middle of the night and there was pain on the left side, pain that was throbbing and excruciating nerve pain that lasted for 2 weeks; could not fall asleep; developing pain in the neck area; developing pain in upper back area; pain was radiating down on to his arm that he received the injection; excruciating nerve pain that lasted for 2 weeks; developed flu like symptoms; still have patches of skin on forearm that feel numb; Patient also noticed patches of skin on his hand and forearm that felt burning; developing pain in shoulder area, 30 days later have paralysis pain in his shoulder with 0 control/movement in the shoulder; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (middle of the night and there was pain on the left side, pain that was throbbing and excruciating nerve pain that lasted for 2 weeks), INSOMNIA (could not fall asleep), NECK PAIN (developing pain in the neck area), BACK PAIN (developing pain in upper back area) and PAIN IN EXTREMITY (pain was radiating down on to his arm that he received the injection) in a 34-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 091D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by the reporter.     On 03-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN (middle of the night and there was pain on the left side, pain that was throbbing and excruciating nerve pain that lasted for 2 weeks), INSOMNIA (could not fall asleep), NECK PAIN (developing pain in the neck area), BACK PAIN (developing pain in upper back area), PAIN IN EXTREMITY (pain was radiating down on to his arm that he received the injection), NEURALGIA (excruciating nerve pain that lasted for 2 weeks), INFLUENZA LIKE ILLNESS (developed flu like symptoms), HYPOAESTHESIA (still have patches of skin on forearm that feel numb), BURNING SENSATION (Patient also noticed patches of skin on his hand and forearm that felt burning) and ARTHRALGIA (developing pain in shoulder area, 30 days later have paralysis pain in his shoulder with 0 control/movement in the shoulder). The patient was treated with OXYCODONE for Pain, at an unspecified dose and frequency and GABAPENTIN for Pain, at an unspecified dose and frequency. At the time of the report, PAIN (middle of the night and there was pain on the left side, pain that was throbbing and excruciating nerve pain that lasted for 2 weeks), INSOMNIA (could not fall asleep), NECK PAIN (developing pain in the neck area), BACK PAIN (developing pain in upper back area), PAIN IN EXTREMITY (pain was radiating down on to his arm that he received the injection), NEURALGIA (excruciating nerve pain that lasted for 2 weeks), INFLUENZA LIKE ILLNESS (developed flu like symptoms), HYPOAESTHESIA (still have patches of skin on forearm that feel numb), BURNING SENSATION (Patient also noticed patches of skin on his hand and forearm that felt burning) and ARTHRALGIA (developing pain in shoulder area, 30 days later have paralysis pain in his shoulder with 0 control/movement in the shoulder) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medications were reported. It was reported Patient had seen his primary care physician about the adverse event and was advice not to take the 2nd dose of the Moderna COVID-19 vaccine and was advised to see a neurologist although patient was not able to to see a Neurologist because the office requires patients to be full-vaccinated if not Neurologist will see them through telehealth.