COVID arm - left arm; COVID arm - sore/sore since 25Oct2021/arm was sore; COVID arm as; is swollen, warm, and red rash; COVID arm as; is swollen, warm, and red rash; COVID arm as; is swollen, warm, and red rash/red rash/Rash (local); COVID arm as; is swollen, warm, and red rash/Redness/erythema (Local); This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (COVID arm - left arm), PAIN IN EXTREMITY (COVID arm - sore/sore since 25Oct2021/arm was sore), VACCINATION SITE WARMTH (COVID arm as; is swollen, warm, and red rash), VACCINATION SITE SWELLING (COVID arm as; is swollen, warm, and red rash) and VACCINATION SITE RASH (COVID arm as; is swollen, warm, and red rash/red rash/Rash (local)) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011F21A, 006M20A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Acid reflux (oesophageal). Previously administered products included for Product used for unknown indication: Flu (dose number in series 1 of 1 and left arm). Past adverse reactions to the above products included No adverse event with Flu. Concurrent medical conditions included Blood pressure high, High cholesterol, Lupus erythematosus panniculitis and Hay fever.   On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021 at 10:00 AM, the patient experienced VACCINATION SITE REACTION (COVID arm - left arm), PAIN IN EXTREMITY (COVID arm - sore/sore since 25Oct2021/arm was sore), VACCINATION SITE WARMTH (COVID arm as; is swollen, warm, and red rash), VACCINATION SITE SWELLING (COVID arm as; is swollen, warm, and red rash), VACCINATION SITE RASH (COVID arm as; is swollen, warm, and red rash/red rash/Rash (local)) and VACCINATION SITE ERYTHEMA (COVID arm as; is swollen, warm, and red rash/Redness/erythema (Local)). The patient was treated with CHLORPHENAMINE MALEATE (CHLOR-TRIMETON) 25-Oct-2021 for Adverse event, at a dose of pill. At the time of the report, VACCINATION SITE REACTION (COVID arm - left arm), PAIN IN EXTREMITY (COVID arm - sore/sore since 25Oct2021/arm was sore), VACCINATION SITE WARMTH (COVID arm as; is swollen, warm, and red rash), VACCINATION SITE SWELLING (COVID arm as; is swollen, warm, and red rash), VACCINATION SITE RASH (COVID arm as; is swollen, warm, and red rash/red rash/Rash (local)) and VACCINATION SITE ERYTHEMA (COVID arm as; is swollen, warm, and red rash/Redness/erythema (Local)) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 98.4 (normal) 98.4.         The patient did not had history of medical conditions as anaphylaxis, asthma, hypersensitivity reactions and hives/urticaria. No previous history of allergic/hypersensitivity reactions to vaccines and no other allergic/hypersensitivity reactions (medications, foods, environmental, etc).  The patient was taking allergy medications, chlorpheniramine 4 milligram to alleviate the adverse events but are ongoing. The events cause the patient to seek medical care was reported as no.  Concomitant medications were not reported.   Most recent FOLLOW-UP information incorporated above includes: On 26-Oct-2021: Updated patient's information, added current condition, allergy and historical vaccine, updated treatment product and events information.