can't roll over on the left arm to sleep because it's too painful; pain in her lower back/Low back pain; Red knot on her arm the size of a 50 cent piece/It got a lot bigger than the palm of my hand when/It's also about 5 inch across the top of my left arm and about three or four inches thick/big place on my arm when that had spread; Hot; nauseated/nausea; running a Fever/developed a temperature; Chilling; Headache; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (can't roll over on the left arm to sleep because it's too painful), BACK PAIN (pain in her lower back/Low back pain), RASH ERYTHEMATOUS (Red knot on her arm the size of a 50 cent piece/It got a lot bigger than the palm of my hand when/It's also about 5 inch across the top of my left arm and about three or four inches thick/big place on my arm when that had spread), FEELING HOT (Hot) and NAUSEA (nauseated/nausea) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 31-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Aug-2021, the patient experienced VACCINATION SITE PAIN (can't roll over on the left arm to sleep because it's too painful), BACK PAIN (pain in her lower back/Low back pain), RASH ERYTHEMATOUS (Red knot on her arm the size of a 50 cent piece/It got a lot bigger than the palm of my hand when/It's also about 5 inch across the top of my left arm and about three or four inches thick/big place on my arm when that had spread), FEELING HOT (Hot), NAUSEA (nauseated/nausea), PYREXIA (running a Fever/developed a temperature), CHILLS (Chilling) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at a dose of took two and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Reaction injection site (NOS), at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (can't roll over on the left arm to sleep because it's too painful), BACK PAIN (pain in her lower back/Low back pain), RASH ERYTHEMATOUS (Red knot on her arm the size of a 50 cent piece/It got a lot bigger than the palm of my hand when/It's also about 5 inch across the top of my left arm and about three or four inches thick/big place on my arm when that had spread), FEELING HOT (Hot), NAUSEA (nauseated/nausea), PYREXIA (running a Fever/developed a temperature), CHILLS (Chilling) and HEADACHE (Headache) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Aug-2021, Body temperature: increased (High) Increased.         Concomitant medications were not provided. The rash got bigger than the palm of the hand. It was also about 5 inch across the top of the left arm and about three or four inches thick and not as hot except where the injection was given.   Most recent FOLLOW-UP information incorporated above includes: On 04-Sep-2021: Follow up received on 4 sep 2021 Patient details updated, Treatment drug added, event added, outcome added, The photograph also attached with follow up On 05-Sep-2021: Follow up received and the outcome of event is updated