Elevated blood Pressure/ Everything had gotten worsened since covid vaccination; Memory problems/ Everything had gotten worsened since covid vaccination; Spots in vision had worsened/ Everything had gotten worsened since covid vaccination; Low energy/ Everything had gotten worsened since covid vaccination; Tiredness/ Everything had gotten worsened since covid vaccination; COVID-19; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19), BLOOD PRESSURE INCREASED (Elevated blood Pressure/ Everything had gotten worsened since covid vaccination), MEMORY IMPAIRMENT (Memory problems/ Everything had gotten worsened since covid vaccination), VITREOUS FLOATERS (Spots in vision had worsened/ Everything had gotten worsened since covid vaccination) and ASTHENIA (Low energy/ Everything had gotten worsened since covid vaccination) in a 49-year-old female 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 Rheumatoid arthritis.    Concurrent medical conditions included Rheumatoid arthritis (Moderate to Severe Rheumatoid Arthritis), Floaters in eye since 2020, Energy decreased, Memory impairment since 2020, Blood pressure increased and Tiredness.   On 02-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Sep-2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) every 1 weeks. On an unknown date, ADALIMUMAB (HUMIRA) (unknown route) dosage was changed to at an unspecified dose. On 01-Apr-2022, the patient experienced COVID-19 (COVID-19). On an unknown date, the patient experienced BLOOD PRESSURE INCREASED (Elevated blood Pressure/ Everything had gotten worsened since covid vaccination), MEMORY IMPAIRMENT (Memory problems/ Everything had gotten worsened since covid vaccination), VITREOUS FLOATERS (Spots in vision had worsened/ Everything had gotten worsened since covid vaccination), ASTHENIA (Low energy/ Everything had gotten worsened since covid vaccination) and FATIGUE (Tiredness/ Everything had gotten worsened since covid vaccination). At the time of the report, COVID-19 (COVID-19), BLOOD PRESSURE INCREASED (Elevated blood Pressure/ Everything had gotten worsened since covid vaccination), MEMORY IMPAIRMENT (Memory problems/ Everything had gotten worsened since covid vaccination), VITREOUS FLOATERS (Spots in vision had worsened/ Everything had gotten worsened since covid vaccination) and FATIGUE (Tiredness/ Everything had gotten worsened since covid vaccination) had not resolved and ASTHENIA (Low energy/ Everything had gotten worsened since covid vaccination) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: Elevated.         No concomitant medications were provided by the reporter. No treatment medications were provided by the reporter.  It was unknown if patient was enrolled in COVID-19 vaccine trial.