upper back pain continued down arm near left shoulder blade; arthritis; pinched nerve; fingertips were asleep not numb but prickly; myalgia; pain in upper left shoulder blade radiating down to wrist; sore arm at injection site; Chills; Flu like- sympptom; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu like- sympptom), PAIN (pain in upper left shoulder blade radiating down to wrist), BACK PAIN (upper back pain continued down arm near left shoulder blade), ARTHRITIS (arthritis) and NERVE COMPRESSION (pinched nerve) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 014M20A and 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included pacemaker installed on 13-Apr-2011 and Pacemaker battery replacement on 20-Jan-2020. Previously administered products included for Osteoporosis: prolia on 10-Dec-2020. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), SIMVASTATIN, EZETIMIBE, ZOLPIDEM TARTRATE, MAGNESIUM, UBIDECARENONE (COQ10 [UBIDECARENONE]), VITAMIN D [VITAMIN D NOS] and IPRATROPIUM BROMIDE for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 26-Feb-2021, the patient experienced INFLUENZA LIKE ILLNESS (Flu like- sympptom). 26-Feb-2021, the patient experienced CHILLS (Chills). On 27-Feb-2021, the patient experienced INJECTION SITE PAIN (sore arm at injection site). On 04-Mar-2021, the patient experienced PAIN (pain in upper left shoulder blade radiating down to wrist). On 17-Mar-2021, the patient experienced MYALGIA (myalgia). On an unknown date, the patient experienced BACK PAIN (upper back pain continued down arm near left shoulder blade), ARTHRITIS (arthritis), NERVE COMPRESSION (pinched nerve) and PARAESTHESIA (fingertips were asleep not numb but prickly). The patient was treated with CURCUMA LONGA (TURMERIC [CURCUMA LONGA]) ongoing since an unknown date at a dose of 1 dosage form; CORTISONE at a dose of 1 dosage form and LIDOCAINE at a dose of 1 dosage form. At the time of the report, INFLUENZA LIKE ILLNESS (Flu like- sympptom), PAIN (pain in upper left shoulder blade radiating down to wrist), BACK PAIN (upper back pain continued down arm near left shoulder blade), MYALGIA (myalgia), INJECTION SITE PAIN (sore arm at injection site) and CHILLS (Chills) was resolving and ARTHRITIS (arthritis), NERVE COMPRESSION (pinched nerve) and PARAESTHESIA (fingertips were asleep not numb but prickly) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, X-ray: (Inconclusive) It showed arthritis.         Action taken with mRNA-1273 in response to the events was not applicable.  The patient states that the reaction can be because of the prolia shot  The patient had appointment with a rheumatologist on 17-May-2021   This case was linked to MOD-2021-046433 (Patient Link).