Covid shot reactions/Moderna vaccine reaction; same patchy welts and bumps that actually hurt and itch/Later had hives; same patchy welts and bumps that actually hurt and itch; nails are thicker and scaly and dark; Nails would itch and tingle then they started hurting to it hurt to walk/sensations in the fingers like nerves and still some flesh-crawling feelings; Nails would itch and tingle/horrible itching/uncontrollable itching; turned into some runny, oozie type and left scars/uncontrollable scaring; Nails would itch and tingle then they started hurting to it hurt to walk; arm of injection was swollen shoulder to the elbow/these even went to the shoulder and underarm; same patchy welts and bumps that actually hurt and itch; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Covid shot reactions/Moderna vaccine reaction), URTICARIA (same patchy welts and bumps that actually hurt and itch/Later had hives), PAIN (same patchy welts and bumps that actually hurt and itch), NAIL DISORDER (nails are thicker and scaly and dark) and PARAESTHESIA (Nails would itch and tingle then they started hurting to it hurt to walk/sensations in the fingers like nerves and still some flesh-crawling feelings) in a 59-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 053E21A and 059E21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Aug-2021, the patient experienced VACCINATION COMPLICATION (Covid shot reactions/Moderna vaccine reaction) and RASH (same patchy welts and bumps that actually hurt and itch). 22-Aug-2021, the patient experienced URTICARIA (same patchy welts and bumps that actually hurt and itch/Later had hives), PAIN (same patchy welts and bumps that actually hurt and itch), NAIL DISORDER (nails are thicker and scaly and dark), PARAESTHESIA (Nails would itch and tingle then they started hurting to it hurt to walk/sensations in the fingers like nerves and still some flesh-crawling feelings), PRURITUS (Nails would itch and tingle/horrible itching/uncontrollable itching), SCAR (turned into some runny, oozie type and left scars/uncontrollable scaring), GAIT DISTURBANCE (Nails would itch and tingle then they started hurting to it hurt to walk) and PERIPHERAL SWELLING (arm of injection was swollen shoulder to the elbow/these even went to the shoulder and underarm). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (Covid shot reactions/Moderna vaccine reaction), URTICARIA (same patchy welts and bumps that actually hurt and itch/Later had hives), PAIN (same patchy welts and bumps that actually hurt and itch), NAIL DISORDER (nails are thicker and scaly and dark), PARAESTHESIA (Nails would itch and tingle then they started hurting to it hurt to walk/sensations in the fingers like nerves and still some flesh-crawling feelings), PRURITUS (Nails would itch and tingle/horrible itching/uncontrollable itching), SCAR (turned into some runny, oozie type and left scars/uncontrollable scaring), GAIT DISTURBANCE (Nails would itch and tingle then they started hurting to it hurt to walk) and RASH (same patchy welts and bumps that actually hurt and itch) had not resolved and PERIPHERAL SWELLING (arm of injection was swollen shoulder to the elbow/these even went to the shoulder and underarm) outcome was unknown.            The patient was prescribed with Benadryl and antihistamine products recommendations if the patient's breathing was fine.  The patient thought that the patient might have had COVID toes, something just tingled the patient and hurt afterwards. The patient felt the second dose vaccination to be much more worse than the first dose vaccination.  The patient still had to treat the areas with lotions and antibiotic ointment after 2 months.  No concomitant medication was reported.  The VAERS Id for this case is1686727.   This case was linked to MOD-2022-457231 (Patient Link).