beyond hurt for 3 days; couldn't sleep; itchy It was on the left arm where she got the shot; The patient reports having rash ,It was on the left arm where she got the shot; bright bright red ,  It was on the left arm where she got the shot; swollen . It was on the left arm where she got the shot , large, 4 inches by 4 inches , It was a 4 inch circle around it; tired for the first three days after the shot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (beyond hurt for 3 days), INSOMNIA (couldn't sleep), VACCINATION SITE PRURITUS (itchy It was on the left arm where she got the shot), VACCINATION SITE RASH (The patient reports having rash ,It was on the left arm where she got the shot) and VACCINATION SITE ERYTHEMA (bright bright red ,  It was on the left arm where she got the shot) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Myalgic encephalomyelitis (since she was 25 years old,did not flare after the Moderna doses).    On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In March 2021, the patient experienced PAIN (beyond hurt for 3 days), INSOMNIA (couldn't sleep), VACCINATION SITE PRURITUS (itchy It was on the left arm where she got the shot), VACCINATION SITE RASH (The patient reports having rash ,It was on the left arm where she got the shot), VACCINATION SITE ERYTHEMA (bright bright red ,  It was on the left arm where she got the shot), VACCINATION SITE SWELLING (swollen . It was on the left arm where she got the shot , large, 4 inches by 4 inches , It was a 4 inch circle around it) and FATIGUE (tired for the first three days after the shot). At the time of the report, PAIN (beyond hurt for 3 days), INSOMNIA (couldn't sleep), VACCINATION SITE PRURITUS (itchy It was on the left arm where she got the shot), VACCINATION SITE RASH (The patient reports having rash ,It was on the left arm where she got the shot), VACCINATION SITE ERYTHEMA (bright bright red ,  It was on the left arm where she got the shot), VACCINATION SITE SWELLING (swollen . It was on the left arm where she got the shot , large, 4 inches by 4 inches , It was a 4 inch circle around it) and FATIGUE (tired for the first three days after the shot) outcome was unknown.        mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged.       No Concomitant product use was reported.  The patient reported having rash. It was itchy and large, 4 inches by 4 inches. It was bright bright red and swollen and itchy itchy itchy. It was on the left arm where the patient got the shot. It was a 4 inch circle around it. The patient couldn't sleep, and the patient tried not to scratch it. Reportedly, it happened 8 days later after the first shot. It was also reported that the patient was also beyond hurt and tired for the first three days after the shot. The patient stated that it was some kind of delayed reaction and the patient felt like a mac truck hit the patient.   The patient had a medical history of myalgic encephalomyelitis (chronic fatigue syndrome).  The patient never ever had COVID + test or diagnosis. The patient had no other vaccines given within 1 month prior to Moderna COVID-19 vaccine. The patient's AE didn't cause the patient to seek medical care (office visit, Urgent care, ER, hospitalized) and the patient had not experienced a similar event in the past.  The patient also mentioned that people (the patient's acquaintances, neighbors, friends, and other people they knows) who got the Moderna vaccine got more side effects than the people who got the Pfizer.   No treatment information was provided.   This case was linked to MOD-2022-532806, MOD-2022-532815 (Patient Link).   Reporter did not allow further contact