Two days after the shot, he was diagnosed as having TIA; it set immediately into his lungs and almost shut down his respiratory system; fever that spiked at 105.2F; became deathly ill after his 1st shot; felt as bad as when he had Covid the 2nd time but didn't last as long; lost sense of smell; lost sense of taste; deep, dry, unproductive cough; felt as bad; extreme shortness of breath; pounding headache and he has never had a headache; nausea; muscle aches; joint aches; This spontaneous case was reported by a physician and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (Two days after the shot, he was diagnosed as having TIA), RESPIRATORY FAILURE (it set immediately into his lungs and almost shut down his respiratory system) and HYPERPYREXIA (fever that spiked at 105.2F) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced TRANSIENT ISCHAEMIC ATTACK (Two days after the shot, he was diagnosed as having TIA) (seriousness criterion medically significant), RESPIRATORY FAILURE (it set immediately into his lungs and almost shut down his respiratory system) (seriousness criterion medically significant), HYPERPYREXIA (fever that spiked at 105.2F) (seriousness criterion medically significant), ILLNESS (became deathly ill after his 1st shot), COVID-19 (felt as bad as when he had Covid the 2nd time but didn't last as long), ANOSMIA (lost sense of smell), AGEUSIA (lost sense of taste), COUGH (deep, dry, unproductive cough), FEELING ABNORMAL (felt as bad), DYSPNOEA (extreme shortness of breath), HEADACHE (pounding headache and he has never had a headache), NAUSEA (nausea), MYALGIA (muscle aches) and ARTHRALGIA (joint aches). At the time of the report, TRANSIENT ISCHAEMIC ATTACK (Two days after the shot, he was diagnosed as having TIA), RESPIRATORY FAILURE (it set immediately into his lungs and almost shut down his respiratory system), HYPERPYREXIA (fever that spiked at 105.2F), ILLNESS (became deathly ill after his 1st shot), COVID-19 (felt as bad as when he had Covid the 2nd time but didn't last as long), ANOSMIA (lost sense of smell), AGEUSIA (lost sense of taste), COUGH (deep, dry, unproductive cough), FEELING ABNORMAL (felt as bad), DYSPNOEA (extreme shortness of breath), HEADACHE (pounding headache and he has never had a headache), NAUSEA (nausea), MYALGIA (muscle aches) and ARTHRALGIA (joint aches) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 105.2 (High) 105.2F.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medications are reported.  No treatment medications are reported.  The patient wanted to query as he was working  with anti vacers and anti maskers every day he wants to know if he can get a second dose after 42 days or can he get a different vaccine for his 2nd dose.  Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.