Case Report

ANCA-Associated Vasculitis after Moderna COVID-19 Vaccination

Table 1

Laboratory data.

ParameterValue

White blood cells (/μL)13800
Neutrophils (%)86.8
Lymphocytes (%)5.3
Monocytes (%)2.9
Eosinophils (%)4.1
Basophils (%)0.9
Red blood cells (×104/μL)361
Hemoglobin (g/dL)10.4
Hematocrit (%)32.1
Platelet count (×104/μL)12.2
Total protein (g/dL)5.8
Albumin (g/dL)2.1
Total bilirubin (mg/dL)0.4
Aspartate aminotransferase (U/L)21
Alanine aminotransferase (U/L)19
Lactate dehydrogenase (U/L)175
γ-Glutamyl transpeptidase (U/L)29
Creatine kinase (U/L)24
Blood urea nitrogen (mg/dL)11.7
Creatinine (mg/dL)0.79
Sodium (mEq/L)138
Potassium (mEq/L)3.5
Chloride (mEq/L)102
Hemoglobin A1c (%)7.0
C-reactive protein (mg/dL)12.1
C3 (mg/dL)145
C4 (mg/dL)27.7
Immunoglobulin G (mg/dL)1775
Immunoglobulin A (mg/dL)302
Immunoglobulin M (mg/dL)100
Hepatitis B virus antigenNegative
Hepatitis C virus antibodyNegative
CryoglobulinNegative
Antinuclear antibodyNegative
Myeloperoxidase-antineutrophil cytoplasmic antibody (U/mL)296
PR3-ANCA:proteinase3-antineutrophil cytoplasmic antibody (U/mL)Negative
Glomerular basement membrane antibody (U/mL)Negative
SARS-CoV2-polymerase chain reactionNegative

<Urinalysis>
Protein1+
Occult blood2+
Glucose
Red blood cells (/HPF)30–49
White blood cells (/HPF)5–9
Protein excretion (g/gCr)0.39
N-acetyl-β-D-glucosaminidase (U/L)8.5
Β2-macroglobulin (μg/L)197

HPF, high-power field.