Sunday night, the United States women’s gymnastics team, which took home the team gold in this year’s 2016 Rio Olympic games, made an appearance at the MTV VMAs to hand out an award to Beyonce for Best Female Video. But one key member of the squad was missing.

This year’s ‘Final Five’ included Simone Biles, Aly Raisman, Laurie Hernandez, Madison Kocian and Gabby Douglas. But when the team took the stage Sunday night, Douglas was not with the group.

Why? According to Raisman, Douglas was in the hospital suffering from an allergic reaction. Her publicist Lesley Burbridge later added that it’s a mouth infection from a previous injury.

Raisman and her teammates have been on quite a whirlwind victory tour since returning from Rio. Meeting Beyonce is likely one of the highlights.