GET https://rct.dev.bbntimes.com/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller
"App\Controller\ArticleController::show"
_firewall_context
"security.firewall.map.context.main"
_links
Symfony\Component\WebLink\GenericLinkProvider {#3616
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    3735 => Symfony\Component\WebLink\Link {#3735
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      -attributes: [
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    3734 => Symfony\Component\WebLink\Link {#3734
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      -attributes: [
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    3733 => Symfony\Component\WebLink\Link {#3733
      -href: "/build/app.js"
      -rel: [
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    3732 => Symfony\Component\WebLink\Link {#3732
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      -attributes: [
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    3731 => Symfony\Component\WebLink\Link {#3731
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      -rel: [
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      -attributes: [
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      ]
    }
    3730 => Symfony\Component\WebLink\Link {#3730
      -href: "/build/contact.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3729 => Symfony\Component\WebLink\Link {#3729
      -href: "/build/scroll-infinite-article.js"
      -rel: [
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      -attributes: [
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      ]
    }
    3728 => Symfony\Component\WebLink\Link {#3728
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3727 => Symfony\Component\WebLink\Link {#3727
      -href: "/build/cookie-style.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3726 => Symfony\Component\WebLink\Link {#3726
      -href: "/build/term-condition-css.css"
      -rel: [
        "preload" => "preload"
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      -attributes: [
        "as" => "style"
      ]
    }
    3725 => Symfony\Component\WebLink\Link {#3725
      -href: "/build/contact-css.css"
      -rel: [
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      -attributes: [
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      ]
    }
    3724 => Symfony\Component\WebLink\Link {#3724
      -href: "/build/comment-css.css"
      -rel: [
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      ]
      -attributes: [
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      ]
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}
_route
"article_show"
_route_params
[
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]
_security_firewall_run
"_security_main"
_stopwatch_token
"535019"
category
"science"
slug
"healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"

Request Headers

Header Value
accept
"*/*"
accept-encoding
"gzip, br, zstd, deflate"
connection
"close"
cookie
"care_did=26a00b0f-1b01-47d0-bf78-904fce33ab99; PHPSESSID=m6v35fbjefg9snudc8r53b12o1"
host
"rct.dev.bbntimes.com"
user-agent
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control
"no-cache, private"
content-type
"text/html; charset=UTF-8"
date
"Sat, 22 Feb 2025 13:38:33 GMT"
link
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token
"c71d4d"

Cookies

Request Cookies

Key Value
PHPSESSID
"m6v35fbjefg9snudc8r53b12o1"
care_did
"26a00b0f-1b01-47d0-bf78-904fce33ab99"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created
"Sat, 22 Feb 25 13:38:23 +0000"
Last used
"Sat, 22 Feb 25 13:38:31 +0000"
Lifetime
0

Session Attributes

Attribute Value
_csrf/https-comment
"jkjY1YIRKULZ9SsErW_JbNYJ99756e0hfJc1fzYYihE"
_csrf/https-cookie_accept
"1cDRWbNWrTaeQgmWdFUxifpY7kzS-eF904K2nNAH4NI"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
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]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
[
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    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
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    "function" => "getToken"
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    "function" => "getUser"
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  [
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    "function" => "handle"
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    "function" => "display"
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    "function" => "render"
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    "function" => "render"
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    "function" => "doRenderView"
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    "function" => "doRender"
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    "function" => "handleRaw"
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    "function" => "handle"
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    "function" => "run"
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  [
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    "args" => [
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
[
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    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
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    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
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    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
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  ]
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    "function" => "callListeners"
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    "function" => "filterResponse"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV
"dev"
APP_SECRET
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN
"*"
DATABASE_URL
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG
"1"
BASE
"/public"
CONTEXT_DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX
""
DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE
"RESPONDER"
GATEWAY_INTERFACE
"CGI/1.1"
HTTPS
"on"
HTTP_ACCEPT
"*/*"
HTTP_ACCEPT_ENCODING
"gzip, br, zstd, deflate"
HTTP_CONNECTION
"close"
HTTP_COOKIE
"care_did=26a00b0f-1b01-47d0-bf78-904fce33ab99; PHPSESSID=m6v35fbjefg9snudc8r53b12o1"
HTTP_HOST
"rct.dev.bbntimes.com"
HTTP_USER_AGENT
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
PATH
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING
""
REDIRECT_BASE
"/public"
REDIRECT_HTTPS
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_HTTPS
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
REDIRECT_REDIRECT_SCRIPT_URL
"/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
REDIRECT_REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS
"200"
REDIRECT_REDIRECT_UNIQUE_ID
"Z7nTWJDyWLT8YV1VjBpYLAAAAIc"
REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
REDIRECT_SCRIPT_URL
"/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_STATUS
"200"
REDIRECT_UNIQUE_ID
"Z7nTWJDyWLT8YV1VjBpYLAAAAIc"
REDIRECT_URL
"/public/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
REMOTE_ADDR
"18.117.184.173"
REMOTE_PORT
"20807"
REQUEST_METHOD
"GET"
REQUEST_SCHEME
"https"
REQUEST_TIME
1740231512
REQUEST_TIME_FLOAT
1740231512.7542
REQUEST_URI
"/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
SCRIPT_FILENAME
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME
"/public/index.php"
SCRIPT_URI
"https://rct.dev.bbntimes.com/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
SCRIPT_URL
"/science/healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
SERVER_ADDR
"5.196.1.209"
SERVER_ADMIN
"[no address given]"
SERVER_NAME
"rct.dev.bbntimes.com"
SERVER_PORT
"443"
SERVER_PROTOCOL
"HTTP/1.1"
SERVER_SIGNATURE
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE
"Apache"
SSL_TLS_SNI
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID
"Z7nTWJDyWLT8YV1VjBpYLAAAAIc"

Sub Requests 6

CookieController :: renderAnalysis (token = fb46e9)

Key Value
_controller
"App\Controller\CookieController::renderAnalysis"
_format
"html"
_locale
"en"
_stopwatch_token
"920ed5"

AppController :: renderHeader (token = b52f8e)

Key Value
_controller
"App\Controller\AppController::renderHeader"
_format
"html"
_locale
"en"
_stopwatch_token
"eb185d"
slug
"home"

ArticleController :: trendingArticle (token = 867b56)

Key Value
_controller
"App\Controller\ArticleController::trendingArticle"
_format
"html"
_locale
"en"
_stopwatch_token
"d171ea"
category
"Science"

ArticleController :: relatedArticles (token = 20df16)

Key Value
_controller
"App\Controller\ArticleController::relatedArticles"
_format
"html"
_locale
"en"
_stopwatch_token
"c2b77c"
current_article
App\Entity\Article {#1094
  -id: 8527
  -title: "Healthcare: What Are the Effects of COVID-19 on OB-GYNs?"
  -slug: "healthcare-what-are-the-effects-of-covid-19-on-ob-gyns"
  -introtext: "<p class="p2"><span class="s1">OB-GYNs have practice rolling with the punches. </span></p>\r\n"
  -content: """
    \r\n
    <p class="p2"><span class="s1">We’re used to our schedules changing when a patient is in labor and we need to drop everything to attend a birth.</span></p>\r\n
    <p class="p2"><span class="s1">But the effects of COVID-19 on OB-GYNs are introducing new challenges, and we must rely on our ability to quickly adapt to ever-changing information and management of patients.</span></p>\r\n
    <h2><span style="color: #10228b;">What is an Obstetrician-Gynecologist (OB-GYN)?</span></h2>\r\n
    <p>An obstetrician-gynecologist (OB-GYN) is a doctor that specializes in female reproductive health, pregnancy and childbirth.</p>\r\n
    <h2><span style="color: #10228b;">Managing Uncertainty</span></h2>\r\n
    <p class="p2"><span class="s1">Our challenge in obstetrics is that we care for two patients at once, and sometimes we need to choose the needs of one over the other.</span></p>\r\n
    <p class="p2"><span class="s1">We have a lot of experience doing this with pre-eclampsia, gestational diabetes and premature rupture of membranes. But COVID-19 is a big unknown in terms of how it presents in pregnancy, how it affects the fetus and how it affects the mom. There hasn’t been enough time to determine all the ramifications.</span></p>\r\n
    <p class="p2"><span class="s1">And so when my 36-week patient with polyhydramnios is crying while having a nonstress test—“I’m so scared. What if I get infected? What will happen?”—I’m left with taking her hand and saying, “You will be OK. Your baby looks great and I’m here for you,” hoping beyond hope that I’m right.</span></p>\r\n
    <h2><span style="color: #10228b;">Abandoning Plans</span></h2>\r\n
    <p class="p2"><span class="s1">Patients fantasize about and plan their labor and delivery experience. They go to classes, hire doulas, ask family members to be present, plan on a natural birth but need their coach with them or plan for an epidural as soon as they hit the door. This is one of the most important days of their lives, and they want it to be perfect.</span></p>\r\n
    <p class="p2"><span class="s1">As obstetricians, most of us try to temper patients’ expectations since we know anything can happen in labor. But with COVID-19, we must prepare our patients for a birthing experience far from their plans. They may be alone if their partner doesn’t pass the assessment for low risk of COVID-19. They may have to forgo the epidural if the anesthesiologist is busy intubating a COVID-19 patient. They may have to be separated from their baby if they test positive for COVID-19. Even more devasting, they may need intubation to breathe, and we have to consider delivering their baby to optimize the mom’s survival even if their baby is premature.</span></p>\r\n
    <h2><span style="color: #10228b;">Triaging Patients</span></h2>\r\n
    <p class="p2"><span class="s1">In gynecology, the effects of COVID-19 are a little different. In our office, we have been triaging our patients to see whom we can manage with a phone call or a telemedicine appointment. But some patients with postmenopausal bleeding, cervical dysplasia, an ovarian cyst or a breast lump need to be seen. Normally, we would get these patients in right away and manage them expeditiously with whatever testing is needed so as not to miss cancer or a precancerous lesion that needs treatment.</span></p>\r\n
    <p class="p2"><span class="s1">What will happen to these patients now? We still see them in the office, but we can’t schedule them for surgery or a mammogram. How will waiting two, three or possibly more months affect their chances of a cure or survival? My patient who had been scheduled for a LEEP with high-grade dysplasia or my 62-year-old patient with postmenopausal bleeding and 2 cm endometrial thickening on ultrasound, whom I’m pretty sure has endometrial cancer—how do I quell their fears of waiting?</span></p>\r\n
    <h2><span style="color: #10228b;">Embracing Opportunities</span></h2>\r\n
    <p class="p2"><span class="s1">There are some silver linings to the effects of COVID-19 on OB-GYNs. For once, because we’re seeing fewer patients in the office and spacing them out so our waiting room is virtually empty, I have the luxury of time to answer all my patients’ questions and concerns in a relaxed manner. I even have time to ask about their family members, their work and their fears.</span></p>\r\n
    <p class="p2"><span class="s1">In labor and delivery, for the most part, our environment is filled with new life and new beginnings. As obstetricians, we’re fortunate to be able to share and participate in this intimate moment with our patients. And because only one support person is allowed with the patient, we play an even bigger role in supporting and assisting our patients in the birth experience. This has all brought a greater depth to my relationship with patients.</span></p>\r\n
    <p class="p2"><span class="s1">COVID-19 has stressed our healthcare system and each specialty in different ways. Healthcare providers have stepped up to the challenge despite risks to themselves. Medicine has always been a calling, not just a job, a fact COVID-19 has done much to highlight. In OB-GYN specifically, our challenges force us to quickly adapt to the changing landscape of practicing in the face of COVID-19—a baby waits for no one, not even a virus.</span></p>\r\n
    <p>&nbsp;</p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1620393565 {#1145
    date: 2021-05-07 13:19:25.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1620393869 {#1150
    date: 2021-05-07 13:24:29.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 2112
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1620393565 {#1148
    date: 2021-05-07 13:19:25.0 UTC (+00:00)
  }
  -metakey: "Healthcare: What Are the Effects of COVID-19 on OB-GYNs?"
  -metadesc: "OB-GYNs have practice rolling with the punches."
  -robots: null
  -publishedAt: DateTime @1620393565 {#1147
    date: 2021-05-07 13:19:25.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 0a30bf)

Key Value
_controller
"App\Controller\AppController::renderFooter"
_format
"html"
_locale
"en"
_stopwatch_token
"567fc0"

CookieController :: renderCookie (token = 94fff3)

Key Value
_controller
"App\Controller\CookieController::renderCookie"
_format
"html"
_locale
"en"
_stopwatch_token
"29598d"