could hardly walk to her bed; The patient adds that she thought she had long term COVID; had a bad reaction; very stiff; sneezy; felt so terrible; swelling where the injection went in; underarm pain / moving more toward her breast; had COVID; This spontaneous case was reported by a patient and describes the occurrence of GAIT DISTURBANCE (could hardly walk to her bed), FEELING ABNORMAL (The patient adds that she thought she had long term COVID), IMMUNISATION REACTION (had a bad reaction), MUSCULOSKELETAL STIFFNESS (very stiff) and SNEEZING (sneezy) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 071F21A, 026A21A and 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Seasonal allergy and Migraine. Concomitant products included BOTULINUM TOXIN TYPE A (BOTOX) for an unknown indication.   On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In August 2022, the patient experienced COVID-19 (had COVID). On an unknown date, the patient experienced GAIT DISTURBANCE (could hardly walk to her bed), FEELING ABNORMAL (The patient adds that she thought she had long term COVID), IMMUNISATION REACTION (had a bad reaction), MUSCULOSKELETAL STIFFNESS (very stiff), SNEEZING (sneezy), FEELING ABNORMAL (felt so terrible), VACCINATION SITE SWELLING (swelling where the injection went in) and VACCINATION SITE PAIN (underarm pain / moving more toward her breast). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) for COVID-19 treatment, at an unspecified dose and frequency. At the time of the report, GAIT DISTURBANCE (could hardly walk to her bed), FEELING ABNORMAL (The patient adds that she thought she had long term COVID), IMMUNISATION REACTION (had a bad reaction), MUSCULOSKELETAL STIFFNESS (very stiff), SNEEZING (sneezy), COVID-19 (had COVID), FEELING ABNORMAL (felt so terrible), VACCINATION SITE SWELLING (swelling where the injection went in) and VACCINATION SITE PAIN (underarm pain / moving more toward her breast) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In August 2022, SARS-CoV-2 test: Positive.         The patient had a bad reaction to it that night and was very stiff could hardly walk to her bed. There was also swelling where the injection went in had underarm pain. The patient still had  it after all that time. It seemed to be getting worse. The patient  had an ultrasound, but would have another one next week. It had gone on day after day after day. It seemed to be moving more toward her breast. The patient concerned that she would have cancer in the lymph nodes thought she had long term COVID. The patient had terrible headaches, wake up with heavy head, and was tired all the time. The patient felt  going further in the lymph nodes and a slight feeling in her breast. The patient had a mammogram not that long ago, and there was nothing there. The patient stated that her doctor could not help her. The patient went to a physician three times, and was even going in for another ultrasound. A couple of months ago in Aug 2022, had COVID. was sneezy, her head was stuffed up, and had temperature. The patient felt so terrible. No other vaccines given within 1 month prior to Moderna COVID-19 vaccine. The patient visited office to seek medical care. The patient did not experienced a similar event in the past. The events terrible headaches/ her head was stuffed up/wake up with heavy head, and is tired all the time and had temperature was subsumed under diagnosis of Covid.