This spontaneous case was reported by a patient and describes the occurrence of MALAISE (feeling really sick), PAIN (aches), FEELING COLD (feeling so cold and she couldn't get warm), HYPOTENSION (low blood pressure) and PALPITATIONS (razing heart beat) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001m21a, 071f21a, 028a21a and 011a21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Patient has not tested positive nor has diagnosed with Covid . No information was provided relating to mentioned AE. Both Acute and Chronic illnesses at the time of vaccination was not reported. Concurrent medical conditions included Drug allergy (pain medication), Penicillin allergy, Allergic reaction to analgesics (morphine) and Drug allergy (To many other medication (Names were not specified)). Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), CLONAZEPAM, HYDRALAZINE and METOPROLOL SUCCINATE (TOPROL XL) for an unknown indication. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2022, the patient experienced HEADACHE (headaches) and CHILLS (chills). On 23-Apr-2022, the patient experienced MALAISE (feeling really sick), PAIN (aches), FEELING COLD (feeling so cold and she couldn't get warm), PALPITATIONS (razing heart beat), MYALGIA (muscle aches), FATIGUE (tiredness) and ARTHRALGIA (joint aches). On 20-May-2022, the patient experienced PANIC ATTACK (panic attack). On an unknown date, the patient experienced HYPOTENSION (low blood pressure). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MALAISE (feeling really sick), PAIN (aches), FEELING COLD (feeling so cold and she couldn't get warm), PALPITATIONS (razing heart beat), PANIC ATTACK (panic attack), MYALGIA (muscle aches), FATIGUE (tiredness), ARTHRALGIA (joint aches), HEADACHE (headaches) and CHILLS (chills) outcome was unknown and HYPOTENSION (low blood pressure) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Apr-2022, Heart rate: 106 (High) went up to 106. On 24-Apr-2022, Heart rate: 92/66 (Inconclusive) 92/66. In 2022, Blood pressure measurement: low (Low) Low. In 2022, Heart rate: lower (Low) Lower. In 2022, Weight: loss (Low) decrease. Patient reported that the event of razing heart beat was not experienced with the other doses, now she wears a heart monitor for the same. In past too she experienced the same event for which she was taking the beta blocker but now the condition was opposite it should be 70 and its in the 40's. No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine. Treatment details were not given. This case was linked to MOD-2022-572087, MOD-2022-572085, MOD-2022-572084 (Patient Link).