insomnia; first day  woke up at 2 It was like wowAll at once (patient expressed it was not slowly like someone usually wakes up); felt inside my body as if I was very excited and hyper as if the blood was very hot; I felt that my heart did a bump/have the mind cloudy/it is not sharp; body felt bad, as if I was going to get sick; it seemed like it was giving me a fever; Joints hurt; Tired; headache on the right side; as if the blood was very hot; The noise in my ears was louder than it was when I went to bed; Have a hard time concentrating; left arm hurt; couldn't raise the arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (left arm hurt), LIMB DISCOMFORT (couldn't raise the arm), INSOMNIA (insomnia), FEELING ABNORMAL (first day  woke up at 2 It was like wowAll at once (patient expressed it was not slowly like someone usually wakes up)) and AGITATION (felt inside my body as if I was very excited and hyper as if the blood was very hot) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040C21A and 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was reported.  Concomitant products included SERTRALINE, ZINC, ASCORBIC ACID (VIT C), POTASSIUM, VITAMIN D NOS (VITAMIN D) and MAGNESIUM for an unknown indication.   On 08-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Aug-2021, the patient experienced PAIN IN EXTREMITY (left arm hurt) and LIMB DISCOMFORT (couldn't raise the arm). On 09-Aug-2021, the patient experienced FEELING HOT (as if the blood was very hot), TINNITUS (The noise in my ears was louder than it was when I went to bed) and DISTURBANCE IN ATTENTION (Have a hard time concentrating). On an unknown date, the patient experienced INSOMNIA (insomnia), FEELING ABNORMAL (first day  woke up at 2 It was like wowAll at once (patient expressed it was not slowly like someone usually wakes up)), AGITATION (felt inside my body as if I was very excited and hyper as if the blood was very hot), FEELING ABNORMAL (I felt that my heart did a bump/have the mind cloudy/it is not sharp), MALAISE (body felt bad, as if I was going to get sick), PYREXIA (it seemed like it was giving me a fever), ARTHRALGIA (Joints hurt), FATIGUE (Tired) and HEADACHE (headache on the right side). On 08-Aug-2021, PAIN IN EXTREMITY (left arm hurt) had resolved. At the time of the report, LIMB DISCOMFORT (couldn't raise the arm), INSOMNIA (insomnia), FEELING ABNORMAL (first day  woke up at 2 It was like wowAll at once (patient expressed it was not slowly like someone usually wakes up)), AGITATION (felt inside my body as if I was very excited and hyper as if the blood was very hot), FEELING HOT (as if the blood was very hot), TINNITUS (The noise in my ears was louder than it was when I went to bed), DISTURBANCE IN ATTENTION (Have a hard time concentrating), FEELING ABNORMAL (I felt that my heart did a bump/have the mind cloudy/it is not sharp), MALAISE (body felt bad, as if I was going to get sick), PYREXIA (it seemed like it was giving me a fever), ARTHRALGIA (Joints hurt), FATIGUE (Tired) and HEADACHE (headache on the right side) outcome was unknown.            The action taken with mRNA-1273 (COVID 19 Vaccine Moderna) (Not applicable) was Not applicable. No treatment was reported.