feeling clammy; sweaty; kept feeling like I was going to blackout/thought she would keel over; left arm, and a little bit on right arm, looked like I was 180 years old; skin was hanging, 'crapey', saggy, where elbow was; it was like fluid, and big at inside of arm crease.; Arms have veins popping up, really extreme from elbow to shoulder; Mainly across back is burning and sore; back is burning; Tendinitis at knees and elbow area at crease inside; (golfer's elbow) on both sides; a lot of pain in my body in regards to vascular because of inflammation; muscles were so weak, and a lot of pain when steroids were stopped; could not get up from the floor; rash on left arm at site/itchy intermittently; all my joints were real sore with pain in them/ excruciating pain in her joints/ Pain in both shoulders and arms, knees and elbow; Spinal chills; still super fatigued; This spontaneous case was reported by a consumer and describes the occurrence of COLD SWEAT (feeling clammy), HYPERHIDROSIS (sweaty), FEELING ABNORMAL (kept feeling like I was going to blackout/thought she would keel over), SKIN WRINKLING (left arm, and a little bit on right arm, looked like I was 180 years old) and SKIN ATROPHY (skin was hanging, 'crapey', saggy, where elbow was) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028A21A and 027A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Varicose vein and Varicose veins stripping. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), AMLODIPINE, PREDNISONE, PREDNISONE and HYDROXYCHLOROQUINE for an unknown indication.   On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced COLD SWEAT (feeling clammy), HYPERHIDROSIS (sweaty), FEELING ABNORMAL (kept feeling like I was going to blackout/thought she would keel over), SKIN WRINKLING (left arm, and a little bit on right arm, looked like I was 180 years old), SKIN ATROPHY (skin was hanging, 'crapey', saggy, where elbow was), JOINT SWELLING (it was like fluid, and big at inside of arm crease.), VEIN DISORDER (Arms have veins popping up, really extreme from elbow to shoulder), BACK PAIN (Mainly across back is burning and sore), FEELING HOT (back is burning), TENDONITIS (Tendinitis at knees and elbow area at crease inside), EPICONDYLITIS ((golfer's elbow) on both sides), VASCULAR PAIN (a lot of pain in my body in regards to vascular because of inflammation), MUSCULAR WEAKNESS (muscles were so weak, and a lot of pain when steroids were stopped), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (could not get up from the floor), RASH PRURITIC (rash on left arm at site/itchy intermittently), ARTHRALGIA (all my joints were real sore with pain in them/ excruciating pain in her joints/ Pain in both shoulders and arms, knees and elbow), CHILLS (Spinal chills) and FATIGUE (still super fatigued). The patient was treated with DEXAMETHASONE at an unspecified dose and frequency and PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency. At the time of the report, COLD SWEAT (feeling clammy), HYPERHIDROSIS (sweaty), FEELING ABNORMAL (kept feeling like I was going to blackout/thought she would keel over), SKIN WRINKLING (left arm, and a little bit on right arm, looked like I was 180 years old), SKIN ATROPHY (skin was hanging, 'crapey', saggy, where elbow was), JOINT SWELLING (it was like fluid, and big at inside of arm crease.), VEIN DISORDER (Arms have veins popping up, really extreme from elbow to shoulder), BACK PAIN (Mainly across back is burning and sore), FEELING HOT (back is burning), TENDONITIS (Tendinitis at knees and elbow area at crease inside), EPICONDYLITIS ((golfer's elbow) on both sides), VASCULAR PAIN (a lot of pain in my body in regards to vascular because of inflammation), MUSCULAR WEAKNESS (muscles were so weak, and a lot of pain when steroids were stopped), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (could not get up from the floor), RASH PRURITIC (rash on left arm at site/itchy intermittently), ARTHRALGIA (all my joints were real sore with pain in them/ excruciating pain in her joints/ Pain in both shoulders and arms, knees and elbow) and CHILLS (Spinal chills) outcome was unknown and FATIGUE (still super fatigued) had not resolved.            It was reported that the patient went to rheumatologist and was  taken off prednisone and was taking hydroxychloroquine. She reported that the join pain was again excruciating when the prednisone was stopped.   This case was linked to MOD-2021-225066 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 04-Aug-2021: Batch number added for dose 1 and dose 2 of the suspected drug. Treatment drug Hydroxychloroquine added. New event Fatigue is added. iNarrative supplement is updated.