couldn't walk around the house; really painful; horrible back pain; Lower back spasm; couldn't go to work; while she was trimming toe nail, she cut one a little bit short, and it started bleeding profusely; the worst nose bleed ever in her life / Blood was gushing out of her nose, or pouring out of blood from her nose; This spontaneous case was reported by a consumer and describes the occurrence of TRAUMATIC HAEMORRHAGE (while she was trimming toe nail, she cut one a little bit short, and it started bleeding profusely), EPISTAXIS (the worst nose bleed ever in her life / Blood was gushing out of her nose, or pouring out of blood from her nose), BACK PAIN (horrible back pain), MUSCLE SPASMS (Lower back spasm) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (couldn't go to work) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040C21A) for COVID-19 vaccination.     No medical history was reported.  Concomitant products included ALPRAZOLAM (XANAX) from 2013 to an unknown date, DULOXETINE HYDROCHLORIDE (CYMBALTA) from 2013 to an unknown date, ESCITALOPRAM OXALATE (LEXAPRO) from 2013 to an unknown date, PITAVASTATIN CALCIUM (LIVALO) and PREGABALIN (LYRICA) for an unknown indication.    On 30-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Jul-2021, the patient experienced EPISTAXIS (the worst nose bleed ever in her life / Blood was gushing out of her nose, or pouring out of blood from her nose). On 01-Aug-2021, the patient experienced TRAUMATIC HAEMORRHAGE (while she was trimming toe nail, she cut one a little bit short, and it started bleeding profusely). On 03-Aug-2021, the patient experienced BACK PAIN (horrible back pain), MUSCLE SPASMS (Lower back spasm) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (couldn't go to work). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Back pain, at an unspecified dose and frequency. In August 2021, LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (couldn't go to work) had resolved. At the time of the report, TRAUMATIC HAEMORRHAGE (while she was trimming toe nail, she cut one a little bit short, and it started bleeding profusely), EPISTAXIS (the worst nose bleed ever in her life / Blood was gushing out of her nose, or pouring out of blood from her nose) and MUSCLE SPASMS (Lower back spasm) outcome was unknown and BACK PAIN (horrible back pain) was resolving.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.    It was stated that the pain has subsided but she still has residual pain as of today. She took some advil for her back pain, but it did not really work and help. She ended up taking soma.  Patient felt like her clotting factor was unfunctional.  Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.