she felt soreness in the arm; she felt dizzy and light headedness within about 5 minutes after getting the vaccine; she felt little bit more uncomfortable that with previous doses; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (she felt little bit more uncomfortable that with previous doses), PAIN IN EXTREMITY (she felt soreness in the arm) and DIZZINESS (she felt dizzy and light headedness within about 5 minutes after getting the vaccine) in a 71-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch nos. AS7643E and 053D22A) for COVID-19 prophylaxis.     The patient's past medical history included Lip swelling (her lips and tongue swell.) and Swelling of tongue (her lips and tongue swell.). Concurrent medical conditions included Allergy to animal dander (Allergic to cat dander), Latex allergy (oak trees latex), Grass allergy, Ragweed allergy, Allergy to animal dander (horses dander), Allergic to dogs, Environmental allergy, Lactose intolerance (cannot digest lactose), Fruit allergy (bananas), Rubber sensitivity (certain plants related to natural rubber plant), Fruit allergy (avocado), Fruit allergy (kiwi) and Spice allergy (cinnamon).   On 08-Oct-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 09-Aug-2023, received sixth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) dosage was changed to 1 dosage form. In October 2022, the patient experienced MALAISE (she felt little bit more uncomfortable that with previous doses). On 09-Aug-2023,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced PAIN IN EXTREMITY (she felt soreness in the arm) and DIZZINESS (she felt dizzy and light headedness within about 5 minutes after getting the vaccine). In October 2022, MALAISE (she felt little bit more uncomfortable that with previous doses) had resolved. On 09-Aug-2023, PAIN IN EXTREMITY (she felt soreness in the arm) and DIZZINESS (she felt dizzy and light headedness within about 5 minutes after getting the vaccine) had resolved.            The patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine.  After the 1st bivalent dose, the patient felt little bit more uncomfortable that with previous doses, but it was not immediately after the injection, took a nap and next day the patient had no problem. With the last dose it was a bit stronger, the patient felt soreness in the arm, felt dizzy and light headedness within about 5 minutes after getting the vaccine, then went back to the store were the patient was vaccinated, the vaccination provider gave her water to drink, it happened maybe because it was hot outside, the patient sit during 15 or 20 minutes in observation in case she needed further help, but did not need paramedics help and then was able to drive home and took a nap, and was fine. It was not a major concern and she only had mild symptoms in general for each vaccine.   This case was linked to MOD-2023-747701 (Patient Link).   Reporter did not allow further contact