It feels like I have Covid-19; feels like head is going to blow up; having trouble sleeping because of the fever and chills; lot of pain; myalgia; chills; temperature is 101.4 degrees Farenheight and the Fever is not coming down.; shakes; headache; neck pain; back pain; This spontaneous case was reported by a nurse and describes the occurrence of PAIN (lot of pain), MYALGIA (myalgia), CHILLS (chills), PYREXIA (temperature is 101.4 degrees Farenheight and the Fever is not coming down.) and TREMOR (shakes) in a 68-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 in September 2022. Previously administered products included for Drug use for unknown indication: Johnson and Johnson vaccine (Johnson and Johnson vaccine as primary series and her first booster dose.). Past adverse reactions to the above products included No adverse reaction with Johnson and Johnson vaccine. Concomitant products included METOPROLOL and ATORVASTATIN for an unknown indication.  On 29-Nov-2022 at 10:00 AM, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 29-Nov-2022, the patient experienced PAIN (lot of pain), MYALGIA (myalgia), CHILLS (chills), PYREXIA (temperature is 101.4 degrees Farenheight and the Fever is not coming down.), HEADACHE (headache), NECK PAIN (neck pain), BACK PAIN (back pain) and INSOMNIA (having trouble sleeping because of the fever and chills). 29-Nov-2022, the patient experienced TREMOR (shakes). On 30-Nov-2022, the patient experienced HEAD DISCOMFORT (feels like head is going to blow up). On an unknown date, the patient experienced SUSPECTED COVID-19 (It feels like I have Covid-19). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, PAIN (lot of pain), MYALGIA (myalgia), CHILLS (chills), TREMOR (shakes), HEADACHE (headache), NECK PAIN (neck pain), BACK PAIN (back pain), HEAD DISCOMFORT (feels like head is going to blow up), INSOMNIA (having trouble sleeping because of the fever and chills) and SUSPECTED COVID-19 (It feels like I have Covid-19) outcome was unknown and PYREXIA (temperature is 101.4 degrees Farenheight and the Fever is not coming down.) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Nov-2022, Body temperature: 101.4 101.4 degrees Farenheight.   For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   The patient had the Moderna bivalent Covid-19 vaccine at 10AM on 29-Nov-2022 The patient experienced a lot of pain and myalgia which was started between 6 to 8PM on 29-Nov-2022. The patient experienced chills, fever, shakes, headache, neck pain, and back pain.  The temperature was101.4 degrees Farenheight and the Fever was not coming down.  Patient felt like she had Covid 19, and her head was going to blow up. Patient had trouble sleeping because of the fever and chills.  Patient took Tylenol for her fever.