Deformity of hands; Walking difficulty/Barely walk; Hand pain; CHILLS; Headache; Fever; This spontaneous case was reported by a consumer and describes the occurrence of HAND DEFORMITY (Deformity of hands), GAIT DISTURBANCE (Walking difficulty/Barely walk), PAIN IN EXTREMITY (Hand pain), CHILLS (CHILLS) and HEADACHE (Headache) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect products included non-company products TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for COVID-19 vaccination and ADALIMUMAB (HUMIRA) solution for injection for Rheumatoid arthritis.    Concurrent medical conditions included Rheumatoid arthritis (Moderate to severe rheumatoid arthritis).   On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Nov-2021, the patient received third dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (Intramuscular) 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (unknown route) UNK, 1st dose, CF. In February 2021, the patient experienced CHILLS (CHILLS), HEADACHE (Headache) and PYREXIA (Fever). On an unknown date, the patient experienced HAND DEFORMITY (Deformity of hands), GAIT DISTURBANCE (Walking difficulty/Barely walk) and PAIN IN EXTREMITY (Hand pain). In 2021, CHILLS (CHILLS), HEADACHE (Headache) and PYREXIA (Fever) had resolved. At the time of the report, HAND DEFORMITY (Deformity of hands), GAIT DISTURBANCE (Walking difficulty/Barely walk) and PAIN IN EXTREMITY (Hand pain) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medications were reported.  On unknown dates, the patient experienced barely walk and deformity of hands, on an unknown day in Feb-2021, the patient experienced chills, headaches, and fever. In Mar-2021, the patient experienced chills, headaches, and fever. In Nov-2021, the patient experienced chills, headaches, and fever. in 2021, all the three episodes of chills, headaches and fever resolved.  It was unknown if patient was enrolled in a COVID-19 Vaccine Trial.  Action taken with the Co-suspect Humira(adalimumab), Pfizer biontech covid-19 vaccine(tozinameran) with response to all the episodes of the events Chills, Headaches, Gait disturbance, Pain in extremity and Pyrexia was reported as Unknown.  No treatment details were reported.  The reporter's causality for Humira(adalimumab) with response to the events of chills, barely walk, deformity of hands, headaches was not provided. The reporter's causality for Pfizer biontech covid-19 vaccine(tozinameran) with response to all the episodes of the events Chills, Headaches, Gait disturbance, Pain in extremity and Pyrexia were reported as possible.  This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.   Reporter did not allow further contact