Caller said yesterday it was itching; real real red, rash got darker; rash on arm , small an inch where the should starts and down 3 inches above her elbow; did not feel good; achy,little bit achy, sore; woke up with chills; fever in the middle of the night; felt very fatigue; This spontaneous case was reported by a patient and describes the occurrence of PRURITUS (Caller said yesterday it was itching), FEELING ABNORMAL (did not feel good), PAIN (achy,little bit achy, sore), RASH ERYTHEMATOUS (real real red, rash got darker) and RASH (rash on arm , small an inch where the should starts and down 3 inches above her elbow) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 057F22A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Surgery and Tooth extraction. Previously administered products included for Drug use for unknown indication: Flu vaccine (3 weeks ago). Past adverse reactions to the above products included No adverse event with Flu vaccine.    On 14-Oct-2022, 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. On 14-Oct-2022, the patient experienced FEELING ABNORMAL (did not feel good). In October 2022, the patient experienced PAIN (achy,little bit achy, sore), CHILLS (woke up with chills), PYREXIA (fever in the middle of the night) and FATIGUE (felt very fatigue). On 16-Oct-2022, the patient experienced RASH ERYTHEMATOUS (real real red, rash got darker) and RASH (rash on arm , small an inch where the should starts and down 3 inches above her elbow). On 17-Oct-2022, the patient experienced PRURITUS (Caller said yesterday it was itching). The patient was treated with PARACETAMOL (TYLENOL) for Ache, at an unspecified dose and frequency. At the time of the report, PRURITUS (Caller said yesterday it was itching), RASH ERYTHEMATOUS (real real red, rash got darker) and RASH (rash on arm , small an inch where the should starts and down 3 inches above her elbow) had not resolved and FEELING ABNORMAL (did not feel good), PAIN (achy,little bit achy, sore), CHILLS (woke up with chills), PYREXIA (fever in the middle of the night) and FATIGUE (felt very fatigue) was resolving.            No concomitant medications were reported. Caller reported that, the evening after they received the third booster vaccination they did not feel good, woke up with chills and fever in the middle of the night, had fatigue and was achy. Sunday they started feeling better in the afternoon, Sunday evening she had a rash on her arm, which was red. She said its been 3 days and they still have it. She said the rash got darker yesterday but today it is slightly lighter and reported that yesterday it was itching. Caller took Tylenol because they were a little bit achy, today they were not really achy. Caller said it started out small an inch where the shoulder starts and down 3 inches above her elbow and it was sore.   This case was linked to MOD-2021-307114, MOD-2021-307464, MOD-2021-307467 (Patient Link).