painful; chest wall pain; shallow breaths; had to sit up to sleep; could not turn/could not lay on their side; lower left lobe they saw a little thing /right lobe still hurts; shortness of breath; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (shortness of breath), PAIN (painful), MUSCULOSKELETAL CHEST PAIN (chest wall pain), HYPOPNOEA (shallow breaths) and INSOMNIA (had to sit up to sleep) in a 60-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 041H22A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Patient did not received any other vaccines in the 4 weeks prior to COVID-19 vaccine.  The patient's past medical history included Stomach discomfort (Biaxin because they got a metallic feelin in stomach a long time ago) and COVID-19 (Covid19 back in July of this year 2022) on 03-Jul-2022. Concurrent medical conditions included Hypothyroidism (hypothyroidism for 26 years which runs in family and is on Synthroid), Allergy NOS (in her 20's she had allergy treatment) and Drug allergy (listing Biaxin because they got a metallic feelin in stomach a long time ago).    On 13-Dec-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 21-Dec-2022,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced DYSPNOEA (shortness of breath). On an unknown date, the patient experienced PAIN (painful), MUSCULOSKELETAL CHEST PAIN (chest wall pain), HYPOPNOEA (shallow breaths), INSOMNIA (had to sit up to sleep), MOBILITY DECREASED (could not turn/could not lay on their side) and CHEST DISCOMFORT (lower left lobe they saw a little thing /right lobe still hurts). The patient was treated with KETOROLAC TROMETHAMINE (TORADOL) for Chest wall pain, at an unspecified dose and frequency. At the time of the report, DYSPNOEA (shortness of breath), PAIN (painful) and MUSCULOSKELETAL CHEST PAIN (chest wall pain) was resolving and HYPOPNOEA (shallow breaths), INSOMNIA (had to sit up to sleep), MOBILITY DECREASED (could not turn/could not lay on their side) and CHEST DISCOMFORT (lower left lobe they saw a little thing /right lobe still hurts) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: Everything checked out alright. On an unknown date, Chest X-ray: Everything checked out alright. On an unknown date, Computerised tomogram: Everything checked out alright. On an unknown date, Electrocardiogram: Everything checked out alright. On an unknown date, Ultrasound scan: Inconclusive.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Previously patient had 1st Dose of vaccine from Moderna on 13-Mar-2021, lot no 027A21A, 2nd dose on 17-Apr-2021 with lot no. 045A21A and 1st booster dose on 13-Jan-2022 with lot no. 007J21A. No concomitant medications were reported.  After bivalent dose administration, patient suddenly had shortness of breath on 21-Dec-2022 a week later, it hit her suddenly, she had to take very shallow breaths, very painful, had to sit up to sleep, could not turn, could not lay on their side. Patient went to emergency room the next morning at 9 AM and the symptoms were still there. Patient had done aerobics all their life. Patient had no Asthma, or any past medical condition concerned heart or breathing. Doctors examined her for four and half hours and performed lab tests. They checked blood clot. Patient reported in her lower left lobe they saw a little thing and wanted her to follow up wot a pulmonologist on 28-Dec-2022. Patient's right lobe still hurts.