missed work; heart rate is normally 64, but it was in the 90s; chills; had to pull over; both of my arms started to get cold, tingly, numb; both of my arms started to get cold, tingly, numb; both of my arms started to get cold, tingly, numb; felt faint/head rush, like I am going to faint; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL COLDNESS (both of my arms started to get cold, tingly, numb), PARAESTHESIA (both of my arms started to get cold, tingly, numb), HYPOAESTHESIA (both of my arms started to get cold, tingly, numb), DIZZINESS (felt faint/head rush, like I am going to faint) and HEART RATE INCREASED (heart rate is normally 64, but it was in the 90s) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced PERIPHERAL COLDNESS (both of my arms started to get cold, tingly, numb), PARAESTHESIA (both of my arms started to get cold, tingly, numb), HYPOAESTHESIA (both of my arms started to get cold, tingly, numb), DIZZINESS (felt faint/head rush, like I am going to faint) and IMPAIRED DRIVING ABILITY (had to pull over). On 15-Jan-2021, the patient experienced HEART RATE INCREASED (heart rate is normally 64, but it was in the 90s) and CHILLS (chills). On 19-Jan-2021, the patient experienced IMPAIRED WORK ABILITY (missed work). On 20-Jan-2021, IMPAIRED WORK ABILITY (missed work) had resolved. At the time of the report, PERIPHERAL COLDNESS (both of my arms started to get cold, tingly, numb), PARAESTHESIA (both of my arms started to get cold, tingly, numb), HYPOAESTHESIA (both of my arms started to get cold, tingly, numb), DIZZINESS (felt faint/head rush, like I am going to faint), HEART RATE INCREASED (heart rate is normally 64, but it was in the 90s), CHILLS (chills) and IMPAIRED DRIVING ABILITY (had to pull over) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate: 90 (abnormal) usually 64.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medications are provided. No treatment. Patient missed work. Company comment : This is a Spontaneous case concerning a 48-year-old, female patient with unknown medical history, who experienced the unexpected non serious events of dizziness, hypesthesia, paranesthesia, and coldness, all in multiple episodes. Also, this events  were associated with impaired work and driving ability.  The event occurred approximately between 1 and 2 days after the first dose of mRNA 1273. The rechallenge is not applicable.  The benefit-risk relationship of mRNA 1273 vaccine is not affected by this report.   Most recent FOLLOW-UP information incorporated above includes: On 21-Jan-2021: Upon internal review on 16-Nov-2021, company comment was added in the case.; Sender's Comments: This is a Spontaneous case concerning a 48-year-old, female patient with unknown medical history, who experienced the unexpected non serious events of dizziness, hypesthesia, paranesthesia, and coldness, all in multiple episodes. Also, this events  were associated with impaired work and driving ability.  The event occurred approximately between 1 and 2 days after the first dose of mRNA 1273. The rechallenge is not applicable.  The benefit-risk relationship of mRNA 1273 vaccine is not affected by this report.