still shaky this morning; weak; drenching in sweat; shaky; feels tired; severe chills; lymph node under left arm pit is swollen; lymph node under left arm pit is painful; headache for 48 hours; joints in her left arm were really painful; vomiting; nauseous; very severe reaction at the injection site; very severe reaction at the injection site. it turned red; very severe reaction at the injection site. throbbing pain; very severe reaction at the injection site.felt hard; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE REACTION (very severe reaction at the injection site), ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), NERVOUSNESS (shaky) and NERVOUSNESS (still shaky this morning) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes, Blood pressure high and Food allergy (Allergy to green beans). Concomitant products included METFORMIN for an unknown indication.    On 05-Feb-2021 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, the patient experienced VACCINATION SITE REACTION (very severe reaction at the injection site), VACCINATION SITE INDURATION (very severe reaction at the injection site.felt hard) and VACCINATION SITE ERYTHEMA (very severe reaction at the injection site. it turned red). 05-Feb-2021, the patient experienced VACCINATION SITE PAIN (very severe reaction at the injection site. throbbing pain). On 06-Feb-2021, the patient experienced ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), FATIGUE (feels tired), CHILLS (severe chills) and NAUSEA (nauseous). 06-Feb-2021, the patient experienced NERVOUSNESS (shaky), LYMPHADENOPATHY (lymph node under left arm pit is swollen), LYMPH NODE PAIN (lymph node under left arm pit is painful), HEADACHE (headache for 48 hours), ARTHRALGIA (joints in her left arm were really painful) and VOMITING (vomiting). On 08-Feb-2021, the patient experienced NERVOUSNESS (still shaky this morning). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 UNK and Manual therapy (put a heat pad) for Vaccination site reaction. At the time of the report, VACCINATION SITE REACTION (very severe reaction at the injection site), ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), NERVOUSNESS (shaky), NERVOUSNESS (still shaky this morning), VACCINATION SITE INDURATION (very severe reaction at the injection site.felt hard), FATIGUE (feels tired), CHILLS (severe chills), VACCINATION SITE ERYTHEMA (very severe reaction at the injection site. it turned red), VACCINATION SITE PAIN (very severe reaction at the injection site. throbbing pain), LYMPHADENOPATHY (lymph node under left arm pit is swollen), LYMPH NODE PAIN (lymph node under left arm pit is painful), ARTHRALGIA (joints in her left arm were really painful), VOMITING (vomiting) and NAUSEA (nauseous) outcome was unknown and HEADACHE (headache for 48 hours) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.