Age: 68.0
Sex: F
Vaccine: COVID19, PPV, RVX
Symptoms: Rheumatoid arthritis, Rosacea
Clinical narrative: I got Covid and I was so ill/Diarrhea, Loss of smell, Weariness; No appetite; Injured both feet previously/a badly broken big toe (twice) on right foot and a countertop fell on my left foot during a remodel; A badly broken big toe (twice) on right foot; Had trouble walking/she was unable to walk after getting the vaccine; Her feet have been very painful; Aches; She became ill after receiving the vaccine/She had the worst reaction to the COVID-19 injection.; Nausea; Fever; I have RA, and I have had the WORST problem with my feet; Rosacea, and I have had the WORST problem with my skin; This spontaneous case was reported by a patient and describes the occurrence of RHEUMATOID ARTHRITIS (I have RA, and I have had the WORST problem with my feet) in a 68-year-old female patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.    Co-suspect products included non-company products RSV vaccine for an unknown indication and Pneumococcal vaccine for an unknown indication.    No Medical History information was reported.   On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) 1 dosage form, dose of RSV vaccine (unknown route) 1 dosage form and dose of Pneumococcal vaccine (unknown route) 1 dosage form. In October 2024, the patient experienced RHEUMATOID ARTHRITIS (I have RA, and I have had the WORST problem with my feet) (seriousness criterion medically significant) and ROSACEA (Rosacea, and I have had the WORST problem with my skin). On an unknown date, the patient experienced COVID-19 (I got Covid and I was so ill/Diarrhea, Loss of smell, Weariness), DECREASED APPETITE (No appetite), LIMB INJURY (Injured both feet previously/a badly broken big toe (twice) on right foot and a countertop fell on my left foot during a remodel), FOOT FRACTURE (A badly broken big toe (twice) on right foot), GAIT DISTURBANCE (Had trouble walking/she was unable to walk after getting the vaccine), PAIN IN EXTREMITY (Her feet have been very painful), PAIN (Aches), ILLNESS (She became ill after receiving the vaccine/She had the worst reaction to the COVID-19 injection.), NAUSEA (Nausea) and PYREXIA (Fever). At the time of the report, RHEUMATOID ARTHRITIS (I have RA, and I have had the WORST problem with my feet), ROSACEA (Rosacea, and I have had the WORST problem with my skin), LIMB INJURY (Injured both feet previously/a badly broken big toe (twice) on right foot and a countertop fell on my left foot during a remodel), GAIT DISTURBANCE (Had trouble walking/she was unable to walk after getting the vaccine), PAIN IN EXTREMITY (Her feet have been very painful) and ILLNESS (She became ill after receiving the vaccine/She had the worst reaction to the COVID-19 injection.) had not resolved and COVID-19 (I got Covid and I was so ill/Diarrhea, Loss of smell, Weariness), DECREASED APPETITE (No appetite), FOOT FRACTURE (A badly broken big toe (twice) on right foot), PAIN (Aches), NAUSEA (Nausea) and PYREXIA (Fever) outcome was unknown.            Concomitant medication was not provided. Patient had 6 or 7 (lost track) Moderna vaccinations with some days in bed, fever, aches, and nausea. She took pneumonia and RSV recently and thought to wait till the end of October to update her Covid vaccine. Meanwhile, she got Covid and was so ill. She had RA, rosacea, and had the worst problem with her feet and skin since October. She also suffered from diarrhea, no appetite, loss of smell, and the weariness was horrendous. She had injured both feet previously, a badly broken big toe (twice) on right foot and a countertop fell on her left foot during a remodel. Her toes had been pretty brutal and several times she had trouble walking and wearing shoes had gotten awful. She became ill after receiving the vaccine and was confused about whether she should receive the next vaccine. She was afraid because she was unable to walk after getting the vaccine, and her feet had been very painful. She had the worst reaction to the COVID-19 injection. She had an appointment the next day. Treatment information was not reported.   Most recent FOLLOW-UP information incorporated above includes: On 29-Jan-2025: Live follow-up received and added references. On 29-Jan-2025: Live follow-up received and updated event verbatim, added new events of pain in extremity, illness and updated narrative.; Reporter's Comments: Causality for Foot injury and Foot fracture was assessed as not related, due to mechanism of action. The benefit-risk relationship of product is not affected by this report.