Index Entries

Jessica Hanna, Alistair Ingram, and Tiffany Shao
November 15, 2021
Canadian Journal of Kidney Health and Disease
McMaster University (Canada)

"Abstract

Rationale: ...[T]here has been a steady increase in the number of patients presenting with nephrotic syndrome and acute kidney injury after the administration of COVID-19 vaccine....

Discussion

... We report a case of de novo MCD with AKI after the first dose of Pfizer-BioNTech COVID-19 vaccine...

This case further supports the temporal association between COVID-19 vaccine (in this case Pfizer-BioNTech as with most of the previous reported cases) and the new onset of MCD [minimal change disease] in association with AKI. Acute kidney injury is a consistent feature reported in most of the cases. Although a causal association cannot be definitively confirmed, clinicians and pathologists should be aware of MCD presenting with nephrotic syndrome as a potential side effect...

While the majority of the de novo MCD cases have been reported post Pfizer-BioNTech administration, cases associated with Moderna COVID-19 mRNA vaccination and with the non-mRNA-based AstraZeneca vaccine have also occurred. With prompt initiation of steroid therapy, complete remission of nephrotic syndrome and AKI can be achieved in the majority of cases."

document
adverse events,COVID-19,vaccines