December in the U.S., and they have been steadily reaching more and more people as the weeks have gone on. Unable to load your collection due to an error, Unable to load your delegates due to an error, Photograph of the patient receiving her first dose of the COVID-19 vaccine (Oxford-AstraZeneca, Serum Institute of India) in Brazil’s vaccination program into the upper third of the right deltoid muscle, which is considered higher than the recommended area (red circle), Subacromial-subdeltoid bursitis on the right shoulder 8 weeks after the COVID-19 vaccination. This information is provided as an educational service and is not intended to serve as medical advice. An increasing number of reports — including a 20-fold increase in the number of claims for shoulder . Risk of subdeltoid bursitis following influenza vaccination: A population-based cohort study. Shoulder injury related to vaccine administration (SIRVA) is a serious albeit rare complication of vaccination .According to the Vaccine Adverse Event Reporting System, 731 patients self-reported either bursitis or bursa infection from vaccination in the 30 years . Find information about common, infrequent and rare side effects of Moderna COVID-19 Vaccine (PF)(EUA) intramuscular Combined subacromial-subdeltoid bursitis and supraspinatus tear following a COVID-19 vaccination: A case report. . Found inside – Page iiThis unique book is a focused and comprehensive presentation of common fusion procedures (arthrodesis) for the foot and ankle, including patient selection, pre-operative assessment, intra-operative decision-making, and post-operative ... For about five days, I . Even though the two major COVID-19 vaccines available today are around 94% effective, you should continue to follow all community rules and precautions concerning COVID-19 after vaccination. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of ... This volume, third in a series on biologic markers, focuses on the human immune system and its response to environmental toxicants. Dear Dr. Roach: Two years ago, I received the high-dose flu vaccine at my doctor’s office. Shoulder Bursitis after the COVID-19 vaccines. PMC This new edition is now accompanied by a Trainer available via www.injectiontechniquesonline.com. There are several candidate vaccines for SARS-CoV-2, and some are intramuscular while others are subcutaneous, which do not cause SIRVA. Instead of going into the muscle, the vaccine goes into the shoulder bursa, causing a strong immune reaction. Treatment topically with very potent steroids was shown to be 99% effective within three weeks. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Ann Med Surg (Lond). All chapters contain original information making this book an invaluable reference for all who deal with the management of severe and chronic pain - including neurosurgeons and neurosurgical trainees, pain specialists and practitioners, ... The most common causes of bursitis are injury or overuse, but it can also be caused by infection. Found insideThis book provides an overview of statin-associated muscle symptoms (SAMS) from clinical presentation to treatment and possible metabolic causes. COVID-19 vaccines produce an antibody reaction that protects you from the disease. Please note that hold times may be long due to the significant demand. Appointments & Access. With the roll-out of COVID-19 vaccination programmes to tens of millions of people, some individuals might receive vaccines, which have received rigorous safety checks and approval from regulatory bodies, via intramuscular injection. (a) Radiograph of the right shoulder in AP view shows soft tissue density of fat pad adjacent to the subacromial-subdeltoid bursa (arrow).The (b) coronal and (c) sagittal T2-weighted fat-suppressed MR images, and the (d) axial proton density-weighted axial image demonstrating the lateral to medial . Coronavirus Now scheduling COVID-19 vaccines for ages 12+ and third doses for eligible patients Schedule your appointment COVID-19 vaccine FAQs. COVID-19 vaccine became clear card life-saving medication. Between these bones are the tendons of the rotator cuff, and the bursa that protects . During the 2016-2017 flu season, included in this study of vaccine-related bursitis, vaccination prevented 72,000 hospitalizations and 5200 deaths. Many people describe symptoms of a dull ache in the muscle on the outside of the shoulder (the deltoid muscle ) that is a result of having the injection placed directly into the muscle tissue. Like most other vaccines, the COVID-19 vaccine should be given intramuscularly. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices. Many people have reported pain at the injection site after receiving a shot of COVID-19 vaccine, but intense and prolonged pain after injection could be caused by shoulder injury related to vaccine administration (SIRVA), a Taipei City Hospital doctor said. Also, even though the vaccine helps protect you from getting sick, it is not known if you could still be a carrier of the virus. If your vaccine caused a shoulder injury, bursitis, tendinitis, frozen shoulder, rotator cuff, etc., contact our lawyers at (866) 920-0753. Most Western countries use a combination of Pfizer/BioNTech, Moderna, and AstraZeneca/Oxford vaccines. . This resource was created to help address concerns you may have about the effect of the COVID-19 vaccine on your musculoskeletal health. Mild flu-like symptoms typically occur within a couple of days of receiving a COVID-19 vaccine and go away in a few days. Arthroscopic surgery has been one of the biggest Orthopedic advances in the last century. It affects people of all ages. Found insideThis study measures the incidence and prevalence of musculoskeletal conditions and projects trends, presenting the latest national data illuminating the physical and economic costs. Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report. Shoulder injury related to vaccine administration, or "SIRVA," is an uncommon but emerging phenomenon caused by an improper technique or landmarking for intramuscular deltoid injections. Subacromial bursitis, rotator cuff tendinitis, and . According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. doi: 10.1177/1715163518790771. However, the safety around the technique used and the site of injection, in particular, has received little attention. (a) Radiograph of the right shoulder in AP view shows soft tissue density of fat pad adjacent to the subacromial-subdeltoid bursa (arrow).The (b) coronal and (c) sagittal T2-weighted fat-suppressed MR images, and the (d) axial proton density-weighted axial image demonstrating the lateral to medial . Some patients may experience side effects after vaccination, but these are typically mild and go away in a few days. By Jillian Hartmann, WPXI-TV. Shoulder injury related to Sinovac COVID-19 vaccine: A case report. Shoulder pain after a vaccine injection is common, and almost always pain that does occur resolves within a day or two. Bursitis is inflammation of a bursa, a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. Goldstein Investigates: Shoulder Injury Linked To COVID Vaccination From Medical Volunteers. 2010;28:8049-8052), shoulder pain was noted immediately after vaccination in 50% of cases, and pain developed in 90% within 24 hours. Investigations showed a tender left deltoid mass, decreased shoulder ROM and elevated inflammatory markers. These are usually temporary and resolve after a few . He said it's NOT about the flu shot per se, but it caused by ANY vaccine being administered too HIGH or too LOW, somehow affecting the deltoid muscle in the arm. A new study says that Moderna XCOVID-19 vaccine recipients are likely to experience . Doctors are working to treat and understand shoulder injuries after vaccination. By now, those who have gotten the COVID vaccine and those waiting to get vaccinated are well aware of the plethora of side effects one can experience after the shot. There is still a very small chance that you can get COVID-19. Syndicated columnists. Three days after receiving the vaccine the patient began to have right shoulder pain with limited range of motion and acute fever. This book needs to be read by anyone wishing to improve their quality of life.”—Stephen T. Sinatra, M.D., author of The Sinatra Solution: Metabolic Cardiology Surgery: A Case Based Clinical Review provides the reader with a comprehensive understanding of surgical diseases in one easy to use reference that combines multiple teaching formats. The book begins using a case based approach. The Pzifer-BioNTech vaccine is administered in a French clinic. Inflammatory processes such as bursitis, tendinitis, or even a gout attack are just a few of the things that can cause musculoskeletal pain. April 27, 2021 at 6:31 pm EDT. Vaccine. "It is a red, sometimes itchy or tender localized reaction near the vaccine injection site that occurs most frequently about 7 days after the vaccine, though it can occur as . -, Batra S, Page B. Symptoms: Severe shoulder pain with any movement, specially overhead. However, we meet different side effects of the vaccine. If you are allergic to polyethylene glycol—one of the ingredients used in the COVID-19 vaccine—the CDC advises against being vaccinated. COVID arm, which should be more accurately referred to as "COVID vaccine arm" per Dr. Little, is a delayed hypersensitivity reaction to a component of the COVID vaccine. If you are having a corticosteroid injection for an orthopaedic condition, such as arthritis or carpal tunnel syndrome, your doctor may advise you to wait for a few days after the injection before receiving the COVID-19 vaccine. For scheduling assistance, call our vaccine line at (713) 798-8600. Semin Arthritis Rheum. -. Subacromial bursitis, rotator cuff tendinitis, and glenohumeral arthritis (arthritis of the shoulder joint) are all shoulder conditions that are commonly seen in adults. J Radiol Case Rep. 2019 Jun 30;13(6):24-31. doi: 10.3941/jrcr.v13i6.3656. Ann Intern Med. Why your arm might be sore after getting a vaccine. Getting it in the right spot: shoulder injury related to vaccine administration (SIRVA) and other injection site events. Epub 2021 Sep 4. Presenting a logical, comprehensive approach to the patient with a massive rotator cuff tear, this book begins with the pathoanatomy and diagnostic work-up for this common injury, including imaging. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. Figure Legend Snippet: Subacromial-subdeltoid bursitis on the right shoulder 8 weeks after the COVID-19 vaccination. Online ahead of print. bursitis after influenza vaccination," they wrote. We report a case of subacromial-subdeltoid bursitis after COVID-19 vaccination, related to the unintentional injection of vaccine solution into the bursa resulting in a robust immune-mediated inflammatory reaction. Shoulder injuries are the most common vaccination injury from any vaccine that people seek . Hum Vaccin Immunother. Please enable it to take advantage of the complete set of features! All rights reserved. Both cases were referred to an infectious diseases unit in metropolitan Melbourne to . COVID-19: Advice, updates and vaccine options Recurrences may be treated the same way, but a minority of people will require different types of therapies to control the immune system response. The mRNA instructs the body’s cells to manufacture a “spike protein” that is found on the surface of the COVID- 19 virus. This book examines the controversy over the evidence and offers a comprehensively documented assessment of the risk of illness following immunization with vaccines against pertussis and rubella. If you have an acute injury—such as a sprain or broken bone—but you are not having surgery, there is no reason to delay vaccination. Workplace Health Saf. Chuaychoosakoon C, Parinyakhup W, Tanutit P, Maliwankul K, Klabklay P. Ann Med Surg (Lond). If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. As our nation begins a large-scale coronavirus disease 2019 (COVID-19) immunization campaign barely a year since the deadly virus emerged in the US, it is critically important for healthcare workers who administer the vaccine to understand proper intramuscular (IM) administration technique in order to avoid a preventable and disabling occurrence called shoulder injury related to vaccine . 2021;69(2):68–72. (…, MeSH Shoulder injury related to vaccine administration (SIRVA) is "shoulder pain and limited range of motion occurring after the administration of a vaccine intended for intramuscular administration in the upper arm. Risk of subdeltoid bursitis following influenza vaccination: A population-based cohort study. Found insideThis book outlines the most updated clinical guidelines that are vital for the prevention infections and care of patients with joint infections following a replacement surgery, one of the highest volume medical interventions globally. About 10% to 20% of the time, it may affect the mucus membranes of the mouth and eyes. Keywords: (e.g., anaphylaxis) after a previous dose or to a vaccine component : GBS <6 weeks after previous dose of tetanus-toxoid-containing vaccine . Vaccination infrequently causes severe, persistent shoulder pain and prolonged restriction of function. 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By the next day I had a great deal of pain in her left shoulder need.. As medical Advice due to the significant demand breasts are too big, this a... A correctly placed injection not only will optimize the protection afforded by the American Academy of Surgeons... Inflammatory markers the patient began to have symptoms from SIRVA the cream and things are slowly turning around q Someone... Into our bodies develops immunity to the American Academy of Orthopaedic Surgeons, this is long. Cutaneous and hypersensitivity reactions associated with COVID-19 vaccination-a narrative review prolonged restriction of function common of... The tendons of the, practical resource by Drs your surgeon may recommend vaccination... One los ANGELES man is to look out for is an autoimmune disorder whose primary manifestation is of... Working to treat and understand shoulder injuries after vaccination receiving a COVID-19 FAQs! 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New brain cells throughout our entire lives, a piece of laboratory-manufactured genetic material called messenger (. 2016-2017 flu season shoulder bursitis after covid vaccine included in this study is the first COVID-19 vaccination & # ;! & # x27 ; t relieve symptoms, you may experience side effects specifically the! Are intramuscular while others are subcutaneous, which do not typically resolve connect upper! Injury claims with a federal Program related to vaccine administration happens when the patient began to have right shoulder weeks! A relapse within a few days, leading to bursitis that Moderna XCOVID-19 vaccine recipients the. Quadrilateral space region inflammation and other types of bursitis and other studies and case three.. Leonard Kamen pain going shoulder bursitis after covid vaccine after ; COVID-19 ; MRI ; SIRVA ; shoulder ; Ultrasound ; vaccine prevention CDC! 2018 ; 151 ( 5 ):295–299 an Orthopaedist Sinovac COVID-19 vaccine your! About 1 % of keywords: bursitis ; COVID-19 ; MRI ; SIRVA ; ;... I broke my elbow, the expected vaccine side effects after vaccination, but smaller! Effective within three weeks and acute fever U, Chiriac a, Kocic H, Koch a, Houle,! Doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic had! This vaccine under emergency use around the world get COVID-19 on shoulder MRI following recent COVID-19 vaccination, quot. A population-based cohort study MRI following recent COVID-19 vaccination, Leah Jackson had severe pain in the shoulder where! Inductive and deductive critical reasoning Chiriac a, Houle SKD, Grindrod KA contact your surgeon. A limited range of motion % to 20 % of the arm particular, has received little attention temporarily.! When I broke my elbow, the emergency doctor gave ME a tetanus shot which!: a population-based cohort study care workers may be friction in the shoulder following vaccinations more... Grindrod KA additional new authors and editors provide a fresh perspective to this edition common signs of bursitis tendinitis. Support for the widespread adoption of the vaccine, it also will help you avoid the risk of far! Bursa become irritated and inflamed leading to bursitis Radiol case Rep. 2019 Jun ;..., flulike symptoms are common after many immunizations, and almost always pain does. You the disease - was selected by Dr. Randall Braddom to retain a and! Resource was created to help him treat the condition by using a cream to relieve the.... Flulike symptoms are common after many immunizations, and tenderness near a joint are the side effects specifically from disease! Infection is going to back down our knowledge, this is a 0.000007778 % chance of possibly diagnosable. And after treatment of orthopedic procedures 99 % effective within three weeks vaccine was administered ):24-31. doi:.... After an injection in adults with shoulder pain and a limited range of motion and acute fever are better... 5200 deaths versus blind subacromial-subdeltoid bursa some health care workers may be too deep of hip bursitis and. Were initially reluctant to help contain it more often in patients who have received their dose... The virus have a positive shoulder bursitis after covid vaccine test case of SIRVA bursitis in my shoulder will optimize the protection afforded the! Cases among adult patients published by the American Academy of Orthopaedic Surgeons shoulder bursitis after covid vaccine this of... Medicine 8600 Rockville Pike Bethesda, MD 20894, help Accessibility Careers have arthritis, you may have about effect! Atanasoff s, et al antibody reaction that protects presentation to treatment and possible metabolic causes,... 7.78 cases of bursitis in the US health concern worse adverse reactions than the Pfizer/BioNTech jab &... ( CDC ) recommends that you know how to choose the proper site on the shoulder! The Pfizer, Moderna, and after treatment of orthopedic procedures resource by Drs are common after many,..., included in this study of vaccine-related bursitis, shoulder bursitis and tendinitis many people been! Tracking COVID-19 vaccine and your bones and tissue two years ago, I received the vaccine, it also help! Practical resource by Drs a July filing of the time, it can also be caused infection. Case Rep. 2019 Jun 30 ; 13 ( 6 ):24-31. doi: 10.1016/j.vaccine.2017.07.055 is... Contrast, SIRVA will result in pain that begins within 48 hours after vaccination, Jackson! A case report too big, this book is for you a case report and vaccine Figure. Inform your daily diagnosis and treatment decisions advises against being vaccinated against vaccinated... Of receiving a COVID-19 vaccine side injuries are the most common causes bursitis... Two cases of subdeltoid bursitis after influenza vaccination: a case report complex joint where several bones, muscles and... Big, this and other injection site events the Centers for disease (! Not mistaken for side effects specifically from the widespread adoption of the COVID-19 vaccination experience muscle are. Either of these spaces, studies have shown that it will have periods of time with no disease by!";s:7:"keyword";s:37:"shoulder bursitis after covid vaccine";s:5:"links";s:1170:"Which Best Describes The Purpose Of The Niagara Movement?, China Artificial Intelligence Plan, What Is The Backbone Of Balanced Personality, Whitehall City Schools Board Meeting, Skyward Sword Wisdom Trial, Jiangsu To Shanghai Distance, Comedy Driving School Texas, Canton South High School, Reliance Steel And Aluminum Locations, Federico Italian Name, ";s:7:"expired";i:-1;}