sore arm was a little worse after second vaccine; varicose veins are protruding,black and blue mark tender to the touch and became warm/Varicosity; under skin spotty rash/ Dermatitis/spots on the arm; started on face, itching and now its in umbilicus/itchy red rash; possibly affected the circulatory system; rash on face\pink and turns brown; This spontaneous case was reported by an other health care professional and describes the occurrence of PAIN IN EXTREMITY (sore arm was a little worse after second vaccine), VARICOSE VEIN (varicose veins are protruding,black and blue mark tender to the touch and became warm/Varicosity), DERMATITIS (under skin spotty rash/ Dermatitis/spots on the arm), PRURITUS (started on face, itching and now its in umbilicus/itchy red rash) and CARDIOVASCULAR DISORDER (possibly affected the circulatory system) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by the reporter.  The patient's past medical history included Stroke, Varicose veins and Pacemaker insertion (cardiac). Concurrent medical conditions included Atrial fibrillation (Has a pacemaker) and Drug intolerance (Drug sensitive). Concomitant products included APIXABAN (ELIQUIS) and ASPIRIN [ACETYLSALICYLIC ACID] for Atrial fibrillation and Stroke.   On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-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 experienced PAIN IN EXTREMITY (sore arm was a little worse after second vaccine), VARICOSE VEIN (varicose veins are protruding,black and blue mark tender to the touch and became warm/Varicosity), DERMATITIS (under skin spotty rash/ Dermatitis/spots on the arm), PRURITUS (started on face, itching and now its in umbilicus/itchy red rash), CARDIOVASCULAR DISORDER (possibly affected the circulatory system) and RASH (rash on face\pink and turns brown). The patient was treated with TRIAMCINOLONE ACETONIDE (topical) ongoing since an unknown date for Dermatitis, at a dose of 0.1 %. At the time of the report, PAIN IN EXTREMITY (sore arm was a little worse after second vaccine), VARICOSE VEIN (varicose veins are protruding,black and blue mark tender to the touch and became warm/Varicosity), DERMATITIS (under skin spotty rash/ Dermatitis/spots on the arm), PRURITUS (started on face, itching and now its in umbilicus/itchy red rash), CARDIOVASCULAR DISORDER (possibly affected the circulatory system) and RASH (rash on face\pink and turns brown) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient had rash on face, has itchy feeling, It was pink and turned brown and it had possibly affected the circulatory system.  Treatment using antihistamine was reported.   This case was linked to MOD-2021-103803 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 07-Jun-2021: Significant follow up appended. DOB updated. On 08-Jun-2021: follow up received on 8-jun-2021 :new event was added On 23-Jul-2021: Event added