aches; body aches; she had nausea; She couldn't believe the severe pain in her right arm/her right arm was having the same type of pain from the shoulder down her arm; it was almost like somebody punched her in the head/ She had headache; She started feeling a little fatigue; This spontaneous case was reported by a patient and describes the occurrence of PAIN (aches), FATIGUE (She started feeling a little fatigue), HEADACHE (it was almost like somebody punched her in the head/ She had headache), MYALGIA (body aches) and NAUSEA (she had nausea) in a 63-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.     The patient's past medical history included Suspected COVID-19 (She believes she may have had COVID in 2020 when tests were not readily available) in 2020. Previously administered products included for COVID-19 vaccination: Pfizer (Dose Number: 1; She got the Pfizer vaccine in her left arm) in April 2021 and Pfizer (Dose Number: 2; She got the Pfizer vaccine in her left arm) in May 2021. Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. Concurrent medical conditions included Knee arthritis (She had arthritis issues in her knees; Recent change in status: no) and Seasonal allergy (Seasonal allergies). Concomitant products included VITAMIN D [VITAMIN D NOS] for an unknown indication.    On 18-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Nov-2021, the patient experienced FATIGUE (She started feeling a little fatigue). On 20-Nov-2021, the patient experienced HEADACHE (it was almost like somebody punched her in the head/ She had headache). On an unknown date, the patient experienced PAIN (aches), MYALGIA (body aches), NAUSEA (she had nausea) and VACCINATION SITE PAIN (She couldn't believe the severe pain in her right arm/her right arm was having the same type of pain from the shoulder down her arm). The patient was treated with PARACETAMOL (TYLENOL) for Pain in arm, at an unspecified dose and frequency and CORTISONE on 03-May-2022 for Pain in arm, at an unspecified dose and frequency. On 22-Nov-2021, FATIGUE (She started feeling a little fatigue) and HEADACHE (it was almost like somebody punched her in the head/ She had headache) had resolved. At the time of the report, PAIN (aches), MYALGIA (body aches) and NAUSEA (she had nausea) outcome was unknown and VACCINATION SITE PAIN (She couldn't believe the severe pain in her right arm/her right arm was having the same type of pain from the shoulder down her arm) had not resolved.            Patient never tested or diagnosed with COVID. but she believes she may have had COVID in 2020 when tests were not readily available  It was reported patient started feeling better on 21-Nov-2021. Patient was fine on 22-Nov-2021.  Patient noticed that her right arm had the same type of pain from the shoulder (where the injection was administered) down her arm. It did not happen continually. The pain was intermittent; it came and went. It was not constant. It felt like it wanted to fall off. Sometimes it was very intense, sometimes it was a little dull.  At the time of reporting, it was about a 2-3, but it could go up to 7 or 8 (on pain rating scale).  The only thing patient could associate this pain was with the Moderna booster in November.   The patient stated she did not know if this is like a delayed reaction.   Patient saw a doctor three weeks ago (from the day of reporting) who gave her a cortisone shot in her shoulder. Patient felt fine the day after. On the third day, the pain came back.  Patient thought she was having a stroke. Patient did not had a rash. Patient had a physician's office visit because of arm pain. Patient did not experienced a similar event in the past.