Swollen ankle; Swollen hands; Swollen Knee feet wrist; severe back pain; severe pain in feet; severe joint pain/severe joint pain in shoulders; sore arm . and is the . Pain stopped about 10 to 11 hrs. aft/woke up with significant body pain/pain in all muscle group/most severe pain caller ever had/ muscle pain in shoulders, back, hips, knees and feet; difficulty moving; Pain kept caller awake all night; This spontaneous case was reported by a consumer and describes the occurrence of HYPOKINESIA (difficulty moving), INSOMNIA (Pain kept caller awake all night), JOINT SWELLING (Swollen ankle), PERIPHERAL SWELLING (Swollen hands) and BACK PAIN (severe back pain ) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Anxiety in April 2021. Concurrent medical conditions included Pollen allergy (Allergic to Seasonal airborne pollens (Hay fever)), Obesity (Has lost 70lbs since 4 January, 2021; Opteva weight mgmt. program) since 1991, Hypertension (Discontinued 3 of 4 BP medications and half dose of remaining drug, plan to eliminate it) in 1991, Water retention since May 2021 and Cholesterol. Concomitant products included CITALOPRAM HYDROBROMIDE (CITALOPRAM HBR) for Anxiety, HYDROCHLOROTHIAZIDE for BP, ATORVASTATIN for Cholesterol, QUINAPRIL HYDROCHLORIDE (ACCUPRIL) and ATENOLOL for Hypertension, QUINAPRIL for an unknown indication.   On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Feb-2021, the patient experienced HYPOKINESIA (difficulty moving), INSOMNIA (Pain kept caller awake all night), ARTHRALGIA (severe joint pain/severe joint pain in shoulders) and MYALGIA (sore arm . and is the . Pain stopped about 10 to 11 hrs. aft/woke up with significant body pain/pain in all muscle group/most severe pain caller ever had/ muscle pain in shoulders, back, hips, knees and feet). On 03-Feb-2021, the patient experienced BACK PAIN (severe back pain ) and PAIN IN EXTREMITY (severe pain in feet). On an unknown date, the patient experienced JOINT SWELLING (Swollen ankle), PERIPHERAL SWELLING (Swollen hands) and JOINT SWELLING (Swollen Knee feet wrist). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE, PARACETAMOL (TYLENOL EXTRA S. P) at an unspecified dose and frequency; ACETYLSALICYLIC ACID (ASPIRIN ACTAVIS) at an unspecified dose and frequency and HYDROCHLOROTHIAZIDE at an unspecified dose and frequency. On 03-Feb-2021, HYPOKINESIA (difficulty moving), INSOMNIA (Pain kept caller awake all night), BACK PAIN (severe back pain ), PAIN IN EXTREMITY (severe pain in feet), ARTHRALGIA (severe joint pain/severe joint pain in shoulders) and MYALGIA (sore arm . and is the . Pain stopped about 10 to 11 hrs. aft/woke up with significant body pain/pain in all muscle group/most severe pain caller ever had/ muscle pain in shoulders, back, hips, knees and feet) had resolved. At the time of the report, JOINT SWELLING (Swollen ankle), PERIPHERAL SWELLING (Swollen hands) and JOINT SWELLING (Swollen Knee feet wrist) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient took Steroids to alleviate the symptoms experienced along with other medications.   This case was linked to MOD-2021-207916 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow-up received on 24/6/21, contains updated patient demographic details, medical history, concomitant medication, vaccine facility information and outcome of event.