Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch; Swelling in collarbone/neck area; Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch; Occasional itching in all areas; At injection site, soreness, heat, and flat rash below and another above area; Fel unwell; Covid rash on left arm above and around site of injection/At injection site, soreness, heat, and flat rash below and another above area; At injection site, soreness, heat, and flat rash below and another above area; Nausea; Fatigue; Sore arm; redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collar bone; Fever; Redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collarbone; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), LYMPHADENOPATHY (redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collar bone), BONE PAIN (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch), SWELLING (Swelling in collarbone/neck area) and SKIN WARM (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included High cholesterol. Concurrent medical conditions included Seasonal allergy. Concomitant products included SERTRALINE HCL for Anxiety, PRAVASTATIN for Cholesterol, COLECALCIFEROL (D3), OMEGA 3 & 6 COMPLEX and CALCIUM ASCORBATE (ESTER-C CALCIUM ASCOR) for an unknown indication.    On 19-Apr-2021 at 11:30 AM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 2 dosage form. On 16-Apr-2021, the patient experienced PAIN IN EXTREMITY (Sore arm), LYMPHADENOPATHY (redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collar bone), ERYTHEMA (Redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collarbone) and PYREXIA (Fever). On an unknown date, the patient experienced BONE PAIN (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch), SWELLING (Swelling in collarbone/neck area), SKIN WARM (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch), PRURITUS (Occasional itching in all areas), VACCINATION SITE WARMTH (At injection site, soreness, heat, and flat rash below and another above area), VACCINATION COMPLICATION (Fel unwell), VACCINATION SITE RASH (Covid rash on left arm above and around site of injection/At injection site, soreness, heat, and flat rash below and another above area), VACCINATION SITE PAIN (At injection site, soreness, heat, and flat rash below and another above area), NAUSEA (Nausea) and FATIGUE (Fatigue). The patient was treated with Manual therapy (Hot pad) for Pain in extremity. At the time of the report, PAIN IN EXTREMITY (Sore arm), LYMPHADENOPATHY (redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collar bone), BONE PAIN (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch), SWELLING (Swelling in collarbone/neck area), SKIN WARM (Pain in collar bone area with swelling about 3 1/2" x 2", redness around area and heat,  collar bone was very tender on movement and touch), ERYTHEMA (Redness and swelling of the lymph nodes in the triangle between the base of her neck, shoulder, and collarbone), VACCINATION SITE PAIN (At injection site, soreness, heat, and flat rash below and another above area), PYREXIA (Fever), NAUSEA (Nausea) and FATIGUE (Fatigue) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Apr-2021, Body temperature: 102 (High) Body temperature increased to 102 degree Fahrenheit..         Concomitant product use was not reported.  Action taken with mRNQ-1273 in response to events was not applicable. Treatment :Hot pad Concomitant: Vitamin D, Vitamin C, omega 3   Most recent FOLLOW-UP information incorporated above includes: On 23-Apr-2021: email address of the reporter was added. Concomitant products added On 18-May-2021: Concomitant medications were added. race were added. allergies were added. past medical history were added. age, height, weight of the patient were added.  Event was resolved and appended