Heart pains; Painful flare ups; Weird Tissue pains in Arms and Leg, left arm pain; Issues getting full breathing ability; Vision impaired; Weirdnesses/really strange; Blurred vision/lots of Blurred sporadically Visionary issues; Chest pain, piercing pain through and wrapping around my left side of the chest,; Skin in spots on both arms feeling like sand-paper; Low back pain; Right knee got so sore and swollen; My right knee got so sore and swollen that I could barely walk on it; Nerve pain; soreness in bones in arms; Soreness in the skin tissue and actually in the Bones in my Arms and the muscle tissue, muscle pain; This spontaneous case was reported by an other health care professional and describes the occurrence of ANGINA PECTORIS (Heart pains) in a 65-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product INFLUENZA VACCINE (FLU SYRINGE) for Influenza.    The patient's past medical history included Back surgery (Botched back surgery couple years ago). Concurrent medical conditions included COPD.   On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. and INFLUENZA VACCINE (FLU SYRINGE) (unknown route) at an unspecified dose. On an unknown date, the patient experienced ANGINA PECTORIS (Heart pains) (seriousness criterion medically significant), PAIN (Painful flare ups), PAIN IN EXTREMITY (Weird Tissue pains in Arms and Leg, left arm pain), DYSPNOEA (Issues getting full breathing ability), VISUAL IMPAIRMENT (Vision impaired), FEELING ABNORMAL (Weirdnesses/really strange), VISION BLURRED (Blurred vision/lots of Blurred sporadically Visionary issues), CHEST PAIN (Chest pain, piercing pain through and wrapping around my left side of the chest,), RASH (Skin in spots on both arms feeling like sand-paper), BACK PAIN (Low back pain), JOINT SWELLING (Right knee got so sore and swollen), GAIT DISTURBANCE (My right knee got so sore and swollen that I could barely walk on it), NEURALGIA (Nerve pain) and MYALGIA (Soreness in the skin tissue and actually in the Bones in my Arms and the muscle tissue, muscle pain). At the time of the report, ANGINA PECTORIS (Heart pains), PAIN (Painful flare ups), PAIN IN EXTREMITY (Weird Tissue pains in Arms and Leg, left arm pain), DYSPNOEA (Issues getting full breathing ability), VISUAL IMPAIRMENT (Vision impaired), FEELING ABNORMAL (Weirdnesses/really strange), VISION BLURRED (Blurred vision/lots of Blurred sporadically Visionary issues), CHEST PAIN (Chest pain, piercing pain through and wrapping around my left side of the chest,), RASH (Skin in spots on both arms feeling like sand-paper), BACK PAIN (Low back pain), JOINT SWELLING (Right knee got so sore and swollen), GAIT DISTURBANCE (My right knee got so sore and swollen that I could barely walk on it), NEURALGIA (Nerve pain) and MYALGIA (Soreness in the skin tissue and actually in the Bones in my Arms and the muscle tissue, muscle pain) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Electrocardiogram: normal (normal) normal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient stated that he/she got flu shot six months after Second shot of Moderna, and in 30-45 minutes, developed vision impaired, chest pain and some issues.  The patient stated that he/she had noticed Skin in spots on both arms feeling like sandpaper, about day 10 after the second shot, along with blurry vision sporadically. He/she had soreness in the skin tissue and actually in the bones, in the arms, and the muscle tissue, and  then some e lower back pain. The patient stated that he/she had right knee soreness and swollen that they could barely walk on it.   The patient also stated that he/she had a Couple trips to ER visits with chest pains and a piercing pain through and wrapping around the left side of the chest, and also left arm pain.  Concomitant product was not provided by the reporter.  Treatment information was not provided.   Most recent FOLLOW-UP information incorporated above includes: On 01-Sep-2021: Follow up received contains significant information-History updated and events added. On 03-Sep-2021: Follow-up received: Lab data added. Vaccine information updated. New events- Skin rash, Myalgia, Back pain, Joint swelling, Gait disturbance, and Neuralgia added.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.