excruciating pain in my right arm; I was shaking in my body all over.; It felt like I was going to die, I felt like a zombie,it was like I was dead; temperature behind my ear & it was 105F; blood pressure was through the roof; a Holter and it showed tachycardia/My heartrate was through the roof/My heartrate doesn't drop below 100, unless I'm sleeping; This spontaneous case was reported by a nurse and describes the occurrence of HYPERTENSION (blood pressure was through the roof), TACHYCARDIA (a Holter and it showed tachycardia/My heartrate was through the roof/My heartrate doesn't drop below 100, unless I'm sleeping), VACCINATION SITE PAIN (excruciating pain in my right arm), TREMOR (I was shaking in my body all over.), FEELING ABNORMAL (It felt like I was going to die, I felt like a zombie,it was like I was dead) and PYREXIA (temperature behind my ear & it was 105F) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039(R or K)20A) for COVID-19 prophylaxis.     The patient's past medical history included COVID-19 (3 times). Concurrent medical conditions included Allergy to vaccine (Moderna Covid-19 vaccine) and Post-traumatic stress disorder.    On 01-Jan-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Jan-2020, the patient experienced HYPERTENSION (blood pressure was through the roof) (seriousness criterion hospitalization). 01-Jan-2020, the patient experienced VACCINATION SITE PAIN (excruciating pain in my right arm) (seriousness criterion hospitalization), TREMOR (I was shaking in my body all over.) (seriousness criterion hospitalization), FEELING ABNORMAL (It felt like I was going to die, I felt like a zombie,it was like I was dead) (seriousness criterion hospitalization) and PYREXIA (temperature behind my ear & it was 105F) (seriousness criterion hospitalization). In January 2020, the patient experienced TACHYCARDIA (a Holter and it showed tachycardia/My heartrate was through the roof/My heartrate doesn't drop below 100, unless I'm sleeping) (seriousness criterion hospitalization). The patient was hospitalized from sometime in January 2020 to sometime in January 2020 due to FEELING ABNORMAL, HYPERTENSION, PYREXIA, TACHYCARDIA, TREMOR and VACCINATION SITE PAIN. The patient was treated with METOPROLOL at an unspecified dose and frequency and LISINOPRIL at an unspecified dose and frequency. At the time of the report, HYPERTENSION (blood pressure was through the roof) and TACHYCARDIA (a Holter and it showed tachycardia/My heartrate was through the roof/My heartrate doesn't drop below 100, unless I'm sleeping) had not resolved and VACCINATION SITE PAIN (excruciating pain in my right arm), TREMOR (I was shaking in my body all over.), FEELING ABNORMAL (It felt like I was going to die, I felt like a zombie,it was like I was dead) and PYREXIA (temperature behind my ear & it was 105F) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In January 2020, Blood pressure measurement: blood pressure was through the roof. In January 2020, Body temperature: 105 105 Unit-F (Fahrenheit). In January 2020, Heart rate: heartrate does not drop below 100, heartrate wasn't going down.. On an unknown date, SARS-CoV-2 test: (Positive) Positive, (Positive) Positive and (Positive) Positive.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication information was provided.  It was reported Paramedic took patient to one hospital but patient wanted get out from there and they let them go and patient went to another hospital where started an IV and had an Electrocardiogram (EKG) on an unknown date of Jan-2020 however result were not provided.  Patient was kept overnight, because heartrate was not going down.   Patient had Covid-19 3 times and went to the emergency room 3 times for Covid-19 residual stuff.   Patient would get  2nd dose in Feb 2021.  Company Comment: This spontaneous case concerns a patient of unknown age and gender, with a relevant history of  Post-traumatic stress disorder, who experienced the serious (hospitalization) unexpected adverse events HYPERTENSION, TACHYCARDIA, VACCINATION SITE PAIN, TREMOR, FEELING ABNORMAL and PYREXIA, which occurred on the same day after the first dose of mRNA-1273 vaccine administration. It was reported that a paramedic took the patient to a hospital where started an IV and had an Electrocardiogram (EKG) on an unknown date of Jan-2020 however result were not provided. Patient was kept overnight, because heart rate was not going down. No other information regarding treatment or course in the hospital was provided.  Underlying history of  Post-traumatic stress disorder could be a confounder for the events Hypertension, Tachycardia, Tremor, and Feeling abnormal. The benefit -risk relationship of mRNA -1273 is not affected by this report.; Sender's Comments: This spontaneous case concerns a patient of unknown age and gender, with a relevant history of  Post-traumatic stress disorder, who experienced the serious (hospitalization) unexpected adverse events HYPERTENSION, TACHYCARDIA, VACCINATION SITE PAIN, TREMOR, FEELING ABNORMAL and PYREXIA, which occurred on the same day after the first dose of mRNA-1273 vaccine administration. It was reported that a paramedic took the patient to a hospital where started an IV and had an Electrocardiogram (EKG) on an unknown date of Jan-2020 however result were not provided. Patient was kept overnight, because heart rate was not going down. No other information regarding treatment or course in the hospital was provided.  Underlying history of  Post-traumatic stress disorder could be a confounder for the events Hypertension, Tachycardia, Tremor, and Feeling abnormal. The benefit -risk relationship of mRNA -1273 is not affected by this report.