Since that dose she had COVID with a fever and was in the hospital for 4 days; she has had pain which extends from behind her ear to her collar bone; She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up; She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Since that dose she had COVID with a fever and was in the hospital for 4 days) in a female patient of an unknown age who received SPIKEVAX NOS (SPIKEVAX NOS) (batch no. 2092Y) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Since that dose she had COVID with a fever and was in the hospital for 4 days) (seriousness criterion hospitalization), VACCINATION SITE JOINT PAIN (she has had pain which extends from behind her ear to her collar bone), CONDITION AGGRAVATED (She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up) and INSOMNIA (She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up). The patient was hospitalized for 4 days due to COVID-19. At the time of the report, COVID-19 (Since that dose she had COVID with a fever and was in the hospital for 4 days), VACCINATION SITE JOINT PAIN (she has had pain which extends from behind her ear to her collar bone) and CONDITION AGGRAVATED (She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up) had not resolved and INSOMNIA (She cannot sleep on the side with that, and the pain is worsened when she has to reach down and pick something up) outcome was unknown.        The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown.       Concomitant medication not reported.   The patient received a dose of COVID-19 vaccine on 17 NOV 2022 (lot number 2092Y). She was the last person to receive a shot at her assisted living facility. She felt the shot was given in her shoulder right next to the bone. 2 hours after receiving that shot, she had a fever which lasted 3-4 days. Following this she had pain which extends from behind her ear to her collar bone that hurst all the time. She was not able to sleep on the side with that pain, and the pain was worsened when she must reach down and pick something up. Since that dose she had COVID with a fever and was in the hospital for 4 days. She did not feel sick during that time but spent 1 month in a rehab facility after her hospital stay. She did not take medications of any time except for a twice daily pill from her doctor.  Treatment medication not reported. Company Comment: This is a spontaneous case concerning a female patient of an unknown age with  no reported medical history, who experienced the serious (due to hospitalization) unexpected, event of COVID-19, which occurred on an unknown date after a dose of SPIKEVAX NOS (SPIKEVAX NOS) vaccine. It was reported that since that dose she had COVID with a fever and was in the hospital for 4 days. She did not feel sick during that time but spent 1 month in a rehab facility after her hospital stay. She did not take medications of any time except for a twice daily pill from her doctor. The outcome of the event was reported as not recovered. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.