Sleepless for months after both doses of the vaccine, Night after night of no sleep, Prevented her from sleeping, Wide awake during the day and night,When did fall asleep,woke up frequently,Couldn't fall asleep; Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose; Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose; when in bed, eyeballs would be palpitating.; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Sleepless for months after both doses of the vaccine,Night after night of no sleep,Prevented her from sleeping,Wide awake during the day and night,When did fall asleep,woke up frequently,Couldn't fall asleep), TREMOR (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose), ANXIETY (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose) and BLEPHAROSPASM (when in bed, eyeballs would be palpitating.) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 042L21A) for COVID-19 vaccination.     No medical history was provided by the reporter.  Concurrent medical conditions included Bladder infection. Concomitant products included CLOFIBRATE (FIBRATE) for Triglycerides.   On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In February 2021, the patient experienced INSOMNIA (Sleepless for months after both doses of the vaccine,Night after night of no sleep,Prevented her from sleeping,Wide awake during the day and night,When did fall asleep,woke up frequently,Couldn't fall asleep), TREMOR (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose), ANXIETY (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose) and BLEPHAROSPASM (when in bed, eyeballs would be palpitating.). The patient was treated with ZOLPIDEM TARTRATE (AMBIEN) for Adverse event, at an unspecified dose and frequency; ESZOPICLONE (LUNESTA) for Adverse event, at an unspecified dose and frequency; TRAZODONE for Adverse event, at an unspecified dose and frequency and LORAZEPAM (ATIVAN) for Anxiety, at a dose of UNK, prn. At the time of the report, INSOMNIA (Sleepless for months after both doses of the vaccine,Night after night of no sleep,Prevented her from sleeping,Wide awake during the day and night,When did fall asleep,woke up frequently,Couldn't fall asleep) was resolving and TREMOR (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose), ANXIETY (Gave anxiety and shaking like a leaf. Few days after the first dose. Intensified after the second dose) and BLEPHAROSPASM (when in bed, eyeballs would be palpitating.) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Sleep study: negative (Negative) Had sleep studies done, negative for sleep apnea.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication: Supplements, antibiotic for bladder infection.  Treatment: 3 others (does not remember the name).  Patient began taking Ativan for anxiety and made her sleepy enough and did the trick. Did not use every night; only when needed. Just started after the vaccine and not sure if the vaccine caused it. Recently, for the past month, now sleeping again without sleeping pills. Patient reported she was afraid to get the Moderna COVID-19 booster because she did not want to go through that again. Her sister suggested take Pfizer for a booster, so received Pfizer 13 Nov 2021, and was again wide awake.   This case was linked to MOD-2021-387012 (Patient Link).