Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Joint range of motion decreased, Pain in extremity, Pallor, Peripheral swelling
Clinical narrative: LOOKED REALLY PALE; Stomach upset; SLEPT MOST OF THE DAY AWAY; RIGHT HAND SWOLLEN LIKE A BALLOON; RIGHT HAND COULD NOT CLOSE AND HURTING; RIGHT HAND COULD NOT CLOSE AND HURTING; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (RIGHT HAND SWOLLEN LIKE A BALLOON), ABDOMINAL DISCOMFORT (Stomach upset), JOINT RANGE OF MOTION DECREASED (RIGHT HAND COULD NOT CLOSE AND HURTING), SOMNOLENCE (SLEPT MOST OF THE DAY AWAY) and PALLOR (LOOKED REALLY PALE) in a 63-year-old male 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) for Osteoarthritis.    Concurrent medical conditions included Osteoarthritis (BONE ON BONE ARTHRITIS).   In January 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In February 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Nov-2021, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) UNK, Citrate Free, Solution for injection in pre-filled pen. On 03-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In 2021, the patient experienced PERIPHERAL SWELLING (RIGHT HAND SWOLLEN LIKE A BALLOON), JOINT RANGE OF MOTION DECREASED (RIGHT HAND COULD NOT CLOSE AND HURTING) and PAIN IN EXTREMITY (RIGHT HAND COULD NOT CLOSE AND HURTING). On 04-Dec-2021, the patient experienced ABDOMINAL DISCOMFORT (Stomach upset) and SOMNOLENCE (SLEPT MOST OF THE DAY AWAY). On an unknown date, the patient experienced PALLOR (LOOKED REALLY PALE). In December 2021, ABDOMINAL DISCOMFORT (Stomach upset), SOMNOLENCE (SLEPT MOST OF THE DAY AWAY) and PALLOR (LOOKED REALLY PALE) had resolved. At the time of the report, PERIPHERAL SWELLING (RIGHT HAND SWOLLEN LIKE A BALLOON) had not resolved and JOINT RANGE OF MOTION DECREASED (RIGHT HAND COULD NOT CLOSE AND HURTING) and PAIN IN EXTREMITY (RIGHT HAND COULD NOT CLOSE AND HURTING) outcome was unknown.            Concomitant product use was not provided by the reporter.  In 2021, the patient experienced right hand swollen like a balloon/right hand could not close and hurting. On 04-Dec-2021, the patient experienced stomach upset, slept most of the day away and was looking pale. In Dec-2021, the stomach upset, slept most of the day away and was looking really pale resolved.  No treatment information was provided. The reporter's causality for the event hand swelling with Humira(adalimumab) was a reasonable possibility. The reporter's causality of Humira for the event(s) of abdominal discomfort, somnolence, and pallor was no reasonable possibility. The reporter's causality of Humira for the event joint range of motion decreased was not provided.  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-2021-623523 (Patient Link).   Reporter did not allow further contact