throat hurts a little, nose felt dried up and was getting tight, felt like there was something in her; drenched in sweat; breathing was getting labored describing it as hard to get a full breath; low pulse ox; front and back of her hands were red; fever of 99.8°F; rash on face, neck and chest; arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site; arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site; arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site; chest felt tight and felt like she had to take a breath more than usual; arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site; Got cold; arm pain; flush; arm felt hot, burning at the injection site; over all not feeling well; chills; feverish; exhaustion; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Got cold), PAIN IN EXTREMITY (arm pain), FLUSHING (flush), INJECTION SITE WARMTH (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site) and CHEST DISCOMFORT (chest felt tight and felt like she had to take a breath more than usual) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Flushing and Rash peripheral (Rash of chest, neck, face and ears). Concurrent medical conditions included Drug allergy (Ceclor).    On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Mar-2021, the patient experienced NASOPHARYNGITIS (Got cold), PAIN IN EXTREMITY (arm pain), FLUSHING (flush), INJECTION SITE WARMTH (arm felt hot, burning at the injection site), MALAISE (over all not feeling well), FATIGUE (exhaustion), CHILLS (chills) and PYREXIA (feverish). On 30-Mar-2021, the patient experienced INJECTION SITE WARMTH (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), CHEST DISCOMFORT (chest felt tight and felt like she had to take a breath more than usual), PERIPHERAL SWELLING (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), RASH MACULAR (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site) and INJECTION SITE ERYTHEMA (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site). On 31-Mar-2021, the patient experienced HYPERHIDROSIS (drenched in sweat), DYSPNOEA (breathing was getting labored describing it as hard to get a full breath), HEART RATE DECREASED (low pulse ox), PYREXIA (fever of 99.8°F), RASH (rash on face, neck and chest) and ERYTHEMA (front and back of her hands were red). On 02-Apr-2021, the patient experienced OROPHARYNGEAL DISCOMFORT (throat hurts a little, nose felt dried up and was getting tight, felt like there was something in her). The patient was treated with PREDNISONE at a dose of 20 mg and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, NASOPHARYNGITIS (Got cold), PAIN IN EXTREMITY (arm pain), FLUSHING (flush), INJECTION SITE WARMTH (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), CHEST DISCOMFORT (chest felt tight and felt like she had to take a breath more than usual), PERIPHERAL SWELLING (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), HYPERHIDROSIS (drenched in sweat), DYSPNOEA (breathing was getting labored describing it as hard to get a full breath), HEART RATE DECREASED (low pulse ox), OROPHARYNGEAL DISCOMFORT (throat hurts a little, nose felt dried up and was getting tight, felt like there was something in her), RASH MACULAR (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), INJECTION SITE WARMTH (arm felt hot, burning at the injection site), MALAISE (over all not feeling well), FATIGUE (exhaustion), INJECTION SITE ERYTHEMA (arm was swollen, blotchy, bright red warm to the touch and hot at the vaccine site), CHILLS (chills), PYREXIA (fever of 99.8°F), RASH (rash on face, neck and chest), ERYTHEMA (front and back of her hands were red) and PYREXIA (feverish) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Mar-2021, Body temperature: 99.8 (Inconclusive) 99.8 F.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medications were not reported.