Muscle tightness; Hysterical behaviour; Getting worst after Bivalent Booster; She had a fever; Tired; Stiff muscles; not sleeping well because of the 5G tower on my building; Leg problem from walking too much; Pain / Hurts all over the body/ Aching; She says that she feels like "crap" today. She feels like she was in a minor car accident and is all roughed up, she feels more miserable with this one; Muscle weakness; This spontaneous case was reported by a patient and describes the occurrence of MUSCULOSKELETAL STIFFNESS (Stiff muscles), INSOMNIA (not sleeping well because of the 5G tower on my building), LIMB DISCOMFORT (Leg problem from walking too much), PAIN (Pain / Hurts all over the body/ Aching) and FEELING ABNORMAL (She says that she feels like "crap" today. She feels like she was in a minor car accident and is all roughed up, she feels more miserable with this one) in a 74-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 060F22A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Patient not had COVID + test or diagnosis and no other vaccines taken within 1 month prior to Moderna COVID-19 vaccine.  Concurrent medical conditions included Arthritis (15 years ago), Thyroid disorder NOS, Insomnia, Blood pressure abnormal and Allergy to chemicals NOS. Concomitant products included LISINOPRIL for Blood pressure management, GABAPENTIN and TRAZODONE for Insomnia.    On 23-Oct-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 23-Oct-2022, the patient experienced MUSCULOSKELETAL STIFFNESS (Stiff muscles), INSOMNIA (not sleeping well because of the 5G tower on my building), LIMB DISCOMFORT (Leg problem from walking too much), PAIN (Pain / Hurts all over the body/ Aching), FEELING ABNORMAL (She says that she feels like "crap" today. She feels like she was in a minor car accident and is all roughed up, she feels more miserable with this one), MUSCULAR WEAKNESS (Muscle weakness) and FATIGUE (Tired). On 24-Oct-2022, the patient experienced MUSCLE TIGHTNESS (Muscle tightness), AGGRESSION (Hysterical behaviour), IMMUNISATION REACTION (Getting worst after Bivalent Booster) and PYREXIA (She had a fever). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MUSCULOSKELETAL STIFFNESS (Stiff muscles), INSOMNIA (not sleeping well because of the 5G tower on my building), LIMB DISCOMFORT (Leg problem from walking too much), PAIN (Pain / Hurts all over the body/ Aching), FEELING ABNORMAL (She says that she feels like "crap" today. She feels like she was in a minor car accident and is all roughed up, she feels more miserable with this one), MUSCULAR WEAKNESS (Muscle weakness) and FATIGUE (Tired) had not resolved and MUSCLE TIGHTNESS (Muscle tightness), AGGRESSION (Hysterical behaviour), IMMUNISATION REACTION (Getting worst after Bivalent Booster) and PYREXIA (She had a fever) outcome was unknown.            Concomitant medication included thyroid medicine.  It was reported that patient felt crummy after all three Moderna vaccinations but felt better after 3 days each time. She said she was not sleeping well due to the 5G tower that had been built on top of her building. She repeated the theory behind 5G technology that causes cancer and sickness several times during the call. Patient was screaming and would like to know if she gets COVID from the vaccine. She reported that her arthritis was worsening due to a lot more walking than normal.    This case was linked to MOD-2022-663283 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-Oct-2022: Live follow-up received and added medical history,  new events and I-narrative updated.