bloodwork was also positive for Sjogren's syndrome; not sure if it's Bell's Palsy because there is a swollen gland of the left side of the face, and think it may be a tumor instead; itching uncontrollably; swelling of the face; This spontaneous case was reported by a nurse and describes the occurrence of SJOGREN'S SYNDROME (bloodwork was also positive for Sjogren's syndrome), PRURITUS (itching uncontrollably), SWELLING FACE (swelling of the face) and LYMPHADENOPATHY (not sure if it's Bell's Palsy because there is a swollen gland of the left side of the face, and think it may be a tumor instead) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031H21A, 037K20A and 037K20A) for COVID-19 vaccination.     No Medical History information was reported.   On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In December 2021, the patient experienced PRURITUS (itching uncontrollably) (seriousness criterion medically significant) and SWELLING FACE (swelling of the face) (seriousness criterion medically significant). On an unknown date, the patient experienced SJOGREN'S SYNDROME (bloodwork was also positive for Sjogren's syndrome) (seriousness criterion medically significant) and LYMPHADENOPATHY (not sure if it's Bell's Palsy because there is a swollen gland of the left side of the face, and think it may be a tumor instead) (seriousness criterion medically significant). At the time of the report, SJOGREN'S SYNDROME (bloodwork was also positive for Sjogren's syndrome), PRURITUS (itching uncontrollably), SWELLING FACE (swelling of the face) and LYMPHADENOPATHY (not sure if it's Bell's Palsy because there is a swollen gland of the left side of the face, and think it may be a tumor instead) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: positive (Positive) Positive for Sjogren's syndrome. On an unknown date, Fibrin D dimer: elevated (High) elevated which is indicative of blood clots but didn't find any.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant details were provided.   Patient had no issues prior to the booster dose.  They they're not sure if it's Bell's Palsy because there was a swollen gland of the left side of the face, and think it may be a tumor instead. They've done a lot of testing, found d-dimers were elevated which was indicative of blood clots but didn't find any.   The bloodwork was also positive for Sjogren's syndrome and have referred them to a rheumatologist. Stated that she was a frontline worker who has been taken out of action and that there needs to be a task force to react to adverse events quickly.  No treatment details were provided.  Company Comment: This spontaneous case concerns a female patient with unknown age with no medical history reported , who experienced  Serious ( Medically significant ) , unexpected events of pruritus and swelling of the face which occurred in Dec, 2021 after vaccination with the 3rd dose of mRNA -1273 Vaccine, On an unknown date  this patient experienced Sjogren's syndrome which occurred after the vaccination with the 3rd dose of mRNA-1273 vaccine . Patient was noted to have elevated D- dimer levels but was found negative for possible blood clots and positive for Sjogren's blood test.  The lymphadenopathy may be related to the diagnosis of Sjogren's syndrome because  they have a higher chance  of developing lymphoma and the pruritus may be related to the dryness brought about by this disease.  The gender of the patient may be considered as a confouder for this case since Sjogren's syndrome is common among females. The benefit -risk relationship of mRNA -1273 ( Moderna Covid 19 Vaccine) is not affected by this report.; Sender's Comments: This spontaneous case concerns a female patient with unknown age with no medical history reported , who experienced  Serious ( Medically significant ) , unexpected events of pruritus and swelling of the face which occurred in Dec, 2021 after vaccination with the 3rd dose of mRNA -1273 Vaccine, On an unknown date  this patient experienced Sjogren's syndrome which occurred after the vaccination with the 3rd dose of mRNA-1273 vaccine . Patient was noted to have elevated D- dimer levels but was found negative for possible blood clots and positive for Sjogren's blood test.  The lymphadenopathy may be related to the diagnosis of Sjogren's syndrome because  they have a higher chance  of developing lymphoma and the pruritus may be related to the dryness brought about by this disease.  The gender of the patient may be considered as a confouder for this case since Sjogren's syndrome is common among females. The benefit -risk relationship of mRNA -1273 ( Moderna Covid 19 Vaccine) is not affected by this report.