arm is little sore but no different than with my other shots; This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (arm is little sore but no different than with my other shots) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 939903, 011A21A and 031L20A) for COVID-19 prophylaxis.     Patient had no known allergies.  The patient's past medical history included Carpal tunnel syndrome, Cholecystectomy, Fibrocolonoscopy, Hip surgery, Hysterectomy, Knee operation, Wrist surgery, Continuous positive airway pressure since an unknown date and Total knee replacement. Previously administered products included for Product used for unknown indication: INFLUENZA (Series 1, At 12.00 AM) on 05-Oct-2010, INFLUENZA (Series 2, At 12.00 AM) on 26-Sep-2011, INFLUENZA (Series 3, At 12.00 AM) on 24-Aug-2012, TETANUS DIPHTHERIA (Series 1 and 2 at 12.00 AM.) on 01-Jan-2014, PNEUMOCOCCAL CONJUGATE VACCINE (Series 1 at Age - 67 years.) on 01-Jan-2014, INFLUENZA (Series 4, At 12.00 AM) on 11-Jan-2014, INFLUENZA (Series 5, At 12.00 AM) on 20-Oct-2015, ZOSTER (Series 1 at 12.00 AM, Age - 69 years) on 12-May-2016, INFLUENZA (Series 6 at Age - 70 years.) on 29-Oct-2016, INFLUENZA (Series 7 and 8 at Age - 71 years.) on 02-Oct-2017, PNEUMOCOCCAL POLYSACCHARIDE VACCINE (Series 1 at Age - 71 years.) on 05-Oct-2017, INFLUENZA (Series 9 at Age - 72 years.) on 19-Sep-2018, lnfluenza (Series 10 at Age - 73 years.) on 20-Sep-2019, TDAP (Series 1 at Age - 73 years.) on 24-Oct-2019, INFLUENZA (Series 11 at Age - 74 years.) on 28-Sep-2020, Fluzone High-Dose Quadrivalent 0.7 ML (Series 1 (Age - 75 years) and Intramuscular Suspension Prefilled Syringe.) on 17-Sep-2021. Past adverse reactions to the above products included No adverse event with Fluzone High-Dose Quadrivalent 0.7 ML, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, INFLUENZA, PNEUMOCOCCAL CONJUGATE VACCINE, PNEUMOCOCCAL POLYSACCHARIDE VACCINE, TDAP, TETANUS DIPHTHERIA, ZOSTER and lnfluenza. Family history included Colon cancer (Mother), Diabetes mellitus (Father), Hypertension (Father , Paternal Grandmother.), Lung cancer (Sister) and Malignant neoplasm of kidney, except pelvis (Mother). Concurrent medical conditions included Hypertension, Hyperlipidemia, Osteoarthritis, Abnormal loss of weight, Benign essential hypertension, Bigeminal rhythm, Brain tumor, Low back pain, Anxiety depression, Cyst of kidney, acquired, Shoulder pain, Menopausal, Nightmares, Skin nodule, Vitamin D deficiency, Ex-smoker, Alcohol use, Osteopenia, Overactive bladder, Obstructive sleep apnea syndrome and Polyarthritis. Concomitant products included BUSPIRONE HCL for Anxiety, TIZANIDINE HCL for Spasms, AMLODIPINE BESYLATE, CALCIUM CARBONATE, COLECALCIFEROL (CALCIUM +D [CALCIUM CARBONATE;COLECALCIFEROL]), CLONAZEPAM, DIPHENHYDRAMINE HYDROCHLORIDE, PARACETAMOL, PHENYLEPHRINE HYDROCHLORIDE (EQUATE ALLERGY & SINUS HEADACHE), IBANDRONATE SODIUM (BONIVA), LISINOPRIL, LYSINE HCL, MAGNESIUM, MELATONIN, MELOXICAM (MOBIC), ESOMEPRAZOLE MAGNESIUM (NEXIUM 24HR), OXYBUTYNIN CHLORIDE, SERTRALINE HCL and CYANOCOBALAMIN (VITAMIN B-12) for an unknown indication.   On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 28-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Apr-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 PAIN IN EXTREMITY (arm is little sore but no different than with my other shots). At the time of the report, PAIN IN EXTREMITY (arm is little sore but no different than with my other shots) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Hepatic enzyme: Elevated.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient had a past surgical history of Urologic surgery.   The current condition included localized osteoarthritis of both knees.   Patient  was encountered for administration of COVID-19 vaccine and was on health maintenance. Patient had visited for screening mammogram and colon cancer screening. However, the results were unknown. It was reported that the patient arm was a little sore but not different then with other shots (dose 1, dose 2 and dose 3).  No Treatment medication was reported.   This case was linked to MOD-2022-614397 (Patient Link).