arteries of her lungs were inflamed; Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out; Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out; runny nose; Terrible throat ache; Her legs were in intense pain and the left leg was in tremendous pain in the frontal part, near her foot, the soles of her feet hurt; upper part of her back, near the shoulders, was killing her with pain/bottom of her back, near her rear, she was in pain in her bone; stomach ache, like burning and bites in her stomach; blood pressure went up to 197/94; pain in the bone in her private parts, her vagina, or maybe it was inflamed, it was terrible; very very strong headache, the ache was like bouncing, palpitating, stabbing; bottom of her back, near her rear, she was in pain in her bone, to the point it made her nauseous; difficulty breathing; chills; pain in her chest/pain in her chest was very strong; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (pain in her chest/pain in her chest was very strong), PNEUMONITIS (arteries of her lungs were inflamed), PRODUCTIVE COUGH (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out), SECRETION DISCHARGE (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (Terrible throat ache), PAIN IN EXTREMITY (Her legs were in intense pain and the left leg was in tremendous pain in the frontal part, near her foot, the soles of her feet hurt), BACK PAIN (upper part of her back, near the shoulders, was killing her with pain/bottom of her back, near her rear, she was in pain in her bone), ABDOMINAL PAIN UPPER (stomach ache, like burning and bites in her stomach), HYPERTENSION (blood pressure went up to 197/94), BONE PAIN (pain in the bone in her private parts, her vagina, or maybe it was inflamed, it was terrible), DYSPNOEA (difficulty breathing), HEADACHE (very very strong headache, the ache was like bouncing, palpitating, stabbing), NAUSEA (bottom of her back, near her rear, she was in pain in her bone, to the point it made her nauseous) and CHILLS (chills) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001C21A, 33030bd and 025C21A) for COVID-19 vaccination.     No Medical History information was reported.   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Dec-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DYSPNOEA (difficulty breathing) (seriousness criterion hospitalization). On an unknown date, the patient experienced CHEST PAIN (pain in her chest/pain in her chest was very strong) (seriousness criterion hospitalization), PNEUMONITIS (arteries of her lungs were inflamed) (seriousness criterion hospitalization), PRODUCTIVE COUGH (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out) (seriousness criterion hospitalization), SECRETION DISCHARGE (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out) (seriousness criterion hospitalization), RHINORRHOEA (runny nose) (seriousness criterion hospitalization), OROPHARYNGEAL PAIN (Terrible throat ache) (seriousness criterion hospitalization), PAIN IN EXTREMITY (Her legs were in intense pain and the left leg was in tremendous pain in the frontal part, near her foot, the soles of her feet hurt) (seriousness criterion hospitalization), BACK PAIN (upper part of her back, near the shoulders, was killing her with pain/bottom of her back, near her rear, she was in pain in her bone) (seriousness criterion hospitalization), ABDOMINAL PAIN UPPER (stomach ache, like burning and bites in her stomach) (seriousness criterion hospitalization), HYPERTENSION (blood pressure went up to 197/94) (seriousness criterion hospitalization), BONE PAIN (pain in the bone in her private parts, her vagina, or maybe it was inflamed, it was terrible) (seriousness criterion hospitalization), HEADACHE (very very strong headache, the ache was like bouncing, palpitating, stabbing) (seriousness criterion hospitalization), NAUSEA (bottom of her back, near her rear, she was in pain in her bone, to the point it made her nauseous) (seriousness criterion hospitalization) and CHILLS (chills) (seriousness criterion hospitalization). At the time of the report, CHEST PAIN (pain in her chest/pain in her chest was very strong) had not resolved, PNEUMONITIS (arteries of her lungs were inflamed), PRODUCTIVE COUGH (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out), SECRETION DISCHARGE (Intense coughing, as if she had covid, phlegm, mucus, she had to spit it out), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (Terrible throat ache), PAIN IN EXTREMITY (Her legs were in intense pain and the left leg was in tremendous pain in the frontal part, near her foot, the soles of her feet hurt), BACK PAIN (upper part of her back, near the shoulders, was killing her with pain/bottom of her back, near her rear, she was in pain in her bone), ABDOMINAL PAIN UPPER (stomach ache, like burning and bites in her stomach), HYPERTENSION (blood pressure went up to 197/94), BONE PAIN (pain in the bone in her private parts, her vagina, or maybe it was inflamed, it was terrible), HEADACHE (very very strong headache, the ache was like bouncing, palpitating, stabbing) and NAUSEA (bottom of her back, near her rear, she was in pain in her bone, to the point it made her nauseous) outcome was unknown and DYSPNOEA (difficulty breathing) and CHILLS (chills) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 197/94 (High) blood pressure went up to 197/94 mmHg and 112 (normal) it was usually around 112 mmHg. On an unknown date, X-ray: abnormal (abnormal) arteries of the lungs were inflamed.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported.  Treatment information was not provided. Patient was going to have a MRI scan to check blood clot in her left leg. She had pain in her chest for 3 days and that caused her hospitalization. In the hospital X rays was done to see her heart and found that the arteries of her lungs were inflamed. This was serious. She also had pain in her ribs, below her breasts, this was because of the inflamed arteries in her lungs. The weirdest thing was the pain in her nipples, very horrible as if someone had bit them.  Company Comment: This case concerns a 58-year-old female patient, with no medical history reported in this case, who experienced the serious unexpected adverse events of Dyspnoea, Chest Pain, Pneumonitis, Productive, Secretion Discharge, Rhinorrhoea, Oropharyngeal Pain, Pain in Extremity, Back Pain, Abdominal Pain Upper, Hypertension, Bone Pain, Headache, Nausea and Chills. The events occurred in an unknown date after the administration of the first dose of the mRNA-1273 vaccine and the outcome at the time of the report was unknown. The rechallenge could be considered unknown, as the events happened after the first dose of the vaccine. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.   Most recent FOLLOW-UP information incorporated above includes: On 04-Jan-2022: Follow up information included Reporter details and Booster dose batch number.; Sender's Comments: This case concerns a 58-year-old female patient, with no medical history reported in this case, who experienced the serious unexpected adverse events of Dyspnoea, Chest Pain, Pneumonitis, Productive, Secretion Discharge, Rhinorrhoea, Oropharyngeal Pain, Pain in Extremity, Back Pain, Abdominal Pain Upper, Hypertension, Bone Pain, Headache, Nausea and Chills. The events occurred in an unknown date after the administration of the first dose of the mRNA-1273 vaccine and the outcome at the time of the report was unknown. The rechallenge could be considered unknown, as the events happened after the first dose of the vaccine. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.