anemia; Red blood cell not normal; Shortness of breath; Chest pain; cough; severe heart burn; Light headed; headache; weakness; This spontaneous case was reported by a consumer and describes the occurrence of ANAEMIA (anemia), ASTHENIA (weakness), DYSPNOEA (Shortness of breath), CHEST PAIN (Chest pain) and COUGH (cough) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007M20A and 002A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy, Allergy to antibiotic, Allergy to antibiotic, Drug allergy, Drug allergy, Asthma (Shortness of Breath) since 1969, Acid reflux (esophageal) (Severe Heartburn) since 1970 and Anxiety (Severe Heartburn) since 2000. Concomitant products included OMEPRAZOLE from 1970 to an unknown date for Acid reflux (esophageal), SERTRALINE from 2000 to an unknown date for Anxiety, FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) from 1996 to an unknown date for Asthma, ROSUVASTATIN from 2019 to an unknown date for Cholesterol, ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) from 2005 to an unknown date, CALCIUM CITRATE, COLECALCIFEROL (CITRACAL + D3) from 2000 to an unknown date, VITAMINS NOS from 2018 to an unknown date and PROBIOTICS NOS from 2020 to an unknown date for an unknown indication.   On 30-Jan-2021 at 3:15 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021 at 3:15 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. In May 2021, the patient experienced ASTHENIA (weakness), COUGH (cough), DYSPEPSIA (severe heart burn), DIZZINESS (Light headed) and HEADACHE (headache). On 21-Jun-2021, the patient experienced DYSPNOEA (Shortness of breath) and CHEST PAIN (Chest pain). On 28-Jun-2021, the patient experienced RED BLOOD CELL ABNORMALITY (Red blood cell not normal). On an unknown date, the patient experienced ANAEMIA (anemia). The patient was treated with PREDNISONE on 01-Jul-2021 for Autoimmune haemolytic anaemia, at a dose of 30 mg, 60 mg, 120 mg. At the time of the report, ANAEMIA (anemia) outcome was unknown, ASTHENIA (weakness), DYSPNOEA (Shortness of breath), CHEST PAIN (Chest pain), COUGH (cough), RED BLOOD CELL ABNORMALITY (Red blood cell not normal), DIZZINESS (Light headed) and HEADACHE (headache) had not resolved and DYSPEPSIA (severe heart burn) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jun-2021, Blood test: abnormal (abnormal) Red Blood cells not normal. On 28-Jun-2021, Chest X-ray: normal (normal) Normal. On 28-Jun-2021, Electrocardiogram: normal (normal) Normal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Lab Data - Patient had done Blood test on 02 Jul 2021, 09 Jul 2021 and 19 Jul 2021 Concomitant medications taken were Newchapter and Fortify   Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: follow up information received contains patient details, medical history, lab data,  added events - Dyspnoea, Asthenia, Dizziness, Headache, Dyspepsia, Cough, Chest Pain, concomitant medications, treatment medications.