In cases of clinical arthritis, with appropriate treatment, which may involve nonsteroidal anti-inflammatory drugs (NSAIDs), joint swelling should resolve within a few days but may persist for a few weeks. What is the latest research on the form of cancer Jimmy Carter has? Individuals may experience shoulder pain following a COVID-19 vaccination. } else { The answer to all three questions is "yes." It can tell you if you've already had the virus. What to Do if You Are Experiencing Joint Pain If you are experiencing pain in your knees, hips or other jointswhether or not you have had COVID-19talk to your Some COVID-19 vaccine side effects could mirror those of a disease flare. Measles, Mumps, and Rubella (MMR) Vaccination: What Everyone Should Know. (2021). Genomic or molecular detection confirms the presence of viral DNA. "If you've had facial filler, it doesn't mean you shouldn't get the vaccine," Freeman said. SARS-CoV-2 is the virus responsible for COVID-19. coronavirus (covid-19) health center/coronavirus a-z list/what are covid toes and fingers article. Typically, vaccine side effects only last a few days (one way to differentiate them from an RA disease flare). Nevertheless, the jury is still out on this topic, since it can take years for such late Fever is a symptom of COVID-19, although not everyone presents with fever. WebPain at the injection site was the most frequent and severe solicited local reaction among vaccine recipients and was slightly more common after dose 2. The official recommendation is to get whatever vaccine youre offered, says Dr. Kaplan. April 2021 update: Information from the American College of Rheumatology regarding vaccination against SARS-CoV-2. Transmission of COVID-19 occurs mainly through contact with respiratory sections from an infected person, however, fecal contamination may also spread the virus. navigator.sendBeacon('https://www.google-analytics.com/collect', payload); COVID-19 vaccines produce an antibody reaction that protects you from the disease. By now, everyone knows about COVID-19. That said, a poorly controlled autoimmune disease is much more of a threat to someone with COVID-19 than these medications. People may report a wide range of symptoms, which continues to grow as experts learn more about the illness. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Moreover, people with autoimmune disease are more susceptible to infections in part due to the impaired regulation of the immune system, but also as a result of medications designed to suppress the immune response. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. If you would like to customise your choices, click 'Manage privacy settings'. One of the rare complications of COVID-19 infection is Reactive Arthritis. But once again, the seemingly outsized reaction to the vaccine isn't the sign of anything serious. Research suggests that, while rare, viral and reactive arthritis may result in joint swelling that people may experience after a SARS-CoV-2 infection. new, unexplained pinprick bruising or bleeding. March 11, 2021. https://www.whitehouse.gov/briefing-room/statements-releases/2021/03/11/fact-sheet-president-biden-to-announce-all-americans-to-be-eligible-for-vaccinations-by-may-1-puts-the-nation-on-a-path-to-get-closer-to-normal-by-july-4th/. Is the ketogenic diet right for autoimmune conditions? It is safe for people with rheumatoid arthritis, including those who take immunosuppressant medication. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. But there are reports of patients who have suffered from the symptoms for months. 1996-2021 MedicineNet, Inc. All rights reserved. The FDA has granted Emergency Use Authorizations for COVID-19 vaccines that have been shown to be safe and effective as established by data from large clinical trials. Many patients who have had the virus have a positive antibody test. This was the case for a few of the patients who reported an outbreak after receiving their shot. The most common side effects after getting the vaccines were headache, fatigue and dizziness, followed by chills and nausea. We avoid using tertiary references. Read on to learn more about this strange side effect, and for more on what you should avoid once you get your doses, check out Doing This After Your Vaccine Can Make Side Effects Worse, Doctors Say. While this has been previously reported as a side effect, the study did find that only 43 percent of patients who developed a rash on their arm after their first dose saw it again after their second. It may also puncture the bursa, which is the fluid-filled sac protecting the shoulder tendons. We dont have great data on this, but I would refer back to our experience with the flu vaccine its not a live virus, so its not very likely its going to trigger a disease flare, says Dr. Kaplan. Even though the two major COVID-19 vaccines available today are around 94% effective, you should continue to follow all community rules and precautions concerning COVID-19 after vaccination. Symptom lists may still require updating. The best and bloodiest brawls ever filmed. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. According to the U.S. Centers for Disease Control and Prevention (CDC), the only contraindications to receiving the COVID-19 are: The CDC considers a history of an immediate allergic reaction to any other vaccine or injectable therapy (say, your injectable biologics) a precaution but not a contraindication to vaccination. The risks of getting COVID-19 infection far outweigh any possible risks of the vaccine itself, unless the patient knows theyre allergic to vaccines or something in the vaccine, says Stuart D. Kaplan, MD, Chief of Rheumatology at Mount Sinai South Nassau in Oceanside, New York. People can treat mild cases of COVID-19 at home. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Some stiffness, pain, and swelling for several days after the vaccination is a normal reaction. The condition, which was also reported to affect the fingers in 10 percent of patients who saw the symptom, is likely caused by inflammation of blood vessel walls and A 2021 report notes two cases of SIRVA following administration of mRNA COVID-19 vaccinations. However, none of the COVID-19 vaccines currently authorized in the U.S. Pfizer, Moderna, and Johnson & Johnson are live vaccines. What is the COVID-19 antigen test? Research notes an association between viral infections, such as SARS-CoV-2, and rheumatic conditions, such as arthritis. Heart failure: Could a low sodium diet sometimes do more harm than good? Reports of shoulder dysfunction following inactivated influenza vaccine in the Vaccine Adverse Event Reporting System (VAERS), 20102016. However, it is not known if the vaccine will cause a positive antibody test in patients who have been vaccinated but not had the virus. In the best-case scenario, you would have the opportunity to reach a state of lower disease activity, switch to a non-steroid therapy, and decrease your dosage of steroids under the guidance of a doctor before receiving the COVID-19 vaccine (which should then take place as soon as possible). Le contenu de ce site Web est titre informatif uniquement et ne constitue pas un avis mdical. People should also continue taking their medication unless their doctor states otherwise. But one thing that has remained consistent is the concern among people with inflammatory arthritis about how they can best care for themselves to prevent the infection and its serious complications. Side effects in adults 65+ after Moderna vaccine (second dose) Pain at injection site (83.4%) Fatigue (58.4%) Headache (46.4%) Muscle pain (46.9%) Joint pain (34.9%) Chills (30.6%) Nausea/vomiting (11.8%) and fever (10.2%) were also reported. U.S. Centers for Disease Control and Prevention. The discovery comes from an analysis of 414 delayed skin reactions reported by patients who had received the COVID-19 vaccine, described in the study as starting a day or so after the dose is received to as long as seven to eight days later. WebPain at the injection site was the most frequent and severe solicited local reaction among vaccine recipients. If you develop burning or itching, or chills on exposure to cold and wet ground, you most likely have chilblains. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Fact Sheet: President Biden to Announce All Americans to be Eligible for Vaccinations by May 1, Puts the Nation on a Path to Get Closer to Normal by July 4th. But once again, the seemingly outsized reaction to the vaccine isn't the sign of anything serious. (2022). Once you get your vaccine, you still need to be careful to follow standard mitigation efforts. Treatment focuses on supportive care and symptom relief. Common reactions include: True allergic or life-threatening reactions following vaccination are extremely rare. There is still a very small chance that you can get COVID-19. Background: SARS-COV-2 usually presents with respiratory symptoms but can have various other manifestations and sequelae. If you do not want us and our partners to use cookies and personal data for these additional purposes, click 'Reject all'. But there's more to the topic than that. Should you get the COVID-19 vaccine? The American College of Rheumatology notes no concerns over vaccinations and recommends that people with rheumatic conditions, such as arthritis, should receive a COVID-19 vaccine. Vaccines are here! The White House. 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. diabetes, chronic respiratory disease, and cancer. The symptoms persisted for up to 47 days despite antipyretic treatment. You can learn more about how we ensure our content is accurate and current by reading our. They are part of the bodys natural process of building immunity. Find out more about how we use your personal data in our privacy policy and cookie policy. our guide on what to do after getting a COVID-19 vaccine, heres what immunocompromised people should know, https://www.psoriasis.org/covid-19-task-force-guidance-statements/, https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf, https://health.clevelandclinic.org/dont-be-alarmed-by-this-covid-19-vaccine-side-effect-that-could-be-confused-with-breast-cancer/, https://www.whitehouse.gov/briefing-room/statements-releases/2021/03/11/fact-sheet-president-biden-to-announce-all-americans-to-be-eligible-for-vaccinations-by-may-1-puts-the-nation-on-a-path-to-get-closer-to-normal-by-july-4th/, https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html, https://www.cdc.gov/vaccines/vpd/mmr/public/index.html, The Risk Factors for Long COVID Are Still Ambiguous But Heres What You Should Know if Youre Immunocompromised, 5 Reasons Why Your Doctor May Not Prescribe Paxlovid If Youre High-Risk and When to Get a Second Opinion, Yet Another Symptom: Dealing with Long-Haul Covid as a Person with Chronic Illness, 12 Realities of Living with an Invisible Illness, Catinas Journey with Chronic Illness: From Hiding to Helping. Researchers will be watching it for decades to enhance their understanding of its long-term implications on our health. Pain, swelling or a delayed rash at the injection site; Almost everyone has some arm soreness after vaccination. Another common symptom of the vaccine is swollen lymph nodes under the arms on the side of the body where you received the vaccine, per the Cleveland Clinic. Privacy Policy In this article, we will discuss the possible associations between joint swelling and COVID-19. While it takes longer to get results, a PCR test is usually more accurate than an antigen test. Some vaccine side effects that can overlap with rheumatoid arthritis disease activity may include muscle aches, joint pain, temporary fever, and fatigue, says clinical February 25, 2021. https://health.clevelandclinic.org/dont-be-alarmed-by-this-covid-19-vaccine-side-effect-that-could-be-confused-with-breast-cancer/. Learn about other COVID-19 symptoms and what to do if you are infected. if( 'moc.enilnoefiltseb' !== location.hostname.split('').reverse().join('') ) { A body temperature of 100.4 degrees F or higher is generally seen in people with COVID-19, although not everyone who is infected with the virus will develop a fever. Could you have already had COVID-19 and not know it? Remember no test is 100% accurate. If you live with rheumatoid arthritis, an inflammatory and autoimmune form of arthritis, you may understandably have many questions and concerns about getting the COVID-19 vaccine. Nausea may be present in some individuals after the vaccine, but rheumatoid arthritis patients may also experience that symptom with medications used to treat rheumatoid arthritis, like methotrexate or sulfasalazine, she adds. (2021). MedicineNet does not provide medical advice, diagnosis or treatment. So, it appears that it can happen at any point since these fillers can last much longer than we think.". (2020). Any vaccination can cause SIRVA. "Having your toes turn purple is uncomfortable but it's not a reason to not get the second dose," Esther Freeman, MD, PhD, director of global health dermatology at Massachusetts General Hospital and senior study author, told USA Today. Can COVID-19 vaccines affect periods, and, if so, how? Typically, these similar to other vaccines and include fatigue, muscle aches, nausea, and chills that usually subside with a day or two. Learn more about the early symptoms of COVID-19 and when to seek help, here. It is not the vaccine itself that causes the complication instead, it is the way a person administers the vaccine. nonsteroidal anti-inflammatory drugs (NSAIDs), https://www.rheumatology.org/Portals/0/Files/ACR-Information-Vaccination-Against-SARS-CoV-2.pdf, http://www.ncbi.nlm.nih.gov/books/NBK499831/, https://www.sciencedirect.com/science/article/pii/S1876034120305670, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591274/, https://www.cdc.gov/coronavirus/2019-nCoV/index.html, https://www.arthritis.org/health-wellness/about-arthritis/related-conditions/other-diseases/covid-19-faqs-infection-risk-and-prevention, https://www.rheumatology.org.uk/practice-quality/covid-19-guidance, https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295114/, https://link.springer.com/article/10.1007/s10067-020-05550-1, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7484812/, https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32656-8/fulltext, https://www.cureus.com/articles/45259-reactive-arthritis-after-covid-19-infection, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716891/, https://www.cdc.gov/vaccines/covid-19/info-by-product/janssen/reactogenicity.html, https://www.cdc.gov/vaccines/covid-19/info-by-product/moderna/reactogenicity.html, https://www.cdc.gov/vaccines/covid-19/info-by-product/pfizer/reactogenicity.html, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868140/, https://www.nature.com/articles/s41591-020-01177-6, https://rmdopen.bmj.com/content/6/2/e001350, https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913%2820%2930348-9/fulltext#coronavirus-linkback-header, https://link.springer.com/content/pdf/10.1007/s00256-021-03734-7.pdf, https://www.nature.com/articles/s41584-020-0451-z, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167494/, https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(21)00108-9/fulltext, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590820/. There is also a growing number of reports of reactive arthritis associated with COVID-19. Doctors can usually treat SIRVA, which will reduce pain and improve range of motion. COVID-19 vaccines are available. Now that we know that the Covid-19 vaccines do not stop transmission - the vaccine decision of an individual can have no real or theoretical from the American Academy of Orthopaedic Surgeons, Swelling or redness at the site of the injection, Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue. Your relationship with your physician is not just a transaction, but a lifelong connection to ensure your good health. Vaccines & Immunizations. A doctor may suggest anti-inflammatory medication to reduce joint swelling and other symptoms of COVID-19. It may be a normal reaction at the injection site. Those patients who saw the rash with both doses reported that it was less pronounced and usually faded more quickly than the first in about three to four days. See additional information. But whether this is right for you depends on a number of factors, including which medications you take and your overall health. This is to ensure that any problems you may experience after your procedure are not mistaken for side effects of the vaccine. Some patients worry that receiving an injection in this area could permanently Most disease-modifying antirheumatic drugs, including biologics, should not be stopped for those with rheumatoid arthritis. March 5, 2021. https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html. Rituximab and JAK inhibitors may impair the ability of the immune system to fight the coronavirus by lowering levels of white blood cells called B cells. They may include: While COVID-19 is a respiratory condition, people have reported a surprising number of symptoms occurring outside the lungs. Subscribe to CreakyJoints for more related content. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. COVID-19, the disease caused by the SARS-CoV-2 virus, is a mild illness in most people. Chickenpox is a once-in-a-lifetime illness for most people, but it can come back for some as shingles. While muscle and joint pain can be a symptom of COVID-19, it does not typically co-occur with the swelling and inflammation of a joint, which is characteristic of arthritis. What other kinds of skin reactions can the COVID-19 vaccine cause? Know that severe About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. The discovery comes from an analysis of 414 delayed skin reactions reported by patients who had received the COVID-19 vaccine, described in the study as starting a day The reason behind this is not yet known. Their guidance will depend on the type of injury a person has. It is an underreported and preventable event. By around 10:30 p.m., my arm was sore at the injection site and itchy all the way down to my wrist with a little bit of a rash. 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. Those patients who saw the rash with both doses reported that it was less pronounced and usually faded more quickly than the first in about three to four days. Terms of Use. However, if symptoms are bothering you, you can apply hydrocortisone cream to ease pain or itching. Reddit and its partners use cookies and similar technologies to provide you with a better experience. AARP Membership -Join AARP for just $12 for your first year when you enroll in automatic renewal This can involve applying a cold pack or a bag of ice wrapped in a towel to swollen areas. Participants most commonly reported pain at the injection site, fatigue, headache, muscle pain, joint pain and chills. For more information, check out this summary of research on inflammatory arthritis and rheumatic disease patients and their risk for COVID-19 complications. The immune system aims to protect the body from pathogens such as SARS-CoV-2. However, it is worth noting that, while SARS-CoV-2 may contribute toward arthritis, experts associate coronaviruses more commonly with muscle or joint pain than with joint swelling. The White House recently declared that all adults in the United States will be eligible for vaccination no later than May 1 so either way, you may not need to wait long. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. You can change your choices at any time by clicking on the 'Privacy dashboard' links on our sites and apps. (2020). 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. According to experts, SIRVA associated with any vaccination is relatively rare. See additional information. Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Learn more about COVID-19 and arthritis here. A doctor can treat the condition using pain-relieving medication, physical therapy, and corticosteroid injections. A study published in November 2021 by the Global Rheumatology Alliance in the Annals of Rheumatic Disease answered that question. The analysis found that patients who had received lip injections experienced some swelling after receiving their dose in rare instances. General muscle or joint pain. This is because treatments for arthritis may modify or suppress the immune system, which can increase the likelihood of infection. Moreover, research notes that, although rare, it is possible that SARS-CoV-2 is triggering reactive arthritis. One of the most commonly reported side effects of the vaccine was a red, itchy rash at the injection site known as "COVID arm" or "Moderna arm," as 95 percent of cases are reported in patients who receive the company's vaccine. In some cases, people experience pain if a healthcare professional incorrectly injects the vaccine into the shoulder. Some people have experienced skin problems that have been linked to COVID-19. Can poor sleep impact your weight loss goals? March 4, 2021. https://www.psoriasis.org/covid-19-task-force-guidance-statements/. You can also try soaking your feet in a warm water bath for 10 minutes, followed by patting dry and moisturizing. Other commonly reported side effects of the Pfizer-BioNTech COVID-19 vaccine include fatigue, headache, and muscle pain. The swollen lymph nodes typically appear a few days after the vaccine and tend to subside within a few days to a few weeks. There is no consensus on how long COVID toes last. National Psoriasis Foundation. Can the Cornonavirus Affect My Bones and Joints? Some people may experience a reaction or adverse event following a vaccination against COVID-19. It happens when the vaccine is injected not into the muscle, as it should be, but into the bursa space below the muscle. "People can get full-body rashes, and that can be surprising and a little scary, but these patients did extremely well, recovered, and were able to go back and get their second dose," said Freeman. } Immediate allergic reaction of any severity to a previous dose or known (diagnosed) allergy to a component of the vaccine. If you have any questions about the timing of your surgery, your orthopaedic surgeon will be able to guide you. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Symptoms start off flu-like and progress to coughing, fever, shortness of breath, shaking chills, headache, loss of sense of taste and/or smell, muscle pain, and sore throat. Rotator Cuff and Shoulder Conditioning Program, The COVID-19 Vaccine and Your Bones and Joints. While the analysis found that several rare but non-life-threatening side effects on the skin were possible, researchers noted that skin sores or bumps known as pernio or chilblainsalso described as "COVID toes" by some patientswere also reported, USA Today reports. Should wear a mask or not? Chilblains are a skin condition that can look similar to COVID toes. and Medical professionals learn how to properly administer vaccines through in-depth training during their education. COVID toe is a self-limiting symptom of COVID-19 that usually gets better without treatment. However, improper vaccination technique can cause SIRVA, which can damage the shoulder joint. While COVID-19 survivors have reported muscle and joint pain, there have not been any studies showing that these individuals demonstrated markers of inflammatory arthritis. This results when the injection site is too low or the Raised bumps and flat spots that merge together. Learn, What is long COVID? Trust us: every guy-related problem has a movie-quote solution. Meeting the challenge of long COVID. Reactive arthritis is a type of inflammatory arthritis that occurs several days to weeks after an infection. Other studies have shown that prednisone and methotrexate may also adversely affect your response to COVID-19 infection. In fact, getting the vaccine when you have rheumatoid arthritis may be especially important, given the disease may put you at higher risk for COVID-19 or severe outcomes. By getting vaccinated, taking precautions to protect yourself, and collaborating with your physician to customize your medications, you can maintain good health during these uncertain times. COVID-19 can cause a variety of symptoms that may appear gradually. 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. By now, it's well known that you can likely expect some minor side effects after you receive your COVID vaccine. As soon as you have the opportunity to get the vaccine, experts are urging rheumatoid arthritis patients and everyone else to do so. La informacin contenida en el sitio web de CreakyJoints Espaol se proporciona nicamente con fines de informacin general. Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine. "If you've had facial filler, it doesn't mean you shouldn't get the vaccine," Freeman said. Learn some signs that might indicate just that. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften described as being "measles-like" though it isn't measles. For more information, refer to our full guide: Can You Safely Get a COVID-19 Vaccine If You Have a History of Allergic Reactions? In fact, guidance from the American College of Rheumatology (ACR) states that autoimmune and inflammatory rheumatic disease patients (AIIRD) should receive the vaccine when theyre eligible. The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. We spoke with researchers, physicians, and people with lived experiences of this effect to find, In this feature, we highlight the most common side effects of the Moderna COVID-19 vaccine. If you are taking these medications for your inflammatory arthritis, speak with your physician about the best ways you can protect yourself against COVID-19 infection starting with the vaccine, if you haven't received it already. COVID toes and fingers refer to rashes and discoloration on the toes and fingers of people infected with the virus. A 2019 study notes that viral respiratory infections may be a risk factor for developing rheumatoid arthritis (RA). For more information on differentiating flares from vaccine side effects, heres our guide on what to do after getting a COVID-19 vaccine if youre immunocompromised or have an autoimmune condition. People with COVID-19 report a wide range of symptoms, which may appear 214 days after exposure to SARS-CoV-2. xhr.open('POST', 'https://www.google-analytics.com/collect', true); According to the American Academy of Orthopaedic Surgeons, this is unlikely to occur. According to the Centers for Disease Control and Prevention (CDC), almost 85% of people experienced redness, swelling, and pain at the injection site in the 7 days following vaccination with the Pfizer-BioNTech COVID-19 vaccine. Dont Be Alarmed by This COVID-19 Vaccine Side Effect That Could Be Confused With Breast Cancer. Login to comment on posts, connect with other members, access special offers and view exclusive content. Here we report a case with new-onset rheumatoid arthritis (RA) following COVID-19 vaccination. Shimabukuro, T. T. (2018). Typically, shoulder injections should enter the deltoid muscle. COVID-19 Screening in the Pediatric Emergency Department. This resource was created to help address concerns you may have about the effect of the COVID-19 vaccine on your musculoskeletal health. When you have an autoimmune disease such as rheumatoid arthritis, lupus, or psoriatic arthritis, anything that rattles the immune system can trigger a flare.