Productive cough; runny nose; sore throat; SOB; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCTIVE COUGH (Productive cough), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (sore throat) and DYSPNOEA (SOB) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026B21A) for COVID-19 vaccination.     The patient's past medical history included Cholelithiasis (Other cholelithiasis without obstruction), Hepatic lesion (Liver lesion), Cranial nerve paralysis, Diverticulosis (Diverticulosis of intestine without bleeding, unspecified intestinal tract location), Lung nodule, Unspecified disorder of adrenal glands (Lesion of adrenal gland), Weight loss, Thyroid nodule (Benign-BX done on 6-6-2014), Smoker (Former smoker), Fatigue, Inguinal hernia repair, Colon operation in 2016 and Thermal ablation (Thermal tumor removed in left neck). Previously administered products included for an unreported indication: PNEUMOVAX (normal T/D- 10-5-2021) on 01-May-2018. Family history included Renal cancer (Mother), Parkinson's disease (Father) and Diabetes mellitus (Brother, sister, first degree relatives). Concurrent medical conditions included Malnutrition, Hypokalemia, Anemia, Thyroid disorder (Thyroid dysfunction), Idiopathic osteoporosis and Shortness of breath. Concomitant products included SALBUTAMOL SULFATE (PROAIR HFA) from 05-Jan-2017 to an unknown date and FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) from 26-Jun-2017 to an unknown date for COPD, MULTIVITAMINS [VITAMINS NOS] for an unknown indication.    On 07-Apr-2021 at 11:02 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCTIVE COUGH (Productive cough), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (sore throat) and DYSPNOEA (SOB). At the time of the report, PRODUCTIVE COUGH (Productive cough), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (sore throat) and DYSPNOEA (SOB) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Dec-2019, Mammogram: inconclusive (normal) inconclusive. On 19-May-2021, Colonoscopy: inconclusive (abnormal) inconclusive.     mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   social history was given as : caffeine use- coffee, carbonate beverages Exercise history : House work, yardwork, moderate, walking 6-week Health maintenance :  medicare wellness visit (8-SEP-2020) Blood pressure monitoring Fall risk screening (8-AUG-20210) Low risk Depression screening (8-AUG-2020) Bone density study(10-MAY-2021) Declined screening: PAP, SHINGLES VACC Annual wellness visit (14-MAY- 2018) Screening of AAA (28-JUN-2017) normal:MRI   This case was linked to MOD-2021-241819 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 30-Jun-2021: Followup received on 30-Jun-2021 contains non significant information Email instructions were provided On 30-Jun-2021: Followup received on 30-Jun-2021 contains non significant information On 08-Jul-2021: Patient demographics, medical history, lab history, concomitant medications and events were updated.