extreme weight loss; patient also had extreme weakness; involuntary joint movement like a palsy type movement; Patient cannot bite or chew well; The patient does not sleep well anymore interrupted sleep; depressed; The patient walks with a cane starting a year ago because the balance was so off.; patient had extreme fatigue; patient experienced severe swelling in her right arm; started to also have speech problems soon after my second dose; This spontaneous case was reported by a patient and describes the occurrence of WEIGHT DECREASED (extreme weight loss), ASTHENIA (patient also had extreme weakness), DYSKINESIA (involuntary joint movement like a palsy type movement), MASTICATION DISORDER (Patient cannot bite or chew well) and SLEEP DISORDER (The patient does not sleep well anymore interrupted sleep) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   In 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In 2021, the patient experienced SPEECH DISORDER (started to also have speech problems soon after my second dose). On an unknown date, the patient experienced WEIGHT DECREASED (extreme weight loss), ASTHENIA (patient also had extreme weakness), DYSKINESIA (involuntary joint movement like a palsy type movement), MASTICATION DISORDER (Patient cannot bite or chew well), SLEEP DISORDER (The patient does not sleep well anymore interrupted sleep), DEPRESSION (depressed), BALANCE DISORDER (The patient walks with a cane starting a year ago because the balance was so off), FATIGUE (patient had extreme fatigue) and VACCINATION SITE SWELLING (patient experienced severe swelling in her right arm). At the time of the report, WEIGHT DECREASED (extreme weight loss), ASTHENIA (patient also had extreme weakness), DYSKINESIA (involuntary joint movement like a palsy type movement), MASTICATION DISORDER (Patient cannot bite or chew well), SLEEP DISORDER (The patient does not sleep well anymore interrupted sleep), DEPRESSION (depressed), BALANCE DISORDER (The patient walks with a cane starting a year ago because the balance was so off), FATIGUE (patient had extreme fatigue) and VACCINATION SITE SWELLING (patient experienced severe swelling in her right arm) outcome was unknown and SPEECH DISORDER (started to also have speech problems soon after my second dose) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medication was reported. No treatment medication was reported.  The patient reported that the patient was a victim of the Moderna Covid-19 vaccine. The patient was permanently disabled so the patient had to relocate a year and a half ago to be near the family. The patient had to move back to family location because of the side effects to the Moderna Covid-19 vaccine. Involuntary joint movement and was not controlling it. The patient received her first Moderna Covid-19 vaccine in 2021 in January or February in the left arm. The patient had extreme fatigue, extreme weight loss without dieting, involuntary joint movement like a palsy type movement. Patient cannot bite or chew well. Patient will never be able to bite a pork chop or a steak again. Patient can only eat creamy stuff or soup.  The patient received her second Moderna Covid-19 vaccine about a month after her first Moderna Covid-19 vaccine. The lot number and expiration date are not available. The patient received her Moderna Covid-19 vaccine in her right arm. The patient experienced severe swelling in her right arm. The patient also had extreme weakness. When opening a new container of Orange Juice, the patient cannot pull the white protective cap off. This lack of strength continues. The patient's fingers and feet are moving all the time. Hands are always moving. The patient was an accomplished musician and used to play the piano professionally and can no longer do that no strength no control over anything. Also the patient cannot drive anymore, no strength to push the pedals or steer the car.  The patient also had speech problems soon after the second dose of the Primary Series of the Moderna Covid-19 vaccine. The patient could not talk properly. Speech has recovered with speech therapy. The patient walks with a cane starting a year ago because the balance was so off. The patient was depressed. The patient lives on the second floor and had to get a chair lift to go up and down the stairway. The patient does not sleep well anymore interrupted sleep.  The patient had experienced about a 30% improvement in the side effects from the beginning of the side effects because the patient was doing home exercises.