gained most of his strength back after the third dose,/third would help me with a fatigue syndrome that I was having still It cleared up the fatigue syndrome yeah I'm feeling strong/second shot relieved his fatigue and rapid heart beat; four doses of Moderna; get my 3rd Madonna vaccination; This spontaneous case was reported by a consumer and describes the occurrence of THERAPEUTIC RESPONSE UNEXPECTED (gained most of his strength back after the third dose,/third would help me with a fatigue syndrome that I was having still It cleared up the fatigue syndrome yeah I'm feeling strong/second shot relieved his fatigue and rapid heart beat), EXTRA DOSE ADMINISTERED (four doses of Moderna) and OFF LABEL USE (get my 3rd Madonna vaccination) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040A21A, 008B12-2A, 039C21A and 039C21A) for COVID-19 vaccination.     The patient's past medical history included Fever (some virus with symptoms) in December 2019, Mucus discharge (some virus with symptoms) in December 2019 and COVID-19 in 2019. Concurrent medical conditions included Pneumonia and Fatigue (very bad). Concomitant products included AZITHROMYCIN (Z-PAK) for Pneumonia.   On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-Jun-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-Jul-2021, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced THERAPEUTIC RESPONSE UNEXPECTED (gained most of his strength back after the third dose,/third would help me with a fatigue syndrome that I was having still It cleared up the fatigue syndrome yeah I'm feeling strong/second shot relieved his fatigue and rapid heart beat), EXTRA DOSE ADMINISTERED (four doses of Moderna) and OFF LABEL USE (get my 3rd Madonna vaccination). At the time of the report, THERAPEUTIC RESPONSE UNEXPECTED (gained most of his strength back after the third dose,/third would help me with a fatigue syndrome that I was having still It cleared up the fatigue syndrome yeah I'm feeling strong/second shot relieved his fatigue and rapid heart beat) and OFF LABEL USE (get my 3rd Madonna vaccination) outcome was unknown and EXTRA DOSE ADMINISTERED (four doses of Moderna) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2019, Heart rate: 145-150 (High) up to 145-150  rapid heart beat.     mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.       Patient not willing to share his demographic details and information after third dose.After four doses he was doing yard work, housework., running, exercising, getting out of bed at his normal time.   No Treatment medications were reported.   This case was linked to MOD-2021-293500 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 20-Aug-2021: Follow up received on 20-AUG-2021 included: Medical history and event added