I had a golf ball size knot on my head; I had a golf ball size knot on my head. It didn't bleed at 1st, but after awhile, it bled just a little; I fell face down/fall happened on 24Mar2023. I tried to get up out of bed I felt like I was going somewhere. I laid back down for a while. When I got back up, I was in the kitchen when I started feeling like I was floating around, or something.; Loss of appetite; I fell face down. I had a golf ball size knot on my head; I have 2 black eyes now. My right one was really swollen; Feeling a very mild dizziness; soreness in my left arm after the shot; I've had nausea; This spontaneous case was reported by a patient and describes the occurrence of FALL (I fell face down/fall happened on 24Mar2023.), FEELING ABNORMAL (I tried to get up out of bed I felt like I was going somewhere. I laid back down for a while. When I got back up, I was in the kitchen when I started feeling like I was floating around, or something.), DECREASED APPETITE (Loss of appetite), HEAD INJURY (I had a golf ball size knot on my head) and HEMORRHAGE (I had a golf ball size knot on my head. It didn't bleed at 1st, but after awhile, it bled just a little) in a 78-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Thrombectomy (had a clot removed from behind the knee in December 2020, patient had not known that this happened) in December 2020. Concurrent medical conditions included AFib.    On 21-Mar-2023, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In March 2023, the patient experienced DECREASED APPETITE (Loss of appetite), TRAUMATIC HAEMATOMA (I fell face down. I had a golf ball size knot on my head), EYE CONTUSION (I have 2 black eyes now. My right one was really swollen), DIZZINESS (Feeling a very mild dizziness), PAIN IN EXTREMITY (soreness in my left arm after the shot) and NAUSEA (I've had nausea). On 24-Mar-2023, the patient experienced FALL (I fell face down/fall happened on 24Mar2023.), FEELING ABNORMAL (I tried to get up out of bed I felt like I was going somewhere. I laid back down for a while. When I got back up, I was in the kitchen when I started feeling like I was floating around, or something.), HEAD INJURY (I had a golf ball size knot on my head) and HEMORRHAGE (I had a golf ball size knot on my head. It didn't bleed at 1st, but after a while, it bled just a little). At the time of the report, FALL (I fell face down/fall happened on 24Mar2023.) and FEELING ABNORMAL (I tried to get up out of bed I felt like I was going somewhere. I laid back down for a while. When I got back up, I was in the kitchen when I started feeling like I was floating around, or something.) outcome was unknown, DECREASED APPETITE (Loss of appetite), TRAUMATIC HAEMATOMA (I fell face down. I had a golf ball size knot on my head), EYE CONTUSION (I have 2 black eyes now. My right one was really swollen) and NAUSEA (I've had nausea) had not resolved, HEAD INJURY (I had a golf ball size knot on my head) was resolving and HEMORRHAGE (I had a golf ball size knot on my head. It didn't bleed at 1st, but after a while, it bled just a little), DIZZINESS (Feeling a very mild dizziness) and PAIN IN EXTREMITY (soreness in my left arm after the shot) had resolved.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Patient was taking a tiny little blood thinner.  On 24-Mar-2023 patient tried to get up out of bed and felt like she was going somewhere and then laid back down for a while. When the patient got back up, patient was in the kitchen when the patient started feeling like floating around, or something. Patient put her arm out, trying to grab something, but could not and fell face down. Patient had a golf ball size knot on head.  The Emergency medical technician checked the patient, they took blood pressure of patient (for which the results were unknown) and looked at the knot on head, that was little then. That knot was horrible for the patient. The patient felt like just having no control. Patient had 2 black eyes, right one was really swollen, and the blackness started going down patient's face. On 26-Mar-2023, that blackness started coming across to left eye. Patient also reported that she did not know that anything happened.  In the follow-up it was reported that patient had nausea & loss of appetite since the fall happened on 24-Mar-2023.   No treatment medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 27-Mar-2023: Follow-up received, added two new events including loss of appetite and nausea.