As of today, the rash is starting to fade,; still I have the dull headache; very red; hot; very itchy; this time the rash wasn't as bad, it was contained to just in the middle area; my lymph nodes were swollen; still the soreness in the arm; like it was having a flu that lasted for another 24 hours; I was nauseated; fever; I had chills; I had dull headache; I vomited; fatigue; By nighttime, around 10pm its started getting very sore that lasted for 48 hours; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (By nighttime, around 10pm its started getting very sore that lasted for 48 hours), INFLUENZA LIKE ILLNESS (like it was having a flu that lasted for another 24 hours), PAIN IN EXTREMITY (still the soreness in the arm), ERYTHEMA (very red) and FEELING HOT (hot) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was reported.  Concomitant products included SIMVASTATIN (ZOCOR) and LISINOPRIL for an unknown indication.   On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Mar-2021, the patient experienced PAIN (By nighttime, around 10pm its started getting very sore that lasted for 48 hours). On 10-Mar-2021, the patient experienced INFLUENZA LIKE ILLNESS (like it was having a flu that lasted for another 24 hours), HEADACHE (I had dull headache), VOMITING (I vomited), FATIGUE (fatigue), NAUSEA (I was nauseated), PYREXIA (fever) and CHILLS (I had chills). On 11-Mar-2021, the patient experienced PAIN IN EXTREMITY (still the soreness in the arm). On 12-Mar-2021, the patient experienced ERYTHEMA (very red), FEELING HOT (hot), PRURITUS (very itchy), RASH (this time the rash wasn't as bad, it was contained to just in the middle area) and LYMPHADENOPATHY (my lymph nodes were swollen). On 14-Mar-2021, the patient experienced RASH (As of today, the rash is starting to fade,) and HEADACHE (still I have the dull headache). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 5 UNK, qd and ACETYLSALICYLIC ACID (BABY ASPIRIN) at a dose of UNK dosage form. At the time of the report, PAIN (By nighttime, around 10pm its started getting very sore that lasted for 48 hours), INFLUENZA LIKE ILLNESS (like it was having a flu that lasted for another 24 hours), PAIN IN EXTREMITY (still the soreness in the arm), ERYTHEMA (very red), FEELING HOT (hot), PRURITUS (very itchy), RASH (this time the rash wasn't as bad, it was contained to just in the middle area), LYMPHADENOPATHY (my lymph nodes were swollen), HEADACHE (I had dull headache), VOMITING (I vomited), RASH (As of today, the rash is starting to fade,), NAUSEA (I was nauseated), PYREXIA (fever), CHILLS (I had chills) and HEADACHE (still I have the dull headache) outcome was unknown and FATIGUE (fatigue) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) in response to the events was not applicable.