it hurts to lift arm; radiating pain that goes from injection site, up into shoulder and neck; pain that goes from injection site, up into shoulder and neck; she had a fusion in that area; left arm is swollen; this morning arm pain is much worse/its killing me; shoulder pain; nausea; headache; she didn't sleep well last night; I don't feel well at all; dizzy spells; GERD started to act up and called it a "GERD attack; chest pain; chest pain wrapping to back; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (I don't feel well at all), DIZZINESS (dizzy spells), GASTROOESOPHAGEAL REFLUX DISEASE (GERD started to act up and called it a "GERD attack), CHEST PAIN (chest pain) and BACK PAIN (chest pain wrapping to back) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041CZ1A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Spinal operation (8 spinal surgeries). Concurrent medical conditions included GERD (GERD) and Meniere's disease. Concomitant products included OXYCODONE HYDROCHLORIDE, OXYCODONE TEREPHTHALATE, PARACETAMOL (PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]) for Spinal operation, DESVENLAFAXINE SUCCINATE MONOHYDRATE (PRISTIQ) for an unknown indication.    On 06-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Jun-2021, the patient experienced MALAISE (I don't feel well at all), DIZZINESS (dizzy spells), GASTROOESOPHAGEAL REFLUX DISEASE (GERD started to act up and called it a "GERD attack), CHEST PAIN (chest pain), BACK PAIN (chest pain wrapping to back), INSOMNIA (she didn't sleep well last night), NAUSEA (nausea) and HEADACHE (headache). On an unknown date, the patient experienced LIMB DISCOMFORT (it hurts to lift arm), PAIN (radiating pain that goes from injection site, up into shoulder and neck), NECK PAIN (pain that goes from injection site, up into shoulder and neck), VACCINATION SITE REACTION (she had a fusion in that area), VACCINATION SITE SWELLING (left arm is swollen), VACCINATION SITE PAIN (this morning arm pain is much worse/its killing me) and ARTHRALGIA (shoulder pain). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) for Nausea, at a dose of 1 dosage form and SUCRALFATE (CARAFATE) for GERD and Chest pain, at a dose of 1 dosage form. On 06-Jun-2021, CHEST PAIN (chest pain) and BACK PAIN (chest pain wrapping to back) had resolved. At the time of the report, MALAISE (I don't feel well at all), DIZZINESS (dizzy spells), GASTROOESOPHAGEAL REFLUX DISEASE (GERD started to act up and called it a "GERD attack), LIMB DISCOMFORT (it hurts to lift arm), PAIN (radiating pain that goes from injection site, up into shoulder and neck), NECK PAIN (pain that goes from injection site, up into shoulder and neck), INSOMNIA (she didn't sleep well last night), VACCINATION SITE REACTION (she had a fusion in that area), NAUSEA (nausea), HEADACHE (headache), VACCINATION SITE SWELLING (left arm is swollen), VACCINATION SITE PAIN (this morning arm pain is much worse/its killing me) and ARTHRALGIA (shoulder pain) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Treatment also included application of ice.