Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropathy, Arthropod bite, Body temperature, Impaired healing, Joint swelling
Clinical narrative: Arthropod bite; Anytime when got a bug bite or tick bite it was slow to heal; psoriasis flare-up on elbows, knees and right eyelid; temperature of 101.9; Swelling of wrists; Flare up in all joints after took first covid vaccine.; This spontaneous case was reported by a consumer and describes the occurrence of JOINT SWELLING (Swelling of wrists), ARTHROPATHY (Flare up in all joints after took first covid vaccine.), ARTHROPOD BITE (Arthropod bite), IMPAIRED HEALING (Anytime when got a bug bite or tick bite it was slow to heal) and PSORIASIS (psoriasis flare-up on elbows, knees and right eyelid) in a 42-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) solution for injection for Psoriatic arthropathy and Plaque psoriasis.    No other medical history was reported.  Concomitant products included CYCLOBENZAPRINE HCL, CALCITRIOL, TRAMADOL HCL, CLOBETASOL PROPIONATE, NAPROXEN and MULTIVITAMINS [VITAMINS NOS] for an unknown indication.   In 2012, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) 40 mg,1 in 2 wk. On 22-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Dec-2021, ADALIMUMAB (HUMIRA) (Subcutaneous) dosage was changed to 40 mg,1 in 2 wk. In October 2021, the patient experienced ARTHROPATHY (Flare up in all joints after took first covid vaccine.). On an unknown date, the patient experienced JOINT SWELLING (Swelling of wrists), ARTHROPOD BITE (Arthropod bite), IMPAIRED HEALING (Anytime when got a bug bite or tick bite it was slow to heal), PSORIASIS (psoriasis flare-up on elbows, knees and right eyelid) and PYREXIA (temperature of 101.9). In 2021, ARTHROPATHY (Flare up in all joints after took first covid vaccine.) had resolved. At the time of the report, JOINT SWELLING (Swelling of wrists) had not resolved and ARTHROPOD BITE (Arthropod bite), IMPAIRED HEALING (Anytime when got a bug bite or tick bite it was slow to heal), PSORIASIS (psoriasis flare-up on elbows, knees and right eyelid) and PYREXIA (temperature of 101.9) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2021, Body temperature: 101.9 No unit Abnormal.     mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.       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. No treatment medication was provided. Since 2012, the patient had been taking Humira and stopped it in Jun 2021 because he was diagnosed with covid infection on 09 Jul 2021. He was hospitalized for five days with covid.It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. The reporter's causality for the events of COVID, temperature was 101.9 after took first COVID VACCINE, Anytime when got a bug bite or tick bite it was slow to heal unknown onset was not provided.