symptoms of tinnitus, dizziness, ear pressure and sensitivity to noise were becoming worse; permanent left vestibular nerve damage/ dormant virus in my body that had been reactivated and then attacked that nerve; Intense dizziness; Feeling of pressure and increased sensitivity to loud noises/Noise sensitivity; Feeling pressure in both ears; Buzzing sound in the ear/Tinnitus in both ears; Sore throat; Posterior neck soreness; Myalgia; Headache; Chills; This spontaneous case was reported by a nurse and describes the occurrence of TINNITUS (Buzzing sound in the ear/Tinnitus in both ears), DIZZINESS (Intense dizziness), OVERSENSING (Feeling of pressure and increased sensitivity to loud noises/Noise sensitivity), EAR DISCOMFORT (Feeling pressure in both ears) and OROPHARYNGEAL PAIN (Sore throat) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 043L20A and 025J20-2A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Benign paroxysmal positional vertigo (episode of spinning feeling from an episode of BPPV) in September 2017. Concomitant products included IBUPROFEN and MULTIVITAMIN [VITAMINS NOS] for an unknown indication.   On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021 at 12:00 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat), NECK PAIN (Posterior neck soreness), MYALGIA (Myalgia), HEADACHE (Headache) and CHILLS (Chills). On 03-Feb-2021 at 5:00 PM, the patient experienced TINNITUS (Buzzing sound in the ear/Tinnitus in both ears). On 09-Feb-2021, the patient experienced DIZZINESS (Intense dizziness), OVERSENSING (Feeling of pressure and increased sensitivity to loud noises/Noise sensitivity) and EAR DISCOMFORT (Feeling pressure in both ears). On 03-May-2021, the patient experienced VIIITH NERVE INJURY (permanent left vestibular nerve damage/ dormant virus in my body that had been reactivated and then attacked that nerve). On an unknown date, the patient experienced CONDITION AGGRAVATED (symptoms of tinnitus, dizziness, ear pressure and sensitivity to noise were becoming worse). The patient was treated with METHYLPREDNISOLONE (oral) for Sensation of pressure in ear, at a dose of 1 dosage form; Physical therapy (Vestibular therapy) for Dizziness and Physical therapy (Vestibular therapy) for VIIIth nerve injury. On 04-Feb-2021, OROPHARYNGEAL PAIN (Sore throat), NECK PAIN (Posterior neck soreness), MYALGIA (Myalgia) and HEADACHE (Headache) had resolved. At the time of the report, TINNITUS (Buzzing sound in the ear/Tinnitus in both ears), DIZZINESS (Intense dizziness), OVERSENSING (Feeling of pressure and increased sensitivity to loud noises/Noise sensitivity) and EAR DISCOMFORT (Feeling pressure in both ears) had not resolved and VIIITH NERVE INJURY (permanent left vestibular nerve damage/ dormant virus in my body that had been reactivated and then attacked that nerve), CONDITION AGGRAVATED (symptoms of tinnitus, dizziness, ear pressure and sensitivity to noise were becoming worse) and CHILLS (Chills) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-May-2021, Electronystagmogram: abnormal (abnormal) vestibularnystagmography: diagnosis of permanent left vestibular nerve damage, which the patient was informed may be the result of a dormant virus in her body that had been reactivated and then had attacked that nerve..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered TINNITUS (Buzzing sound in the ear/Tinnitus in both ears), DIZZINESS (Intense dizziness), OVERSENSING (Feeling of pressure and increased sensitivity to loud noises/Noise sensitivity), EAR DISCOMFORT (Feeling pressure in both ears), VIIITH NERVE INJURY (permanent left vestibular nerve damage/ dormant virus in my body that had been reactivated and then attacked that nerve) and CONDITION AGGRAVATED (symptoms of tinnitus, dizziness, ear pressure and sensitivity to noise were becoming worse) to be related. No further causality assessments were provided for OROPHARYNGEAL PAIN (Sore throat), NECK PAIN (Posterior neck soreness), MYALGIA (Myalgia), HEADACHE (Headache) and CHILLS (Chills).    No treatment medications were reported.   This case was linked to MOD-2021-250250 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 06-Jul-2021: Updated reporter details, patient medical history, laboratory data, concomitant medications, treatment medication, events, outcome and causality.