he had fatigue and aches after the Moderna dose; he had fatigue and aches after the Moderna dose; This spontaneous case was reported by a physician and describes the occurrence of PAIN (he had fatigue and aches after the Moderna dose) and FATIGUE (he had fatigue and aches after the Moderna dose) in a 29-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.     Previously administered products included for COVID-19 prophylaxis: PFIZER BIONTECH COVID-19 VACCINE (1st dose Lot: ER8737 Exp: Unknown Site: Injection, he think his left arm.) on 01-Apr-2021, PFIZER BIONTECH COVID-19 VACCINE (feeling like he had a fever, Second dose) on 22-Apr-2021, PFIZER BIONTECH COVID-19 VACCINE (recurrent , Second dose) on 22-Apr-2021, PFIZER BIONTECH COVID-19 VACCINE (Second dose , Time: Unknown, but thinks it was mid morning, lot: ER8735, injection in the Left arm) on 22-Apr-2021 and PFIZER BIONTECH COVID-19 VACCINE (Second dose) on 22-Apr-2021. Past adverse reactions to the above products included Disorder muscle with PFIZER BIONTECH COVID-19 VACCINE; Feeling abnormal with PFIZER BIONTECH COVID-19 VACCINE; Fever with PFIZER BIONTECH COVID-19 VACCINE; Myalgia with PFIZER BIONTECH COVID-19 VACCINE; and No adverse event with PFIZER BIONTECH COVID-19 VACCINE.    On 03-Mar-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN (he had fatigue and aches after the Moderna dose) and FATIGUE (he had fatigue and aches after the Moderna dose). At the time of the report, PAIN (he had fatigue and aches after the Moderna dose) and FATIGUE (he had fatigue and aches after the Moderna dose) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Jan-2023, Antinuclear antibody: Positive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported.  It was reported calling on behalf of his son concerning the Pfizer Covid-19 Vaccine and reported a adverse event for the second dose of the primary series. These symptoms are still going on since the 2nd dose. The patient has had a booster dose since then. The patient is also on the line. The patient symptoms started right after the second vaccine which was 22-Apr-2021. The aches and fatigue are the same, but patient was not running a fever. The patient had a pretty significant early 2-day response that put him down for a week at home. patient symptoms come on about once every 2 weeks and last 3-4 days, patient said that the frequency has been progressive. It is enough to put the patient in bed and patient does not want to get out. The patient was a world class athlete, and this had been difficult for his son because he is used to fitness every day. The patient had been to the doctor several times. The patient had blood work at least 6 times since patient stared experiencing these symptoms.   Patient did not had a violent and bad a reaction as patient had to the Pfizer vaccine 2nd dose. The aches were all over and in the muscles.   The patient father was listed as the reporter as he was the original reporter, and the patient was also on the lien providing information as well.  No treatment medications were reported.