Sore arm; swollen and hot arm (at injection site); Feel like I had flu; Extremely tired; Low grade nausea; Dry cough; Nasal Congestion; Fever; swollen and hot arm (at injection site); This spontaneous case was reported by a physician and describes the occurrence of COUGH (Dry cough), NASAL CONGESTION (Nasal Congestion), PAIN IN EXTREMITY (Sore arm), VACCINATION SITE WARMTH (swollen and hot arm (at injection site)) and INFLUENZA LIKE ILLNESS (Feel like I had flu) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Hypothyroidism since 1983, Migraine headache since 2007, Osteoporosis since 2018, Dermatographia since 1958, Peripheral neuropathy since 2003, Drug allergy (Drug eruption) since 2000, Drug allergy (Bisphosphonates) and Drug allergy (Actonel - Flu-like symptoms) since 2018. Concomitant products included CURCUMA LONGA RHIZOME (TURMERIC CURCUMIN [CURCUMA LONGA RHIZOME]) for Antioxidant therapy, DOCOSAHEXAENOIC ACID, EICOSAPENTAENOIC ACID (OMEGA 3 [DOCOSAHEXAENOIC ACID;EICOSAPENTAENOIC ACID]) for General symptom, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, SUMATRIPTAN (IMITREX [SUMATRIPTAN]) for Migraine headache, CALCIUM and VITAMIN D NOS for Osteoporosis, DOXYLAMINE SUCCINATE for Sleeplessness.    On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced COUGH (Dry cough), NASAL CONGESTION (Nasal Congestion), PYREXIA (Fever) and VACCINATION SITE SWELLING (swollen and hot arm (at injection site)). On an unknown date, the patient experienced PAIN IN EXTREMITY (Sore arm), VACCINATION SITE WARMTH (swollen and hot arm (at injection site)), INFLUENZA LIKE ILLNESS (Feel like I had flu), FATIGUE (Extremely tired) and NAUSEA (Low grade nausea). On 30-Jan-2021, PYREXIA (Fever) and VACCINATION SITE SWELLING (swollen and hot arm (at injection site)) had resolved. On 31-Jan-2021, COUGH (Dry cough) and NASAL CONGESTION (Nasal Congestion) had resolved. At the time of the report, PAIN IN EXTREMITY (Sore arm), VACCINATION SITE WARMTH (swollen and hot arm (at injection site)), INFLUENZA LIKE ILLNESS (Feel like I had flu), FATIGUE (Extremely tired) and NAUSEA (Low grade nausea) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Jan-2021, Body temperature: 100.4 (Inconclusive) Around 100.4 max and 99 (Inconclusive) Low grade fever 99.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No Treatment Information was provided by the Reporter.   This case was linked to MOD-2021-031694 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: NNI-follow up does not contain any new information. On 29-Apr-2021: Initial Additional-2 : Concomitant medications and medical history added. On 29-Apr-2021: Significant follow-up .updated new events ,Concomitant medications updated , Drug allergy added , and past medical conditions like osteoporosis, Dermatophagia and peripheral neuropathy were included.