Red dots on the top and bottom of his tongue; red round, blotchy dots the size of a large pin-head on random places on his body/his forehead and looked as if bleeding; every single shot, he had a sore arm for 3 days; This spontaneous case was reported by a patient and describes the occurrence of TONGUE ERYTHEMA (Red dots on the top and bottom of his tongue), PAIN IN EXTREMITY (every single shot, he had a sore arm for 3 days) and RASH MACULAR (red round, blotchy dots the size of a large pin-head on random places on his body/his forehead and looked as if bleeding) in a 70-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7144B) for COVID-19 prophylaxis.     Concurrent medical conditions included Blood pressure. Concomitant products included METOPROLOL and LOSARTAN for Blood pressure high, SERTRALINE HYDROCHLORIDE (ZOLOFT), BUSPIRONE HYDROCHLORIDE (BUSPAR), CLONAZEPAM, RABEPRAZOLE SODIUM (ACIPHEX), TAMSULOSIN HYDROCHLORIDE (FLOMAX RELIEF), CABERGOLINE, SILDENAFIL CITRATE (VIAGRA) and FLUTICASONE PROPIONATE (FLONASE [FLUTICASONE PROPIONATE]) for an unknown indication.    On 08-Sep-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 an unknown date, the patient experienced TONGUE ERYTHEMA (Red dots on the top and bottom of his tongue), PAIN IN EXTREMITY (every single shot, he had a sore arm for 3 days) and RASH MACULAR (red round, blotchy dots the size of a large pin-head on random places on his body/his forehead and looked as if bleeding). At the time of the report, TONGUE ERYTHEMA (Red dots on the top and bottom of his tongue) and RASH MACULAR (red round, blotchy dots the size of a large pin-head on random places on his body/his forehead and looked as if bleeding) outcome was unknown and PAIN IN EXTREMITY (every single shot, he had a sore arm for 3 days) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Nov-2022, Blood pressure measurement: 190/100 mmHg. On an unknown date, Heart rate: 50.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular), the reporter did not provide any causality assessments.   It was reported that after Dose 5 patient went to a dentist on 9FEB2023. The dentist noted red dots on the top and bottom of patient's tongue. However, the patient does not remember after which shot, but he had red round, blotchy dots the size of a large pinhead on random places on his body. On the day of report it was on his forehead and looked as if bleeding. Patient further reported that the red dots come and go, and they are usually under the skin.  Patient's high blood pressure was controlled by medications. Amlodipine was added 6 weeks ago. A week after Metoprolol was discontinued because of low heart rate and his blood pressure was a little off on 26NOV2022 and ER doctor added Amlodipine.  Patient was enquiring that if anyone else experienced these reactions.   Treatment medication information was not provided.   This case was linked to MOD-2021-377198 (Patient Link).