she fell asleep for 3 hours/when tired she has to lay down and she falls asleep; no energy to do that much; body was aching it was like pens and needles; very fatigued/Tired/whole day she felt very tired/still very tired/when tired she has to lay down; at night her body was aching it was like pens and needles/still hurting so she took Tylenol to relieve the pain/sometimes it hurts; joints ache, mainly the left side of her body/joints on the left side hurt particularly/left joints hurt more than the right side; slight fever 98.8 F; slight headache not very strong and it went away; This spontaneous case was reported by a patient and describes the occurrence of SOMNOLENCE (she fell asleep for 3 hours/when tired she has to lay down and she falls asleep), ASTHENIA (no energy to do that much), PARAESTHESIA (body was aching it was like pens and needles), FATIGUE (very fatigued/Tired/whole day she felt very tired/still very tired/when tired she has to lay down) and MYALGIA (at night her body was aching it was like pens and needles/still hurting so she took Tylenol to relieve the pain/sometimes it hurts) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 057M21A, 052E21A, 006M20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient was neither diagnosed with COVID-19 nor had COVID-19 positive test.  The patient's past medical history included Joint pain (Joint pain in the past but not as severe since the shot.) and Brain operation (brain surgery 5 years ago hurts the most). Concurrent medical conditions included Penicillin allergy, Meningioma (The patient took immunosuppressants because of a meningioma brain tumor (5 years ago).), High cholesterol, Heart disorder and Diabetes.   On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-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 experienced SOMNOLENCE (she fell asleep for 3 hours/when tired she has to lay down and she falls asleep), ASTHENIA (no energy to do that much), PARAESTHESIA (body was aching it was like pens and needles), FATIGUE (very fatigued/Tired/whole day she felt very tired/still very tired/when tired she has to lay down), MYALGIA (at night her body was aching it was like pens and needles/still hurting so she took Tylenol to relieve the pain/sometimes it hurts), ARTHRALGIA (joints ache, mainly the left side of her body/joints on the left side hurt particularly/left joints hurt more than the right side), PYREXIA (slight fever 98.8 F) and HEADACHE (slight headache not very strong and it went away). The patient was treated with PARACETAMOL (TYLENOL) for Myalgia, at a dose of Over the counter medication and ASPIRIN [ACETYLSALICYLIC ACID] at a dose of Over the counter medication. At the time of the report, SOMNOLENCE (she fell asleep for 3 hours/when tired she has to lay down and she falls asleep), ASTHENIA (no energy to do that much), PARAESTHESIA (body was aching it was like pens and needles), FATIGUE (very fatigued/Tired/whole day she felt very tired/still very tired/when tired she has to lay down), MYALGIA (at night her body was aching it was like pens and needles/still hurting so she took Tylenol to relieve the pain/sometimes it hurts), ARTHRALGIA (joints ache, mainly the left side of her body/joints on the left side hurt particularly/left joints hurt more than the right side) and PYREXIA (slight fever 98.8 F) had not resolved and HEADACHE (slight headache not very strong and it went away) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 98.8 (High) 98.8 Fahrenheit.         No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine.  It was reported that, the patient was on 26 pills, but the patient refused to inform the medications she took. She only reported that the medications were for her heart, high cholesterol, diabetes and she took vitamins as well.  The events did not cause the patient to seek medical care (office visit, Urgent care, ER, hospitalized). The patient felt better when taking Aspirin.