Whenever eats anything with sugar gave a psoriatic arthritis flare up; Mental exhaustion; Sick; Body aches; Swollen lymph nodes; weight loss; This spontaneous case was reported by a consumer and describes the occurrence of PSORIATIC ARTHROPATHY (Whenever eats anything with sugar gave a psoriatic arthritis flare up) in an adult male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect products included non-company products ADALIMUMAB (HUMIRA) for Psoriatic arthritis and TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for COVID-19 vaccination.    Concurrent medical conditions included Psoriatic arthritis.   On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form, ADALIMUMAB (HUMIRA) (Subcutaneous) 40MG/0.4ML, single dose pen and first dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (Intramuscular) 1 dosage form. On an unknown date, received second dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PSORIATIC ARTHROPATHY (Whenever eats anything with sugar gave a psoriatic arthritis flare up) (seriousness criterion medically significant), MENTAL FATIGUE (Mental exhaustion), ILLNESS (Sick), MYALGIA (Body aches), LYMPHADENOPATHY (Swollen lymph nodes) and WEIGHT DECREASED (weight loss). At the time of the report, PSORIATIC ARTHROPATHY (Whenever eats anything with sugar gave a psoriatic arthritis flare up), MENTAL FATIGUE (Mental exhaustion), ILLNESS (Sick), MYALGIA (Body aches), LYMPHADENOPATHY (Swollen lymph nodes) and WEIGHT DECREASED (weight loss) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Weight: weight loss.         No concomitant medications were reported.   On an unknown date patient experienced sick, whenever eats anything with sugar gave a psoriatic arthritis flare up/Symptoms of psoriatic arthritis, lose weight, mental exhaustion, body aches, and swollen lymph nodes with Adalimumab Solution for Injection.  Moderna COVID-19 vaccine, Pfizer BioNTech COVID-19 vaccine were also considered suspect.  The reporter's causality for the event(s) with Adalimumab Solution for Injection was Not Provided. The reporter's causality for the event(s)  with Pfizer BioNTech COVID-19 vaccine (Tozinameran) was Not Provided.  No treatment medication was provided.  Company comment: This spontaneous case concerns an adult male patient, with concurrent condition of Psoriatic Arthritis (treated with Adalimumab), who experienced the unexpected, serious (medically significant) event of Psoriatic Arthropathy (Psoriatic arthritis aggravated), after a dose of mRNA-1273 Bivalent vaccine. The patient referred that whenever eats anything with sugar gave a psoriatic arthritis flare up/symptoms of psoriatic arthritis, lose weight, mental exhaustion, body aches, and swollen lymph nodes. No further details on diagnostic procedures, clinical course and treatment received were reported.  At the time of the latest report the outcome of the event was unknown. Patients' medical history of psoriatic arthropathy remains as confounder for the event. The benefit-risk relationship of mRNA-1273 Bivalent vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns an adult male patient, with concurrent condition of Psoriatic Arthritis (treated with Adalimumab), who experienced the unexpected, serious (medically significant) event of Psoriatic Arthropathy (Psoriatic arthritis aggravated), after a dose of mRNA-1273 Bivalent vaccine. The patient referred that whenever eats anything with sugar gave a psoriatic arthritis flare up/symptoms of psoriatic arthritis, lose weight, mental exhaustion, body aches, and swollen lymph nodes. No further details on diagnostic procedures, clinical course and treatment received were reported.  At the time of the latest report the outcome of the event was unknown. Patients' medical history of psoriatic arthropathy remains as confounder for the event. The benefit-risk relationship of mRNA-1273 Bivalent vaccine is not affected by this report.