Sore throat; Headache; Chills; Fever; Shaking with chills; Experience was worse then either of his two doses; Sore throat; Headache; Fatigue; Chills; This spontaneous case was reported by a physician and describes the occurrence of CONDITION AGGRAVATED (Experience was worse then either of his two doses), TREMOR (Shaking with chills), the first episode of OROPHARYNGEAL PAIN (Sore throat), the second episode of OROPHARYNGEAL PAIN (Sore throat) and PYREXIA (Fever) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007B21A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Asthma (Patient is a steroid dependent asthmatic patient who has been taking steroids for the past 40 years.) since 03-Feb-1964, Heart valve calcification, Diverticulitis, Osteoporosis, Food allergy (Almonds), Drug hypersensitivity (Sulfa Drugs) and Drug hypersensitivity (Keflex). Concomitant products included PREDNISONE from 01-Mar-1984 to an unknown date for Asthma, TAMSULOSIN for Bladder disorder, NEBIVOLOL HYDROCHLORIDE (BYSTOLIC) from 22-May-2021 to an unknown date for Heart rate, FINASTERIDE for Prostate infection, PANTOPRAZOLE for Reflux gastritis.   On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Apr-2021, the patient experienced the first episode of OROPHARYNGEAL PAIN (Sore throat), the first episode of HEADACHE (Headache), FATIGUE (Fatigue) and the first episode of CHILLS (Chills). On 15-Apr-2021, the patient experienced CONDITION AGGRAVATED (Experience was worse then either of his two doses). On 21-Apr-2021, the patient experienced TREMOR (Shaking with chills). On 13-May-2021, the patient experienced PYREXIA (Fever). On 13-Jun-2021, the patient experienced the second episode of OROPHARYNGEAL PAIN (Sore throat), the second episode of HEADACHE (Headache) and the second episode of CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form and Bed rest (He slept for two hours and when he woke up his symptoms were gone that same day.) for Condition aggravated. On 15-Apr-2021, CONDITION AGGRAVATED (Experience was worse then either of his two doses) had resolved. On 22-Apr-2021, TREMOR (Shaking with chills) and FATIGUE (Fatigue) had resolved. On 13-May-2021, PYREXIA (Fever) had resolved. At the time of the report, last episode of OROPHARYNGEAL PAIN (Sore throat), the last episode of HEADACHE (Headache) and the last episode of CHILLS (Chills) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Per report, patient stated a blood test revealed the presence of antibodies. He reported having a compromised immune system after 42 years of steroid therapy for asthma.   This case was linked to US-MODERNATX, INC.-MOD-2021-041311 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 31-Jul-2021: Follow up information received contains Reporter's type updated,patient details include height and ethnicity and medical history updated except asthma, Concomitant medications and vaccine facility information updated. Events(sore throat, headache and chills start date and outcome updated); Sender's Comments:  US-MODERNATX, INC.-MOD-2021-041311:1st dose