Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Booster vaccine caused achiness and soreness; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. Other Case identifier(s): 22K-163-4454382-00.  A 59-year-old female patient received BNT162b2 (BNT162B2), on 25Jul2021 as dose 3 (booster), single (Batch/Lot number: unknown) and as dose 4 (booster), single (Batch/Lot number: unknown), all intramuscular for covid-19 immunisation; adalimumab (HUMIRA), first regimen since 05Mar2016 (Batch/Lot number: unknown) at unk citrate free and second regimen since 05Feb2017 (ongoing) (Batch/Lot number: unknown) at unk citrate free, all subcutaneous for psoriatic arthropathy. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose 1, Lot number: unknwon), administration date: 25Feb2021, when the patient was 58-year-old, for COVID-19 immunization; BNT162b2 (Dose 2, Lot number: unknown), administration date: 18Mar2021, when the patient was 58-year-old, for COVID-19 immunization; Bnt162b2 (On unknown dates, the patient experienced growth of pea size lump on left wrist/painful to the touch, triggered finger on right hand, muscular atrophy based on left thumb pad, psoriatic arthritis flare up, nerve pain), for COVID-19 immunization, reaction(s): "Flu like symptoms", "Muscle atrophy", "Nerve pain", "Pain localized", "Psoriatic arthritis aggravated", "Skin mass", "Trigger finger". The following information was reported: PAIN (non-serious), outcome "unknown", described as "Booster vaccine caused achiness and soreness". The action taken for adalimumab was dosage not changed.  Additional information: On unknown dates, the patient experienced growth of pea size lump on left wrist/painful to the touch, triggered finger on right hand, muscular atrophy based on left thumb pad, psoriatic arthritis flare up, nerve pain and booster vaccine caused achiness and soreness. in 2021, the patient experienced flu like symptoms. in Mar2021, the patient experienced second Pfizer vaccine caused achiness and soreness. In Mar2021, the second Pfizer vaccine caused achiness and soreness resolved. Pfizer Biontech COVID-19 Vaccine (Tozinameran) was also considered suspect. it was unknown if patient was enrolled in a covid-19 vaccine trial. Causality for HUMIRA (ADALIMUMAB): The reporter's causality for the event(s) of growth of pea size lump on left wrist/painful to the touch unknown onset, triggered finger on right hand, muscular atrophy based on left thumb pad, flu like symptoms, growth of pea size lump on left wrist/painful to the touch unknown onset and nerve pain with HUMIRA (ADALIMUMAB): was no reasonable possibility. the reporter's causality for the event(s) of psoriatic arthritis flare up with Humira (adalimumab) was a reasonable possibility. the reporter's causality for the event(s) of second Pfizer vaccine caused achiness and soreness and booster vaccine caused achiness and soreness was not provided. Change History: On 26Jul2022, received updates to event information, reporter opinion of causality, suspect drug information and narrative description. The events of "second pfizer vaccine caused achiness and soreness" and "Booster vaccine caused achiness and soreness" were added.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.