sting; Tingling in back of neck, aching, couldn't rest; Burning up then feeling so cold, really cold; Afraid to take a bath ,afraid to fall/Every time I tried to get up I staggered, almost fell several times trying to find winter clothes; Felt very concerned, almost called 911; injection arm was real bad, swollen; Saturday morning felt the muscle was just twisted; itch; I have felt sick 2 more times after I reported to you/too sick/madly sick; Event description: 8 hours after the second dose felt very bad at night, so sick I couldn't sleep that night/ 14 hours no sleep; 48 hours after the second shot a cone of redness came up/red; feel something where needle was injected It's interfering with me; Itching and hurting at injection site; Hurting at injection site/painful; Headache; fever,have had fever some more since I talk to them/fever; muscle still hurts; Chills; Neck ache; sore arm/Arm is hurting ever since I got the shot/arm is still hurting and it has been over a month/does not hurt the same all the time/without doing anything it start hurting; loss of appetite/Didn't feel like eating anything; Second shot made me very sick; Flu like symptoms; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (Neck ache), PAIN IN EXTREMITY (sore arm/Arm is hurting ever since I got the shot/arm is still hurting and it has been over a month/does not hurt the same all the time/without doing anything it start hurting), DECREASED APPETITE (loss of appetite/Didn't feel like eating anything), MALAISE (Second shot made me very sick) and INFLUENZA LIKE ILLNESS (Flu like symptoms) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009021A and 026B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Syndrome Sjogren's. Concomitant products included LEVOTHYROXINE, ALENDRONATE SODIUM (ALENDRONATE), LORAZEPAM, ESTRADIOL, AMLODIPINE and MULTIVITAMINS [VITAMINS NOS] for an unknown indication.   On 25-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Jul-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INFLUENZA LIKE ILLNESS (Flu like symptoms). On an unknown date, the patient experienced NECK PAIN (Neck ache), PAIN IN EXTREMITY (sore arm/Arm is hurting ever since I got the shot/arm is still hurting and it has been over a month/does not hurt the same all the time/without doing anything it start hurting), DECREASED APPETITE (loss of appetite/Didn't feel like eating anything), MALAISE (Second shot made me very sick), ARTHROPOD STING (sting), PARAESTHESIA (Tingling in back of neck, aching, couldn't rest), FEELING COLD (Burning up then feeling so cold, really cold), FEAR OF FALLING (Afraid to take a bath ,afraid to fall/Every time I tried to get up I staggered, almost fell several times trying to find winter clothes), FEELING ABNORMAL (Felt very concerned, almost called 911), PERIPHERAL SWELLING (injection arm was real bad, swollen), MUSCLE TWITCHING (Saturday morning felt the muscle was just twisted), PRURITUS (itch), ILLNESS (I have felt sick 2 more times after I reported to you/too sick/madly sick), INSOMNIA (Event description: 8 hours after the second dose felt very bad at night, so sick I couldn't sleep that night/ 14 hours no sleep), ERYTHEMA (48 hours after the second shot a cone of redness came up/red), VACCINATION SITE REACTION (feel something where needle was injected It's interfering with me), VACCINATION SITE PRURITUS (Itching and hurting at injection site), VACCINATION SITE PAIN (Hurting at injection site/painful), HEADACHE (Headache), PYREXIA (fever,have had fever some more since I talk to them/fever), MYALGIA (muscle still hurts) and CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency; ACETYLSALICYLIC ACID (ALKA SELTZER PLUS [ACETYLSALICYLIC ACID]) for Adverse event, at an unspecified dose and frequency; BENZOCAINE (DERMOPLAST [BENZOCAINE]) for Adverse event, at an unspecified dose and frequency and GLUCOSE OXIDASE, LACTOPEROXIDASE (BIOTENE [GLUCOSE OXIDASE;LACTOPEROXIDASE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, NECK PAIN (Neck ache), DECREASED APPETITE (loss of appetite/Didn't feel like eating anything), MALAISE (Second shot made me very sick), INFLUENZA LIKE ILLNESS (Flu like symptoms), ARTHROPOD STING (sting), PARAESTHESIA (Tingling in back of neck, aching, couldn't rest), FEELING COLD (Burning up then feeling so cold, really cold), FEAR OF FALLING (Afraid to take a bath ,afraid to fall/Every time I tried to get up I staggered, almost fell several times trying to find winter clothes), FEELING ABNORMAL (Felt very concerned, almost called 911), PERIPHERAL SWELLING (injection arm was real bad, swollen), MUSCLE TWITCHING (Saturday morning felt the muscle was just twisted), PRURITUS (itch), ILLNESS (I have felt sick 2 more times after I reported to you/too sick/madly sick), INSOMNIA (Event description: 8 hours after the second dose felt very bad at night, so sick I couldn't sleep that night/ 14 hours no sleep), ERYTHEMA (48 hours after the second shot a cone of redness came up/red), VACCINATION SITE REACTION (feel something where needle was injected It's interfering with me), VACCINATION SITE PRURITUS (Itching and hurting at injection site), VACCINATION SITE PAIN (Hurting at injection site/painful), HEADACHE (Headache), PYREXIA (fever,have had fever some more since I talk to them/fever), MYALGIA (muscle still hurts) and CHILLS (Chills) outcome was unknown and PAIN IN EXTREMITY (sore arm/Arm is hurting ever since I got the shot/arm is still hurting and it has been over a month/does not hurt the same all the time/without doing anything it start hurting) had not resolved.            Most recent FOLLOW-UP information incorporated above includes: On 04-Aug-2021: Follow up received and New Events (Illness, Muscle twitching) added. Corresponding fields and narrative were updated. On 27-Aug-2021: Added New events and the outcome of the event- Pain in extremity updated.