Caller reports where they got the injection there is a burning sensation/ itchiness; Violent reaction this time With the previous doses, they didn't even feel the needle go in.; they were knocked flat on their back, every bone in their body hurts so bad; joint pain; sharp pain that feels like a needle is inside/ So painful like they have been in an auto wreck; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Caller reports where they got the injection there is a burning sensation/ itchiness), IMMUNISATION REACTION (Violent reaction this time With the previous doses, they didn't even feel the needle go in.), BONE PAIN (they were knocked flat on their back, every bone in their body hurts so bad), ARTHRALGIA (joint pain) and INJECTION SITE PAIN (sharp pain that feels like a needle is inside/ So painful like they have been in an auto wreck) in an 85-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 8057459) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: MODERNA COVID-19 VACCINE (Batch number: 025L20A) on 19-Jan-2021, MODERNA COVID-19 VACCINE (Batch number:  088D21A) on 19-Aug-2021, MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5) (Batch number: 030G22B) on 29-Sep-2022, Flu Shot on 14-Sep-2023 and MODERNA COVID-19 VACCINE. Past adverse reactions to the above products included No adverse event with Flu Shot, MODERNA COVID-19 VACCINE, MODERNA COVID-19 VACCINE, MODERNA COVID-19 VACCINE, MODERNA COVID-19 VACCINE and BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5). Concurrent medical conditions included COPD and Hypothyroidism. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication.    On 07-Oct-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 07-Oct-2023, the patient experienced PRURITUS (Caller reports where they got the injection there is a burning sensation/ itchiness), IMMUNISATION REACTION (Violent reaction this time With the previous doses, they didn't even feel the needle go in.), BONE PAIN (they were knocked flat on their back, every bone in their body hurts so bad), ARTHRALGIA (joint pain) and INJECTION SITE PAIN (sharp pain that feels like a needle is inside/ So painful like they have been in an auto wreck). At the time of the report, PRURITUS (Caller reports where they got the injection there is a burning sensation/ itchiness), IMMUNISATION REACTION (Violent reaction this time With the previous doses, they didn't even feel the needle go in.) and INJECTION SITE PAIN (sharp pain that feels like a needle is inside/ So painful like they have been in an auto wreck) had not resolved, BONE PAIN (they were knocked flat on their back, every bone in their body hurts so bad) outcome was unknown and ARTHRALGIA (joint pain) had resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   The treatment medication was not reported by reporter.  Patient takes thyroid pills as concomitant medication.  On 7th, she got a Moderna/Spikevax injection for covid-19. She previously had 4 Moderna shots. She never had any response at all, but this time, she was knocked flat on her back, every bone in her body hurt so bad. She was having a hard time standing up. She could not do anything but lay down but the joint pain had gone away. She felt there is a burning sensation/ itchiness, sharp pain that feels like a needle is inside at the injection site. She had a horrible reaction to it. With the previous doses, she didn't even feel the needle go in. Vaccination details were- 19Jan2021 025L20A 2. 16Feb2021 024M2014 3. 19Aug2021 088D21A 4. 14Apr2022 025621B 5. 29Sep2022 030G22B