left hand tingling, fingers tingling, maybe they hit a nerve, been going on for several months; experience pain in her upper arm above the injection site; pain then traveled to shoulder, pain in back of shoulder; pain in the upper arm where they gave shot/pain in the injection site/pain comes and goes, injection spot pain is always there/pain keeps me up at night/arm feels heavy/like lead.; my therapist told me I'm not the only one who has had the pain from the vaccine/hurts and hurts and hurts.; pain she has been experiencing in her shoulder and neck has gotten worse; This spontaneous case was reported by a patient and describes the occurrence of PAIN (my therapist told me I'm not the only one who has had the pain from the vaccine/hurts and hurts and hurts.), NECK PAIN (pain she has been experiencing in her shoulder and neck has gotten worse), PARAESTHESIA (left hand tingling, fingers tingling, maybe they hit a nerve, been going on for several months), PAIN IN EXTREMITY (experience pain in her upper arm above the injection site) and ARTHRALGIA (pain then traveled to shoulder, pain in back of shoulder) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Blood pressure abnormal and Blood cholesterol abnormal. Concomitant products included OLMESARTAN MEDOXOMIL (BENICAR) for Blood pressure, ATORVASTATIN for Cholesterol, VITAMINS NOS for an unknown indication.   On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 17-Mar-2021, the patient experienced PAIN (my therapist told me I'm not the only one who has had the pain from the vaccine/hurts and hurts and hurts.), NECK PAIN (pain she has been experiencing in her shoulder and neck has gotten worse), ARTHRALGIA (pain then traveled to shoulder, pain in back of shoulder) and VACCINATION SITE PAIN (pain in the upper arm where they gave shot/pain in the injection site/pain comes and goes, injection spot pain is always there/pain keeps me up at night/arm feels heavy/like lead.). 17-Mar-2021, the patient experienced PAIN IN EXTREMITY (experience pain in her upper arm above the injection site). On an unknown date, the patient experienced PARAESTHESIA (left hand tingling, fingers tingling, maybe they hit a nerve, been going on for several months). The patient was treated with GABAPENTIN at an unspecified dose and frequency; PARACETAMOL (TYLENOL [PARACETAMOL]) at an unspecified dose and frequency; NAPROXEN SODIUM (ALEVE) at an unspecified dose and frequency and Physical therapy for Vaccination site pain. At the time of the report, PAIN (my therapist told me I'm not the only one who has had the pain from the vaccine/hurts and hurts and hurts.), NECK PAIN (pain she has been experiencing in her shoulder and neck has gotten worse), PARAESTHESIA (left hand tingling, fingers tingling, maybe they hit a nerve, been going on for several months), PAIN IN EXTREMITY (experience pain in her upper arm above the injection site), ARTHRALGIA (pain then traveled to shoulder, pain in back of shoulder) and VACCINATION SITE PAIN (pain in the upper arm where they gave shot/pain in the injection site/pain comes and goes, injection spot pain is always there/pain keeps me up at night/arm feels heavy/like lead.) had not resolved.            The patient reported 2 weeks after receiving the 2nd dose of the Moderna vaccine, she started experiencing pain in the upper arm at the injection site. As time went on, she didn't do anything about the pain, and it got worse. She then started to experience pain in her upper arm above the injection site, and the pain traveled to her shoulder, back of the shoulder, and neck. This all happened over a matter of several months. She said that on a scale of 1-10, her pain would be a 10. She had been undergoing physical therapy to help with the pain. She also stated that nobody seems to know what has been going on with her. Her shoulder and neck had gotten worse and was scaring her. All the pain was in her right arm, where she received the injection. After the pain started, she started experiencing tingling in her left hand and fingers as well. The tingling was ongoing for several months as well. She stated that may be the vaccination provider hit a nerve while giving the injection, but she was not sure. She said that the physical therapy seems to help with the pain in the shoulder and neck, as well as the tingling in her left hand and fingers. She did not experience it all the time,  the pain came and went. However, the injection site pain was there no matter how much therapy she got and no matter what she was doing. Also stated that she was watching tv and the pain was just there. It kept getting worse. The pain also kept her up at night. She had a hard time reaching into the cupboard and doing her hair. She said that her arm felt heavy, like lead.   Most recent FOLLOW-UP information incorporated above includes: On 02-Dec-2021: Significant follow up. Updated Product (Dose information),  Events(added events neck pain, shoulder pain, Paresthesia upper limb) and Narrative.