patient started to experience 3 days after vaccination her arm is hurting; Has issues with  injected arm mostly at nights, after 2nd booster; Pinching sensation injected arm mostly at nights, after 2nd booster; Burning sensation injected arm mostly at nights, after 2nd booster; Pharmacist did not confirm with the patient as to which arm is hurting after 2nd dose; This spontaneous case was reported by a pharmacist and describes the occurrence of VACCINATION SITE REACTION (Has issues with  injected arm mostly at nights, after 2nd booster), VACCINATION SITE PARAESTHESIA (Pinching sensation injected arm mostly at nights, after 2nd booster), VACCINATION SITE PAIN (Burning sensation injected arm mostly at nights, after 2nd booster), PAIN IN EXTREMITY (Pharmacist did not confirm with the patient as to which arm is hurting after 2nd dose) and VACCINATION SITE PAIN (patient started to experience 3 days after vaccination her arm is hurting) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M21A, 006c21a and 014c21a) for COVID-19 prophylaxis.     Concurrent medical conditions included Diabetes (diabetes medication) and Cholesterol (cholesterol medication).   On 26-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-May-2022, the patient experienced VACCINATION SITE REACTION (Has issues with  injected arm mostly at nights, after 2nd booster), VACCINATION SITE PARAESTHESIA (Pinching sensation injected arm mostly at nights, after 2nd booster), VACCINATION SITE PAIN (Burning sensation injected arm mostly at nights, after 2nd booster) and PAIN IN EXTREMITY (Pharmacist did not confirm with the patient as to which arm is hurting after 2nd dose). On an unknown date, the patient experienced VACCINATION SITE PAIN (patient started to experience 3 days after vaccination her arm is hurting). At the time of the report, VACCINATION SITE REACTION (Has issues with  injected arm mostly at nights, after 2nd booster), VACCINATION SITE PARAESTHESIA (Pinching sensation injected arm mostly at nights, after 2nd booster), VACCINATION SITE PAIN (Burning sensation injected arm mostly at nights, after 2nd booster), PAIN IN EXTREMITY (Pharmacist did not confirm with the patient as to which arm is hurting after 2nd dose) and VACCINATION SITE PAIN (patient started to experience 3 days after vaccination her arm is hurting) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant product included Blood pressure medication, Cholesterol medication and Diabetes medication.  Pharmacist did not verify with the patient weather she had other vaccines after 31-MAY-2022.  It was reported that patient only felt better when the arm was elevated. Patient started to experience hurting arm which hurt so bad and when she was sleep hurts even more 3 days after vaccination.  No treatment medication reported by the reporter.   Most recent FOLLOW-UP information incorporated above includes: On 11-Jul-2022: Relevant medical history added. Suspect product batch number and other regimens and concomitant medications added. Event added.