broke out with a rash on the chest which then spread to the back and is now from the top of the arms to below the elbow., worse in the soft areas like inside of the elbows. itching is really bad for some time when something touches them or scratches; describes them as hives.They come and go in severity.; They also get warm sometimes.; left lymph nodes swelled up. "as being like a C cup." not as big now but he can still feel them.; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (broke out with a rash on the chest which then spread to the back and is now from the top of the arms to below the elbow., worse in the soft areas like inside of the elbows. itching is really bad for some time when something touches them or scratches), URTICARIA (describes them as hives.They come and go in severity.), FEELING HOT (They also get warm sometimes.) and LYMPHADENOPATHY (left lymph nodes swelled up. "as being like a C cup." not as big now but he can still feel them.) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014C21A) for COVID-19 vaccination.     No medical history information is provided  by the reporter.     On 27-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Apr-2021, the patient experienced LYMPHADENOPATHY (left lymph nodes swelled up. "as being like a C cup." not as big now but he can still feel them.). On 11-May-2021, the patient experienced RASH PRURITIC (broke out with a rash on the chest which then spread to the back and is now from the top of the arms to below the elbow., worse in the soft areas like inside of the elbows. itching is really bad for some time when something touches them or scratches), URTICARIA (describes them as hives.They come and go in severity.) and FEELING HOT (They also get warm sometimes.). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) at a dose of 1 dosage form; AVENA SATIVA FLUID EXTRACT (AVEENO) at a dose of 1 dosage form and IBUPROFEN for Swelling, at a dose of 1 dosage form. At the time of the report, RASH PRURITIC (broke out with a rash on the chest which then spread to the back and is now from the top of the arms to below the elbow., worse in the soft areas like inside of the elbows. itching is really bad for some time when something touches them or scratches), URTICARIA (describes them as hives.They come and go in severity.) and FEELING HOT (They also get warm sometimes.) outcome was unknown and LYMPHADENOPATHY (left lymph nodes swelled up. "as being like a C cup." not as big now but he can still feel them.) had not resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No relevant concomitant medications were reported. Lymph nodes under the patients arm are still fluctuating.   This case was linked to US-MODERNATX, INC.-MOD-2021-161578, US-MODERNATX, INC.-MOD-2021-161578 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Treatment added and Adverse events updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-161578: US-MODERNATX, INC.-MOD-2021-161578: