pain in the back and knees; pain is in the shoulder area, it goes all the way down to the elbow/pain in knee; pain in my arm/the pain is not going away/it got progressively worse/it hurts; it is very sore in the injection site; can't move my arm in certain ways; started taking physical therapy, and can't do the exercises because of the way the arm hurts; has some swelling in the area; pain keeps waking her up/she has a hard time sleeping; This spontaneous case was reported by a consumer and describes the occurrence of HYPOKINESIA (can't move my arm in certain ways), EXERCISE TOLERANCE DECREASED (started taking physical therapy, and can't do the exercises because of the way the arm hurts), PERIPHERAL SWELLING (has some swelling in the area), INSOMNIA (pain keeps waking her up/she has a hard time sleeping) and BACK PAIN (pain in the back and knees) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 14C or 21A and 018B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Paracetamol (paracetamol), Drug allergy (Lisinopril  caused angioedema), Chronic pain and Morbid obesity. Concomitant products included HYDROCODONE BITARTRATE, PARACETAMOL (NORCO) for Back pain and Knee pain, ASPIRIN [ACETYLSALICYLIC ACID], LEVOTHYROXINE SODIUM (SYNTHROID), POTASSIUM CHLORIDE, FEXOFENADINE HYDROCHLORIDE (ALLEGRA), ALUMINIUM HYDROXIDE GEL, DRIED, MAGNESIUM CARBONATE (PEPCID [ALUMINIUM HYDROXIDE GEL, DRIED;MAGNESIUM CARBONATE]), MONTELUKAST SODIUM (SINGULAIR), DULOXETINE HYDROCHLORIDE (CYMBALTA), MELATONIN and ALBUTEROL SULFATE for an unknown indication.   On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-May-2021, the patient experienced HYPOKINESIA (can't move my arm in certain ways), EXERCISE TOLERANCE DECREASED (started taking physical therapy, and can't do the exercises because of the way the arm hurts), PERIPHERAL SWELLING (has some swelling in the area), INSOMNIA (pain keeps waking her up/she has a hard time sleeping), ARTHRALGIA (pain is in the shoulder area, it goes all the way down to the elbow/pain in knee), VACCINATION SITE PAIN (pain in my arm/the pain is not going away/it got progressively worse/it hurts) and VACCINATION SITE PAIN (it is very sore in the injection site). On an unknown date, the patient experienced BACK PAIN (pain in the back and knees). The patient was treated with Physical therapy for Hypokinesia; Physical therapy for Exercise tolerance decreased; Physical therapy for Peripheral swelling; Physical therapy for Arthralgia; Physical therapy for Vaccination site pain and Physical therapy for Vaccination site pain. At the time of the report, HYPOKINESIA (can't move my arm in certain ways), EXERCISE TOLERANCE DECREASED (started taking physical therapy, and can't do the exercises because of the way the arm hurts), PERIPHERAL SWELLING (has some swelling in the area), BACK PAIN (pain in the back and knees), ARTHRALGIA (pain is in the shoulder area, it goes all the way down to the elbow/pain in knee), VACCINATION SITE PAIN (pain in my arm/the pain is not going away/it got progressively worse/it hurts) and VACCINATION SITE PAIN (it is very sore in the injection site) had not resolved and INSOMNIA (pain keeps waking her up/she has a hard time sleeping) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient medical history included OSAS and HTN   Most recent FOLLOW-UP information incorporated above includes: On 02-Dec-2021: Patient demographics,Medical history provided