Trouble taking deep breaths; Ribs would move; Winded upon exertion; Pain down the arm; Malaise; Could not run around table due to pain upon exertion; Possible mild fever; Nausea; Headache; Shoulder pain on right arm; Chills after minute first night; Trouble sleeping for three nights; Chest pain/Heart was in pain/Pain upon exertion in chest-heart area; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Trouble taking deep breaths), MOVEMENT DISORDER (Ribs would move), DYSPNOEA EXERTIONAL (Winded upon exertion), INSOMNIA (Trouble sleeping for three nights) and CHEST PAIN (Chest pain/Heart was in pain/Pain upon exertion in chest-heart area) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Environmental allergy and Exercise induced asthma.    On 22-Apr-2021 at 8:45 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Apr-2021 at 8:45 AM,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CHEST PAIN (Chest pain/Heart was in pain/Pain upon exertion in chest-heart area). On 22-Apr-2021, the patient experienced INSOMNIA (Trouble sleeping for three nights). 22-Apr-2021, the patient experienced CHILLS (Chills after minute first night). On an unknown date, the patient experienced DYSPNOEA (Trouble taking deep breaths), MOVEMENT DISORDER (Ribs would move), DYSPNOEA EXERTIONAL (Winded upon exertion), PAIN IN EXTREMITY (Pain down the arm), MALAISE (Malaise), PAIN (Could not run around table due to pain upon exertion), PYREXIA (Possible mild fever), NAUSEA (Nausea), HEADACHE (Headache) and ARTHRALGIA (Shoulder pain on right arm). On 25-Apr-2021, CHEST PAIN (Chest pain/Heart was in pain/Pain upon exertion in chest-heart area) had resolved. At the time of the report, DYSPNOEA (Trouble taking deep breaths), MOVEMENT DISORDER (Ribs would move), DYSPNOEA EXERTIONAL (Winded upon exertion), INSOMNIA (Trouble sleeping for three nights), PAIN IN EXTREMITY (Pain down the arm), MALAISE (Malaise), PAIN (Could not run around table due to pain upon exertion), PYREXIA (Possible mild fever), CHILLS (Chills after minute first night), NAUSEA (Nausea), HEADACHE (Headache) and ARTHRALGIA (Shoulder pain on right arm) outcome was unknown.        mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.       No concomitant medications provided. No treatment details were reported. Patient didn't receive any treatment for events. It was reported that there were no other potential causes for the event other than suspect drug.   Events are: Updated email address , Do not email printable material, Updated her street address, Send printable materials via mail only   This case was linked to MOD-2021-280737 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 08-Sep-2021: Non-Significant Follow up- Reporter contact details updated. On 03-Oct-2021: Height, weight and medical history of patient was added. Facility information was added. Time and anatomical location of vaccine administered was added. Event verbatim, coding, onset date (updated to 20-Apr-2021 from 22-Apr-2021), reporter causality and outcome was updated for event chest pain. New events were added.