heart rate of 111; Her arm was also warm,; Her arm was also swollen; Her arm was also itching; vomiting; fatigue/tired; like I was going to pass out; shortness of breath/she continues to feel a little short of breath; cold sweats; nausea; headache/Her headache is in the back of her head and up behind her eyes.; like when you are first getting covid; chills; fever 101.2; body aches; This spontaneous case was reported by a nurse and describes the occurrence of FEELING ABNORMAL (like I was going to pass out), DYSPNOEA (shortness of breath/she continues to feel a little short of breath), COLD SWEAT (cold sweats), FEELING ABNORMAL (like when you are first getting covid) and HEART RATE INCREASED (heart rate of 111) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 034F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for COVID-19 vaccination: PFIZER BIONTECH COVID-19 VACCINE (First dose) on 02-Apr-2021 and PFIZER BIONTECH COVID-19 VACCINE (Second dose) on 26-Apr-2021. Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE.    On 28-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Dec-2021, the patient experienced FEELING ABNORMAL (like when you are first getting covid), CHILLS (chills), PYREXIA (fever 101.2) and MYALGIA (body aches). On 29-Dec-2021, the patient experienced FEELING ABNORMAL (like I was going to pass out), DYSPNOEA (shortness of breath/she continues to feel a little short of breath), COLD SWEAT (cold sweats), HEART RATE INCREASED (heart rate of 111), VACCINATION SITE WARMTH (Her arm was also warm,), PERIPHERAL SWELLING (Her arm was also swollen), VACCINATION SITE PRURITUS (Her arm was also itching), VOMITING (vomiting), FATIGUE (fatigue/tired), NAUSEA (nausea) and HEADACHE (headache/Her headache is in the back of her head and up behind her eyes.). The patient was treated with NAPROXEN for Migraine, at an unspecified dose and frequency; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Migraine, at an unspecified dose and frequency and SUMATRIPTAN for Migraine, at an unspecified dose and frequency. On 28-Dec-2021, FEELING ABNORMAL (like when you are first getting covid) had resolved. On 30-Dec-2021, FEELING ABNORMAL (like I was going to pass out), COLD SWEAT (cold sweats), HEART RATE INCREASED (heart rate of 111), VACCINATION SITE WARMTH (Her arm was also warm,), PERIPHERAL SWELLING (Her arm was also swollen), VACCINATION SITE PRURITUS (Her arm was also itching), VOMITING (vomiting), CHILLS (chills), PYREXIA (fever 101.2), MYALGIA (body aches), NAUSEA (nausea) and HEADACHE (headache/Her headache is in the back of her head and up behind her eyes.) had resolved. At the time of the report, DYSPNOEA (shortness of breath/she continues to feel a little short of breath) and FATIGUE (fatigue/tired) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Dec-2021, Body temperature: 101.2 (High) Body temperature increased 101.2.. On 28-Dec-2021, Heart rate: 111 Heart rate increased 111..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medications details were not reported by the reporter.