cried out in pain; she did sleep a lot for the next three days; Abdominal pain/Extreme abdominal Pain; This spontaneous case was reported by a patient family member or friend and describes the occurrence of ABDOMINAL PAIN (Abdominal pain/Extreme abdominal Pain), PAIN (cried out in pain) and SOMNOLENCE (she did sleep a lot for the next three days) in a 91-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination.     The patient's past medical history included Aortic valve replacement on 11-Jun-2014. Concurrent medical conditions included Diabetic since 2011, Dementia (dramatic memory change after 4/04/2021) in December 2012, Congestive heart failure since 14-Oct-2011 and AFib since 03-Sep-2011. Concomitant products included OMEPRAZOLE SODIUM (OMEPRAZOLE [OMEPRAZOLE SODIUM]) from 01-Apr-2021 to an unknown date for Abdominal pain, DIGOXIN from 12-Jun-2017 to an unknown date for Atrial fibrillation, PARACETAMOL (TYLENOL REGULAR) for Back pain, METOPROLOL SUCCINATE from 28-Jun-2017 to an unknown date and DILTIAZEM HYDROCHLORIDE (DILTIAZEM HCL CD) from 21-Jul-2020 to an unknown date for Blood pressure, DONEPEZIL HCL from 22-Apr-2014 to an unknown date for Dementia, SITAGLIPTIN PHOSPHATE (JANUVIA) from 06-Oct-2018 to an unknown date for Diabetes, PRIMIDONE from 08-May-2012 to an unknown date for Tremor, NITROFURANTOIN from 08-Aug-2020 to an unknown date for UTI, TORSEMIDE from 07-Oct-2011 to an unknown date for Water retention, CENTRUM SILVER +50 from 11-Jul-2014 to an unknown date, CALCIUM CARBONATE, ERGOCALCIFEROL (OSCAL 500 + D) from 17-Jul-2014 to an unknown date and LEVOTHYROXINE SODIUM (SYNTHROID) from 12-Jun-2017 to an unknown date for an unknown indication.    On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced ABDOMINAL PAIN (Abdominal pain/Extreme abdominal Pain). On an unknown date, the patient experienced PAIN (cried out in pain) and SOMNOLENCE (she did sleep a lot for the next three days). The patient was treated with CALCIUM CARBONATE (TUMS [CALCIUM CARBONATE]) (oral) 05-Feb-2021 for Abdominal pain, at a dose of 1 dosage form. On 07-Feb-2021, ABDOMINAL PAIN (Abdominal pain/Extreme abdominal Pain) had resolved. At the time of the report, PAIN (cried out in pain) and SOMNOLENCE (she did sleep a lot for the next three days) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient contacted her primary doctor who performed UTI  testing and sugar levels.No issues were found. Concomitant medications included Digestive Probiotic given AM 1Pill Preventative help with Antibiotics Started 15 Aug 2020, and Diabetes Type dose Changed from 04 2021 to 2 pills per family doctor Started 06 0ct 2018   This case was linked to MOD-2021-262745 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Follow up report included reporters contact details On 21-Jul-2021: Follow-up information received on 21 Jul 2021 contains significant information. updated reporter information, added patient demographics, added medical history vascular dementia, AFIB, CHF,TAVR, diabetic. Added concomitants Omeprazole ,Centrum-50, Digoxin, Metoprolol, Oscal, Primidone, Tylenol, Donepezil Hcl, Diltiazem Hcl , nitrofurantoin , Januvia, . event abdominal pain stop dated updated 07 Feb 2021. Added events pain and sleepy.