she had some side effects with redness, tenderness, and her arm being hot to the touch; she had some side effects with redness, tenderness, and her arm being hot to the touch; she had some side effects with redness, tenderness, and her arm being hot to the touch / has a little puffiness around the lymph nodes around the shot; she had some side effects with redness, tenderness, and her arm being hot to the touch; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (she had some side effects with redness, tenderness, and her arm being hot to the touch), VACCINATION SITE PAIN (she had some side effects with redness, tenderness, and her arm being hot to the touch), VACCINATION SITE SWELLING (she had some side effects with redness, tenderness, and her arm being hot to the touch / has a little puffiness around the lymph nodes around the shot) and VACCINATION SITE WARMTH (she had some side effects with redness, tenderness, and her arm being hot to the touch) in a female patient of an unknown age who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (batch no. 205F232A) for COVID-19 prophylaxis.     The patient's past medical history included Hip replacement (Hx of hip replacement.). Concurrent medical conditions included Multiple myeloma (Hx of multiple myeloma.). Concomitant products included PARACETAMOL (TYLENOL) for an unknown indication.    On 03-Oct-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (she had some side effects with redness, tenderness, and her arm being hot to the touch), VACCINATION SITE PAIN (she had some side effects with redness, tenderness, and her arm being hot to the touch), VACCINATION SITE SWELLING (she had some side effects with redness, tenderness, and her arm being hot to the touch / has a little puffiness around the lymph nodes around the shot) and VACCINATION SITE WARMTH (she had some side effects with redness, tenderness, and her arm being hot to the touch). At the time of the report, VACCINATION SITE ERYTHEMA (she had some side effects with redness, tenderness, and her arm being hot to the touch), VACCINATION SITE PAIN (she had some side effects with redness, tenderness, and her arm being hot to the touch) and VACCINATION SITE SWELLING (she had some side effects with redness, tenderness, and her arm being hot to the touch / has a little puffiness around the lymph nodes around the shot) had not resolved and VACCINATION SITE WARMTH (she had some side effects with redness, tenderness, and her arm being hot to the touch) outcome was unknown.        The action taken with mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (Unknown) was unknown.   For mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (Unknown), the reporter did not provide any causality assessments.   She had taken at least 4 Moderna COVID-19 vaccines prior to that week.  She then took Spikevax on 4OCT2023. Since then she had some side effects with redness, tenderness, and her arm being hot to the touch. It was red, swelling, and had a little puffiness around the lymph nodes around the shot. Arm was a little distorted on the inside. That was for her left arm, the same arm where she received the vaccine. Her symptoms are all occurring in that arm above the elbow.  She took Tylenol of extra strength.  She had talked to oncologist who recommended she get the shot.