Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rheumatoid arthritis
Clinical narrative: all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 48-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 23Nov2021 at 19:00 as dose 3 (booster), single (Lot number: 33030BD) at the age of 48 years, in right arm for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: BNT162b2 (prev dose lot number=EW0175,, prev dose administration time=05:00 PM,, prev dose dose number=2,, prev dose vaccine location=Left arm), administration date: 23Apr2021, when the patient was 48-year-old, for COVID-19 immunization; BNT162b2 (prev dose lot number=Er8730,, prev dose administration time=12:00 PM,, prev dose dose number=1,, prev dose vaccine location=Left arm), administration date: 01Apr2021, when the patient was 48-year-old, for COVID-19 immunization. The following information was reported: RHEUMATOID ARTHRITIS (medically significant), PERIPHERAL SWELLING (non-serious), INFLAMMATION (non-serious), PAIN IN EXTREMITY (non-serious), PRURITUS (non-serious), ERYTHEMA (non-serious) all with onset 24Nov2021, outcome "recovered with sequelae" and all described as "all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day". The events "all my fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: Unknown results. Therapeutic measures were taken as a result of rheumatoid arthritis, peripheral swelling, inflammation, pain in extremity, pruritus, erythema.  Clinical course: On 24Nov, all of patient fingers were swelling, it started swelling on one hand each fingers, it red inflammation sore hurt and itchy all fingers all day, patient was treated with steroids medication and symptoms was referred to a Rheumatologist. Patient has been tested with many types of blood test to find out what caused the illness. Patient was treated with RA medication (Simponi) for 6 months from Mar2022, Sep2022 then had switched to Methotrexate on 22Oct2022.