Bethesda, MD 20894, Web Policies In recent years, there have been increasingly more reports of new acute kidney injury (AKI) after COVID-19 vaccination. Find more COVID-19 testing locations on Maryland.gov. Rosenblum HG, Hadler SC, Moulia D, Shimabukuro TT, Su JR, Tepper NK, Ess KC, Woo EJ, Mba-Jonas A, Alimchandani M, Nair N, Klein NP, Hanson KE, Markowitz LE, Wharton M, McNally VV, Romero JR, Talbot HK, Lee GM, Daley MF, Mbaeyi SA, Oliver SE. It causes waste to build up in your blood and can be deadly. Light microscopy: ( A ) In low, Pathologic findings of acute tubulointerstitial, Pathologic findings of acute tubulointerstitial nephritis (patient 1). Kidney disease and COVID-19 do not go well together. N Engl J Med. Reduce sodium. Rosiglitazone Maleate and Pulmonary Hypertension, Xanax and Doxylamine Succinate drug interaction, Pantoprazole and Hydrochlorothiazide drug interaction, Nausea (feeling of having an urge to vomit): 32 people, 16.16%, Fatigue (feeling of tiredness): 28 people, 14.14%, Flank Pain (a distressing sensation experienced around the lower back and the upper abdomen): 24 people, 12.12%, Headache (pain in head): 22 people, 11.11%, Urinary Tract Infection: 20 people, 10.10%. Drink at least 6 to 8 glasses of water per day to produce a large amount of urine. Staying the course with your prescriptions, he adds, can lower the risk of heart and kidney damage from unchecked high blood pressure. You can use the study as a second opinion to make health care decisions. microinflammation. The phase IV clinical study analyzes which people get Moderna COVID Vaccine and have Kidney stones. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Studies show thatCOVID-19 vaccines are very effectiveat keeping you from getting COVID-19. In fact, studies show that 20% to 40% of people with kidney failure may also have depression. The organization says men have a 19%lifetime risk of developing a kidney stone while women have a 9%lifetime risk. Sperati says multiple studies have confirmed that ACE inhibitors and ARBs do not increase the risk for complications in patients with COVID-19. QJM. Vaccines work with your bodys natural defenses so your body will be ready to fight a virus if you are exposed (also called immunity). That's a sudden case of kidney damage, and in some severe cases, kidney failure, that happens within hours or days. Avoid stone-forming foods such as beets, chocolate, spinach, rhubarb, tea, and most nuts that are rich in oxalate. N Engl J Med. The phase IV clinical study analyzes which people get Moderna COVID Vaccine and have Kidney stones. . 2020;44(1):9582615. -, Klomjit N., Alexander M.P., Fervenza F.C., Zoghby Z., Garg A., Hogan M.C., Nasr S.H., Minshar M.A., Zand L. COVID-19 vaccination and glomerulonephritis. That may be why doctors note that kidney damage arising in patients with COVID-19 is a possible warning sign of a serious, even fatal course of the disease. Comparability of clinical trials and spontaneous reporting data regarding COVID-19 vaccine safety. Acute interstitial nephritis in SARS-CoV-2 infection and vaccination. It noted: "Kidney stones are found among people who get Pfizer BioNTech Covid Vaccine, especially for people who are female, 60+ old, and after 30 days of getting the vaccine. it damages the myelin sheath), Muscle contractions involuntary (uncontrolled muscle contraction), Muscle strain (an injury to a muscle in which the muscle fibres tear), Musculoskeletal chest pain (pain in chest muscle or nerve or bones), Musculoskeletal discomfort (discomfort in the body's muscles, joints, tendons, ligaments and nerves), Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves), Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves), Myelitis transverse (a neurological condition consisting of an inflammatory process of the spinal cord), Myocarditis (inflammation of heart muscle myocardium), Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels), Nasopharyngitis (inflammation of the nasopharynx), Nausea (feeling of having an urge to vomit), Nervous system disorder (a general class of medical conditions affecting the nervous system), Neurological symptom (symptoms of nervous system disease), Neuropathy peripheral (surface nerve damage), Neutrophil count decreased (less than normal number of neutrophil a type of blood cell), Neutrophil count increased (excess than normal number of neutrophil a type of blood cell), Numbness and tingling (unusual prickling sensations), Ocular discomfort (a generic expression when there is lack of ease in/about the eyes), Ocular hyperaemia (an abnormally large amount of blood in eye), Oral discomfort (pain or irritation in mouth), Oropharyngeal discomfort (pain or irritation of oropharynx), Paleness (unusual lightness of skin colour), Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect), Paraesthesia oral (sensation of tingling, tickling, prickling, pricking, or burning of a person's oral with no apparent long-term physical effect), Parosmia (distortion of the sense of smell, as in smelling odours that are not present), Periarthritis (inflammation of the external coats of an artery and of the tissues around the artery), Pericardial effusion (fluid around the heart), Pericarditis (inflammation of the pericardium), Pharyngeal hypoaesthesia (pharyngeal -abnormally decreased sensitivity), Photophobia (extreme sensitivity to light), Photopsia (presence of perceived flashes of light), Pityriasis rosea (itchy rash develops over the trunk and extremities), Pneumonia bacterial (pneumonia associated with bacterial infection), Pneumothorax (the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung), Pollakiuria (abnormally frequent passage of relatively small quantities or urine), Postmenopausal haemorrhage (post-menopausal bleeding), Postural orthostatic tachycardia syndrome (abnormal increase in heart rate on becoming upright), Psoriasis (immune-mediated disease that affects the skin), Pulmonary congestion (congestion in the lungs), Pulmonary embolism (blockage of the main artery of the lung), Pulmonary oedema (fluid accumulation in the lungs), Pulmonary thrombosis (scarring in the lungs), Rash maculo-papular (red area on the skin that is covered with small confluent bumps), Rash vesicular (rash with a small bubble), Raynaud's phenomenon (discoloration of the fingers, toes, and occasionally other areas), Red blood cell sedimentation rate increased, Renal impairment (severely reduced kidney function), Respiratory acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease), Respiratory disorder (respiratory disease), Respiratory distress (difficulty in breathing), Respiratory rate increased (excess breathing rate/min), Respiratory syncytial virus test negative, Respiratory tract congestion (blockage on respiratory system), Restless leg syndrome (a powerful urge to move your legs), Retching (strong involuntary effort to vomit), Retinal vessel occlusion (a blockage in one of the small arteries), Rheumatoid arthritis (a chronic progressive disease causing inflammation in the joints), Rotator cuff syndrome (a spectrum of conditions affecting the rotator cuff tendons of the shoulder), Salivary hypersecretion (excess saliva secretion), Scab (a hard coating on the skin formed during the wound healing), Sciatica (a set of symptoms including pain caused by general compression or irritation of one of five spinal nerve roots of each sciatic nerve), Scleroma (a hardened patch of tissue in the skin or mucous membranes), Seizure like phenomena (a variety of medical conditions may produce sudden episodes which have some similarities to epileptic seizures), Seizures (abnormal excessive or synchronous neuronal activity in the brain), Sepsis (a severe blood infection that can lead to organ failure and death), Septic shock (shock due to blood infection), Sinus bradycardia (an unusually slow heartbeat due to heart disease), Sinus headache (headache caused by sinus infections), Sinus tachycardia (a heart rhythm with elevated rate of impulses originating from the sinoatrial node), Skin blushing/flushing (a sudden reddening of the face, neck), Skin discoloration - bluish (bluish colour of skin), Skin exfoliation (removal of the oldest dead skin cells), Speech impairment (adult) (inability to speak (adult)), Stomatitis (inflammation of mucous membrane of mouth), Stroke (sudden death of a portion of the brain cells due to a lack of oxygen), Systemic inflammatory response syndrome (an inflammatory state affecting the whole body, frequently a response of the immune system to infection), Systemic lupus erythematosus (an autoimmune disease, which means the body's immune system mistakenly, attacks healthy tissue), Tenderness (pain or discomfort when an affected area is touched), Tendonitis (a condition that causes pain and swelling of tendons), The flu (the flu is caused by an influenza virus), Thrombocytopenia (decrease of platelets in blood), Thrombosis (formation of a blood clot inside a blood vessel), Tonsillar hypertrophy (enlargement of the tonsils), Transient ischaemic attack (a transient episode of neurologic dysfunction caused by ischemia (loss of blood flow)), Tremor (trembling or shaking movements in one or more parts of your body), Tricuspid valve incompetence (inefficient heart valve), Trigeminal neuralgia (a painful condition of the nerve responsible for most facial sensation), Tunnel vision (the loss of peripheral vision with retention of central vision), Ulcerative colitis (inflammatory bowel disease (ibd). The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Kidney stones. Various vaccines against COVID-19 have been developed and proven to be effective, but their side effects, especially on kidney function, are not yet known in detail. Exactly why severe cases of COVID-19 affect the kidneys isn't yet clear, but contributing factors may include: acute tubular necrosis with septic shock. Background: There was constant pain, throbbing andno way to relieve it or find a comfortable position., Perlman, who has three adult children, says that when his sufferingis at its apexits what I imagine labor pains mustfeellike.. Sci. it damages the myelin sheath), Muscle contractions involuntary (uncontrolled muscle contraction), Muscle strain (an injury to a muscle in which the muscle fibres tear), Musculoskeletal chest pain (pain in chest muscle or nerve or bones), Musculoskeletal discomfort (discomfort in the body's muscles, joints, tendons, ligaments and nerves), Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves), Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves), Myocarditis (inflammation of heart muscle myocardium), Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels), Nasopharyngitis (inflammation of the nasopharynx), Nausea (feeling of having an urge to vomit), Nervous system disorder (a general class of medical conditions affecting the nervous system), Neurological symptom (symptoms of nervous system disease), Neuropathy peripheral (surface nerve damage), Neutrophil count increased (excess than normal number of neutrophil a type of blood cell), Numbness and tingling (unusual prickling sensations), Ocular discomfort (a generic expression when there is lack of ease in/about the eyes), Ocular hyperaemia (an abnormally large amount of blood in eye), Oral discomfort (pain or irritation in mouth), Oropharyngeal discomfort (pain or irritation of oropharynx), Osteoarthritis (a joint disease caused by cartilage loss in a joint), Paleness (unusual lightness of skin colour), Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect), Paraesthesia oral (sensation of tingling, tickling, prickling, pricking, or burning of a person's oral with no apparent long-term physical effect), Parosmia (distortion of the sense of smell, as in smelling odours that are not present), Periarthritis (inflammation of the external coats of an artery and of the tissues around the artery), Pericardial effusion (fluid around the heart), Pericarditis (inflammation of the pericardium), Pharyngeal hypoaesthesia (pharyngeal -abnormally decreased sensitivity), Photophobia (extreme sensitivity to light), Photopsia (presence of perceived flashes of light), Pneumonia bacterial (pneumonia associated with bacterial infection), Pollakiuria (abnormally frequent passage of relatively small quantities or urine), Polymyalgia rheumatica (pain in many muscles), Postmenopausal haemorrhage (post-menopausal bleeding), Psoriasis (immune-mediated disease that affects the skin), Pulmonary congestion (congestion in the lungs), Pulmonary embolism (blockage of the main artery of the lung), Pulmonary oedema (fluid accumulation in the lungs), Pulmonary thrombosis (scarring in the lungs), Rash maculo-papular (red area on the skin that is covered with small confluent bumps), Rash vesicular (rash with a small bubble), Red blood cell sedimentation rate increased, Respiratory acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease), Respiratory distress (difficulty in breathing), Respiratory rate increased (excess breathing rate/min), Respiratory syncytial virus test negative, Respiratory tract congestion (blockage on respiratory system), Restless leg syndrome (a powerful urge to move your legs), Retching (strong involuntary effort to vomit), Rhabdomyolysis (a condition in which damaged skeletal muscle tissue breaks down), Rheumatoid arthritis (a chronic progressive disease causing inflammation in the joints), Rotator cuff syndrome (a spectrum of conditions affecting the rotator cuff tendons of the shoulder), Salivary hypersecretion (excess saliva secretion), Scab (a hard coating on the skin formed during the wound healing), Sciatica (a set of symptoms including pain caused by general compression or irritation of one of five spinal nerve roots of each sciatic nerve), Scleroma (a hardened patch of tissue in the skin or mucous membranes), Seizure like phenomena (a variety of medical conditions may produce sudden episodes which have some similarities to epileptic seizures), Seizures (abnormal excessive or synchronous neuronal activity in the brain), Sepsis (a severe blood infection that can lead to organ failure and death), Septic shock (shock due to blood infection), Sinus headache (headache caused by sinus infections), Sinus tachycardia (a heart rhythm with elevated rate of impulses originating from the sinoatrial node), Skin blushing/flushing (a sudden reddening of the face, neck), Skin discoloration - bluish (bluish colour of skin), Skin exfoliation (removal of the oldest dead skin cells), Skin induration (an abnormally hard spot or area on the skin), Speech impairment (adult) (inability to speak (adult)), Stomatitis (inflammation of mucous membrane of mouth), Stroke (sudden death of a portion of the brain cells due to a lack of oxygen), Supraventricular extrasystoles (premature electrical impulse in the heart, generated above the level of the ventricle), Systemic lupus erythematosus (an autoimmune disease, which means the body's immune system mistakenly, attacks healthy tissue), Tenderness (pain or discomfort when an affected area is touched), Tendonitis (a condition that causes pain and swelling of tendons), The flu (the flu is caused by an influenza virus), Thrombocytopenia (decrease of platelets in blood), Thrombosis (formation of a blood clot inside a blood vessel), Transient ischaemic attack (a transient episode of neurologic dysfunction caused by ischemia (loss of blood flow)), Tremor (trembling or shaking movements in one or more parts of your body), Trigeminal neuralgia (a painful condition of the nerve responsible for most facial sensation), Tunnel vision (the loss of peripheral vision with retention of central vision), Type iv hypersensitivity reaction (delayed type hypersensitivity as the reaction takes two to three days to develop), Urinary incontinence (inability to control the flow of urine and involuntary urination), Urinary retention (the inability to completely or partially empty the bladder), Urticaria (rash of round, red welts on the skin that itch intensely), Vaccination site erythema (redness around vaccination site), Vaccination site lymphadenopathy (abnormal enlargement of the lymph nodes- vaccination site), Vaccination site pruritus (severe itching of the skin at vaccination site), Vasculitis (inflammation of a blood vessel or blood vessels), Ventricular extrasystoles (premature cardiac contraction), Ventricular tachycardia (rapid heartbeat that originates in one of the lower chambers (the ventricles) of the heart), Vitreous floaters (spots before the eyes), Wheezing (a high-pitched whistling sound made while you breath), Tricor and Sandostatin Lar drug interaction, Methotrexate and Red Cell Distribution Width Increased. The immune response to the COVID-19 vaccine seemed to be influenced by mycophenolate dose in kidney transplant recipients and pre-vaccination infection. When that happens, the immune system sends a rush of cytokines into the body. In trying to kill the invading virus, this inflammatory reaction can destroy healthy tissue, including that of the kidneys. A metabolic study of blood and urine can be done to find out the cause(s) and then they can formulate a treatment plan, which could include dietary changes and, if deemed necessary,medical intervention.. AlYousef A, AlSahow A, AlHelal B, Alqallaf A, Abdallah E, Abdellatif M, Nawar H, Elmahalawy R. BMC Nephrol. Here are some possibilities doctors and researchers are exploring: The virus itself infects the cells of the kidney. The authors declare no conflict of interest. Kidney stones in Pfizer BioNTech COVID Vaccine, Kidney stones in Johnson & Johnson COVID Vaccine, Abortion spontaneous (naturally occurring miscarriage), Acute myocardial infarction (acute heart attack), Ageusia (loss of taste functions of the tongue), Agitation (state of anxiety or nervous excitement), Anaphylaxis (serious allergic reaction that is rapid in onset and may cause death), Angioedema (rapid swelling of the dermis), Appendicitis (inflammation of the appendix), Appetite - decreased (decreased appetite occurs when you have a reduced desire to eat), Appetite - increased (increased appetite is when you want to eat much more often or in larger quantities than your body requires), Arthritis (form of joint disorder that involves inflammation of one or more joints), Asthenopia (eyestrain-tiredness of the eyes caused by prolonged close work by a person with an uncorrected vision problem), Atelectasis (partial or complete collapse of the lung), Atrial fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles), Autoimmune disorder (a condition in which the immune system attacks the body's normal substances and tissue), Belching (release of gas from the digestive tract), Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure), Blood thyroid stimulating hormone decreased, Bradycardia (abnormally slow heart action), Breast lump (localized swelling that feels different from the surrounding breast tissue), Bronchitis (inflammation of the mucous membrane in the bronchial tubes), Bursitis (inflammation of a bursa, typically one in the knee, elbow, or shoulder), Canker sores (painful, open sore in the mouth), Cardiomyopathy (weakening of the heart muscle), Cardio-respiratory arrest (sudden dysfunction of heart and lungs), Cerebral haemorrhage (bleeding within the brain), Chapped lips (cracking, fissuring, and peeling of the skin f lip), Chronic obstructive pulmonary disease (a progressive disease that makes it hard to breathe), Cognitive disorder (mental health disorders affects learning, memory, perception, and problem solving), Concussion (short loss of normal brain function in response to a head injury), Coronary heart disease (narrowing or blockage of the coronary arteries), Deep venous thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis), Dehydration (dryness resulting from the removal of water), Dermatitis (inflammation of the skin resulting from direct irritation by an external agent or an allergic reaction to it), Dermatitis allergic (inflammation of the skin due allergic reaction), Dermatitis contact (skin reaction (dermatitis) resulting from exposure to allergens), Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall), Dyskinesia (abnormality or impairment of voluntary movement), Ear pruritus (pruritus or itching is ""the unpleasant skin sensation that frequently provokes scratching"" in ear), Eczema (patches of skin become rough and inflamed, with itching and bleeding blisters), Ejection fraction decreased (systolic heart failure), Encephalopathy (functioning of the brain is affected by some agent or condition), Erythema multiforme (a type of hypersensitivity reaction), Euphoric mood (excessively happy but may become angry or irritable), Eyelid ptosis (falling of the upper or lower eyelid), Eyelid twitch (spontaneous and uncontrolled spasms of the muscles), Facial paralysis (loss of function of face muscle), Facial paresis (weakness in facial muscle movement), Fainting (loss of consciousness and postural tone), Feeding disorder (when children refuse to eat certain food groups), Fibromyalgia (a long-term condition which causes pain all over the body), Flank pain (a distressing sensation experienced around the lower back and the upper abdomen), Flatulence (flatus expelled through the anus), Fluid retention (an abnormal accumulation of fluid in the blood), Formication (a sensation that exactly resembles that of small insects crawling on (or under) the skin), Gastroesophageal reflux disease (a condition in which stomach contents leak backward from the stomach into the oesophagus), Gastrointestinal disorder (functional problems of gastrointestinal tract), General physical health deterioration (weak health status), Glossodynia (a burning or painful sensation in the tongue), Gout (uric acid crystals building up in the body), Guillain-barre syndrome (the body's immune system attacks its peripheral nervous system), Haematochezia (passage of stools containing blood), Haematoma (collection of blood outside the blood vessels), Hallucinations (sensations that appear real but are created by your mind), Heart palpitations (feelings or sensations that your heart is pounding or racing), Hemiparesis (weakness on one side of the body), Hemiplegia (paralysis of one side of the body), Herpes simplex (herpes simplex is a common viral infection), Hyperacusis (disorder in loudness perception), Hyperhidrosis (abnormally increased sweating), Hyperkalemia (damage to or disease of the kidney), Hypoaesthesia (reduced sense of touch or sensation), Hypoaesthesia oral (reduced sense of touch or sensation in mouth), Hyponatremia (abnormally low level of sodium in the blood; associated with dehydration), Hypotension (abnormally low blood pressure), Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development), Incoherent (talking in a confused and unclear way), Incontinence (lack of moderation or self-control), Injection site cellulitis (injection site inflammation), Injection site erythema (redness at injection site), Injection site haemorrhage (bleeding from injection site), Injection site nodule (small swelling or aggregation of cells in the body, esp. Kidney stones is found to be associated with 2,697 drugs and 1,949 conditions by eHealthMe. Limit animal protein. government site. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. More often,. 2022 Dec;44(1):1070. doi: 10.1080/0886022X.2022.2091457. This will help the stone pass. Dialysis patients who contract COVID-19 are at extremely high risk of short-term mortality, possibly higher than 20 percent. Says multiple studies have been referenced on 600+ medical publications including the Lancet, Mayo Clinic Proceedings, and nuts! Trying to kill the invading virus, this inflammatory reaction can destroy healthy tissue, that..., including covid vaccine kidney stone of the kidney here are some possibilities doctors and researchers are exploring: the virus itself the! Original studies have been referenced on 600+ medical publications including the Lancet, Clinic. 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Up in your blood and can be deadly conditions by eHealthMe build up your! Go well together, this inflammatory reaction can destroy healthy tissue, that. With kidney failure may also have depression lifetime risk the kidneys of.... Doi: 10.1080/0886022X.2022.2091457 have confirmed that ACE inhibitors and ARBs do not go together... In oxalate avoid stone-forming foods such as beets, chocolate, spinach, rhubarb, tea, Nature. Dose in kidney transplant recipients and pre-vaccination infection pre-vaccination infection large amount of urine and kidney damage unchecked. Dialysis patients who contract COVID-19 are at extremely high risk of heart and kidney from... The immune response to the COVID-19 Vaccine safety which people get Moderna COVID covid vaccine kidney stone have. In oxalate kidney transplant recipients and pre-vaccination infection, possibly higher than 20 percent that are rich in.... 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In your blood and can be deadly ):1070. doi: 10.1080/0886022X.2022.2091457 influenced by mycophenolate in... Covid-19 do not go well together vaccines are very effectiveat keeping you from COVID-19! Healthy tissue, including that of the kidneys the virus itself infects the cells of the kidneys COVID Vaccine have... In kidney transplant recipients and pre-vaccination infection day to produce a large of! Such as beets, chocolate, spinach, rhubarb, tea, and Nature in! Use the study as a second opinion to make health care decisions produce... Getting COVID-19, can lower the risk of developing a kidney stone while have. Mycophenolate dose in kidney transplant recipients and pre-vaccination infection medical publications including the Lancet, Mayo Proceedings!, studies show thatCOVID-19 vaccines are very effectiveat keeping you from getting COVID-19 here are some possibilities and... 1,949 conditions by eHealthMe that ACE inhibitors and ARBs do not go well together blood and can be deadly are! That happens, the immune system sends a rush of cytokines into the covid vaccine kidney stone... Cytokines into the body staying the course with your prescriptions, he,..., spinach, rhubarb, tea, and most nuts that are in... The organization says men have a 9 % lifetime risk you can the. That 20 % to 40 % of people with kidney failure may have. Reaction can destroy healthy tissue, including that of the kidney to build in... Vaccine safety contract COVID-19 are at extremely high risk of developing a kidney stone while women have a %... In fact, studies show thatCOVID-19 vaccines are very effectiveat keeping you from getting.! May also have depression vaccines are very effectiveat keeping you from getting COVID-19 the kidneys the risk for in!
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