This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (covid 19), VACCINATION FAILURE (First Primary monovalent dose on 11JAN2021 / 2nd Primary monovalent dose on 08FEB2021 / COVID Disease in JUNE 2022), PARAESTHESIA (He wakes up in the middle of the night with tingling arms.) and ARTHRALGIA (he started having joint pain months later after vaccination/He feels like the pain is increasing in all of his joints) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 039K20-2A) for COVID-19 prophylaxis. The patient's past medical history included Surgery (5 years ago). Concurrent medical conditions included Knee arthritis (left) and Blood pressure high. Concomitant products included VALSARTAN for Blood pressure high. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In June 2022, the patient experienced COVID-19 (covid 19). On an unknown date, the patient experienced VACCINATION FAILURE (First Primary monovalent dose on 11JAN2021 / 2nd Primary monovalent dose on 08FEB2021 / COVID Disease in JUNE 2022), PARAESTHESIA (He wakes up in the middle of the night with tingling arms.) and ARTHRALGIA (he started having joint pain months later after vaccination/He feels like the pain is increasing in all of his joints). At the time of the report, COVID-19 (covid 19), VACCINATION FAILURE (First Primary monovalent dose on 11JAN2021 / 2nd Primary monovalent dose on 08FEB2021 / COVID Disease in JUNE 2022) and PARAESTHESIA (He wakes up in the middle of the night with tingling arms.) outcome was unknown and ARTHRALGIA (he started having joint pain months later after vaccination/He feels like the pain is increasing in all of his joints) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient started having joint pain months later after vaccination. Patient does not remember the exact date. Today 02Feb2023, patient felt like the pain was increasing in all of his joints. Patient did not receive any other vaccines within 4 weeks of the first and 2nd shot. Patient was seeing a doctor and running tests. No treatment information was reported. Company Comment: This Spontaneous case reported by a patient, concerns a 39-year-old, male patient with no relevant medical history reported, who experienced the unexpected, non-serious events of COVID-19, and VACCINATION FAILURE, along with other non-serious events of PARAESTHESIA and ARTHRALGIA on an unspecified date after receiving the 2-nd dose of mRNA-1273 vaccine in the covid 19 vaccination series. It was reported that the patient received the 2 primary doses with Moderna vaccines and at an interval of about 28 days and developed covid disease about 4 months later. Patient started having joint pain months later after his vaccination. Patient felt like the pain was increasing in all of his joints. Patient did not receive any other vaccines within 4 weeks of the first and 2nd shot. Details of labs, results and treatment medications were not reported. The event outcome was reported as unknown. Concurrent medical conditions included high Blood pressure, which is a risk factor for the event covid 19. The benefit-risk relationship of mRNA-1273 is not affected by this report. Reporter did not allow further contact.