dizziness and lightheadedness especially from rising from a lying down position; flushing in the neck, face and ears when I attempted to walk for exercise; chest tightness; burning on the left side of my face on from the edge of the check to my ear.; piercing nerve ending pain in my right ear which comes and goes; The side of my face also becaume very sore to the touch.; symptoms affected quality of life; Intentional deviation from dosage regimen; Brain fog; Injection site Soreness; intermittent and recurring headaches; Palpitation / irregular heart rate; Shortness of breath; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Palpitation / irregular heart rate), DYSPNOEA (Shortness of breath), DIZZINESS (dizziness and lightheadedness especially from rising from a lying down position), FLUSHING (flushing in the neck, face and ears when I attempted to walk for exercise) and CHEST DISCOMFORT (chest tightness) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Trigeminal neuralgia. Concomitant products included AMITRIPTYLINE from 02-Jan-1994 to an unknown date for Trigeminal neuralgia.    On 06-Jan-2021 at 9:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced PALPITATIONS (Palpitation / irregular heart rate), DYSPNOEA (Shortness of breath) and FATIGUE (Fatigue). On an unknown date, the patient experienced DIZZINESS (dizziness and lightheadedness especially from rising from a lying down position), FLUSHING (flushing in the neck, face and ears when I attempted to walk for exercise), CHEST DISCOMFORT (chest tightness), BURNING SENSATION (burning on the left side of my face on from the edge of the check to my ear.), EAR PAIN (piercing nerve ending pain in my right ear which comes and goes), FACIAL PAIN (The side of my face also becaume very sore to the touch.), QUALITY OF LIFE DECREASED (symptoms affected quality of life), INTENTIONAL PRODUCT USE ISSUE (Intentional deviation from dosage regimen), CONFUSIONAL STATE (Brain fog), VACCINATION SITE PAIN (Injection site Soreness) and HEADACHE (intermittent and recurring headaches ). At the time of the report, PALPITATIONS (Palpitation / irregular heart rate), DYSPNOEA (Shortness of breath), DIZZINESS (dizziness and lightheadedness especially from rising from a lying down position), FLUSHING (flushing in the neck, face and ears when I attempted to walk for exercise), CHEST DISCOMFORT (chest tightness), BURNING SENSATION (burning on the left side of my face on from the edge of the check to my ear.), EAR PAIN (piercing nerve ending pain in my right ear which comes and goes), FACIAL PAIN (The side of my face also becaume very sore to the touch.), QUALITY OF LIFE DECREASED (symptoms affected quality of life), CONFUSIONAL STATE (Brain fog), VACCINATION SITE PAIN (Injection site Soreness), FATIGUE (Fatigue) and HEADACHE (intermittent and recurring headaches ) had not resolved and INTENTIONAL PRODUCT USE ISSUE (Intentional deviation from dosage regimen) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Treatment information was not provided by the reporter.   Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: Follow-up received and events added and event outcomes updated.