Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriatic arthropathy
Clinical narrative: The joint pain and discomfort has continued to get worse; the pain returns when off the steroids; since receiving my 2 covid vaccines I have experienced a Psoriatic Arthritis flare up with significant joint pain; since receiving my 2 covid vaccines I have experienced a Psoriatic Arthritis flare up with significant joint pain; swelling in my hands which was new; The joint pain and discomfort has continued to get worse; This is a spontaneous report from a contactable consumer and a contactable Physician. A 62-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 11Jan2021 (Batch/Lot Number: EL1283) as DOSE 2, SINGLE (at the age of 62 years) for covid-19 immunisation.  The patient received first dose of BNT162B2 (Batch/lot number: EK5730), on 21Dec2020 in left arm.  Medical history included macular degeneration from an unknown date and unknown if ongoing, chorioretinopathy from an unknown date and unknown if ongoing, ongoing psoriasis, ongoing arthritis. Concomitant medications included etanercept (ENBREL) taken for an unspecified indication from an unspecified start date and ongoing; ascorbic acid, copper gluconate, tocopheryl acid succinate, xantofyl, zeaxanthin, zinc oxide (AREDS 2 VISUAL ADVANTAGE) taken for an unspecified indication, start and stop date were not reported; ciclosporin (RESTASIS) taken for an unspecified indication, start and stop date were not reported; vitamin D (NOS) (VITAMIN D NOS) taken for an unspecified indication, start and stop date were not reported.  The patient experienced since receiving my 2 COVID vaccines has experienced a psoriatic arthritis flare up with significant joint pain on 13Jan2021 with outcome of not recovered , swelling in my hands which was new on 13Jan2021 with outcome of not recovered, the joint pain and discomfort has continued to get worse  on 13Jan2021 with outcome of not recovered, and the pain returns when off the steroids on 13Jan2021 with outcome of not recovered.  Therapeutic measures (steroids and new biologic Skyrizi) were taken as a result psoriatic arthritis flare up with significant joint pain, swelling in my hands which was new, the joint pain and discomfort has continued to get worse, and the pain returns when off the steroids. Patients concern is since receiving my 2 Covid vaccines I have experienced a Psoriatic Arthritis flare up with significant joint pain which I have never had while taking Enbrel the past 15 years. Patient has been injecting about every 10 days and with great psoriasis and arthritis control up until the early Jan2021.  Patient had appointment with dermatologist for a regular visit on 13Jan2021 and reported to him She had noticed joint pain and swelling in my hands which was new. Physician suggested continuing the Enbrel every 7 days to see if helped which it did not. Patient was taking Tylenol and Ibuprofen as well with little improvement. The joint pain and discomfort have continued to get worse, and patient has now switched to Skyrizi with little improvement, also have done 2 rounds of Medrol Dose pack with great relief but the pain returns when off the steroids. Patient is now trying maintenance dose of prednisone which is still tweaked. Patient was unsure if vaccine played a part of this Flare. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with Covid-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. The physician feels Pfizer product had a causal effect to the adverse event.  Follow-up attempts completed. No further information expected.