She had a dizziness that lasted for approximately hours; she had a sore arm that lasted for a week each time she received a dose of the Moderna COVID-19 vaccine.; She had a fever, that lasted for approximately hours; She had a tiredness that lasted for approximately hours; She says that the tinnitus started after 4-5 days of receiving the 1st dose.; This spontaneous case was reported by a patient and describes the occurrence of TINNITUS (She says that the tinnitus started after 4-5 days of receiving the 1st dose.), DIZZINESS (She had a dizziness that lasted for approximately hours), PAIN IN EXTREMITY (she had a sore arm that lasted for a week each time she received a dose of the Moderna COVID-19 vaccine.), PYREXIA (She had a fever, that lasted for approximately hours) and FATIGUE (She had a tiredness that lasted for approximately hours) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027A21A, 048A21A, 017F21A and 054A22A) for COVID-19 prophylaxis.     It was reported that patient did not had any allergic condition and also No previous COVID-19 diagnosis.  The patient's past medical history included Tinnitus. Concurrent medical conditions included Thyroid disorder.   On 26-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In March 2021, the patient experienced TINNITUS (She says that the tinnitus started after 4-5 days of receiving the 1st dose.). On an unknown date, the patient experienced DIZZINESS (She had a dizziness that lasted for approximately hours), PAIN IN EXTREMITY (she had a sore arm that lasted for a week each time she received a dose of the Moderna COVID-19 vaccine.), PYREXIA (She had a fever, that lasted for approximately hours) and FATIGUE (She had a tiredness that lasted for approximately hours). At the time of the report, TINNITUS (She says that the tinnitus started after 4-5 days of receiving the 1st dose.) had not resolved and DIZZINESS (She had a dizziness that lasted for approximately hours), PAIN IN EXTREMITY (she had a sore arm that lasted for a week each time she received a dose of the Moderna COVID-19 vaccine.), PYREXIA (She had a fever, that lasted for approximately hours) and FATIGUE (She had a tiredness that lasted for approximately hours) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Negative.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication details not reported by the reporter. Treatment details was not reported by the reporter.   This case was linked to US-MODERNATX, INC.-MOD-2023-734041 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-734041:Bivalent case