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Moreover, rheumatoid arthritis exacerbation has also been reported after the COVID-19 vaccination ( IgA nephropathy IgA nephropathy has been similarly reported following COVID-19 mRNA vaccines and the infection itself ( Furthermore, in these cases, the development of IgA nephropathy could be speculated due to an elevated response of immune cells in the germinal center, leading to massive antibody production and increased production of pathogenic IgA similar to immunization with the influenza vaccine