sever shooting pain throughout the arm that recieved the vaccination; Hardly able to sleep; Inflammation from the vaccine; swelling in the injection arm; Soreness in the injection arm; Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm; Excruciating pain in upper back; pinched nerve; She was still miserable; Thumb and forefinger are still numb, pain ended up giving partially numb index finger; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable), HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger), PAIN (sever shooting pain throughout the arm that recieved the vaccination) and BACK PAIN (Excruciating pain in upper back) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Neck pain (A couple of years ago and went through a Physical therapy for posture.). Concurrent medical conditions included Blood pressure and Thyroiditis. Concomitant products included LOSARTAN, AMLODIPINE and HYDROCHLOROTHIAZIDE for Blood pressure, LEVOTHYROXINE SODIUM (SYNTHROID) for Thyroiditis, ZINC and COLECALCIFEROL (VIT D3) for an unknown indication.    On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable), HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger), BACK PAIN (Excruciating pain in upper back) and ARTHRALGIA (Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm). On an unknown date, the patient experienced PAIN (sever shooting pain throughout the arm that recieved the vaccination), INSOMNIA (Hardly able to sleep), INFLAMMATION (Inflammation from the vaccine), VACCINATION SITE SWELLING (swelling in the injection arm) and VACCINATION SITE PAIN (Soreness in the injection arm). The patient was treated with TRAMADOL on 25-Jan-2021 at a dose of UNK dosage form and GABAPENTIN at a dose of UNK dosage form. On 01-Mar-2021, NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable) and HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger) had resolved. At the time of the report, PAIN (sever shooting pain throughout the arm that recieved the vaccination), INSOMNIA (Hardly able to sleep), INFLAMMATION (Inflammation from the vaccine), VACCINATION SITE SWELLING (swelling in the injection arm) and VACCINATION SITE PAIN (Soreness in the injection arm) outcome was unknown and BACK PAIN (Excruciating pain in upper back) and ARTHRALGIA (Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm) had resolved with sequelae.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Magnetic resonance imaging: abnormal (abnormal) Protrusion in between C6 and C7 which was pressing on the nerve.         Additional treatment information for the event included steroid shot, steroid pack, ice and neck traction.   This case was linked.   Most recent FOLLOW-UP information incorporated above includes: On 26-Jul-2021: Updated Patient demographics, Added Medical History, Added Lab test, Added Facility information, Added Concomitant Drugs, Updated Event start date and outcome.