her blood pressure was high; Saturday she felt the palpitation, it come and goes.; Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis; Felt like the liquid in the vial going in her chest/Warm and tingly in the chest; Lost her balance; Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis; Trouble catching her breath/Feeling a little out of breath; Middle back pain; she had a slight headache behind her eyes; fatigue; This spontaneous case was reported by a patient and describes the occurrence of CHEST DISCOMFORT (Felt like the liquid in the vial going in her chest/Warm and tingly in the chest), BALANCE DISORDER (Lost her balance), CONTUSION (Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis), DYSPNOEA (Trouble catching her breath/Feeling a little out of breath) and BACK PAIN (Middle back pain) in a 63-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. A57162B (AS7162B)) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Patient did not have a history of Pericarditis or myocarditis. It was reported that the patient never had COVID positive test or diagnosis.  Concurrent medical conditions included Penicillin allergy and Sarcoidosis. Concomitant products included ROSUVASTATIN for an unknown indication.    On 16-Sep-2022 at 10:30 AM, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. In September 2022, the patient experienced HEADACHE (she had a slight headache behind her eyes) and FATIGUE (fatigue). On 16-Sep-2022, the patient experienced CHEST DISCOMFORT (Felt like the liquid in the vial going in her chest/Warm and tingly in the chest), BALANCE DISORDER (Lost her balance), CONTUSION (Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis), DYSPNOEA (Trouble catching her breath/Feeling a little out of breath), BACK PAIN (Middle back pain) and COUGH (Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis). On 17-Sep-2022, the patient experienced PALPITATIONS (Saturday she felt the palpitation, it come and goes.). On 18-Sep-2022, the patient experienced HYPERTENSION (her blood pressure was high). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) on 16-Sep-2022 at a dose of 1 dosage form twice a day. At the time of the report, CHEST DISCOMFORT (Felt like the liquid in the vial going in her chest/Warm and tingly in the chest), CONTUSION (Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis), DYSPNOEA (Trouble catching her breath/Feeling a little out of breath), BACK PAIN (Middle back pain), PALPITATIONS (Saturday she felt the palpitation, it come and goes.), COUGH (Patient felt like her chest was lightly bruise/felt like when coughing with sarcoidosis), HYPERTENSION (her blood pressure was high), HEADACHE (she had a slight headache behind her eyes) and FATIGUE (fatigue) was resolving and BALANCE DISORDER (Lost her balance) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 16-Sep-2022, Blood pressure measurement: 115/65. On 16-Sep-2022, Heart rate: 65. On 18-Sep-2022, Blood pressure measurement: 149/82, high. On 18-Sep-2022, Heart rate: 72.         Patient did not take any other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient had received Dose1 of Moderna on 27Feb2021, Lot no. 012A21A, (0.5ml, Left arm IM), Dose 2 on 27Mar2021, Lot no. 016B21A (Left arm IM), first booster 3 on 26Oct2021, Lot no. 939904 (Left arm IM) second booster on 05May2022, Lot no. 056A22A (Left arm IM). Patient stated her side effect was unusual. Patient felt that her side effect in her chest was weird. Patient had trouble catching her breath. She went for a walk later in the day. She was feeling a little out of breath. In the afternoon had middle back pain and took 2 Advil around 3:30 pm. It continued during the weekend. On 17 Sep 2022, she felt the palpitation, it comes and goes. she went to the farmers market and felt okay. On19Sep2022, patient was little better. She was a little anxious before getting the vaccine because of her pass side effects. She called the ER and she was asked to continue with the Advil.   This case was linked to MOD-2022-647514, MOD-2022-647512 (Patient Link).