long COVID; got COVID; interchange of vaccine products; Revaccination with different COVID-19 vaccine; had ringing in her ears; short time memory got a little worse; heart racing fast; feeling very stuffy; her head felt like was going to explode; itchiness; aches; migraines; Having to stay in bed; stomach issues; relentless pounding headaches; chills; fever/still had a low grade fever sometimes; she got COVID despite being vaccinated; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (got COVID) and POST-ACUTE COVID-19 SYNDROME (long COVID) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0139406) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Bladder infection. Previously administered products included for Drug use for unknown indication: J&J on 31-Mar-2021. Past adverse reactions to the above products included No adverse event with J&J. Concurrent medical conditions included Drug allergy (medication for bladder infection), Mitral valve prolapse (since she was 19 years old), Seasonal allergy and Allergy to antibiotic. Concomitant products included INFLUENZA VACCINE and CLONAZEPAM (KLONOPIN) for an unknown indication.    On 05-Nov-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2021, the patient experienced COVID-19 (got COVID) (seriousness criterion hospitalization) and DRUG INEFFECTIVE (she got COVID despite being vaccinated). In 2022, the patient experienced POST-ACUTE COVID-19 SYNDROME (long COVID) (seriousness criterion hospitalization). On an unknown date, the patient experienced TINNITUS (had ringing in her ears), MEMORY IMPAIRMENT (short time memory got a little worse), PALPITATIONS (heart racing fast), FEELING ABNORMAL (feeling very stuffy), HEAD DISCOMFORT (her head felt like was going to explode), PRURITUS (itchiness), PAIN (aches), MIGRAINE (migraines), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Having to stay in bed), ABDOMINAL DISCOMFORT (stomach issues), HEADACHE (relentless pounding headaches), CHILLS (chills), PYREXIA (fever/still had a low grade fever sometimes), INTERCHANGE OF VACCINE PRODUCTS (interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine). The patient was hospitalized on sometime in January 2022 due to COVID-19 and POST-ACUTE COVID-19 SYNDROME. The patient was treated with PARACETAMOL (TYLENOL) for Migraine, at an unspecified dose and frequency and Bed rest for COVID-19. At the time of the report, COVID-19 (got COVID), POST-ACUTE COVID-19 SYNDROME (long COVID), FEELING ABNORMAL (feeling very stuffy), HEAD DISCOMFORT (her head felt like was going to explode), PRURITUS (itchiness), PAIN (aches), MIGRAINE (migraines), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Having to stay in bed), ABDOMINAL DISCOMFORT (stomach issues), CHILLS (chills) and PYREXIA (fever/still had a low grade fever sometimes) was resolving, TINNITUS (had ringing in her ears), MEMORY IMPAIRMENT (short time memory got a little worse), PALPITATIONS (heart racing fast) and HEADACHE (relentless pounding headaches) had not resolved and DRUG INEFFECTIVE (she got COVID despite being vaccinated), INTERCHANGE OF VACCINE PRODUCTS (interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2021, SARS-CoV-2 test: Positive. In January 2022, SARS-CoV-2 test: Positive. On an unknown date, Heart rate: heart racing fast.         Concomitant medication including Antidepressants.  Patient was sick in Jan, Feb and March of 2022. Patient experienced when she had COVID diarrhea, sore throat, weird cough, high fever, tiredness, fatigue. Patient was upset because she got COVID despite being vaccinated. Patient feels she does not have the best immune system and gets sick easily. Patient seeing a pulmonologist and getting tests done. Received flu vaccine with the booster within 1 month prior to Moderna COVID-19 vaccine. Patient never experienced this with any other vaccines. Heart race more with pulmonary medication. Tylenol did not work.  Company Comment: This is a Spontaneous case concerning a 55-year-old female patient with interchange of vaccine administration (COVID-19 vaccine, J&J vaccine 1 dose) and no relevant medical history, who experienced the serious (per hospitalization) unexpected events of COVID-19 which occurred approximately 1 month after a dose of mRNA-1273 received as the second dose for COVID-19 Vaccination, and event of post-acute COVID-19 during the following three months. It was reported that the patient experienced symptoms of diarrhea, sore throat, weird cough, high fever, tiredness, fatigue and that the events were resolving. The benefit-risk relationship of COVID-19 Vaccine Moderna (mRNA-1273) is not affected by this report.   This case was linked to MOD-2022-663722 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-Oct-2022: Follow up received and contain QE ID added.; Sender's Comments: This is a Spontaneous case concerning a 55-year-old female patient with interchange of vaccine administration (COVID-19 vaccine, J&J vaccine 1 dose) and no relevant medical history, who experienced the serious (per hospitalization) unexpected events COVID-19 which occurred approximately 1 month after a dose of mRNA-1273 received as the second dose for COVID-19 Vaccination, and event of post-acute COVID-19 during the following three months. It was reported that the patient experienced symptoms of diarrhea, sore throat, weird cough, high fever, tiredness, fatigue and that the events were resolving. The benefit-risk relationship of COVID-19 Vaccine Moderna (mRNA-1273) is not affected by this report.