Dozens of people have been trampled at the famous Pamplona bull run after becoming trapped at the entrance to the bullring.
A 19-year-old Spanish man is in a "very serious" condition and a 28-year-old man from Ireland has suffered chest trauma, authorities said.
At least 23 other people are being treated in hospital after Saturday's event in the Spanish city.
Runners and bulls became trapped together in the bottleneck for almost two minutes when the weight of people forced shut a door normally kept open.
Goring injuries are not uncommon, but injuries from stampedes are rare.
Other injuries on the festival's penultimate day included a 35-year-old American gored in the buttocks, and an 18-year-old from Spain gored in the armpit.
The popular tourist event, which ends on Sunday, sees runners tearing frantically through the city's cobbled streets pursued by the bulls.
Fourteen people have died in the last 100 years of the San Fermin festival, an event that dates from the 13th century.
The bull run takes place at 8am every morning for one week in July. Saturday's run lasted just four minutes and 15 seconds.
The bulls are usually killed in the ring by bullfighters.
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