soreness; COVID-19; This spontaneous case was reported by a patient family member or friend and describes the occurrence of COVID-19 (COVID-19) and PAIN (soreness) in a 92-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.     Patient have none allergies (medications, food and other products).  Previously administered products included for Drug use for unknown indication: Flu shot (Flu vaccine given within 1 month to Moderna COVID-19 vaccine.). Past adverse reactions to the above products included No adverse event with Flu shot. Concurrent medical conditions included Blood pressure high (No change in status such as improvement or worsening), Cholesterol (No change in status such as improvement or worsening) and Thyroid disorder (No change in status such as improvement or worsening).   On an unknown date, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form, second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form and first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jul-2022, the patient experienced COVID-19 (COVID-19). On an unknown date, the patient experienced PAIN (soreness). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) for COVID-19 treatment, at an unspecified dose and frequency; VITAMIN C [ASCORBIC ACID] for COVID-19 treatment, at an unspecified dose and frequency; VITAMIN D NOS for COVID-19 treatment, at an unspecified dose and frequency; GUAIFENESIN (MUCINEX) for COVID-19 treatment, at an unspecified dose and frequency and ZINC for COVID-19 treatment, at an unspecified dose and frequency. At the time of the report, COVID-19 (COVID-19) and PAIN (soreness) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jul-2022, SARS-CoV-2 test: Positive.         Concomitant medicine includes regular medications for high blood pressure, cholesterol and thyroid issues.  It was reported as patient did not experienced any similar event in the past and adverse event caused patient to call a doctor.  Treatment given for COVID symptoms also include Turmeric, Robitussin and nasal spray.  Company comment: This spontaneous case concerns a male patient aged 92 years with no relevant medical history reported, who experienced the unexpected non serious of Covid 19 that occurred after fourth dose of mRNA-1273 vaccination in covid-19 vaccination series. Latency cannot be assessed since vaccination date was not disclosed. Patient had received 1st, 2nd, 1st booster and 2nd booster shot of Moderna COVID-19 Vaccine on unknown dates and had experienced soreness after all vaccines for few days. Patient got COVID-19 on 05-JUL-2022. No further lab details noted. Patient called the doctor and was treated for covid symptoms with Paxlovid, Turmeric, Vitamin C, Vitamin D, nasal spray, Mucinex, Robitussin and Zinc. Outcome of the event Covid 19 was resolved at the time of report. The current pandemic situation of COVID 19 may remain as confounder to the event Covid-19. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement.   This case was linked to MOD-2022-606919 (Patient Link).   Reporter did not allow further contact; Sender's Comments: This spontaneous case concerns a male patient aged 92 years with no relevant medical history reported, who experienced the unexpected non serious of Covid 19 that occurred after fourth dose of mRNA-1273 vaccination in covid-19 vaccination series. Latency cannot be assessed since vaccination date was not disclosed. Patient had received 1st, 2nd, 1st booster and 2nd booster shot of Moderna COVID-19 Vaccine on unknown dates and had experienced soreness after all vaccines for few days. Patient got COVID-19 on 05-JUL-2022. No further lab details noted. Patient called the doctor and was treated for covid symptoms with Paxlovid, Turmeric, Vitamin C, Vitamin D, nasal spray, Mucinex, Robitussin and Zinc. Outcome of the event Covid 19 was resolved at the time of report. The current pandemic situation of COVID 19 may remain as confounder to the event Covid-19. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement.