Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Shoulder operation
Clinical narrative: got really sick; every joint in my toes hurt/Her feet hurt so bad that it's like every single bone hurts/pain shoots into my toes; joints, especially my hands, are so stiff; can barely open jars, which was easy for me before/takes about an hour to get going; stands up really slow/I have to stretch for a minute before starting to walk; something is wrong with my joints; fingers are so swollen that I can't wear some of my rings; ulcers; I just feel achy; rheumatoid arthritis; elbow joints hurt/still had pain in my joints, more specifically in my hands and feet/pain in my knees and hips/every joint in my toes hurt; she had a shoulder surgery; This spontaneous case was reported by a consumer and describes the occurrence of RHEUMATOID ARTHRITIS (rheumatoid arthritis) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031A21A and 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by reporter.  Concomitant products included VITAMIN D [VITAMIN D NOS] and FISH OIL for an unknown indication.   On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Apr-2021, the patient experienced SHOULDER OPERATION (she had a shoulder surgery). In May 2021, the patient experienced ARTHRALGIA (elbow joints hurt/still had pain in my joints, more specifically in my hands and feet/pain in my knees and hips/every joint in my toes hurt). On 09-Aug-2021, the patient experienced RHEUMATOID ARTHRITIS (rheumatoid arthritis) (seriousness criteria disability and medically significant). On an unknown date, the patient experienced ILLNESS (got really sick), PAIN IN EXTREMITY (every joint in my toes hurt/Her feet hurt so bad that it's like every single bone hurts/pain shoots into my toes), JOINT STIFFNESS (joints, especially my hands, are so stiff), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (can barely open jars, which was easy for me before/takes about an hour to get going), DYSSTASIA (stands up really slow/I have to stretch for a minute before starting to walk), MUSCULOSKELETAL DISCOMFORT (something is wrong with my joints), PERIPHERAL SWELLING (fingers are so swollen that I can't wear some of my rings), MOUTH ULCERATION (ulcers) and MYALGIA (I just feel achy). The patient was treated with CELECOXIB (CELEBREX) ongoing since an unknown date for Adverse event, at an unspecified dose and frequency and Physical therapy for Shoulder operation. At the time of the report, RHEUMATOID ARTHRITIS (rheumatoid arthritis), ILLNESS (got really sick), JOINT STIFFNESS (joints, especially my hands, are so stiff), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (can barely open jars, which was easy for me before/takes about an hour to get going), DYSSTASIA (stands up really slow/I have to stretch for a minute before starting to walk), MUSCULOSKELETAL DISCOMFORT (something is wrong with my joints), PERIPHERAL SWELLING (fingers are so swollen that I can't wear some of my rings), SHOULDER OPERATION (she had a shoulder surgery), MOUTH ULCERATION (ulcers), MYALGIA (I just feel achy) and ARTHRALGIA (elbow joints hurt/still had pain in my joints, more specifically in my hands and feet/pain in my knees and hips/every joint in my toes hurt) outcome was unknown and PAIN IN EXTREMITY (every joint in my toes hurt/Her feet hurt so bad that it's like every single bone hurts/pain shoots into my toes) had not resolved.            Both doses were given from the same vaccination site. After the second dose, she got really sick. She stayed home from teaching the next day on 19 Mar 2021. It took a couple days before getting back to normal. After a few months on 20 Apr 2021, she had a shoulder surgery. Within a few weeks by mid-May 2021, her elbow joints hurt. She was not sure if it was associated with the recovery or not. She had physical therapy after the surgery, but she still had pain in her joints, more specifically in her hands and feet. She also had pain in her knees and hips. It was not normal because she had been athletic all her life and still was until this point. In the beginning of Jun 2021, she went for grocery shopping when suddenly every joint in her toes hurt. She was really worried, so she went to her doctor on 09 Aug 2021. The doctor told her it could be rheumatoid arthritis, but her test results did not show that at all. They still did not know what it is. She had ulcers, so she cannot take certain medications. She was prescribed Celebrex and drinks more water, ups her vitamin D, takes fish oil. She was not liking where she's at right now. She wakes up in the morning and it takes about an hour to get going. Her joints, especially her hands, are so stiff and so painful. She can barely open jars, which was easy for her before. Her feet hurt so bad that it's like every single bone hurts like she's walking on rocks. She stands up really slow and had to stretch for a minute before starting to walk. She just felt achy. Something was with her joints. She wishes that she had waited longer to get vaccinated. Her fingers were so swollen that she could not wear some of her rings. She was down to two shoes that will fit her because those were more supportive. The pain shoots into her toes. The patient was worried that this won't go away or will get worse. Company comment: Very limited information regarding these events has been provided at this time.  Further information has been request; Sender's Comments: Very limited information regarding these events has been provided at this time.  Further information has been requested.