sinusitis/bad sinus infection; swelling of the arm; weakness; sick; digestive upset; didn't feel well; extreme fatigue; fever; headache; nausea; rash; sore arm; muscle pain; joint pain; chills; This spontaneous case was reported by a patient and describes the occurrence of SINUSITIS (sinusitis/bad sinus infection), PERIPHERAL SWELLING (swelling of the arm), ASTHENIA (weakness), ILLNESS (sick) and ABDOMINAL DISCOMFORT (digestive upset) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A, 032L20A, 039K20A, 088D4A and 057M21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Appendicitis, Peritonitis (which led to small bowel obstruction), Small bowel obstruction and Tooth extraction. Previously administered products included for Tooth extraction: lidocaine. Past adverse reactions to the above products included Sleep excessive with lidocaine. Concurrent medical conditions included Asthma, Fibromyalgia, Chronic fatigue, Stomach discomfort (due to the stomach issues, sometimes it's hard for her to digest food and it gets digested very slowly, including medications), Fatty liver, Irritable bowel syndrome, Gastroparesis, Drug allergy (fentanyl, allergic to a lot of antibiotics) and Allergy (patient can only wear titanium earrings).   On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-May-2022, received fifth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced SINUSITIS (sinusitis/bad sinus infection), PERIPHERAL SWELLING (swelling of the arm), ASTHENIA (weakness), ILLNESS (sick), ABDOMINAL DISCOMFORT (digestive upset), MALAISE (didn't feel well), FATIGUE (extreme fatigue), PYREXIA (fever), HEADACHE (headache), NAUSEA (nausea), RASH (rash), PAIN IN EXTREMITY (sore arm), MYALGIA (muscle pain), ARTHRALGIA (joint pain) and CHILLS (chills). At the time of the report, SINUSITIS (sinusitis/bad sinus infection), PERIPHERAL SWELLING (swelling of the arm), ASTHENIA (weakness), ILLNESS (sick), ABDOMINAL DISCOMFORT (digestive upset), MALAISE (didn't feel well), FATIGUE (extreme fatigue), PYREXIA (fever), HEADACHE (headache), NAUSEA (nausea), RASH (rash), PAIN IN EXTREMITY (sore arm), MYALGIA (muscle pain), ARTHRALGIA (joint pain) and CHILLS (chills) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not provided. Patient stated that in the past with all the Moderna COVID-19 vaccines, she had all the side effects possible. The fatigue was unbearable and lasted for the first two days after receiving the vaccine, and it would be all day and all night. She also didn't feel well for a while after taking any of these vaccines. She also got sinusitis with all her Moderna COVID-19 shots. Her third dose was the worst of all. Patient was sick for a long time after this sinus infection, maybe for 6 months even. Some of these symptoms lasted for up to 2 weeks or longer. The symptoms usually started 4 hours after getting the vaccine. Treatment information was not reported.   This case was linked to US-MODERNATX, INC.-MOD-2023-745059 (Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-745059:Bivalent case