Received Sep 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 006B21A | IM / LA |
Reported Symptoms: 10003889:AZOTEMIA RENAL; 10038435:RENAL FAILURE; 10062237:RENAL TRANSPLANT; Narrative: Patient with mild sustained increase in baseline serum creatinine after vaccines. Unclear if related to other etiology. Serum Creatinine range was 1.3 to 1.7 before injection and increased to 1.7-2.0 range after. Other Relevant HX: Other: RENAL AZOTEMIA; RENAL FAILURE SYNDROME; RENAL TRANSPLANT