Arm was sore and didn't move it; Was thirsty, dry, parched; Was thirsty, dry, parched; Sore arm/arm was sore; Just general malaise; Visual flashes; Laid me flat for a solid day, didn't feel horrid; This spontaneous case was reported by a patient and describes the occurrence of PHOTOPSIA (Visual flashes), HYPOKINESIA (Arm was sore and didn't move it), THIRST (Was thirsty, dry, parched), DRY MOUTH (Was thirsty, dry, parched) and BEDRIDDEN (Laid me flat for a solid day, didn't feel horrid) in a 58-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 1106771) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Patient not had COVID positive test or diagnosis.  Previously administered products included for Product used for unknown indication: Pfizer (Dose 1, Lot number: EW0150) on 31-Mar-2021, Pfizer (Dose 2 and Lot number: EW0172) on 21-Apr-2021. Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. Concurrent medical conditions included Hashimoto's thyroiditis, Allergy to antibiotic (Tetracycline), Drug allergy (Valium), Grass allergy, Allergy to molds, Allergy to animal dander and Food intolerance. Concomitant products included LEVOTHYROXINE for Hashimoto's thyroiditis, MULTIVITAMIN [VITAMINS NOS], FERROUS SULFATE, MAGNESIUM, ZINC and SELENIUM for an unknown indication.    On 18-Nov-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. On 20-Nov-2022, the patient experienced PHOTOPSIA (Visual flashes). On an unknown date, the patient experienced HYPOKINESIA (Arm was sore and didn't move it), THIRST (Was thirsty, dry, parched), DRY MOUTH (Was thirsty, dry, parched), BEDRIDDEN (Laid me flat for a solid day, didn't feel horrid), PAIN IN EXTREMITY (Sore arm/arm was sore) and MALAISE (Just general malaise). At the time of the report, PHOTOPSIA (Visual flashes), HYPOKINESIA (Arm was sore and didn't move it), THIRST (Was thirsty, dry, parched), DRY MOUTH (Was thirsty, dry, parched), PAIN IN EXTREMITY (Sore arm/arm was sore) and MALAISE (Just general malaise) had not resolved and BEDRIDDEN (Laid me flat for a solid day, didn't feel horrid) had resolved.            Concomitant medicine reported also included PMG for symptoms of thyroid disease.  Patient received third dose of Moderna COVID-19 Vaccine on 18-Nov-2021 and lot number provided as 034F21A. Patient received fourth dose of Moderna COVID-19 Vaccine on 21-Jun-2022 and lot number provided as 006M21A.  It was reported that Visuals Flashes started on Sunday, 20 Nov 2022 around 8-9pm and reaction to this vaccine was the most extreme, she slept, sore arm, arm was sore and didn't move it, she was thirsty, dry, parched, seemed like she did not have anything specific or horrid, just general malaise. Laid her flat for a solid day and she did not feel horrid.  Patient doesn't believe that visual changes is attributed to the vaccine.  Treatment information was not provided.   This case was linked to US-MODERNATX, INC.-MOD-2022-675825, US-MODERNATX, INC.-MOD-2022-675826 (Linked Report).   Reporter did not allow further contact; Sender's Comments:  US-MODERNATX, INC.-MOD-2022-675826: US-MODERNATX, INC.-MOD-2022-675825: