Spain San Fermin_Cham(3)

A bull gored an Australian woman and left her seriously injured during the final bull run of this year’s annual San Fermin festival in Spain on Sunday. Four other runners were hospitalized with cuts and bruises.

The 23-year-old woman, identified only as J.E., was gored in the back and suffered multiple rib fractures and damage to her right lung that left her in “very grave” condition after an operation at Navarra Hospital, said the regional government that organizes the festival.

The Australian was struck by a massive Miura bull as she clung to wooden barriers outside the bullring entrance, said regional health authority spokesman Javier Sesma.