Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Psoriasis, Psoriatic arthropathy, Tinea pedis
Clinical narrative: psoriatic arthritis; I still was not having relief and it worsened; severe pain in all joints; exhausted; sore arm; headache; severe neck pain; had a severe psoriasis breakout on the bottom of my feet; it was athletes foot i tried several remedies; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 52-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 17Apr2021 as dose 2, single (Lot number: EW0162) at the age of 52 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "endometriosis" (unspecified if ongoing); "mild psoriasis" (unspecified if ongoing), notes: mild psoriasis; "high cholesterol" (unspecified if ongoing). There were no concomitant medications. Past drug history included: Flagyl, reaction(s): "Known allergies: Flagyl". Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/Lot No: ER8732, Location of injection: Arm Left), administration date: 27Mar2021, when the patient was 51-year-old, for COVID-19 immunization. The following information was reported: PSORIASIS (disability) with onset 17Apr2021, outcome "not recovered", described as "had a severe psoriasis breakout on the bottom of my feet"; HEADACHE (disability) with onset 17Apr2021, outcome "not recovered"; TINEA PEDIS (disability) with onset 17Apr2021, outcome "not recovered", described as "it was athletes foot i tried several remedies"; NECK PAIN (disability) with onset 17Apr2021, outcome "not recovered", described as "severe neck pain"; PAIN IN EXTREMITY (disability) with onset 17Apr2021, outcome "not recovered", described as "sore arm"; PSORIATIC ARTHROPATHY (disability, medically significant), outcome "unknown", described as "psoriatic arthritis"; CONDITION AGGRAVATED (disability), outcome "unknown", described as "I still was not having relief and it worsened"; ARTHRALGIA (disability), outcome "unknown", described as "severe pain in all joints"; FATIGUE (disability), outcome "unknown", described as "exhausted". The events "psoriatic arthritis", "sore arm", "headache", "severe neck pain", "had a severe psoriasis breakout on the bottom of my feet", "it was athletes foot i tried several remedies", "i still was not having relief and it worsened", "severe pain in all joints" and "exhausted" required physician office visit. Therapeutic measures were taken as a result of psoriatic arthropathy, pain in extremity, headache, neck pain, psoriasis, tinea pedis, condition aggravated, arthralgia, fatigue.  Clinical course: Patient did not took other vaccine in four weeks and other medication in two weeks. Immediate adverse effects sore arm for days also headache and upon 2nd shot severe neck pain from the time patient received the shot to several months after went to a chiropractor for several months after not thinking it was from shot but I thought it was. Patient also had a severe psoriasis breakout on the bottom of her feet thinking it was athletes foot she tried several remedies eventually got a steroid prescribed but that did not help finally went to dermatologist as she still was not having relief and it worsened they prescribed me with another topical also by now having symptoms of psoriatic arthritis which she was looking into now with a biologic prescription of Skyrizi and she was  scheduling with a rheumatologist for further help with this issue as she was in severe pain in all joints and am exhausted. AE resulted in: Doctor or other healthcare professional office/clinic visit, Disability or permanent damage. For AE treatment Prescribed steroidal ointments and biologic. Patient did not had COVID prior vaccination. COVID tested post vaccination.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300053075 same patient, different events after different doses of the vaccine;