pain when I look to the left - head and neck area; extreme pain upper left shoulder/yesterday woke up with extreme pain upper left shoulder, it felt heavy, throbbing; intense pain going up and down my arm; Feeling nausea/ Little nausea; pain when I look to the left - head and neck area; Fatigue, very tired all the time; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (pain when I look to the left - head and neck area), VACCINATION SITE JOINT PAIN (extreme pain upper left shoulder/yesterday woke up with extreme pain upper left shoulder, it felt heavy, throbbing), VACCINATION SITE PAIN (intense pain going up and down my arm), NAUSEA (Feeling nausea/ Little nausea) and HEADACHE (pain when I look to the left - head and neck area) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included METFORMIN HCL, LEVOTHYROXINE, HYDROCHLOROTHIAZIDE, TRIAMTERENE (TRIAMTERENE HCTZ), FOSINOPRIL, ROSUVASTATIN, TROSPIUM CHLORIDE, SERTRALINE, ANASTROZOLE, AMLODIPINE, MAGNESIUM, ZINC, COLECALCIFEROL (D3), CYANOCOBALAMIN (B12 [CYANOCOBALAMIN]) and ACETYLSALICYLIC ACID (ASPRIN) for an unknown indication.    On 28-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced NECK PAIN (pain when I look to the left - head and neck area), VACCINATION SITE JOINT PAIN (extreme pain upper left shoulder/yesterday woke up with extreme pain upper left shoulder, it felt heavy, throbbing), VACCINATION SITE PAIN (intense pain going up and down my arm), NAUSEA (Feeling nausea/ Little nausea), HEADACHE (pain when I look to the left - head and neck area) and FATIGUE (Fatigue, very tired all the time). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency. At the time of the report, NECK PAIN (pain when I look to the left - head and neck area), VACCINATION SITE PAIN (intense pain going up and down my arm), NAUSEA (Feeling nausea/ Little nausea), HEADACHE (pain when I look to the left - head and neck area) and FATIGUE (Fatigue, very tired all the time) outcome was unknown and VACCINATION SITE JOINT PAIN (extreme pain upper left shoulder/yesterday woke up with extreme pain upper left shoulder, it felt heavy, throbbing) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   All the events were experienced in Nov-2021. It was reported that patient woke up with extreme pain upper left shoulder, it felt heavy, throbbing. After two hours it went away. she woke up with the same pain, hurting, throbbing can't get comfortable the next day in Nov-2021.  It seemed to have a little more side effects, minor uncomfortable pain but no real intense pain or fatigue/side effect (at first). Except for a couple of days ago, it did hurt. It happed one day and then it was gone then came back and was more intense than previous.   This case was linked to MOD-2021-382531, MOD-2021-382532 (Patient Link).