sore throat; arm was pretty sore; chills; fever of 101.7°F; headache; This spontaneous case was reported by a patient and describes the occurrence of OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (arm was pretty sore), CHILLS (chills), PYREXIA (fever of 101.7°F) and HEADACHE (headache) in a 66-year-old male patient who received mRNA-1273 BIVALENT (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7144B) for COVID-19 vaccination.     The patient's past medical history included COVID-19 (he was hospitalized) in March 2020, Hospitalization (due to COVID-19) in 2020, Meralgia paresthetica in 2014, Aortic valve insufficiency in 2018, Obstructive sleep apnoea syndrome (before COVID) and Cardiac catheterization. Concurrent medical conditions included Allergy to chemicals (Allergy to contrast dyes), Allergy to intravenous contrast media (Allergy to kidney IVP), Allergy to antibiotic (Allergy to Levaquin), Allergy to antibiotic (Allergy to Tetracycline), Seafood allergy (Allergy to certain sea food), Allergic reaction to bee sting (Allergy to bee stings), Fruit allergy (Allergy to certain melons), Restrictive pulmonary disease (Moderate restrictive lung disorder post COVID-19 sometimes worse because had periodic episodes) since 2020, Disease obstructive lung (post COVID-19, sometimes worse because he had periodic episodes) since 2020, Ankylosing spondylitis (Recent change in status such as improvement or worsening: improving) since 2016, Asthma (moderate persistent without complications, since 30 years ago, worse), Supraventricular tachycardia (aggravated with COVID but currently improving) since 2012, Sensory polyneuropathy (post COVID, still symptoms from this) since 2020, Neuropathy (occipital neuropathy, caused by COVID, still symptoms) since 2020, Hypothyroidism since 2014 and Chronic cough (after COVID, still symptoms) since 2020. Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR), TIOTROPIUM BROMIDE (SPIRIVA [TIOTROPIUM BROMIDE]), ALBUTEROL [SALBUTAMOL], LEVOTHYROXINE, POTASSIUM CITRATE, ACETYLSALICYLIC ACID (ASPIRINE), FUROSEMIDE, MAGNESIUM GLUCONATE, VERAPAMIL, VITAMIN D [VITAMIN D NOS], ATORVASTATIN, OXYGEN and IPRATROPIUM BROMIDE for an unknown indication.    On 09-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 09-Sep-2022, the patient experienced OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (arm was pretty sore), CHILLS (chills), PYREXIA (fever of 101.7°F) and HEADACHE (headache). On 10-Sep-2022, OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (arm was pretty sore), CHILLS (chills), PYREXIA (fever of 101.7°F) and HEADACHE (headache) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101.7°F.         In 17 or 18-February-2021, the patient received first dose of MODERNA COVID-19 VACCINE, (Intramuscular) 1 dosage form. On 17-Mar-2021, received second dose of MODERNA COVID-19 VACCINE, (unknown route) dosage was changed to 1 dosage form with the batch no 044A21A and Expiration date as 31-Aug-2021. On 04-Nov-2021, received third dose, 1st booster dose of MODERNA COVID-19 VACCINE,(unknown route) dosage was changed to 1 dosage form with the batch no 019F21A and Expiration date as20-Jan-2022. On 11-Apr-2022, received fourth dose of MODERNA COVID-19 VACCINE,(unknown route) dosage was changed to 1 dosage form  with the batch no 028K21A.  No treatment was given for symptoms.   This case was linked to MOD-2021-045362 (Patient Link).