he had a torn rotator cuff described as a small full tear/ It is painful/His pain level now is a 9 out of 10; He mentioned a second time having COVID shoulder; he has continuous pain in his left shoulder; This spontaneous case was reported by a patient and describes the occurrence of ROTATOR CUFF SYNDROME (he had a torn rotator cuff described as a small full tear/ It is painful/His pain level now is a 9 out of 10), VACCINATION SITE REACTION (He mentioned a second time having COVID shoulder) and ARTHRALGIA (he has continuous pain in his left shoulder) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M20A and 027A21A) for COVID-19 vaccination.     The patient's past medical history included Shoulder pain. Concomitant products included IBUPROFEN for Shoulder pain, METFORMIN, HCTZ, ICOSAPENT ETHYL and FLUTICASONE for an unknown indication.   On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-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 ROTATOR CUFF SYNDROME (he had a torn rotator cuff described as a small full tear/ It is painful/His pain level now is a 9 out of 10), VACCINATION SITE REACTION (He mentioned a second time having COVID shoulder) and ARTHRALGIA (he has continuous pain in his left shoulder). The patient was treated with DICLOFENAC (oral) for Rotator cuff tear, at a dose of UNK, bid; DICLOFENAC (VOLTAREN [DICLOFENAC]) (topical) for Rotator cuff tear, at a dose of UNK, qid and Physical therapy (he started physical therapy and is still doing it at home) for Rotator cuff syndrome. At the time of the report, ROTATOR CUFF SYNDROME (he had a torn rotator cuff described as a small full tear/ It is painful/His pain level now is a 9 out of 10) and ARTHRALGIA (he has continuous pain in his left shoulder) had not resolved and VACCINATION SITE REACTION (He mentioned a second time having COVID shoulder) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In July 2021, Magnetic resonance imaging: abnormal (abnormal) They did an MRI and it was verified that he had a torn rotator cuff described as a small full tear.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   In concomitant medications, spectrum multivitamin men's health was also reported. Patient reported that he thought he had arthritis so he went to the doctor on 09-Jul-2021. The patient was diagnosed with torn rotator cuff. The doctor did not think it happened from the Moderna COVID-19 vaccination but he was unsure if the vaccine brought the pain to the forefront. The patient went to the orthopedic place. The patient stated that he does not know if he got the shot too high up but it did not bother him until after the COVID-19 vaccination. The doctor told the patient that Surgery might be an option. There was a little pain prior to the second shot that was a level 1 out of 10 usually when he was doing things like mowing the grass or putting up lights   This case was linked to MOD-2021-357880 (Patient Link).