woke up in the middle night; swollen/ 2x4 inches which expanded to 3x5 inches; very sore arm; a sore arm right away like she did when she received the flu vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine), TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination.     No Medical History information was reported.    On 19-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Jan-2021, the patient experienced PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine). On 21-Jan-2021, the patient experienced TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm). On 20-Jan-2021, PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine) had resolved. At the time of the report, TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm) outcome was unknown. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Concomitant product use was not provided.  Patient received treatment including Tylenol. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 27-Jan-2021 and was forwarded to Moderna on 01-Feb-2021.    This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine), TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination.     No Medical History information was reported.    On 19-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Jan-2021, the patient experienced PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine). On 21-Jan-2021, the patient experienced TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm). On 20-Jan-2021, PAIN IN EXTREMITY (a sore arm right away like she did when she received the flu vaccine) had resolved. At the time of the report, TERMINAL INSOMNIA (woke up in the middle night), PERIPHERAL SWELLING (swollen/ 2x4 inches which expanded to 3x5 inches) and PAIN IN EXTREMITY (very sore arm) outcome was unknown. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Concomitant product use was not provided.  Patient received treatment including Tylenol.