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In such cases, the goal of therapy is to relieve symptoms and prevent long-term complications. All rights reserved. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. 'Rest is the most important factor of treating SIRVA - you need to give the muscles, tendons and ligaments time to recover as this problem often causes inflammation. They may be referred out to a specialist such as a physiatrist or an orthopedic surgeon. "Everyone ages 18 and older should get a booster shot when they are six months after their initial Pfizer or Moderna series," CDC Director Dr. Rochelle Walensky said in November. If you have any questions or need more information, please contact your orthopaedic surgeon. Keywords: COVID-19 is a life threatening condition, and the vaccine is highly protective against the virus SARS-CoV-2, which causes . Recap. The . Cardiovascular health: Insomnia linked to greater risk of heart attack. It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Send story tips to k.fiore@medpagetoday.com. As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. Is the ketogenic diet right for autoimmune conditions? An infection with the SARS-CoV-2 virus may cause new or worse symptoms. "If physical therapy and injection don't work, then primary care refers to us.". WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. All rights reserved. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Reactive arthritis usually disappears within 35 months. I'm still discovering new areas of damage -- Richard Quest. The patient provided informed consent to publish this case. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. "There's no compensation for something that's painful and debilitating that was a medical error," Jackson said. If an MRI shows a complete muscle injury, surgical repair may be required. it causes swelling, ulcerations, and loss of function of the large intestine), Urinary incontinence (inability to control the flow of urine and involuntary urination), Urinary retention (the inability to completely or partially empty the bladder), Urticaria (rash of round, red welts on the skin that itch intensely), Vaccination site erythema (redness around vaccination site), Vaccination site pruritus (severe itching of the skin at vaccination site), Vasculitis (inflammation of a blood vessel or blood vessels), Ventricular extrasystoles (premature cardiac contraction), Ventricular tachycardia (rapid heartbeat that originates in one of the lower chambers (the ventricles) of the heart), Vitreous floaters (spots before the eyes), Weight bearing difficulty (difficulty due to weight of thigh fat deposition), Wheezing (a high-pitched whistling sound made while you breath). The former Cowboys' star, who was picked in the first round of the 2015 draft, now claims he can't "run or jump" because of his injuries from playing football. Beyond this, the injection is given in the deltoid muscle below the space where bursitis or tendinitis would occur and outside the glenohumeral joint where patients might experience arthritis. All rights reserved. COVID-19 vaccines can also cause temporary side effects that feel similar to those of arthritis or RA, such as: joint pain muscle aches fever fatigue These effects usually last a few days but. KAT and FKT both contributed to direct care of the patient. After you get a vaccine shot in your upper arm to protect yourself against the flu, COVID-19, or another disease, there's a chance you'll feel some soreness where you got jabbed. Vaccine. One of these cases involves the ulnar nerve ( 4 ), which is rarely reported in PTS ( 1, 14 ). Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. MeSH Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. Two of the vaccines, BNT162b2 (BioNTech-Pfizer) and mRNA-1273 (Moderna), are novel mRNA-based vaccines delivered via lipid nanoparticles. Houston, TX - Feb 11, 2021. These symptoms may last weeks or months. Opens in a new tab or window, Share on LinkedIn. Click here to learn more. 2021 Nov;50(11):2293-2297. doi: 10.1007/s00256-021-03803-x. Instead, a piece of laboratory-manufactured genetic material called messenger RNA (mRNA) is injected. Have any problems using the site? This website also contains material copyrighted by third parties. Pain and reduction in the range of movement within a few hours of vaccination were cardinal signs of a shoulder injury. The site is secure. Note: Content may be edited for style and length. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. In most individuals, the symptoms slowly decrease over time. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a. COVID-19 vaccine trials provide valuable insight into the safety and efficacy of vaccines, with individually-randomized, placebo-controlled trials being the gold standard in trial design. We avoid using tertiary references. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. With the emergence of the rapidly spreading omicron variant, COVID-19 booster shots are now strongly recommended by the Center for Disease Control and Prevention. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. They examined 100 people from Egypt who had recovered from COVID-19 several months prior. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. Children and teens ages 6 months-17 years Adults 18 years and older After a second shot or booster The nasopharyngeal swab was negative for SARS-CoV-2 30 days after the first symptoms. Will Future Computers Run On Human Brain Cells? There is one caveat, however. Is joint swelling a possible symptom of COVID-19? On day 21, 1 day after starting physical therapy, he developed acute bilateral arthritis in his ankles, with mild enthesitis in his right Achilles tendon, without rash, conjunctivitis, or preceding diarrhoea or urethritis. Joint pain may also be present in long COVID. You can use the study as a second opinion to make health care decisions. A spokesperson for HRSA confirmed to MedPage Today via email that despite full FDA approval, Pfizer's COVID-19 vaccine (Comirnaty) still remains covered under the CICP and does not yet move to the VICP. The report focuses on a 53-year-old man with a family history of RA. BNT162b2 contains mRNA encoding for the SARS-CoV-2 spike protein encapsulated in lipid nanoparticles, in addition to other components that stabilise the vaccine in the circulation and promote its uptake into cells by endocytosis. Normally, taking your shoes off when you get home at the end of the day isn't a big deal. (2022). A BIZARRE new side effect has been reported by people who have received their Covid-19 vaccine. COVID-19 vaccine clinical guidance summary for patients with rheumatic and musculoskeletal diseases. www.sciencedaily.com/releases/2021/02/210217151116.htm (accessed March 3, 2023). Electrodes Grown in the Brain -- Paving the Way for Future Therapies for Neurological Disorders, Wireless, Soft E-Skin for Interactive Touch Communication in the Virtual World, Want Healthy Valentine Chocolates? Also, even though the vaccine helps protect you from getting sick, it is not known if you could still be a carrier of the virus. These can include intra-articular, bursal, tendon . and transmitted securely. The study is based on data from the CDC and the FDA. "We treat based on a full evaluation including history and physical findings, and imaging if needed," Kennedy said. What to know about COVID-19 and arthritis. It's difficult to take x-rays and do long procedures as an oral surgeon: "I have pretty good pain even with just normal function now," he said. It also examines joint pain with long COVID and flare-ups in preexisting arthritis. Physical medicine & rehabilitation physicians, or physiatrists, also play a large role in treating SIRVA. government site. ScienceDaily, 18 February 2021. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . Meyers says clearly, some people need an attorney to assist. While healthcare providers anticipate a sharp increase in reported cases in the coming year given the large volume of COVID vaccinations, Wiesel and Keeling warned that data on the condition are still limited -- they're "virtually absent from the orthopedic literature" -- and that the "current understanding of the diagnostic workup of SIRVA is limited to the medicolegal realm.". Most pain should eventually go away, but sometimes it might carry on for longer. 8600 Rockville Pike Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Would you like email updates of new search results? By the same token, your surgeon may recommend postponing vaccination until a few days after your surgery. But during the pandemic, many people's entire workday has been spent at home. It may be a normal reaction at the injection site. COVID-19; Calcific tendinitis; mRNA; shoulder injury related to vaccine administration; vaccine. Read on to learn more about how to clear mucus while having COVID-19. "The pain and the fatigue from the COVID-19 vaccine can overlap with axial spondyloarthritis symptoms, but the vaccine symptoms tend to be more widespread and usually not localized to singular joints," says rheumatologist John Miller, MD, Instructor of Medicine in the Division of Rheumatology at Johns Hopkins Medicine. pain and swelling in the joints, especially the large joints of the legs, such as the ankles and knees, symptoms that affect only one side of the body, performing strengthening exercises, which prevent muscle wasting. Vaccination infrequently causes severe, persistent . Accessibility MB), Help with Common reactions include: Swelling or redness at the site of the injection Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue According to a 2022 review, reactive arthritis may occur in genetically predisposed individuals 14 weeks after a variety of infections, including the respiratory virus SARS-CoV-2 and some infections of the digestive or urinary tract. 2 cm deep to the quadriceps tendon and involved the medial and lateral gutter (, Arthrocentesis of the right knee showed 24 mL of inflammatory-appearing effusion (, His rheumatoid arthritis was well controlled before the vaccination, and there were no other inciting events, so we believe that this flare might have been triggered by his immune response to a component of the BNT162b2 vaccine. You can learn more about how we ensure our content is accurate and current by reading our. They can vary across different age groups. However, the medical community cautions that it's more of a medicolegal determination rather than a distinct diagnosis at this point. Rashes in Tamsulosin, how severe and when it was recovered? But for some people, symptoms are more severe, long lasting and even bizarre, including rheumatoid arthritis flares,. Fewer people should get sick, and more lives can be saved. In some cases, radiologists may even suggest a COVID diagnosis based on musculoskeletal imaging in patients who previously didn't know they contracted the virus, Deshmukh said. We use cookies to help provide and enhance our service and tailor content and ads. Vaccine. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. If someone believes they may have long COVID, they should make an appointment with a doctor, who can create a medical management plan for them. Fever. Patients with SIRVA often land in their primary care physician's office first. Skin reactions to the COVID vaccine aren't just limited to where you get your jab. . Treatment for tendonitis and tenosynovitis Treatment may include: Changing your activities Icing the area to reduce inflammation and pain Putting a splint on the area to limit movement Steroid injections to reduce inflammation and pain Nonsteroidal anti-inflammatory medicine to reduce inflammation and pain Antibiotics if due to infection Surgery Learn. 2022;40(18):2546-2550. While the connection between tinnitus and the Covid vaccine are not yet understood: The British Tinnitus Association has labeled tinnitus a rare side effect of the vaccine. Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. Since then, SIRVA claims have ballooned, rising from 10 in 2011 to 433 in 2016, according to the paper. Sometimes surgery is needed to treat an underlying pathology such as an exacerbated rotator cuff injury. So in our paper, we discuss the various types of musculoskeletal abnormalities that radiologists should look for and provide imaging examples.". However, his Tweets are now being viewed in a dangerous light, mostly by people attempting to promote anti-vaccination theories. MNT is the registered trade mark of Healthline Media. Research suggests that overactive bladder and COVID-19 have links. Med Sci Monit. Symptoms usually begin within a few hours of vaccine administration. The first is a type of tendonitis known as De Quervain's tenosynovitis. sharing sensitive information, make sure youre on a federal "We're certainly not seeing a pandemic of SIRVA" with COVID vaccines, D.J. Reports of people experiencing tinnitus, vertigo and other hearing problems after having COVID-19 started emerging earlier in the pandemic. We study millions of patients and 5,000 more each day. No studies have found a direct link between the vaccine and arthritis. "It's really rare and the literature to date is mostly case reports. Rotator Cuff and Shoulder Conditioning Program, The COVID-19 Vaccine and Your Bones and Joints. "An injury table for COVID-19 medical countermeasures will be developed when there is sufficient data to meet the 'compelling, reliable, valid, medical and scientific evidence' standard indicating that the covered countermeasure directly causes a particular injury," the spokesperson stated. NSAIDs include well-known pain relievers and fever reducers such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). The COVID-19 vaccine may trigger an RA flare in people who already have the condition, but experts still strongly urge people with the condition to get vaccinated. "Radiological images confirm 'COVID-19 can cause the body to attack itself': Imaging illustrates severity, long-term prognosis of COVID-19-related muscle, joint pain." Unable to load your collection due to an error, Unable to load your delegates due to an error. One of these conditions is rheumatoid arthritis (RA). However, both mRNA vaccines have been linked to cases of myocarditis, or heart inflammation, in men aged 30 and younger after their second dose of COVID vaccine. 2022 Jul 11;28:e937430. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. A statement from Johnson & Johnson said that tinnitus was identified as an adverse event in its phase 3 clinical trials of the Covid-19 vaccine but also maintained that it was impossible to. Muscle soreness and achy joints are common symptoms among COVID-19 patients. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. How can imaging lead to better treatment? National Library of Medicine They reduce inflammationmarked by swelling, redness, and warmththat is controlled by the immune system. Three months is a . The Lancet Regional Health Southeast Asia, The Lancet Regional Health Western Pacific, Avoiding diagnostic pitfalls in children with musculoskeletal symptoms, Anti-SARS-CoV-2 mRNA vaccine in patients with rheumatoid arthritis, US Centers for Disease Control and Prevention. Keeling and Kennedy both emphasized that while SIRVA requires further study, it does appear to be rare, and that the benefits of vaccination against COVID-19 far outweigh any potential risks. Most people witness these side effects after getting the jab which . Physical therapy helped improve his range of motion to an extent, but his pain lingers. COVID-19 seems to have the potential to cause pain in a variety of ways, including damage to peripheral nerves causing neuropathy-like symptoms, by affecting pain pathways inside the brain, and by weakening or disrupting the activity of the musculoskeletal system. The body then develops immunity to the spike protein, which protects against the virus. The second possibility sounds like it could be carpal tunnel syndrome. "Some doctors request imaging for patients with 'COVID toes,' for example, but there wasn't any literature on imaging of foot and soft tissue complications of COVID," Deshmukh said. He or she may also recommend waiting for a period of time after vaccination.Your doctor can answer any questions you may have about the timing of corticosteroid injections and COVID-19 vaccination. We treated the patient with celecoxib and acetaminophen, and she recovered after about 2 months. Tendonitis (a condition that causes pain and swelling of tendons) is found to be associated with 1,831 drugs and 1,232 conditions by eHealthMe. For instance, a condition called 'shoulder injury related to vaccine administration' (SIRVA) is characterized by shoulder pain and limited range of motion after intramuscular injection of a vaccine into the deltoid muscle of the shoulder. The Pfizer, Moderna, and Novavax vaccines have been shown to be at. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. Within a few hours of getting her first COVID-19 shot, Leah Jackson had severe pain in her left shoulder. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. If joint pain occurs as a result of long COVID, the symptoms could be unpredictable. The tinnitus remains after six weeks with no end in sight. In a 2021 study, researchers tried to gauge how common this is. Her primary care doctor referred her to a physical medicine & rehabilitation specialist who, after confirming bursa and joint inflammation on imaging, prescribed steroid and lidocaine injections along with physical therapy. by The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. According to the Food and Drug Administration (FDA), monoclonal antibodies are proteins made in a laboratory that mimic your body's immune response. We Can Print Them, Human-Approved Medication Brings Back 'Lost' Memories in Mice, See No Evil: People Find Good in Villains, Study Unexpectedly Finds Only Seven Health Symptoms Directly Related to 'Long COVID', Long COVID Patients and Those With Other Illnesses Experience Similar, Negative Lingering Effects During the Pandemic, Children Infected With a Mild Case of COVID-19 Can Still Develop Long COVID Symptoms, Research Reveals Mechanisms Behind 'COVID Toes', CCPA/CPRA: Do Not Sell or Share My Information. Many patients who have had the virus have a positive antibody test. Japan College of Rheumatology 2022. "How do you find something if you're unsure of what to look for? Additionally, 1550% may experience recurring episodes of arthritis. Other possible symptoms include: Although long COVID is more common in people who have had a severe case of COVID-19, it can happen even in those with a very mild case. The symptoms of reactive arthritis can range from mild to severe. Bancsi A, Houle SKD, Grindrod KA. The vaccine should slow the spread of COVID-19 around the world. Bethesda, MD 20894, Web Policies They discovered a strong association between post-COVID-19 arthritis and inflammation but not between post-COVID-19 arthritis and autoimmunity. Other Northwestern authors on the paper were Santhoshini Leela Ramani (Northwestern University medical student), Dr. Jonathan Samet (radiology), Dr. Colin Franz (PMR and neurology), Dr. Christine Hsieh (rheumatology), Dr Cuong Nguyen (dermatology) and Dr. Craig Horbinski (pathology). Opens in a new tab or window, Visit us on YouTube. Stroke in Tamsulosin, how severe and when it was recovered? Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. "It's important for doctors to know what's happening in order to treat correctly.". Still, most physicians interviewed by MedPage Today say it's likely that improper injection technique could lead to shoulder injury, and that these problems should be taken seriously and treated appropriately. Despite an increase in SIRVA cases, the exact incidence of the disease is unclear, and there are a few reports of SIRVA about the COVID-19 vaccine. Resting your body may help to. "Then we develop a comprehensive rehabilitation plan that usually involves doing range of motion and strengthening exercises on a daily basis.". Chills. What is the latest research on the form of cancer Jimmy Carter has? Joint-related symptoms of reactive arthritis include: Reactive arthritis may also cause eye symptoms such as: If reactive arthritis is the result of an infection in the genital or urinary tract, it can produce inflammation. Opens in a new tab or window, Share on Twitter. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a recent paper Keeling co-authored. For these reasons, you should continue to wear a mask, practice social distancing, avoid crowds and wash your hands often. This site needs JavaScript to work properly. Shoulder injury related to vaccine administration (SIRVA) following mRNA COVID-19 vaccination: Report of 2 cases of subacromial-subdeltoid bursitis. The COVID-19 vaccine is safe and does not cause arthritis in the vast majority of people. Bookshelf If a radiologist knows COVID can trigger inflammatory arthritis and imaging shows joint inflammation, then they can send a patient to a rheumatologist for evaluation. Among them, 180 people (0.04%) have Tendonitis. All information is observation-only. "That imaging allows us to see if COVID-related muscle and joint pain, for example, are not just body aches similar to what we see from the flu -- but something more insidious.". Fever, chills, headache, fatigue, and muscle soreness, are some of the common side effects of getting the COVID-19 vaccination. Plantar fasciitis and Achilles tendinitis were already top causes of heel and foot pain, and the sequestered pandemic lifestyle many people have adopted has worsened the problem. The study is a retrospective review of data from patients who presented to Northwestern Memorial Hospital between May 2020 and December 2020. The incidence of post-COVID-19 arthritis was 37%. Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Opens in a new tab or window. After adjustment for baseline characteristics, the study found that the hazard of aortic aneurysm increased by 2.24-fold (95% CI=2.02-2.49) during a 30-day risk window following the treatment episode. Transformation. We report the first case of a COVID-19 vaccination administration precipitating symptomatic calcific tendinitis from pre-existing, asymptomatic calcific tendinitis. But the Biden administration killed the rule in April. It is not intended to provide medical or other professional advice. Jackson can still do her job as a veterinarian, but it can be painful lifting animals during surgery, for instance. Radiological images confirm 'COVID-19 can cause the body to attack itself': Imaging illustrates severity, long-term prognosis of COVID-19-related muscle, joint pain. Imaging (CT, MRI, ultrasound) can help explain why someone might have prolonged musculoskeletal symptoms after COVID, directing them to seek the right physician for treatment, such as a rheumatologist or dermatologist. doi: 10.12659/MSM.937430. Shes been a medical journalist for more than a decade and her work has been recognized by Barlett & Steele, AHCJ, SABEW, and others. The Trump administration recently tried to cut SIRVA from the $4 billion VICP -- which was initially authorized by the National Childhood Vaccine Injury Act of 1986, in response to a rush of lawsuits against vaccine manufacturers -- arguing that it was due to improper administration of vaccines, rather than the vaccine itself. Now this toilet injury number may not seem directly comparable to the vaccine anaphylaxis numbers. Dr. But it's not clear if the vaccine itself causes the ear ringing. 401,887 people reported to have side effects after getting Pfizer BioNTech Covid Vaccine. Opens in a new tab or window, Visit us on Instagram. Heart failure: Could a low sodium diet sometimes do more harm than good? It says musculoskeletal symptoms, such as joint pain and muscle pain, are among a number of common possible long Covid signs. Yale J Biol Med. Nausea. If symptoms persist, surgery to remove a spur on the acromion can increase the space available for the inflamed tendon and may prevent further fraying or complete rupture. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. This article will use the terms male, female, or both to refer to sex assigned at birth. Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Skeletal Radiol. In females, this can lead to inflammation in the genital and reproductive organs as well. The vaccines that have been developed to protect against COVID-19 differ from traditional vaccines in that they do not inject a live or deactivated virus into the body. 5. Is there a link between overactive bladder and COVID-19? Follow. Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. All rights reserved. "In some patients, the nerves are injured (bright, enlarged) and in others, the problem is impaired blood flow (clots).". READ MORE: Covid pneumonia symptoms: Five . Some reports may have incomplete information. As the long-awaited COVID-19 vaccine rollout begins across the country and everyone is eager to get back to normal life, it can be confusing to understand what you can and cannot do once you and those around you are vaccinated. Kristina Fiore, Director of Enterprise & Investigative Reporting, MedPage Today If you've received monoclonal antibodies, you must wait 90 days after recovering from COVID-19 to receive the vaccine. Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection. September 9, 2021. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Epub 2022 Mar 21. When that table is developed, those who couldn't establish a "Table" injury have a year to file a request for benefits even if their previous request was denied. pdf files, Reactivation of IgA vasculitis after COVID-19 vaccination, The Lancet Regional Health Southeast Asia, Statement on offensive historical content. Common reactions include: True allergic or life-threatening reactions following vaccination are extremely rare. The New York City-based veterinarian said the nurse lodged the shot "extraordinarily high" into her left shoulder, hitting the bursa rather than the deltoid muscle. SBI Recommendations for the Management of Axillary Adenopathy in Patients with Recent COVID-19 Vaccination . Different individuals may respond to medication in different ways. Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder one year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder 1 year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). People can develop reactive arthritis after COVID-19. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. The psychological symptoms associated with long-haul COVID also play a role. The COVID virus triggered rheumatoid arthritis in this patient with prolonged shoulder pain after other covid symptoms resolved.