she almost die.; when she was driving to her work she fall completely and immediately asleep/she was sleeping from 1PM to 6AM of the next day; arm pain; This spontaneous case was reported by a consumer and describes the occurrence of NEAR DEATH EXPERIENCE (she almost die.) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Nov-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced VACCINATION SITE PAIN (arm pain). On 05-Nov-2021, the patient experienced NEAR DEATH EXPERIENCE (she almost die.) (seriousness criterion medically significant) and HYPERSOMNIA (when she was driving to her work she fall completely and immediately asleep/she was sleeping from 1PM to 6AM of the next day). At the time of the report, NEAR DEATH EXPERIENCE (she almost die.), HYPERSOMNIA (when she was driving to her work she fall completely and immediately asleep/she was sleeping from 1PM to 6AM of the next day) and VACCINATION SITE PAIN (arm pain) outcome was unknown.            No concomitant medications reported. No treatment information was provided. It was reported that, when she was driving to her work she fall completely and immediately asleep.  Company Comment: This case concerns a female patient of unknown age with no medical history reported, who experienced the unexpected event of near death experience. As reported, on the same day after administration of the third dose of mRNA-1273 the patient felt arm hurt, and on the following day when the patient was driving to work she fall completely and immediately asleep. Then the patient was sleeping from 1PM to 6AM of the next day. The patient was very concerned about that and request for an explication because she almost died. The rechallenge was not applicable. It is possible that patient falling asleep during driving caused the patient almost dying. Request for additional information has been raised. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a female patient of unknown age with no medical history reported, who experienced the unexpected event of near death experience. As reported, on the same day after administration of the third dose of mRNA-1273 the patient felt arm hurt, and on the following day when the patient was driving to work she fall completely and immediately asleep. Then the patient was sleeping from 1PM to 6AM of the next day. The patient was very concerned about that and request for an explication because she almost died. The rechallenge was not applicable. It is possible that patient falling asleep during driving caused the patient almost dying. Request for additional information has been raised. The benefit-risk relationship of mRNA-1273 is not affected by this report.