Out of the ordinary vaginal bleeding; Pain under her left armpit; Chills; Tired; Sick for two days; Cold and flu symptoms; Flu symptoms; Tired and weak for a moment; Dry cough; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of VAGINAL HAEMORRHAGE (Out of the ordinary vaginal bleeding), ILLNESS (Sick for two days), NASOPHARYNGITIS (Cold and flu symptoms), INFLUENZA (Flu symptoms) and ASTHENIA (Tired and weak for a moment) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Penicillin allergy, Eye disorder NOS and Bone disorder NOS. Concomitant products included CALCIUM from 05-Jan-2010 to an unknown date for Bone disorder NOS, LINUM USITATISSIMUM OIL (FLAXSEED OIL [LINUM USITATISSIMUM OIL]) from 05-Jan-2014 to an unknown date for Eye disorder NOS, MACROGOL 3350 (MIRALAX) from 05-Jan-2010 to an unknown date for Stools hard, MULTIVITAMINS [VITAMINS NOS] from 05-Jan-2021 to an unknown date for Vitamin supplementation.   On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Feb-2021, the patient experienced ILLNESS (Sick for two days), NASOPHARYNGITIS (Cold and flu symptoms), INFLUENZA (Flu symptoms), ASTHENIA (Tired and weak for a moment), COUGH (Dry cough) and FATIGUE (Tired). On 06-Feb-2021, the patient experienced AXILLARY PAIN (Pain under her left armpit) and CHILLS (Chills). On 07-Feb-2021, the patient experienced VAGINAL HAEMORRHAGE (Out of the ordinary vaginal bleeding). On 05-Feb-2021, ASTHENIA (Tired and weak for a moment) and FATIGUE (Tired) had resolved. On 07-Feb-2021, ILLNESS (Sick for two days), NASOPHARYNGITIS (Cold and flu symptoms), INFLUENZA (Flu symptoms), COUGH (Dry cough), AXILLARY PAIN (Pain under her left armpit) and CHILLS (Chills) had resolved. On 10-Feb-2021, VAGINAL HAEMORRHAGE (Out of the ordinary vaginal bleeding) had resolved. Related    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Feb-2021, Laboratory test: normal (normal) Normal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The pain under the armpits was normal to the patient, right before getting her period, but she had just finished her period a week prior to the vaccine. On 10 Feb 2021, the patient went to Primary doctor and then On 11 Feb 2021 to the gynecologist, she said this things are normal in perimenopause women. Action taken with mRNA-1273 in response to the events was not applicable.   Most recent FOLLOW-UP information incorporated above includes: On 23-Apr-2021: The patient demographics updated. The allergy details and history updated. The product dose details updated and concomitant medications added. The event vaginal bleeding details updated including outcome to resolved. The onset date of the events axillary pain and chills changed. The treatment information added.