lyme disease type symptoms; blood sugar decreased; right arm pain at injection site; fatigue; generalized body ache; chills; runny nose; cough; left arm pain-no injection; left eye twitch; This spontaneous case was reported by a nurse and describes the occurrence of LYME DISEASE (lyme disease type symptoms) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 021B21A and 014MZ01) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Rheumatoid arthritis, Arm injury (left arm cannot raise arm) in 2012, Dislocation of vertebra (3 vertebrae out of place), Radiofrequency ablation (ablation in neck), Low back pain (bilateral), HLA-B*27 positive, Kidney stones, Reiter's syndrome, Salmonella infection, unspecified (dating back to 1981) and Knee replacement (two knee replacements). Concurrent medical conditions included Diabetes, Asthma, Lyme disease and Fibromyalgia (fibromyalgia with neck and shoulder pain). Concomitant products included FORMOTEROL FUMARATE, MOMETASONE FUROATE (DULERA) for Asthma, INSULIN GLARGINE (LANTUS) for Diabetes, MINOCYCLINE, DAPSONE, ATOVAQUONE, PROGUANIL HYDROCHLORIDE (MALARONE) and LEUCOVORIN [FOLINIC ACID] for Lyme disease, CODEINE PHOSPHATE (CODINE), PARACETAMOL (TYLENOL) and DIAZEPAM (VALIUM) for Pain.   On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Feb-2021, the patient experienced BLEPHAROSPASM (left eye twitch). On 15-Mar-2021, the patient experienced RHINORRHOEA (runny nose), COUGH (cough) and PAIN IN EXTREMITY (left arm pain-no injection). On 12-Apr-2021, the patient experienced LYME DISEASE (lyme disease type symptoms) (seriousness criterion medically significant), BLOOD GLUCOSE DECREASED (blood sugar decreased), VACCINATION COMPLICATION (right arm pain at injection site), FATIGUE (fatigue), MYALGIA (generalized body ache) and CHILLS (chills). On 20-Mar-2021, BLEPHAROSPASM (left eye twitch), RHINORRHOEA (runny nose) and COUGH (cough) had resolved. At the time of the report, LYME DISEASE (lyme disease type symptoms), PAIN IN EXTREMITY (left arm pain-no injection), VACCINATION COMPLICATION (right arm pain at injection site), FATIGUE (fatigue), MYALGIA (generalized body ache) and CHILLS (chills) outcome was unknown and BLOOD GLUCOSE DECREASED (blood sugar decreased) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-May-2021, Blood glucose: abnormal (abnormal) abnormal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No treatment information was provided.  Company Comment : Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.  Company Comment : Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.