hives around his injection arm; a rash around his injection arm; 12 inches of redness that wraps around his injection arm; rash with hives and redness extension to the other side of body; arm swollen; arm hot; arm red; almost a typical covid arm/It is giving him a little bit of problem; itching; A sore arm; This spontaneous case was reported by a pharmacist and describes the occurrence of PAIN IN EXTREMITY (A sore arm), PERIPHERAL SWELLING (arm swollen), FEELING HOT (arm hot), ERYTHEMA (arm red) and VACCINATION COMPLICATION (almost a typical covid arm/It is giving him a little bit of problem) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 43B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Blood pressure high, Hypothyroidism, BPH, Sleep apnea, Monoclonal B-cell lymphocytosis (Monoclonal B-cell Leukocytosis (MBL)) and Atrial fibrillation. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), APIXABAN (ELIQUIS), FLECAINIDE, AMLODIPINE BESILATE (NORVASC), TADALAFIL (CIALIS), HYDROCHLOROTHIAZIDE and NEBIVOLOL HYDROCHLORIDE (BYSTOLIC) for an unknown indication.    On 24-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Aug-2021, the patient experienced PAIN IN EXTREMITY (A sore arm). On 25-Aug-2021, the patient experienced PERIPHERAL SWELLING (arm swollen), FEELING HOT (arm hot), ERYTHEMA (arm red), VACCINATION COMPLICATION (almost a typical covid arm/It is giving him a little bit of problem) and PRURITUS (itching). On 27-Aug-2021, the patient experienced RASH (rash with hives and redness extension to the other side of body). On an unknown date, the patient experienced VACCINATION SITE URTICARIA (hives around his injection arm), VACCINATION SITE RASH (a rash around his injection arm) and VACCINATION SITE ERYTHEMA (12 inches of redness that wraps around his injection arm). The patient was treated with HYDROCORTISONE (topical) for Itching, at an unspecified dose and frequency and ALOE VERA, CANNABIDIOL, MAGNESIUM CHLORIDE, MATRICARIA RECUTITA, MENTHA X PIPERITA OIL (CBD & MAGNESIUM) (topical) for Itching, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (A sore arm) and PRURITUS (itching) was resolving, PERIPHERAL SWELLING (arm swollen), FEELING HOT (arm hot), ERYTHEMA (arm red), VACCINATION COMPLICATION (almost a typical covid arm/It is giving him a little bit of problem), VACCINATION SITE URTICARIA (hives around his injection arm), VACCINATION SITE RASH (a rash around his injection arm) and VACCINATION SITE ERYTHEMA (12 inches of redness that wraps around his injection arm) outcome was unknown and RASH (rash with hives and redness extension to the other side of body) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   This case was linked to MOD-2021-297099, MOD-2021-297112 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 27-Aug-2021: follow up document received on 27-AUG-2021 contains Additional information received , includes new events and outcome.