the pain ovaries came back (in the front and it radiates to the lower back)/so much pain/if husband moves in bed it hurts/she could not roll in bed because it would bring the pain/While on the phone the pain started to come back; had diarrhea; kept puking; Fever; ovaries hurting/; but around midnight and until 4.30am (04nov) the pain ovaries came back; severe lower back pain (10/10 intensity of pain); chest pain (vitals were normal)/Chest pain: left side, heart to the sternum, only left side,/The (chest) pain was so intense; joint pain/(the pain) went to shoulder blades; migraines/another migraine started; Body aches; Arm soreness; she has problems walking; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (migraines/another migraine started), ADNEXA UTERI PAIN (ovaries hurting/; but around midnight and until 4.30am (04nov) the pain ovaries came back), BACK PAIN (severe lower back pain (10/10 intensity of pain)), PAIN (the pain ovaries came back (in the front and it radiates to the lower back)/so much pain/if husband moves in bed it hurts/she could not roll in bed because it would bring the pain/While on the phone the pain started to come back) and DIARRHOEA (had diarrhea) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 (No Concomitant medication was reported.) on 03-May-2021, Pneumonia (3 times) in 2020, Interstitial lung disease in 2020, Joint inflammation (flare ups of joint inflammation, After both infections she had inflammatory response in joints.) in 2021, Ovarian pain in 2021, Respiratory symptom, COVID-19 in April 2021, Lung operation in 2020, Biopsy in 2020, Intra-uterine contraceptive device and Hospitalisation (In 2020, the patient was hospitalized 3 times, ended up with pneumonia 3 times; had surgery in lungs: biopsy; she was diagnosed with interstitial lung disease) in 2020. Concurrent medical conditions included Cyst.    On 01-Nov-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Nov-1900,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced GAIT DISTURBANCE (she has problems walking). On 01-Nov-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness). On 02-Nov-2021, the patient experienced MIGRAINE (migraines/another migraine started), ARTHRALGIA (joint pain/(the pain) went to shoulder blades) and MYALGIA (Body aches). On 03-Nov-2021, the patient experienced ADNEXA UTERI PAIN (ovaries hurting/; but around midnight and until 4.30am (04nov) the pain ovaries came back), BACK PAIN (severe lower back pain (10/10 intensity of pain)) and CHEST PAIN (chest pain (vitals were normal)/Chest pain: left side, heart to the sternum, only left side,/The (chest) pain was so intense). On 04-Nov-2021, the patient experienced PAIN (the pain ovaries came back (in the front and it radiates to the lower back)/so much pain/if husband moves in bed it hurts/she could not roll in bed because it would bring the pain/While on the phone the pain started to come back), DIARRHOEA (had diarrhea), VOMITING (kept puking) and PYREXIA (Fever). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency; PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at an unspecified dose and frequency; TAPENTADOL HYDROCHLORIDE (NUCYNTA) for Adverse event, at a dose of 100 mg; LACIDIPINE (TENS) for Adverse event, at an unspecified dose and frequency and MENTHOL (ICE [MENTHOL]) for Adverse event, at an unspecified dose and frequency. At the time of the report, MIGRAINE (migraines/another migraine started), ADNEXA UTERI PAIN (ovaries hurting/; but around midnight and until 4.30am (04nov) the pain ovaries came back), BACK PAIN (severe lower back pain (10/10 intensity of pain)) and PAIN (the pain ovaries came back (in the front and it radiates to the lower back)/so much pain/if husband moves in bed it hurts/she could not roll in bed because it would bring the pain/While on the phone the pain started to come back) had not resolved, DIARRHOEA (had diarrhea), GAIT DISTURBANCE (she has problems walking), PAIN IN EXTREMITY (Arm soreness), ARTHRALGIA (joint pain/(the pain) went to shoulder blades), VOMITING (kept puking), PYREXIA (Fever) and MYALGIA (Body aches) outcome was unknown and CHEST PAIN (chest pain (vitals were normal)/Chest pain: left side, heart to the sternum, only left side,/The (chest) pain was so intense) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Nov-2021, Blood pressure measurement: 125/80 (normal) normal. In November 2021, Blood pressure measurement: 107/70 (normal) normal and 132/95 (High) High. In November 2021, Heart rate: 105 (High) High and 125 (High) High.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No Concomitant medication was reported.   The patient was not responding to the migraine medicine, ibuprofen, Tylenol, Nucynta 100milligram , tens nad ice.   2021: she was not hospitalized but went to urgent care, they heard rumbling in the lungs and sent her to the hospital. Reporter stated that that when she had COVID she had similar chest pain, but it was related to the  lungs, albuterol helped.   This case was linked to MOD-2021-375249 (Patient Link).