breathing issues; experiencing extreme tiredness; Her chest is kind of tight; Yesterday her whole face broke out in the same rash and it's stronger today; Her hair started falling out,She washed her hair last night and it came out in clumps; had a rash on her right arm which was pretty severe,it was massive and covered the whole side of her arm,her whole face broke out in the same rash; been having severe insomnia starting a week after vaccination and it has been getting worse; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Her hair started falling out,She washed her hair last night and it came out in clumps), INSOMNIA (been having severe insomnia starting a week after vaccination and it has been getting worse), CHEST DISCOMFORT (Her chest is kind of tight), DYSPNOEA (breathing issues) and RASH (Yesterday her whole face broke out in the same rash and it's stronger today) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Stroke (Prior to vaccination, patient has been sleeping all the time after the stroke.).    On 16-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In August 2021, the patient experienced INSOMNIA (been having severe insomnia starting a week after vaccination and it has been getting worse). On 24-Aug-2021, the patient experienced RASH (had a rash on her right arm which was pretty severe,it was massive and covered the whole side of her arm,her whole face broke out in the same rash). On 08-Sep-2021, the patient experienced ALOPECIA (Her hair started falling out,She washed her hair last night and it came out in clumps). On 14-Sep-2021, the patient experienced RASH (Yesterday her whole face broke out in the same rash and it's stronger today). On 15-Sep-2021, the patient experienced CHEST DISCOMFORT (Her chest is kind of tight). On an unknown date, the patient experienced DYSPNOEA (breathing issues) and FATIGUE (experiencing extreme tiredness). On 29-Aug-2021, RASH (had a rash on her right arm which was pretty severe,it was massive and covered the whole side of her arm,her whole face broke out in the same rash) had resolved. At the time of the report, ALOPECIA (Her hair started falling out,She washed her hair last night and it came out in clumps), INSOMNIA (been having severe insomnia starting a week after vaccination and it has been getting worse), RASH (Yesterday her whole face broke out in the same rash and it's stronger today) and FATIGUE (experiencing extreme tiredness) had not resolved and CHEST DISCOMFORT (Her chest is kind of tight) and DYSPNOEA (breathing issues) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       No concomitant medication details was reported. No treatment medication details was reported.  Patient might probably taken Benadryl. Patient is scheduled to get her second dose on Friday 17-SEP-2021.   Most recent FOLLOW-UP information incorporated above includes: On 15-Sep-2021: Additional document received on 15-SEP-2021. Processed as initial as per the instructions. Event breathing issues is added.