Left hand tingling sensation; Pain is extending down to her hand; Having issues extending her arm/Unable to move my arm; Left hand numbness; Severe pain at injection/Left upper arm pain; Severe shoulder pain; Unable to sleep; Vomited once; Nausea; This spontaneous case was reported by a physician and describes the occurrence of PAIN IN EXTREMITY (Pain is extending down to her hand), VACCINATION SITE MOVEMENT IMPAIRMENT (Having issues extending her arm/Unable to move my arm), HYPOAESTHESIA (Left hand numbness), PARAESTHESIA (Left hand tingling sensation) and SLEEP DISORDER (Unable to sleep) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Sleep disorder NOS. Concomitant products included DESOGESTREL, ETHINYLESTRADIOL (MERCILON) from 01-Apr-2020 to an unknown date for Contraception.    On 04-Feb-2021 at 6:15 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced HYPOAESTHESIA (Left hand numbness), VACCINATION SITE PAIN (Severe pain at injection/Left upper arm pain) and ARTHRALGIA (Severe shoulder pain). On 05-Feb-2021, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Having issues extending her arm/Unable to move my arm). In February 2021, the patient experienced SLEEP DISORDER (Unable to sleep), VOMITING (Vomited once) and NAUSEA (Nausea). On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain is extending down to her hand) and PARAESTHESIA (Left hand tingling sensation). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency and IBUPROFEN for Adverse event, at an unspecified dose and frequency. On 08-Feb-2021, HYPOAESTHESIA (Left hand numbness) and ARTHRALGIA (Severe shoulder pain) had resolved. At the time of the report, PAIN IN EXTREMITY (Pain is extending down to her hand), VACCINATION SITE MOVEMENT IMPAIRMENT (Having issues extending her arm/Unable to move my arm), VOMITING (Vomited once) and VACCINATION SITE PAIN (Severe pain at injection/Left upper arm pain) had resolved.        mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered HYPOAESTHESIA (Left hand numbness) and ARTHRALGIA (Severe shoulder pain) to be probably related. No further causality assessments were provided for PAIN IN EXTREMITY (Pain is extending down to her hand), VACCINATION SITE MOVEMENT IMPAIRMENT (Having issues extending her arm/Unable to move my arm), PARAESTHESIA (Left hand tingling sensation), SLEEP DISORDER (Unable to sleep), VOMITING (Vomited once), NAUSEA (Nausea) and VACCINATION SITE PAIN (Severe pain at injection/Left upper arm pain).    Concomitant product also included melatonin (5mg), from 01-Jun-2020 to an unknown date for help sleep.  Reportedly, after five hours of receiving the vaccine, the patient had left upper arm pain which gradually increased to a 10/10 in severity. The patient took ibuprofen and paracetamol which did nothing. According to the patient, the symptoms started to subside by 08-Feb-2021. The patient received second dose of vaccine on 10-Mar-2021 (06:15 pm) intramuscularly on left upper arm (Lot# 029A21A) and was fine following her second vaccine injection.   Most recent FOLLOW-UP information incorporated above includes: On 08-May-2021: Additional information received included additional reporter details, patient demographic details, new events along with outcome, causality and treatment information, concomitant medication/ medical history, vaccine lot# and dosage information.