haven't been able to take out the garbage because my back hurts/back was hurting extra bad; sweating; hot and then cold constantly; trouble relaxing a bit/irritable; doesn't feel good; This spontaneous case was reported by a patient and describes the occurrence of BACK PAIN (haven't been able to take out the garbage because my back hurts/back was hurting extra bad), HYPERHIDROSIS (sweating), FEELING OF BODY TEMPERATURE CHANGE (hot and then cold constantly), IRRITABILITY (trouble relaxing a bit/irritable) and FEELING ABNORMAL (doesn't feel good) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033K21-2A, 088021A, 044A31A and 032L20A) for COVID-19 vaccination.     No medical history was provided by the reporter.  Concurrent medical conditions included Back injury (back injury 7 years ago). Concomitant products included PANTOPRAZOLE SODIUM SESQUIHYDRATE (PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]) for Acid reflux (esophageal), PRAVASTATIN for Cholesterol, GABAPENTIN, TIZANIDINE, ASPIRIN [ACETYLSALICYLIC ACID], COLECALCIFEROL (VITAMIN D3), TAMSULOSIN HYDROCHLORIDE (FLOMAX [TAMSULOSIN HYDROCHLORIDE]), TRAZODONE HYDROCHLORIDE, RISPERIDONE, AMLODIPINE, PARACETAMOL (TYLENOL [PARACETAMOL]), METFORMIN, MIRTAZAPINE, FLUTAMIDE (ANDROXINE) and FLUTICASONE PROPIONATE (FLONASE [FLUTICASONE PROPIONATE]) for an unknown indication.   On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On an unknown date, the patient experienced BACK PAIN (haven't been able to take out the garbage because my back hurts/back was hurting extra bad), HYPERHIDROSIS (sweating), FEELING OF BODY TEMPERATURE CHANGE (hot and then cold constantly), IRRITABILITY (trouble relaxing a bit/irritable) and FEELING ABNORMAL (doesn't feel good). At the time of the report, BACK PAIN (haven't been able to take out the garbage because my back hurts/back was hurting extra bad) had not resolved and HYPERHIDROSIS (sweating), FEELING OF BODY TEMPERATURE CHANGE (hot and then cold constantly), IRRITABILITY (trouble relaxing a bit/irritable) and FEELING ABNORMAL (doesn't feel good) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication included Vitamin D12. It was stated that patient house was on 77 degrees F and needed to turn it up because patient was getting cold again. Patient stated that usually keeps his house clean but hasn't been able to take out the garbage because back hurts. Patient slept sound last night but he woke up and his back was hurting extra bad. It was stated that patient usually had a carrier but they have not been able to get one to patient so patient said that might be contributing to irritability. It was stated that It feels like patient had COVID-19. Treatment information was not provided.   This case was linked to MOD-2022-538579 (Patient Link).