In July 2018, Avenged Sevenfold's Facebook account published a post written by Shadows stating that he was suffering from a severe vocal cord viral infection, which was temporarily affecting his ability to sing.
在2018年7月，Avenged Sevenfold的Facebook帐户发布了桑德斯写的一篇文章，声称他患有严重的声带病毒感染，这暂时影响了他的唱歌能力。