took a couple years to clear up my asthma and all changed after the 2nd covid shot/ not being able to breathe; Had major diarrhea exploding at a moment notice never knowing when and that last 8 months and there were times this was very embarrassing to say the least.; Omicron on Jan 7th; COVID on Sept 17th; I got West Nile within 2 weeks of your shot.; I got shingles again/shingles within 2 weeks of your shot; I got a head cold within 2 weeks of your shot; I got the flu within 2 weeks of your shot; The arm that I got fasenra shot in 4 days after moderna shot hurt; This spontaneous case was reported by a patient and describes the occurrence of WEST NILE VIRAL INFECTION (I got West Nile within 2 weeks of your shot.) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product BENRALIZUMAB (FASENRA) injection for an unknown indication.    Previously administered products included for Product used for unknown indication: Shingles vaccine in 2017 and Shingles vaccine (Had both shingles vaccines) in 2017. Past adverse reactions to the above products included No adverse event with Shingles vaccine and Shingles vaccine. Concurrent medical conditions included Asthma (It set my asthma treatments backwards) and Shingles (Had several small bouts of shingles and an extreme case of shingles in 2015.).   On 13-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In May 2021, the patient started BENRALIZUMAB (FASENRA) (unknown route) 1 dosage form. In May 2021, the patient experienced WEST NILE VIRAL INFECTION (I got West Nile within 2 weeks of your shot.) (seriousness criterion medically significant), HERPES ZOSTER (I got shingles again/shingles within 2 weeks of your shot), NASOPHARYNGITIS (I got a head cold within 2 weeks of your shot), INFLUENZA (I got the flu within 2 weeks of your shot) and PAIN IN EXTREMITY (The arm that I got fasenra shot in 4 days after moderna shot hurt). On 17-Sep-2021, the patient experienced COVID-19 (COVID on Sept 17th). On 07-Jan-2022, the patient experienced COVID-19 (Omicron on Jan 7th). On an unknown date, the patient experienced ASTHMA (took a couple years to clear up my asthma and all changed after the 2nd covid shot/ not being able to breathe) and DIARRHOEA (Had major diarrhea exploding at a moment notice never knowing when and that last 8 months and there were times this was very embarrassing to say the least.). At the time of the report, WEST NILE VIRAL INFECTION (I got West Nile within 2 weeks of your shot.), ASTHMA (took a couple years to clear up my asthma and all changed after the 2nd covid shot/ not being able to breathe), HERPES ZOSTER (I got shingles again/shingles within 2 weeks of your shot), COVID-19 (COVID on Sept 17th), COVID-19 (Omicron on Jan 7th), NASOPHARYNGITIS (I got a head cold within 2 weeks of your shot), INFLUENZA (I got the flu within 2 weeks of your shot), PAIN IN EXTREMITY (The arm that I got fasenra shot in 4 days after moderna shot hurt) and DIARRHOEA (Had major diarrhea exploding at a moment notice never knowing when and that last 8 months and there were times this was very embarrassing to say the least.) outcome was unknown.            Concomitant medication was not provided. It was reported  that patient received Fasnera shot in 4 days after Moderna shot, hurt & limited use for 7 months. Patient felt like the 2nd Moderna shot erased the Fasnera shots, shingles vaccines. Patient also felt like Moderna removed all the good that patient took a couple years to clear up asthma to the point that patient never needed an inhaler and that all changed after the 2nd covid shot. Your vaccine and cost me a lot but mostly not being able to breathe. Patient had been given Duprext shots this last year as the doctor prescribed to make up for fasnera not working like it did before taking Moderna shot. Patient also reported that It's ruined my life my bod ymy ability to go places and do things/ Severe side effects/Your shot has ruined the last 2 years and I had just gotten better.  Company comment This is a spontaneous case concerning a patient of an unknown age and gender, with medical history of asthma and shingles (in 2015 and then vaccinated with both Shingles vaccines in 2017), who experienced the serious (medically significant) event of West Nile Viral Infection, which occurred within 2 weeks after the second dose of mRNA-1273. The patient also experienced the non-serious events of influenza, nasopharyngitis and shingles within those 2 weeks. It was reported that the patient had an exacerbation of asthma regardless of the good treatment. 4 days after the Moderna vaccine, Benralizumab (Fasenra) was administered, and the arm hurt and had limitations for 7 months. The patient experienced COVID-19 about 4 months and the second episode of COVID-19 (Omicron) almost 8 months after the second dose. The medical history of asthma could have relapses and could be a confounder for exacerbation of asthma. The medical history of shingles could be a confounder for herpes zoster since recurring shingles is not preventable, its risk can only be reduced by getting shingles vaccine. The concomitant medication Benralizumab could be a confounder for pain in extremity. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.   Most recent FOLLOW-UP information incorporated above includes: On 06-Feb-2023: Follow-up received updated validity and seriousness of the case, reporter details, relevant history info, added new events of head cold, flu, West Nile, Diarrhea, Loss of personal independence, updated I-narrative.