Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Pain in extremity
Clinical narrative: sore arm/severe arm pain; Fatigue; Appetite absent/No appetite; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (Appetite absent/No appetite), PAIN IN EXTREMITY (sore arm/severe arm pain) and FATIGUE (Fatigue) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.    Co-suspect product included non-company product ADALIMUMAB (HUMIRA) solution for injection for Hidradenitis suppurativa.    Concurrent medical conditions included Hidradenitis suppurativa (Moderate to severe).   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (unknown route) UNK, Citrate free. In October 2021, the patient experienced DECREASED APPETITE (Appetite absent/No appetite) and FATIGUE (Fatigue). On an unknown date, the patient experienced PAIN IN EXTREMITY (sore arm/severe arm pain). At the time of the report, DECREASED APPETITE (Appetite absent/No appetite) and FATIGUE (Fatigue) outcome was unknown and PAIN IN EXTREMITY (sore arm/severe arm pain) had resolved.            On unknown dates, the patient experienced dispensing error/pharmacy mistakenly dispensed original humira/when injected calf burned and the injection left marks up and down on leg and very painful for about a week. on an unknown date, very painful for about a week resolved.  The outcome of the events Drug dispensing error, Injection site burning and Injection site reaction was unknown.  The causality for Humira(adalimumab) for all the events w not provided. The other Mft. opinion is that there is no reasonable possibility that the events of back surgery, sore arm with first and third injection of covid vaccine/severe arm pain after the booster, no appetite, fatigue and dispensing error/pharmacy mistakenly dispensed original humira/when injected calf burned and the injection left marks up and down on leg unknown onset are related to humira(adalimumab). Mft opinion is that there is a  reasonable possibility that the events of dispensing error/pharmacy mistakenly dispensed original humira/when injected calf burned and the injection left marks up and down on leg unknown onset, very painful for about a week and dispensing error/pharmacy mistakenly dispensed original humira/when injected calf burned and the injection left marks up and down on leg unknown onset are related to humira(adalimumab). It was unknown if patient was enrolled in a COVID-19 Vaccine Trial.  Patient had spinal operation on unknown date.   This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.   This case was linked to MOD-2022-621645 (Patient Link).   Reporter did not allow further contact