upper part of their back is really really painful/it is a 10 in the scale form 1 to 10, 10 being the highest pain/severe pain in the arm that radiated to their back/pain was really bad/pain was terrible; do not feel good; feel sick; chest is hurting (feels like sore, like before going to get sick); could not drive; abnormal for them; their ear hurts; sinuses hurt; severe pain in the arm that radiates to their back/pain was really bad/pain was terrible; lymph nodes have been visible swollen for 2 days; severe swelling of the armpit, same arm of the injection; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (upper part of their back is really really painful/it is a 10 in the scale form 1 to 10, 10 being the highest pain/severe pain in the arm that radiated to their back/pain was really bad/pain was terrible), MALAISE (do not feel good), ILLNESS (feel sick), CHEST PAIN (chest is hurting (feels like sore, like before going to get sick)) and IMPAIRED DRIVING ABILITY (could not drive) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 067F21A, 014M20A and 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Influenza: Flu vaccine in November 2021. Past adverse reactions to the above products included Injection site swelling with Flu vaccine. Concurrent medical conditions included Asthma (Severe asthma), Anxiety, ADHD and Acid reflux (esophageal). Concomitant products included LISDEXAMFETAMINE MESILATE (VYVANSE) for ADHD, PANTOPRAZOLE for Acid reflux (esophageal), BUSPIRONE for Anxiety, APIXABAN (ELIQUIS), FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR), ALBUTEROL [SALBUTAMOL] and LEVOTHYROXINE for an unknown indication.   On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced BACK PAIN (upper part of their back is really really painful/it is a 10 in the scale form 1 to 10, 10 being the highest pain/severe pain in the arm that radiated to their back/pain was really bad/pain was terrible), MALAISE (do not feel good), ILLNESS (feel sick), CHEST PAIN (chest is hurting (feels like sore, like before going to get sick)), IMPAIRED DRIVING ABILITY (could not drive), FEELING ABNORMAL (abnormal for them), EAR PAIN (their ear hurts), SINUS PAIN (sinuses hurt), VACCINATION SITE PAIN (severe pain in the arm that radiates to their back/pain was really bad/pain was terrible), VACCINATION SITE LYMPHADENOPATHY (lymph nodes have been visible swollen for 2 days) and VACCINATION SITE SWELLING (severe swelling of the armpit, same arm of the injection). At the time of the report, BACK PAIN (upper part of their back is really really painful/it is a 10 in the scale form 1 to 10, 10 being the highest pain/severe pain in the arm that radiated to their back/pain was really bad/pain was terrible), MALAISE (do not feel good), ILLNESS (feel sick), CHEST PAIN (chest is hurting (feels like sore, like before going to get sick)), IMPAIRED DRIVING ABILITY (could not drive), FEELING ABNORMAL (abnormal for them), EAR PAIN (their ear hurts), SINUS PAIN (sinuses hurt), VACCINATION SITE PAIN (severe pain in the arm that radiates to their back/pain was really bad/pain was terrible), VACCINATION SITE LYMPHADENOPATHY (lymph nodes have been visible swollen for 2 days) and VACCINATION SITE SWELLING (severe swelling of the armpit, same arm of the injection) had not resolved.            Patient had a history of gall bladder attack in January 2021 and in march 2021 and had a surgery to remove it. Also had diagnosed with a heart condition except for a murmur as a child that was never an issue for them as adults.  Concomitant medications also included Levothyroxine taken every morning, Eliquis was taken as blood thinner, Albuterol taken as nebulizer treatment if necessary and Budesonide Pulmicort as nebulizer treatment if necessary.  Treatment medication included Tylenol, hydrocodone and heat therapy.  Patient also Experienced itching at the injection site along with swelling after flu vaccine which was taken a week before booster dose.   This case was linked to MOD-2021-390775, MOD-2021-390768, MOD-2021-390775 (Patient Link).