I  was very cold/that night in bed i could not get warm; The sweat was running off me the bed was damp i was sweating so much/sweating so much the bed was wet; Could not sleep untill about 3 am; On the sunday i got up but felt like crap and walked round like a zomby all day/was like a zomby walking about; Head was spinning; Dizzy; Shivering cold/could not get warm; Headache; Monday morning woke up with just pain in arm from jab; This spontaneous case was reported by a patient and describes the occurrence of FEELING COLD (I  was very cold/that night in bed i could not get warm), HYPERHIDROSIS (The sweat was running off me the bed was damp i was sweating so much/sweating so much the bed was wet), INSOMNIA (Could not sleep untill about 3 am), FEELING ABNORMAL (On the sunday i got up but felt like crap and walked round like a zomby all day/was like a zomby walking about) and PAIN IN EXTREMITY (Monday morning woke up with just pain in arm from jab) in a  patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication.    No Medical History information was reported.   On 27-Sep-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 02-Oct-2022, the patient received dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 03-Oct-2022,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced PAIN IN EXTREMITY (Monday morning woke up with just pain in arm from jab). On an unknown date, the patient experienced FEELING COLD (I  was very cold/that night in bed i could not get warm), HYPERHIDROSIS (The sweat was running off me the bed was damp i was sweating so much/sweating so much the bed was wet), INSOMNIA (Could not sleep untill about 3 am), FEELING ABNORMAL (On the sunday i got up but felt like crap and walked round like a zomby all day/was like a zomby walking about), VERTIGO (Head was spinning), DIZZINESS (Dizzy), CHILLS (Shivering cold/could not get warm) and HEADACHE (Headache). At the time of the report, FEELING COLD (I  was very cold/that night in bed i could not get warm), HYPERHIDROSIS (The sweat was running off me the bed was damp i was sweating so much/sweating so much the bed was wet), INSOMNIA (Could not sleep untill about 3 am), FEELING ABNORMAL (On the sunday i got up but felt like crap and walked round like a zomby all day/was like a zomby walking about), PAIN IN EXTREMITY (Monday morning woke up with just pain in arm from jab), VERTIGO (Head was spinning), DIZZINESS (Dizzy), CHILLS (Shivering cold/could not get warm) and HEADACHE (Headache) outcome was unknown.            It was reported that patient took flu jab after 4 days of moderna covid vaccine. It was reported that patient had been taking flu vaccine since 6 years with no problems. No treatment medications were reported.   This case was linked to MOD-2022-654901 (Patient Link).   Reporter did not allow further contact   Most recent FOLLOW-UP information incorporated above includes: On 03-Oct-2022: Live follow-up received includes: New events updated.