Nerve pain/sharp neuropathy-like pain (very local); Her pain can get sharp like she is getting an electrical shock; It feels like she is burning on the inside of her skin; Burning; Sensation of something moving or crawling under my skin/Most of it feels like it is just under my skin; Odd sensations all over, head to toe; She started to have itching which has become more painful; Itching/she started to have itching which has become more painful; I can barely sleep as a result; This spontaneous case was reported by a patient and describes the occurrence of NEURALGIA (Nerve pain/sharp neuropathy-like pain (very local)), ELECTRIC SHOCK (Her pain can get sharp like she is getting an electrical shock), SKIN BURNING SENSATION (It feels like she is burning on the inside of her skin), BURNING SENSATION (Burning) and FORMICATION (Sensation of something moving or crawling under my skin/Most of it feels like it is just under my skin) in a 67-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Sleep disorder and Paresthesia. Previously administered products included for Product used for unknown indication: JANSSEN COVID-19 VACCINE (Received a flu shot in the 4 weeks prior to her most recent COVID-19 vaccine.) and Flu Shot (Received a flu shot in the 4 weeks prior to her most recent COVID-19 vaccine.). Past adverse reactions to the above products included No adverse effect with Flu Shot and JANSSEN COVID-19 VACCINE.    On an unknown date, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On an unknown date, the patient experienced NEURALGIA (Nerve pain/sharp neuropathy-like pain (very local)), ELECTRIC SHOCK (Her pain can get sharp like she is getting an electrical shock), SKIN BURNING SENSATION (It feels like she is burning on the inside of her skin), BURNING SENSATION (Burning), FORMICATION (Sensation of something moving or crawling under my skin/Most of it feels like it is just under my skin), SENSORY DISTURBANCE (Odd sensations all over, head to toe), PAIN (She started to have itching which has become more painful), PRURITUS (Itching/she started to have itching which has become more painful) and INSOMNIA (I can barely sleep as a result). The patient was treated with GABAPENTIN at a dose of UNK, last night. At the time of the report, NEURALGIA (Nerve pain/sharp neuropathy-like pain (very local)), BURNING SENSATION (Burning), FORMICATION (Sensation of something moving or crawling under my skin/Most of it feels like it is just under my skin), SENSORY DISTURBANCE (Odd sensations all over, head to toe) and INSOMNIA (I can barely sleep as a result) outcome was unknown and ELECTRIC SHOCK (Her pain can get sharp like she is getting an electrical shock), SKIN BURNING SENSATION (It feels like she is burning on the inside of her skin), PAIN (She started to have itching which has become more painful) and PRURITUS (Itching/she started to have itching which has become more painful) had not resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not provided. Patient had all the Moderna COVID vaccines that she was eligible for. She had the last vaccine about 3 weeks ago/ 1 month ago. Just 2-3 days ago, she started having nerve pain, odd sensations all over, head to toe.  Everything from burning, itching, sharp neuropathy-like pain (very local), and the sensation of something moving or crawling under my skin. She can barely sleep as a result. Most of it feels like it was just under skin. 2 weeks after that she started to have itching which had become more painful. It feels like she was burning on the inside of her skin. Her pain can get sharp like she was getting an electrical shock.   Most recent FOLLOW-UP information incorporated above includes: On 07-Nov-2023: Follow-up received and added reference number. On 09-Nov-2023: Live follow-up received and added patient details, added relevant medical history, added new events of skin burning sensation, electric shock, pain.