Muscle is very tight, moved into shoulder, neck and under arm pit; Developed a cough/ dry, chronic cough; Pain in injected arm still severe; Injected arm severely painful; Joint pain; Fatigue; Flu-like symptoms; Pain in arm, neck, back after; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TIGHTNESS (Muscle is very tight, moved into shoulder, neck and under arm pit), COUGH (Developed a cough/ dry, chronic cough), INFLUENZA LIKE ILLNESS (Flu-like symptoms), PAIN IN EXTREMITY (Pain in injected arm still severe) and PAIN (Pain in arm, neck, back after) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy (Sores in mouth), Hypertension since 1990 and Asthma since 2020. Concomitant products included MONTELUKAST and OXYMETAZOLINE HYDROCHLORIDE (CLARITIN ALLERGIC) for Allergy, FLUTICASONE FUROATE, VILANTEROL TRIFENATATE (BREO ELLIPTA) from 01-Mar-2020 to an unknown date for Asthma, AMLODIPINE from 2019 to an unknown date for Hypertension.   On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Mar-2021 at 10:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Mar-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN (Pain in arm, neck, back after). On 02-Mar-2021, the patient experienced INFLUENZA LIKE ILLNESS (Flu-like symptoms). On 03-Mar-2021, the patient experienced COUGH (Developed a cough/ dry, chronic cough), VACCINATION SITE PAIN (Injected arm severely painful), ARTHRALGIA (Joint pain) and FATIGUE (Fatigue). 03-Mar-2021, the patient experienced PAIN IN EXTREMITY (Pain in injected arm still severe). On 29-Mar-2021, the patient experienced MUSCLE TIGHTNESS (Muscle is very tight, moved into shoulder, neck and under arm pit). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Adverse event, at an unspecified dose and frequency; PREDNISONE (oral) from 01-Apr-2021 to 13-Apr-2021 for Adverse event, at an unspecified dose and frequency; ILEX PARAGUARIENSIS EXTRACT (BIOFREEZ) for Adverse event, at an unspecified dose and frequency; BENZONATATE (TESSALON PERLE) for Adverse event, at an unspecified dose and frequency and SALBUTAMOL (PROVENTIL [SALBUTAMOL]) for Adverse event, at an unspecified dose and frequency. On 07-Mar-2021, ARTHRALGIA (Joint pain) and FATIGUE (Fatigue) had resolved. On 08-Mar-2021, INFLUENZA LIKE ILLNESS (Flu-like symptoms) had resolved. On 15-Apr-2021, COUGH (Developed a cough/ dry, chronic cough) and PAIN IN EXTREMITY (Pain in injected arm still severe) had resolved. On 15-May-2021, PAIN (Pain in arm, neck, back after) had resolved. At the time of the report, MUSCLE TIGHTNESS (Muscle is very tight, moved into shoulder, neck and under arm pit) and VACCINATION SITE PAIN (Injected arm severely painful) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Mar-2021, Chest X-ray: normal (normal) No pneumonia or congestion..         This case was linked to MOD-2021-061246 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 13-May-2021: Additional information received on 13 May 2021 lab data was added, concomitant medications were added, new event; Flu-like symptoms was added. On 16-Jul-2021: Follow up received on 16 Jul 2021 had  updated Patient details,  allergies and concurrent conditions, lab data ,test date and results, concomitants start dates and treatment start date and stop date , event end date and outcome.