gross hematuria; extreme pain in the right kidney, kidney pain is now a 1 or 2 in a scale from 1 to 10; fever of 101.1°F; This spontaneous case was reported by a patient and describes the occurrence of HEMATURIA (gross hematuria), RENAL PAIN (extreme pain in the right kidney, kidney pain is now a 1 or 2 in a scale from 1 to 10) and PYREXIA (fever of 101.1°F) in an 87-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 016H22A) for COVID-19 vaccination.     The patient's past medical history included Malignant tumor (with abdomen metastasis removed on 2019) in 2019, COVID-19 (tested negative 13 days later) on 07-Sep-2022 and Nephrectomy in 2017. Previously administered products included for Product used for unknown indication: Flu Shot on 01-Oct-2022. Past adverse reactions to the above products included No adverse event with Flu Shot. Concurrent medical conditions included Bleeding (for the past few months) since March 2022, Drug allergy (Augmentin), Bladder cancer since 2010 and Appendicitis. Concomitant products included PARACETAMOL (TYLENOL) for Pain, ALPRAZOLAM (XANAX) for Sleep problem, MULTIVITAMINS [VITAMINS NOS] for an unknown indication.    On 14-Nov-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. On 14-Nov-2022, the patient experienced HEMATURIA (gross hematuria), RENAL PAIN (extreme pain in the right kidney,kidney pain is now a 1 or 2 in a scale from 1 to 10) and PYREXIA (fever of 101.1°F). On 15-Nov-2022, RENAL PAIN (extreme pain in the right kidney,kidney pain is now a 1 or 2 in a scale from 1 to 10) and PYREXIA (fever of 101.1°F) had resolved. At the time of the report, HAEMATURIA (gross hematuria) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Sep-2022, SARS-CoV-2 test: (Positive) positive. On an unknown date, Body temperature: 101.1 101.1°F. On an unknown date, Computerised tomogram: Patient mentioned that 5 months ago doctors made a CT scan and a PET scan and found that his previous cancer spread again. On an unknown date, Positron emission tomogram: Patient mentioned that 5 months ago doctors made a CT scan and a PET scan and found that his previous cancer spread again.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular), the reporter did not provide any causality assessments.   Patient stated he received 1st dose of Moderna COVID-19 Vaccine on 09Jan2021 with Lot number 025J20A, 2nd dose on 04Feb2021 with lot number 012M20A, 3rd dose on 16Aug2021 lot number 054C22A, 1st booster on 28Mar2022 with lot number 048L21A.   Patient had fever which was resolved, hematuria mostly minor spots and minor pain in the kidney No treatment medication was provided by reporter.   This case was linked to MOD-2022-673536, MOD-2021-291235, MOD-2021-674168, MOD-2021-674162 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 16-Nov-2022: Live Significant follow up received includes Patient details, vaccine details and  narrative updated.