Chest pain; Pain in arm; Lack of appetite; Tiredness; Chills; headache; Fluctuating Fever (102.4F, 103F, 102F, 101F, 97.8F); This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (Chest pain), PAIN IN EXTREMITY (Pain in arm), DECREASED APPETITE (Lack of appetite), FATIGUE (Tiredness) and CHILLS (Chills) in a 78-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.     The patient's past medical history included COVID-19 in December 2020, Hospitalization (Patient was diagnosed with COVID-19 and was admitted into hospital.) from 08-Dec-2020 to 09-Dec-2020 and Stent insertion NOS (Two stents in heart). Concurrent medical conditions included Pain NOS, Kidney stones, Asthma and Sciatica. Concomitant products included MONTELUKAST SODIUM (SINGULAIR) for Asthma, CICLOSPORIN (RESTASIS), PREDNISOLONE and LATANOPROST for Eye disorder NOS, CRANBERRY [VACCINIUM MACROCARPON] for Kidney stones, OXYCODONE for Pain, CYCLOBENZAPRINE for Sciatica, FENTANYL, ESCITALOPRAM, PANTOPRAZOLE, METOPROLOL, ASPIRIN [ACETYLSALICYLIC ACID], VITAMIN D3, PREGABALIN (LYRICA), UBIDECARENONE (COQ), ATORVASTATIN, VITAMIN E NOS, IRON, CHONDROITIN SULFATE, GLUCOSAMINE (GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;GLUCOSAMINE]), MAGNESIUM, FAMOTIDINE, DICYCLOMINE [DICYCLOVERINE] and SALBUTAMOL (VENTOLIN [SALBUTAMOL]) 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 07-Apr-2021 at 11:30 AM, the patient experienced PYREXIA (Fluctuating Fever (102.4F, 103F, 102F, 101F, 97.8F)). On an unknown date, the patient experienced CHEST PAIN (Chest pain), PAIN IN EXTREMITY (Pain in arm), DECREASED APPETITE (Lack of appetite), FATIGUE (Tiredness), CHILLS (Chills) and HEADACHE (headache). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE, PARACETAMOL (TYLENOL PM) at an unspecified dose and frequency and AMOXICILLIN on 10-Apr-2021 at an unspecified dose and frequency. At the time of the report, CHEST PAIN (Chest pain), PAIN IN EXTREMITY (Pain in arm), DECREASED APPETITE (Lack of appetite), FATIGUE (Tiredness), CHILLS (Chills), HEADACHE (headache) and PYREXIA (Fluctuating Fever (102.4F, 103F, 102F, 101F, 97.8F)) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2020, COVID-19: positive (Positive) Patient was diagnosed with COVID-19. On 07-Apr-2021, Body temperature: 102.4 degree fahrenheit (High) Increased, 103 degree fahrenheit (High) Increased, 102 degree fahrenheit High, 101 degree fahrenheit High and 97.8 degree fahrenheit normal. On 08-Apr-2021, Body temperature: 99.3 degree fahrenheit (High) Increased, 101 degree fahrenheit (High) Increased and 97.3 degree fahrenheit normal. On 08-Apr-2021, Heart rate (60-100 heart beats per minute): 60 heart beats per minute normal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication also included STOOL SOFTENER.  Patient's husband reported that his wife (patient) started on Amoxicillin on 10-April-2021 and would finish the treatment approximately around 20-April-2021   Most recent FOLLOW-UP information incorporated above includes: On 16-Apr-2021: Follow-up received and New Treatment drug added