She then woke up Tuesday morning, tried to operate, but couldn't handle anything. Her dexterity was severely hampered to the point that she couldn't text or open locks.; Walking was also a chore; Cognitively she couldn't operate; Her stomach was queasy but she never got sick; That night her arm became sore.; feeling bad; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (That night her arm became sore.), FEELING ABNORMAL (feeling bad), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (She then woke up Tuesday morning, tried to operate, but couldn't handle anything. Her dexterity was severely hampered to the point that she couldn't text or open locks.), GAIT DISTURBANCE (Walking was also a chore) and COGNITIVE DISORDER (Cognitively she couldn't operate) in a 68-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. ASKU) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Bipolar disorder and COVID-19 in December 2022. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (Multiple doses of Pfizer COVID-19 vaccine). Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE. Concurrent medical conditions included Chemical sensitivity and Drug allergy (drug allergies and sensitives).    On 20-Mar-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In March 2023, the patient experienced PAIN IN EXTREMITY (That night her arm became sore.) and FEELING ABNORMAL (feeling bad). On 21-Mar-2023,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (She then woke up Tuesday morning, tried to operate, but couldn't handle anything. Her dexterity was severely hampered to the point that she couldn't text or open locks.), GAIT DISTURBANCE (Walking was also a chore), COGNITIVE DISORDER (Cognitively she couldn't operate) and NAUSEA (Her stomach was queasy but she never got sick). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (That night her arm became sore.), FEELING ABNORMAL (feeling bad) and NAUSEA (Her stomach was queasy but she never got sick) had not resolved and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (She then woke up Tuesday morning, tried to operate, but couldn't handle anything. Her dexterity was severely hampered to the point that she couldn't text or open locks.), GAIT DISTURBANCE (Walking was also a chore) and COGNITIVE DISORDER (Cognitively she couldn't operate) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported.     The patient had not received any other vaccines in the 4 weeks prior to COVID-19 vaccine. After receiving the Moderna COVID-19 vaccines, bivalent, that night arm became sore. Patient woke up feeling bad the middle of the night and thrashed around. Patient then woke up Tuesday morning, tried to operate, but couldn't handle anything. Her dexterity was severely hampered to the point that she couldn't text or open locks. Walking was also a chore. Her stomach was queasy but she never got sick. Cognitively she couldn't operate.