patient took his blood pressure. It returned 179/105; patient got into bed and the room started spinning. The patient got so dizzy that he could not stand to get up; This spontaneous case was reported by a patient and describes the occurrence of DIZZINESS POSTURAL (patient got into bed and the room started spinning. The patient got so dizzy that he could not stand to get up) and BLOOD PRESSURE INCREASED (patient took his blood pressure. It returned 179/105) in an 80-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7116B) for COVID-19 prophylaxis.     Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:Medical History Stage IV Kidney Failure Medications Lisinopril 5mg every other day Levothyroxine 125mcg once daily Colestipol 1 Gram once daily Atorvastatin 20mg once every other day Allopurinol 100mg once daily Liothyronine Sod 25mg once daily.  Previously administered products included for Product used for unknown indication: Influenza. Past adverse reactions to the above products included No adverse event with Influenza. Concurrent medical conditions included Kidney failure (Stage IV). Concomitant products included LEVOTHYROXINE (L-THYROXIN [LEVOTHYROXINE]), COLESTIPOL HYDROCHLORIDE (COLESTIPOL HCL), ATORVASTATIN, ALLOPURINOL (ADCO ALLOPURINOL), LIOTHYRONINE SODIUM (LIOTHYRONINE SOD.) and LISINOPRIL for Kidney failure, INFLUENZA VACCINE (FLU VACCINE VII) and LISINOPRIL (VEROXIL [LISINOPRIL]) for an unknown indication.    On 18-Jan-2023, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 19-Jan-2023,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced DIZZINESS POSTURAL (patient got into bed and the room started spinning. The patient got so dizzy that he could not stand to get up). On 20-Jan-2023, the patient experienced BLOOD PRESSURE INCREASED (patient took his blood pressure. It returned 179/105). On 21-Jan-2023, BLOOD PRESSURE INCREASED (patient took his blood pressure. It returned 179/105) had resolved. At the time of the report, DIZZINESS POSTURAL (patient got into bed and the room started spinning. The patient got so dizzy that he could not stand to get up) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Jan-2023, Blood pressure measurement: 179/105 in the morning.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   The patient received his flu shot on the same day as his Moderna Covid-19 on 18-Jan-2023.  On the morning of 20-Jan-2023, the patient took his blood pressure. It returned 179/105. The patient relaxed and self-monitored his blood pressure throughout the day of 20-Jan-2023. On 21-Jan-2023 the patients' blood pressure returned normal.   No treatment details were reported.   This case was linked to US-MODERNATX, INC.-MOD-2023-706817 (E2B Linked Report). This case was linked to MOD-2023-706812 (Patient Link).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-706817:Wife case