Left arm was red warm an swollen from above the elbow all the way to the shoulder; Left arm was red warm an swollen from above the elbow all the way to the shoulder; Left arm was red warm an swollen from above the elbow all the way to the shoulder; Left arm arm was red warm an swollen from above the elbow all the way to the shoulder, like a lump there; Muscle really big; Could not move; Has a headache like a three on the scale; Stay on couch/Tired; Had a little fever of 100 degrees F; Some nausea; Was so ache, hurt form head to toe; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Left arm was red warm an swollen from above the elbow all the way to the shoulder), ERYTHEMA (Left arm was red warm an swollen from above the elbow all the way to the shoulder), FEELING HOT (Left arm was red warm an swollen from above the elbow all the way to the shoulder), MASS (Left arm arm was red warm an swollen from above the elbow all the way to the shoulder, like a lump there) and MUSCLE SWELLING (Muscle really big) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product PNEUMOCOCCAL VACCINE (PNEUMOVAX 23 [PNEUMOCOCCAL VACCINE]) for an unknown indication.    Patient never had tested or diagnosed positive for COVID. There was no history related to adverse event and both Acute and Chronic illnesses at the time of vaccination.  Concurrent medical conditions included Drug allergy (Sulfa). Concomitant products included LEVOTHYROXINE, OMEPRAZOLE, ATORVASTATIN and GABAPENTIN for an unknown indication.   On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 09-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 09-May-2022, the patient received dose of PNEUMOCOCCAL VACCINE (PNEUMOVAX 23 [PNEUMOCOCCAL VACCINE]) (unknown route) 1 dosage form. On 10-May-2022, the patient experienced PYREXIA (Had a little fever of 100 degrees F), NAUSEA (Some nausea), MYALGIA (Was so ache, hurt form head to toe) and FATIGUE (Stay on couch/Tired). On 11-May-2022, the patient experienced PERIPHERAL SWELLING (Left arm was red warm an swollen from above the elbow all the way to the shoulder), ERYTHEMA (Left arm was red warm an swollen from above the elbow all the way to the shoulder), FEELING HOT (Left arm was red warm an swollen from above the elbow all the way to the shoulder), MASS (Left arm arm was red warm an swollen from above the elbow all the way to the shoulder, like a lump there), MUSCLE SWELLING (Muscle really big), MOBILITY DECREASED (Could not move) and HEADACHE (Has a headache like a three on the scale). The patient was treated with PARACETAMOL (TYLENOL) on 10-May-2022 at a dose of UNK, bid. At the time of the report, PERIPHERAL SWELLING (Left arm was red warm an swollen from above the elbow all the way to the shoulder) had not resolved, ERYTHEMA (Left arm was red warm an swollen from above the elbow all the way to the shoulder), FEELING HOT (Left arm was red warm an swollen from above the elbow all the way to the shoulder), MASS (Left arm arm was red warm an swollen from above the elbow all the way to the shoulder, like a lump there), MUSCLE SWELLING (Muscle really big), MOBILITY DECREASED (Could not move), PYREXIA (Had a little fever of 100 degrees F) and NAUSEA (Some nausea) outcome was unknown and MYALGIA (Was so ache, hurt form head to toe), HEADACHE (Has a headache like a three on the scale) and FATIGUE (Stay on couch/Tired) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-May-2022, Body temperature: 100 100 degree fahrenheit.         Patient received her second booster of the Moderna covid19 vaccine in right arm and on the same day received the Pneumonia vaccine in left arm.  On 10 May 2022, patient drank lots of water took Tylenol twice. On 11 May 2022, patient doesn't feel to bad. The event ache, tired and headache were recovered in May 2022. Only big swelling on the arm remains. Patient did not seek medical care for adverse events.  Patient mentioned that her friend also have a reaction like a red rash and swelling in the arm.