Evidence map›Paper›PMID 34763669›Full record

ArticleBMC nephrology2021

Minimal change disease following the Moderna COVID-19 vaccine: first case report.

Shaefiq Thappy, Sherin R Thalappil, Shahem Abbarh, Abdulrahman Al-Mashdali, Mohammed Akhtar, Mohamad M Alkadi

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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  8. Article
  9. Vaccines and nephrotic syndrome: efficacy and safety.Pediatric nephrology (Berlin, Germany) · 2023
    Review
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  15. Frontiers in medicine · 2022
    Article
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  19. Renal Complications Following COVID-19 Vaccination: A Narrative Literature Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Shaefiq ThappyDivision of Nephrology, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Sherin R ThalappilDivision of Allergy and Immunology, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Shahem AbbarhDepartment of Medicine, Hamad Medical Corporation, Doha, Qatar.
Abdulrahman Al-MashdaliDepartment of Medicine, Hamad Medical Corporation, Doha, Qatar.
Mohammed AkhtarDepartment of Pathology, Hamad Medical Corporation, Doha, Qatar.
Mohamad M AlkadiDivision of Nephrology, Department of Medicine, Hamad Medical Corporation, Doha, Qatar. malkadi@hamad.qa.ORCID 0000-0003-0009-5823
Hamad Medical Corporation · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been cases of minimal change disease (MCD) reported following previous vaccines. During the COVID-19 era, only 3 cases of new-onset MCD and a case of MCD relapse were reported following the Pfizer-BioNTech COVID-19 vaccine. We herein report the first case of MCD after receiving the Moderna COVID-19 vaccine. CASE PRESENTATION: A 43-year-old man presented to hospital 3 weeks after receiving the first dose of the Moderna vaccine, with both bilateral lower extremities and scrotal edema. He initially developed a sudden-onset bilateral lower extremities swelling on day 7 post-vaccine. He, then, developed dyspnea and scrotal swelling over a time span of 2 weeks. On physical examination, his blood pressure was 150/92 mmHg. There was a decreased air entry at lung bases, bilateral lower extremities and scrotal edema. Labs revealed hypoalbuminemia, hyperlipidemia and 15 g of proteinuria. His immunologic and serologic work up was negative. Renal biopsy showed concomitant MCD and IgA nephropathy. Patient was treated with oral steroids and had a good response; his edema resolved, serum albumin improved, and proteinuria decreased to 1 g within 2 weeks of treatment.

conclusionsTo the best of our knowledge, MCD has not been previously reported after receiving the Moderna COVID-19 vaccine. It remains unclear whether the COVID-19 mRNA vaccines are associated with the development of MCD, or it coincided with the mass vaccination. Further studies are needed to determine the incidence of MCD post COVID-19 vaccines and the underlying pathophysiology of glomerular injury post vaccination.

Indexed as

Lower ExtremityScrotum2019-nCoV Vaccine mRNA-1273AdultCOVID-19COVID-19 VaccinesDyspneaEdemaGlomerulonephritis, IGAHumansHypoalbuminemiaMaleNephrosis, LipoidSARS-CoV-22019-nCoV Vaccine mRNA-1273COVID-19 VaccinesCase reportImmunization.Minimal change diseaseNephrotic syndrome

Identifiers

PMID34763669
PMCPMC8581957
OpenAlexW3212300988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.