range of motion is limited at times; Lots of morning stiffness upon waking up; arm (right arm) continued to hurt  from shoulder down through my hand; Body Aches; extreme chills; right arm aches / arm (right arm) continued to hurt,My right arm aches even now as I am sending you this email. Can't stand for it to get cold, cold air causes it to ache worse; Limited movement; Flare in Sinuses; Asthma conditions; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (right arm aches / arm (right arm) continued to hurt,My right arm aches even now as I am sending you this email. Can't stand for it to get cold, cold air causes it to ache worse), MOBILITY DECREASED (Limited movement), SINUSITIS (Flare in Sinuses), ASTHMA (Asthma conditions) and JOINT RANGE OF MOTION DECREASED (range of motion is limited at times) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039A21A and 027A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Lymphedema (history of lymphedema in left arm which she was swelling & lumps under left arm for about 3 years.), Sinusitis (Flare in sinuses) and Asthma aggravated (Flare in asthma).   On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 30-Mar-2021, the patient experienced PAIN IN EXTREMITY (right arm aches / arm (right arm) continued to hurt,My right arm aches even now as I am sending you this email. Can't stand for it to get cold, cold air causes it to ache worse), MOBILITY DECREASED (Limited movement), SINUSITIS (Flare in Sinuses), ASTHMA (Asthma conditions), MUSCULOSKELETAL STIFFNESS (Lots of morning stiffness upon waking up), ARTHRALGIA (arm (right arm) continued to hurt  from shoulder down through my hand), MYALGIA (Body Aches) and CHILLS (extreme chills). On 30-Sep-2021, the patient experienced JOINT RANGE OF MOTION DECREASED (range of motion is limited at times). At the time of the report, PAIN IN EXTREMITY (right arm aches / arm (right arm) continued to hurt,My right arm aches even now as I am sending you this email. Can't stand for it to get cold, cold air causes it to ache worse) had not resolved, MOBILITY DECREASED (Limited movement), JOINT RANGE OF MOTION DECREASED (range of motion is limited at times), MUSCULOSKELETAL STIFFNESS (Lots of morning stiffness upon waking up), ARTHRALGIA (arm (right arm) continued to hurt  from shoulder down through my hand), MYALGIA (Body Aches) and CHILLS (extreme chills) outcome was unknown and SINUSITIS (Flare in Sinuses) and ASTHMA (Asthma conditions) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No Concomitant medications were provided Treatment medication were  not reported.   Most recent FOLLOW-UP information incorporated above includes: On 07-Oct-2021: Significant follow up received on 07-0ct-2021 and vaccine dose details, relevant history, Additional events updated.