Age: 60.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Condition aggravated, Injection site rash, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: RHEUMATOID ARTHRITIS SYMPTOMS ALWAYS START TO GET WORSE THREE TO FIVE DAYS PRIOR TO NEXT INJECTION; Rheumatoid arthritis symptoms always start to get worse three to five days prior to the next injection; difficulty with buttons when getting dressed; sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it; EXTREME PAIN; Wearing off effect; TINY RASH AT INJECTION SITE; sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it; sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it; This spontaneous case was reported by a consumer and describes the occurrence of RHEUMATOID ARTHRITIS (RHEUMATOID ARTHRITIS SYMPTOMS ALWAYS START TO GET WORSE THREE TO FIVE DAYS PRIOR TO NEXT INJECTION) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product ADALIMUMAB (HUMIRA) injection for Rheumatoid arthritis.    Concurrent medical conditions included Rheumatoid arthritis.   In August 2020, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) 40 milligram. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced RHEUMATOID ARTHRITIS (RHEUMATOID ARTHRITIS SYMPTOMS ALWAYS START TO GET WORSE THREE TO FIVE DAYS PRIOR TO NEXT INJECTION) (seriousness criterion medically significant), CONDITION AGGRAVATED (Rheumatoid arthritis symptoms always start to get worse three to five days prior to the next injection), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (difficulty with buttons when getting dressed), JOINT RANGE OF MOTION DECREASED (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it), PAIN (EXTREME PAIN), THERAPEUTIC RESPONSE SHORTENED (Wearing off effect), INJECTION SITE RASH (TINY RASH AT INJECTION SITE), MYALGIA (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it) and ARTHRALGIA (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it). At the time of the report, RHEUMATOID ARTHRITIS (RHEUMATOID ARTHRITIS SYMPTOMS ALWAYS START TO GET WORSE THREE TO FIVE DAYS PRIOR TO NEXT INJECTION), CONDITION AGGRAVATED (Rheumatoid arthritis symptoms always start to get worse three to five days prior to the next injection), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (difficulty with buttons when getting dressed), JOINT RANGE OF MOTION DECREASED (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it), PAIN (EXTREME PAIN), THERAPEUTIC RESPONSE SHORTENED (Wearing off effect), INJECTION SITE RASH (TINY RASH AT INJECTION SITE), MYALGIA (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it) and ARTHRALGIA (sore muscle in upper right arm near shoulder joint with diffuculty and pain with raising arms and when sleeping on it) outcome was unknown.            Concomitant product use was not provided by the reporter.  Treatment information was not provided. Very limited information regarding the events has been provided at this time. Further information has been request.; Sender's Comments: Very limited information regarding the events has been provided at this time. Further information has been request.