lot of pain in the left  leg, specially when she went to sleep; Pain under the left ribcage/start with little pain and then got more painful/ medication did not help and pain continue; Started to lose hair; started to  get really cold, and has to used a sweater; said it could be a vertebra she had bad; Did not felt like waking up but still kept working; was very tired, all the time very tired; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (lot of pain in the left  leg, specially when she went to sleep), MUSCULOSKELETAL CHEST PAIN (Pain under the left ribcage/start with little pain and then got more painful/ medication did not help and pain continue), ALOPECIA (Started to lose hair), NASOPHARYNGITIS (started to  get really cold, and has to used a sweater) and SPINAL PAIN (said it could be a vertebra she had bad) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 034K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient has never had COVID + test or diagnosis. The patient had no history relating to mentioned adverse events and both Acute and Chronic illnesses at the time of vaccination.  The patient's past medical history included Pain in arm. Concurrent medical conditions included Dust allergy.   On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (lot of pain in the left  leg, specially when she went to sleep), MUSCULOSKELETAL CHEST PAIN (Pain under the left ribcage/start with little pain and then got more painful/ medication did not help and pain continue), ALOPECIA (Started to lose hair), NASOPHARYNGITIS (started to  get really cold, and has to used a sweater), SPINAL PAIN (said it could be a vertebra she had bad), FEELING ABNORMAL (Did not felt like waking up but still kept working) and FATIGUE (was very tired, all the time very tired). At the time of the report, PAIN IN EXTREMITY (lot of pain in the left  leg, specially when she went to sleep), ALOPECIA (Started to lose hair), NASOPHARYNGITIS (started to  get really cold, and has to used a sweater), SPINAL PAIN (said it could be a vertebra she had bad), FEELING ABNORMAL (Did not felt like waking up but still kept working) and FATIGUE (was very tired, all the time very tired) had not resolved and MUSCULOSKELETAL CHEST PAIN (Pain under the left ribcage/start with little pain and then got more painful/ medication did not help and pain continue) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Cancer screening: normal (normal) Normal. On an unknown date, Weight: 30 pounds (Low) lost 30 Pounds, a lot of weight lost.         No concomitant medication was reported. No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine. Before Apr-2021 the patient had a lot of pain in the left leg, specially when the patient went to sleep, a doctor said it could be a vertebra had bad and medicated for that. The medication did not help and pain continue and took acupunctured, that took a bit of pain. After two weeks, the patient had pain under the left ribcage, start with little pain and then got more painful and lost 30 Pounds, a lot of weight lost, and started to lose hair and started to get really cold and had to use a sweater. Doctor studied pancreas stomach, liver and other studies that included the heart and everything was okay, even cancer screening and pain did not go way and the patient kept losing the weight. Doctor gave pain killers because they couldn't arrive to a diagnose. On an unknown date in Sep-2021, the patient starts to get better and did not have any more pain and she was very tired, all the time very tired, the patient doesn't feel like her anymore, did not felt like waking up, but still kept working. It was reported that patient has not experienced a similar event in the past.   This case was linked to MOD-2022-583919 (Patient Link).