recently started experiencing lower back problems which she believes are a kidney issue; her energy levels are depleted; high blood pressure; pain in her lower abdomen; This spontaneous case was reported by a patient and describes the occurrence of HYPERTENSION (high blood pressure), ABDOMINAL PAIN LOWER (pain in her lower abdomen), MUSCULOSKELETAL DISCOMFORT (recently started experiencing lower back problems which she believes are a kidney issue) and ASTHENIA (her energy levels are depleted) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 042B21A and 046A21A) for COVID-19 prophylaxis.     No Medical History information was reported.   On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-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 received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Mar-2022, the patient experienced HYPERTENSION (high blood pressure) and ABDOMINAL PAIN LOWER (pain in her lower abdomen). On an unknown date, the patient experienced MUSCULOSKELETAL DISCOMFORT (recently started experiencing lower back problems which she believes are a kidney issue) and ASTHENIA (her energy levels are depleted). At the time of the report, HYPERTENSION (high blood pressure) and ABDOMINAL PAIN LOWER (pain in her lower abdomen) was resolving and MUSCULOSKELETAL DISCOMFORT (recently started experiencing lower back problems which she believes are a kidney issue) and ASTHENIA (her energy levels are depleted) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Mar-2022, Blood pressure measurement: High. On an unknown date, Blood glucose: When patient took the blood pressure medication, blood sugar went up. On an unknown date, Blood pressure measurement: When patient took the blood sugar medication, blood pressure went down.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered HYPERTENSION (high blood pressure), ABDOMINAL PAIN LOWER (pain in her lower abdomen), MUSCULOSKELETAL DISCOMFORT (recently started experiencing lower back problems which she believes are a kidney issue) and ASTHENIA (her energy levels are depleted) to be related.    No relevant concomitant medications were reported. Patient reported that about a year after receiving the Covid vaccine, she started experiencing high blood pressure, she was prescribed medication for high blood pressure, but that caused blood sugar issues. When she took the blood pressure medication, blood sugar went up and when she took the blood sugar medication blood pressure went down. She was not sure which exact dose caused the problems.   This case was linked to US-MODERNATX, INC.-MOD-2023-748597 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 07-Nov-2023: Live follow up received includes non-significant information and references updated. On 07-Nov-2023: Live follow up received includes non-significant information and references updated. On 07-Nov-2023: Significant live follow-up received- Patient initials, DOB, vaccine details, events and for hypertension and lower abdominal pain start date was updated. On 07-Nov-2023: Live follow up received includes non-significant information and references updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-748597:Different patient