she had bluish purple lips several days. The bottom lip and the corners of her lips.; she also will wake up and have purple spots on one or both arms which get deeper purple and last 2 days or sometimes weeks; She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.; She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.; She also wakes up some days with red blotches on her left arm mostly but can be the rt arm too.; Itchy arm of injection/ top of her elbow is itchy; Injection arm hot to touch like the top of the stove at 400 degrees/ top of her elbow is hot; Red arm of injection, top of her elbow is bright; Vision was like she was doped up; Big welts close to her wrist; Felt like she was going to die/I have not been normal since my 2nd; Shot hurt/she better not loose her arm; Shivering; This spontaneous case was reported by a consumer and describes the occurrence of VISUAL IMPAIRMENT (Vision was like she was doped up), URTICARIA (Big welts close to her wrist), FEELING ABNORMAL (Felt like she was going to die/I have not been normal since my 2nd), VACCINATION SITE WARMTH (Injection arm hot to touch like the top of the stove at 400 degrees/ top of her elbow is hot) and LIP DISCOLOURATION (she had bluish purple lips several days. The bottom lip and the corners of her lips.) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040B21A and 044A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Fibromyalgia and Osteoarthritis.   On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 16-Apr-2021, the patient experienced VISUAL IMPAIRMENT (Vision was like she was doped up), URTICARIA (Big welts close to her wrist), FEELING ABNORMAL (Felt like she was going to die/I have not been normal since my 2nd), VACCINATION SITE PAIN (Shot hurt/she better not loose her arm) and CHILLS (Shivering). On 20-Apr-2021, the patient experienced VACCINATION SITE WARMTH (Injection arm hot to touch like the top of the stove at 400 degrees/ top of her elbow is hot), VACCINATION SITE PRURITUS (Itchy arm of injection/ top of her elbow is itchy) and VACCINATION SITE ERYTHEMA (Red arm of injection, top of her elbow is bright). On an unknown date, the patient experienced LIP DISCOLOURATION (she had bluish purple lips several days. The bottom lip and the corners of her lips.), SKIN DISCOLOURATION (she also will wake up and have purple spots on one or both arms which get deeper purple and last 2 days or sometimes weeks), FIBROMYALGIA (She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.), OSTEOARTHRITIS (She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.) and RASH MACULAR (She also wakes up some days with red blotches on her left arm mostly but can be the rt arm too.). At the time of the report, VISUAL IMPAIRMENT (Vision was like she was doped up), URTICARIA (Big welts close to her wrist), FEELING ABNORMAL (Felt like she was going to die/I have not been normal since my 2nd), VACCINATION SITE WARMTH (Injection arm hot to touch like the top of the stove at 400 degrees/ top of her elbow is hot), LIP DISCOLOURATION (she had bluish purple lips several days. The bottom lip and the corners of her lips.), SKIN DISCOLOURATION (she also will wake up and have purple spots on one or both arms which get deeper purple and last 2 days or sometimes weeks), FIBROMYALGIA (She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.), OSTEOARTHRITIS (She has fibromyalgia and osteoarthritis and it's been extreme since the 2nd shot.), RASH MACULAR (She also wakes up some days with red blotches on her left arm mostly but can be the rt arm too.), VACCINATION SITE PRURITUS (Itchy arm of injection/ top of her elbow is itchy), VACCINATION SITE PAIN (Shot hurt/she better not loose her arm), CHILLS (Shivering) and VACCINATION SITE ERYTHEMA (Red arm of injection, top of her elbow is bright) outcome was unknown.            The patient lost 27 pounds due to the weight loss medication prescribed by her physician.  No treatment information was provided by the reporter.     This case was linked to US-MODERNATX, INC.-MOD-2021-082275 (E2B Linked Report). This case was linked to MOD-2021-082275 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 21-May-2021: No newinformation were updated On 29-Jul-2021: The follow up was received on 29-JUL-2021 included no new information. On 31-Jul-2021: Significant follow up received. Updated patient medical history and new events were added.; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-082275:Cross link to Dose 1