There are several possible interpretations for this song, but it seems to be about two teens who have sex in their car ("A teenage vow in a parking lot"), and take the chance to not be protected ("Sometimes we take chances, sometimes we take pills"). The girl gets pregnant, and both are scared what others will think when they find out ("To hell with our good name we mix up your guts Your insides x-rayed"). The boy is not sure whether to leave or not ("One foot in your bedroom And one foot out the door").
The "Hallelujah" the singer hums in the song could be the Hallelujah chorus of Handel's "Messiah," or the song "Hallelujah," which was written by Leonard Cohen.
Fall Out Boy's lyrics are written by bass player Pete Wentz, and some of these could relate to his life, as "I sing the blues and swallow them too" could pertain to his overdose on the anxiety drug Ativan in 2005 (which inspired the From Under The Cork Tree track "7 Minutes In Heaven (Atavan Halen)").
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