She had a knot it was golf on left arm; ISSUES WITH NECK; SICK TO STOMACH; TINGLING GOING DOWN UPPER PART OF LEFT ARM/PARAESTHESIA UPPER LIMB/Sometimes if it's real bad it turns into a tingling sensation; Vaccination site nodule; NUMBNESS ON CHEST AND BACK; Brace user/She was previously wearing a brace, but over the summer she was not wearing it; Vaccination site pruritus; FEVER; Nausea; HEADACHE; Vaccination site pruritus; ACHING HANDS; had a knot it was golf on left arm it was real itchy for about two days; Vaccination site nodule; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL DISORDER (She had a knot it was golf on left arm), NECK INJURY (ISSUES WITH NECK), ABDOMINAL DISCOMFORT (SICK TO STOMACH), PRURITUS (had a knot it was golf on left arm it was real itchy for about two days) and the first episode of VACCINATION SITE NODULE (Vaccination site nodule) in a 59-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.    Co-suspect product included non-company product ADALIMUMAB (HUMIRA) for Rheumatoid arthritis.    The patient's past medical history included Pneumonia in 2017, Back surgery in 2018 and Lung operation NOS. Concurrent medical conditions included Rheumatoid arthritis.   On 05-Nov-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) (Intramuscular) 1 dosage form On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. and ADALIMUMAB (HUMIRA) (Subcutaneous) at an unspecified dose. In November 2021, the patient experienced PRURITUS (had a knot it was golf on left arm it was real itchy for about two days), the first episode of VACCINATION SITE NODULE (Vaccination site nodule), PAIN IN EXTREMITY (ACHING HANDS) and the first episode of VACCINATION SITE PRURITUS (Vaccination site pruritus). On an unknown date, the patient experienced MUSCULOSKELETAL DISORDER (She had a knot it was golf on left arm), NECK INJURY (ISSUES WITH NECK), ABDOMINAL DISCOMFORT (SICK TO STOMACH), PARAESTHESIA (TINGLING GOING DOWN UPPER PART OF LEFT ARM/PARAESTHESIA UPPER LIMB/Sometimes if it's real bad it turns into a tingling sensation), the second episode of VACCINATION SITE NODULE (Vaccination site nodule), HYPOAESTHESIA (NUMBNESS ON CHEST AND BACK), ORTHOSIS USER (Brace user/She was previously wearing a brace, but over the summer she was not wearing it), the second episode of VACCINATION SITE PRURITUS (Vaccination site pruritus), PYREXIA (FEVER), NAUSEA (Nausea) and HEADACHE (HEADACHE). The patient was treated with Physical therapy (took physical therapy for a couple of weeks and it was helping) for Neck injury. At the time of the report, MUSCULOSKELETAL DISORDER (She had a knot it was golf on left arm), NECK INJURY (ISSUES WITH NECK), ABDOMINAL DISCOMFORT (SICK TO STOMACH), PRURITUS (had a knot it was golf on left arm it was real itchy for about two days), PARAESTHESIA (TINGLING GOING DOWN UPPER PART OF LEFT ARM/PARAESTHESIA UPPER LIMB/Sometimes if it's real bad it turns into a tingling sensation), PAIN IN EXTREMITY (ACHING HANDS), HYPOAESTHESIA (NUMBNESS ON CHEST AND BACK), PYREXIA (FEVER), NAUSEA (Nausea) and HEADACHE (HEADACHE) outcome was unknown and last episode of VACCINATION SITE NODULE (Vaccination site nodule), ORTHOSIS USER (Brace user/She was previously wearing a brace, but over the summer she was not wearing it) and the last episode of VACCINATION SITE PRURITUS (Vaccination site pruritus) had resolved.            It was unknown if patient was enrolled in a COVID-19 Vaccine Trial.  No concomitant medication were reported.  It was reported that patient had lung surgery and had to go off of HUMIRA for a while.  The reporter's causality for the events of BACK SURGERY, PNEUMONIA SPAT, ISSUES WITH NECK, ACHING HANDS AFTER COVID BOOSTER VACCINE, HEADACHE AFTER COVID VACCINE, KNOT/ITCHINESS AFTER SECOND COVID VACCINE unknown onset, TINGLING GOING DOWN UPPER PART OF LEFT ARM, NUMBNESS ON CHEST AND BACK, WEARING A BRACE, KNOT/ITCHINESS AFTER SECOND COVID VACCINE unknown onset, KNOT/ITCHINESS AFTER COVID BOOSTER VACCINE onset in November 2021, KNOT/ITCHINESS AFTER COVID BOOSTER VACCINE onset in November 2021, FEVER AFTER COVID VACCINE and SICK TO STOMACH AFTER COVID VACCINE was not provided.  This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in   This case was linked to MOD-2021-624960 (Patient Link).