Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dysgraphia, Joint swelling, Joint warmth
Clinical narrative: Difficult to write with the swollen joints in his fingers; Took down the heat and swelling/ heat in his fingers, toes, and elbows (joints); Joint pain in my fingers, toes, and elbows/ pain in his fingers, toes, and elbows (joints); Took down the heat and swelling/ swelling in his fingers, toes, and elbows (joints); This spontaneous case was reported by a consumer and describes the occurrence of JOINT SWELLING (Took down the heat and swelling/ swelling in his fingers, toes, and elbows (joints)), DYSGRAPHIA (Difficult to write with the swollen joints in his fingers), JOINT WARMTH (Took down the heat and swelling/ heat in his fingers, toes, and elbows (joints)) and ARTHRALGIA (Joint pain in my fingers, toes, and elbows/ pain in his fingers, toes, and elbows (joints)) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003B21A and 001A21A) for COVID-19 vaccination.     Concurrent medical conditions included Hashimoto's disease. Concomitant products included LEVOTHYROXINE for Hashimoto's disease.   On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In April 2021, the patient experienced JOINT SWELLING (Took down the heat and swelling/ swelling in his fingers, toes, and elbows (joints)), JOINT WARMTH (Took down the heat and swelling/ heat in his fingers, toes, and elbows (joints)) and ARTHRALGIA (Joint pain in my fingers, toes, and elbows/ pain in his fingers, toes, and elbows (joints)). On an unknown date, the patient experienced DYSGRAPHIA (Difficult to write with the swollen joints in his fingers). The patient was treated with HYDROXYCHLOROQUINE for Adverse event, at an unspecified dose and frequency and CORTICOSTEROID NOS for Adverse event, at an unspecified dose and frequency. At the time of the report, JOINT SWELLING (Took down the heat and swelling/ swelling in his fingers, toes, and elbows (joints)) and DYSGRAPHIA (Difficult to write with the swollen joints in his fingers) had not resolved and JOINT WARMTH (Took down the heat and swelling/ heat in his fingers, toes, and elbows (joints)) and ARTHRALGIA (Joint pain in my fingers, toes, and elbows/ pain in his fingers, toes, and elbows (joints)) outcome was unknown.            It was reported that the patient's symptoms started two weeks after the second dose and he tried hydroxychloroquine but, it did not work for the events. As a result, he consulted a primary care physician who prescribed a 5-day regimen of unspecified corticosteroids that took down most of the pain and swelling and all of heat in his joints. However, the symptoms came back a week and a half later. Moreover, on an unknown date, the patient had an autoimmune deficiency test that came back normal.   Most recent FOLLOW-UP information incorporated above includes: On 04-Aug-2021: Significant follow up received included new event (dysgraphia) and onset date for the events were updated. Concomitant and treatment medication were added.