hard time breathing and shortness of breath while lying down; pain shoots on the left side to the neck; pain shoots on the left side to the neck and ear; fatigue when walking; I could not lift my arm up, since then the pain continues, keep me up all night and as well as clarifying that  the pain shoots on the left side to the neck and ear, almost similar to heart attack, the whole arm hurts,; pain started on (day of the second injection) Monday night, 24May2021 on the side of the injection; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (hard time breathing and shortness of breath while lying down), NECK PAIN (pain shoots on the left side to the neck), EAR PAIN (pain shoots on the left side to the neck and ear), FATIGUE (fatigue when walking) and MYALGIA (I could not lift my arm up, since then the pain continues, keep me up all night and as well as clarifying that  the pain shoots on the left side to the neck and ear, almost similar to heart attack, the whole arm hurts,) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 039B21A) for COVID-19 immunisation. The occurrence of additional non-serious events is detailed below.     Concomitant products included ASCORBIC ACID (VITAMIN C PLUS [ASCORBIC ACID]), MULTIVITAMIN [VITAMINS NOS], COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]) and FISH OIL (OMEGA III [FISH OIL]) for an unknown indication.   On 24-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced DYSPNOEA (hard time breathing and shortness of breath while lying down), NECK PAIN (pain shoots on the left side to the neck), EAR PAIN (pain shoots on the left side to the neck and ear), FATIGUE (fatigue when walking), MYALGIA (I could not lift my arm up, since then the pain continues, keep me up all night and as well as clarifying that  the pain shoots on the left side to the neck and ear, almost similar to heart attack, the whole arm hurts,) and VACCINATION SITE PAIN (pain started on (day of the second injection) Monday night, 24May2021 on the side of the injection). The patient was treated with NAPROXEN SODIUM (ALEVE) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, DYSPNOEA (hard time breathing and shortness of breath while lying down), NECK PAIN (pain shoots on the left side to the neck), EAR PAIN (pain shoots on the left side to the neck and ear), FATIGUE (fatigue when walking), MYALGIA (I could not lift my arm up, since then the pain continues, keep me up all night and as well as clarifying that  the pain shoots on the left side to the neck and ear, almost similar to heart attack, the whole arm hurts,) and VACCINATION SITE PAIN (pain started on (day of the second injection) Monday night, 24May2021 on the side of the injection) outcome was unknown.            Concomitant medications included drinking green tea.  Action taken with mRNA-1273 in response to the events was not Applicable.