after 3rd dose, on DEC2022 or JAN2023 she started noticing bumps in her toes/something called COVID toes, and when she saw the pictures that was the symptom she was experiencing, but she never got COVID-19, and assumed this was caused by the vaccine; This spontaneous case was reported by a patient and describes the occurrence of LIMB MASS (after 3rd dose, on DEC2022 or JAN2023 she started noticing bumps in her toes/something called COVID toes, and when she saw the pictures that was the symptom she was experiencing, but she never got COVID-19, and assumed this was caused by the vaccine) in a 62-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 023H22A) for COVID-19 prophylaxis.     The patient was healthy and having no relevant diseases.  Previously administered products included for COVID-19 prophylaxis: Moderna COVID-19 Vaccine on 08-Oct-2021 and Moderna COVID-19 Vaccine on 05-Nov-2021. Past adverse reactions to the above products included No adverse event with Moderna COVID-19 Vaccine and Moderna COVID-19 Vaccine. Concurrent medical conditions included Pain. Concomitant products included GABAPENTIN for Pain, MOMETASONE and TACROLIMUS for an unknown indication.    On 14-Dec-2022, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced LIMB MASS (after 3rd dose, on DEC2022 or JAN2023 she started noticing bumps in her toes/something called COVID toes, and when she saw the pictures that was the symptom she was experiencing, but she never got COVID-19, and assumed this was caused by the vaccine). At the time of the report, LIMB MASS (after 3rd dose, on DEC2022 or JAN2023 she started noticing bumps in her toes/something called COVID toes, and when she saw the pictures that was the symptom she was experiencing, but she never got COVID-19, and assumed this was caused by the vaccine) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: everything seemed to be fine.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular), the reporter did not provide any causality assessments.   It was unknown whether any other vaccines in the 4 weeks prior to COVID-19 vaccine.  Patient received her 1st dose of Moderna COVID-19 Vaccine on 08 OCT 2021, 2nd dose on 05 NOV 2021, and a 3rd dose on 14 DEC 2022 (she was not sure if the last one was a bivalent vaccine). For the first two doses she did not experienced any adverse events, but after 3rd dose, on DEC2022 or JAN2023 she started noticing bumps in her toes. At the beginning she did not related this symptom with the vaccine but after a research she found on internet there was something called COVID toes, and when she saw the pictures that was the symptom she was experiencing, but she never got COVID-19, and assumed this was caused by the vaccine. Doctors made blood tests to search for an autoimmune disease, but everything seemed to be fine, but bumps were still ongoing. The dermatologist treated it with 3 different topical medications so far, 1st medication she did not remember the name, 2nd one was Mometasone, and the current medication was Tacrolimus. Patient was very upset that maybe the 3rd vaccine caused that and was currently ongoing and not improving, it does not hurt but it remains the same.  Treatment medication not reported.