she cannot sleep at night; horrible left arm pain/the upper arm; The pain is located around the shoulder; had 3 bouts of Covid/lost her sense of smell; had 3 bouts of Covid/lost her sense of smell; had 3 bouts of Covid/lost her sense of smell; This spontaneous case was reported by a consumer and describes the occurrence of the first episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell), the second episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell), the third episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell), INSOMNIA (she cannot sleep at night) and PAIN IN EXTREMITY (horrible left arm pain/the upper arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. and ) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Blood pressure high (it is being taken cared of by the medication (unspecified) she is taking.).   In June 2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In May 2021, the patient experienced the first episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell). In November 2021, the patient experienced the second episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell). In June 2022, the patient experienced the third episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell). On an unknown date, the patient experienced INSOMNIA (she cannot sleep at night), PAIN IN EXTREMITY (horrible left arm pain/the upper arm) and ARTHRALGIA (The pain is located around the shoulder). At the time of the report, last episode of COVID-19 (had 3 bouts of Covid/lost her sense of smell) had not resolved and INSOMNIA (she cannot sleep at night), PAIN IN EXTREMITY (horrible left arm pain/the upper arm) and ARTHRALGIA (The pain is located around the shoulder) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, X-ray: did not show anything wrong in the area.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication were reported.  It was reported that patient had the 2 Moderna and one booster dose in Jun2022, patient started to have horrible left arm pain. The pain was killing her, it was super painful, was unbearable that she cannot sleep at night. It is unknow if it is coming from the muscles or the joints. The pain was located around the shoulder and the upper arm. Xray did not show anything wrong in the area. Patient can remember was that patient got her 1st booster dose in Jun2022. Patient also reports that she had 3 bouts of Covid after getting the Moderna vaccines. The 1st one in May2021, the 2nd one in Nov2021 and the last one in Jun2022. Patient lost her sense of smell and still has not recovered it yet. Patient states that she knows a lot of people who have the same complaints (initially patient said a couple of people but before the call ended, patient said "a lot") - pain on the arm after getting the Moderna Covid-19 vaccine.   Patient received Spikevax vaccination 1st dose in May2021 and 2nd dose in Nov2021.   No treatment medication were reported.