Worsened vision; I couldn't sleep more than an hour or two for about a month; Heart palpitations and pounding; Nausea; Severe joint pain; Severe chills; Severe temporal headache; Swollen and painful upper neck glands (under jaw line); Difficulty breathing; Stomach cramps; Dizziness; Cold hands and feet; Severe weakness; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of ASTHENIA (Severe weakness), VISUAL IMPAIRMENT (Worsened vision), DYSPNOEA (Difficulty breathing), ABDOMINAL PAIN UPPER (Stomach cramps) and INSOMNIA (I couldn't sleep more than an hour or two for about a month) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Penicillin allergy (Anaphylaxis) and Allergy to metals (Many, not only nickel).    On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced ASTHENIA (Severe weakness), DYSPNOEA (Difficulty breathing), ABDOMINAL PAIN UPPER (Stomach cramps), PALPITATIONS (Heart palpitations and pounding) and LYMPHADENOPATHY (Swollen and painful upper neck glands (under jaw line)). On an unknown date, the patient experienced VISUAL IMPAIRMENT (Worsened vision) and INSOMNIA (I couldn't sleep more than an hour or two for about a month). At the time of the report, ASTHENIA (Severe weakness), VISUAL IMPAIRMENT (Worsened vision), DYSPNOEA (Difficulty breathing), ABDOMINAL PAIN UPPER (Stomach cramps), PALPITATIONS (Heart palpitations and pounding) and LYMPHADENOPATHY (Swollen and painful upper neck glands (under jaw line)) had not resolved and INSOMNIA (I couldn't sleep more than an hour or two for about a month) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Glomerular filtration rate: 69 (Low) dropped (within the week of vaccine) and 89 one month after vaccine).     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered ASTHENIA (Severe weakness), VISUAL IMPAIRMENT (Worsened vision), DYSPNOEA (Difficulty breathing), ABDOMINAL PAIN UPPER (Stomach cramps), PALPITATIONS (Heart palpitations and pounding) and LYMPHADENOPATHY (Swollen and painful upper neck glands (under jaw line)) to be possibly related. No further causality assessment was provided for INSOMNIA (I couldn't sleep more than an hour or two for about a month).    Concomitant medications were not provided. Treatment information was not reported. Blood work was taken within a week of Covid vaccination reaction and retaken 1 month after. Patient took NSAIDs with no pain relief. Patient states that providers recommended to no get second Moderna dose.   Most recent FOLLOW-UP information incorporated above includes: On 30-Mar-2021: Events were added.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; 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.