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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1381720



Case Details

VAERS ID: 1381720 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood urine present, Micturition urgency, Pyrexia, Renal pain, Urine analysis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen, progesterone, vitamins D and B, fish oil, turmeric, calcium
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Urine test at 6:00 PM on 6/4/21 showed blood in urine. Waiting for culture to show if infection was present
CDC Split Type:

Write-up: Approximately 48 hours after my second Covid vaccine, I spiked a fever of 101.5 and had extreme kidney pain. Frequent urge to urinate. I ended up going into the doctor to have a urine test checking for a bladder infection. Blood was found in my urine. My doctor put me on an antibiotic. I have not had a bladder infection in over 20 years and I have never had kidney pain.


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