it damaged his heart/the patient took a second dose and it caused a problem again; His life has been miserable/It wiped out his life/He used to go out 3 times a week and now he can't go out at all/He can't walk his dog; This spontaneous case was reported by a patient and describes the occurrence of MYOCARDIAL INJURY (it damaged his heart/the patient took a second dose and it caused a problem again) in a male patient of an unknown age who received mRNA-1273 (Spikevax) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cardiac operation (He had 2 heart surgeries in the last year).   On an unknown date, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced MYOCARDIAL INJURY (it damaged his heart/the patient took a second dose and it caused a problem again) (seriousness criterion medically significant) and IMPAIRED QUALITY OF LIFE (His life has been miserable/It wiped out his life/He used to go out 3 times a week and now he can't go out at all/He can't walk his dog). The patient was treated with RIVAROXABAN (XARELTO) at an unspecified dose and frequency. At the time of the report, MYOCARDIAL INJURY (it damaged his heart/the patient took a second dose and it caused a problem again) and IMPAIRED QUALITY OF LIFE (His life has been miserable/It wiped out his life/He used to go out 3 times a week and now he can't go out at all/He can't walk his dog) outcome was unknown.            No Concomitant medications were provided.  Patient was vaccinated with Moderna but it damaged heart. Patient had to take Xarelto and the cost of had gotten into the coverage gap or the donut hole. Patient states that the president gave full immunity to the companies who made the vaccines and wished never took the vaccine. Patient took two Moderna shots and doctor advised not to take any more booster shots. Patient doctor did not know after the first shot that patient heart problem was caused by the vaccine. Patient was unsure of the date that patient took the vaccines.  Company comment- This is a spontaneous case concerning a male patient of unknown age with no medical condition reported who experienced the unexpected and serious (medically significant) event of myocardial injury after two doses of mRNA-1273 vaccine were administered on unknown dates. It was reported patient had 2 heart surgeries in the last year and he has to take rivaroxaban. His life has been miserable since he took the vaccine. He took two Moderna shots, and his doctor advised him not to take any more booster shots. After the first shot he had heart problem caused by the vaccine, the patient took a second dose, and it caused a problem again. Vaccine wiped out his life. He used to go out 3 times a week and now he can't go out at all, he can't walk his dog. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.   This case was linked to MOD-2022-651995 (Patient Link).; Sender's Comments: This is a spontaneous case concerning a male patient of unknown age with no medical condition reported who experienced the unexpected and serious (medically significant) event of myocardial injury after two doses of mRNA-1273 vaccine were administered on unknown dates. It was reported patient had 2 heart surgeries in the last year and he has to take rivaroxaban. His life has been miserable since he took the vaccine. He took two Moderna shots, and his doctor advised him not to take any more booster shots. After the first shot he had heart problem caused by the vaccine, the patient took a second dose, and it caused a problem again. Vaccine wiped out his life. He used to go out 3 times a week and now he can't go out at all, he can't walk his dog. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.