increased Heart Rate to 136 BPM; feeling Cold alternating with Fever; Off balance; Shortness of breath; Neuropathic Pain in the right arm; Feels like ear infection; received a 3rd Dose; Fever 103.9 Fahrenheit; Headache after the third vaccine dose; arm pain; Numbness in the Left side of face and cheekbone; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), HEART RATE INCREASED (increased Heart Rate to 136 BPM), FEELING COLD (feeling Cold alternating with Fever) and BALANCE DISORDER (Off balance) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A, 030M20A and 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neuropathy peripheral and Vitamin B complex deficiency.   On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), FEELING COLD (feeling Cold alternating with Fever), BALANCE DISORDER (Off balance), NEURALGIA (Neuropathic Pain in the right arm), PYREXIA (Fever 103.9 Fahrenheit) and HEADACHE (Headache after the third vaccine dose). 14-Aug-2021, the patient experienced DYSPNOEA (Shortness of breath), EAR INFECTION (Feels like ear infection) and EXTRA DOSE ADMINISTERED (received a 3rd Dose). On 17-Aug-2021, the patient experienced HEART RATE INCREASED (increased Heart Rate to 136 BPM). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), HEART RATE INCREASED (increased Heart Rate to 136 BPM), FEELING COLD (feeling Cold alternating with Fever), BALANCE DISORDER (Off balance), DYSPNOEA (Shortness of breath), NEURALGIA (Neuropathic Pain in the right arm), EAR INFECTION (Feels like ear infection), PYREXIA (Fever 103.9 Fahrenheit) and HEADACHE (Headache after the third vaccine dose) outcome was unknown and EXTRA DOSE ADMINISTERED (received a 3rd Dose) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Aug-2021, Heart rate: 136 bpm (abnormal) 136 BPM. On 17-Aug-2021, Blood pressure measurement: 117/69 mmhg (abnormal) 117/69 mmHg. On 17-Aug-2021, Heart rate: 87 bpm (abnormal) 87 BPM.         No concomitant medications was reported.  Patient had a positive test for Epstein Barr Virus. Patient tried a Natural supplement: (A-Eb-H6) for two days before started Valtrex. This supplement was stopped.   This case was linked to MOD-2021-289712, MOD-2021-289692, MOD-2021-290616 (Patient Link).