Face was burning; Woke me up in the middle of the night; Numb left side of face / Numb Lips; Tingling left side of face / Pins and needles in the face; both hands were totally blue; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of SKIN DISCOLOURATION (both hands were totally blue), HYPOAESTHESIA (Numb left side of face / Numb Lips), PARAESTHESIA (Tingling left side of face / Pins and needles in the face), SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination.     No medical history information was reported.  Family history included Bell's palsy (Patient's mother had Bell's Palsy twice).    On 26-Jan-2021 at 4:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced SKIN DISCOLOURATION (both hands were totally blue). On 28-Jan-2021, the patient experienced HYPOAESTHESIA (Numb left side of face / Numb Lips) and PARAESTHESIA (Tingling left side of face / Pins and needles in the face). On 02-Feb-2021, the patient experienced SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night). On 26-Jan-2021, SKIN DISCOLOURATION (both hands were totally blue) had resolved. At the time of the report, HYPOAESTHESIA (Numb left side of face / Numb Lips), PARAESTHESIA (Tingling left side of face / Pins and needles in the face), SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Jan-2021, Heart rate: High.     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.   No relevant concomitant medications were reported.  No treatment information was provided. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 06-Feb-2021.    This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of SKIN DISCOLOURATION (both hands were totally blue), HYPOAESTHESIA (Numb left side of face / Numb Lips), PARAESTHESIA (Tingling left side of face / Pins and needles in the face), SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination.     No medical history information was reported.  Family history included Bell's palsy (Patient's mother had Bell's Palsy twice).    On 26-Jan-2021 at 4:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced SKIN DISCOLOURATION (both hands were totally blue). On 28-Jan-2021, the patient experienced HYPOAESTHESIA (Numb left side of face / Numb Lips) and PARAESTHESIA (Tingling left side of face / Pins and needles in the face). On 02-Feb-2021, the patient experienced SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night). On 26-Jan-2021, SKIN DISCOLOURATION (both hands were totally blue) had resolved. At the time of the report, HYPOAESTHESIA (Numb left side of face / Numb Lips), PARAESTHESIA (Tingling left side of face / Pins and needles in the face), SKIN BURNING SENSATION (Face was burning) and INSOMNIA (Woke me up in the middle of the night) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Jan-2021, Heart rate: High.     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.   No relevant concomitant medications were reported.  No treatment information was provided.