Upper back are very sore; Shoulders are very sore; Chills; Fever; Immediate pain on the arm that went up to the neck and across the back; Immediate pain on the arm that went up to the neck and across the back; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Immediate pain on the arm that went up to the neck and across the back), NECK PAIN (Immediate pain on the arm that went up to the neck and across the back), ARTHRALGIA (Shoulders are very sore), BACK PAIN (Upper back are very sore) and CHILLS (Chills) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A, 013M20A and 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Asthma, Fibromyalgia, Arthritis and Hives (breaks in hives in response to foods).   On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Sep-2021, the patient experienced PAIN IN EXTREMITY (Immediate pain on the arm that went up to the neck and across the back), NECK PAIN (Immediate pain on the arm that went up to the neck and across the back), CHILLS (Chills) and PYREXIA (Fever). On 03-Sep-2021, the patient experienced ARTHRALGIA (Shoulders are very sore) and BACK PAIN (Upper back are very sore). The patient was treated with CAMPHOR, EUCALYPTUS GLOBULUS OIL, MENTHOL (MENTHOLATUM [CAMPHOR;EUCALYPTUS GLOBULUS OIL;MENTHOL]) for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Immediate pain on the arm that went up to the neck and across the back), NECK PAIN (Immediate pain on the arm that went up to the neck and across the back), ARTHRALGIA (Shoulders are very sore), BACK PAIN (Upper back are very sore), CHILLS (Chills) and PYREXIA (Fever) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant product included unspecified inhaler.  Treatment information also included ice.  The patient reportedly stated that at a particular moment it got was very hard going in and had an immediate pain on the arm that went up to the neck and across the back. The patient said that on the morning of the call the shoulders and upper back were very sore. On 02-Sep-2021, during the night before the call had chills and fever of unknown how high over the night. She reported the morning of the call was still achy beside the prominent ache on the neck and back. She also felt like hell and that was an immediate strong painful response from the side moving to the shoulder and back on the upper back and across the back. It was super sore immediately; symptoms were still on going and it was also quizzy. The patient felt that vaccine markedly different from the first Moderna shot which felt like a huge hypodermic needle, it felt very rough.   This case was linked to MOD-2021-307238, MOD-2021-307220 (Patient Link).