Immediately after the first dose the patient reported their heart started beating fast,you could see it beating out of their neck; Sweating; Lightheadedness; Hard to breathe; Chest pain; The provider did an angiogram and now the patient has two heart defects that were not there before receiving the vaccine; Just overall not feeling good; Nausea; Always tired; Headaches every day; Receive the first dose of the Moderna COVID-19 vaccine in April/ scared to get the second dose; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (Immediately after the first dose the patient reported their heart started beating fast,you could see it beating out of their neck), HYPERHIDROSIS (Sweating), DIZZINESS (Lightheadedness), DYSPNOEA (Hard to breathe) and CHEST PAIN (Chest pain) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medication history was provided.  The patient's past medical history included Pacemaker insertion (cardiac), Stent placement and Angiogram. Concurrent medical conditions included Blood pressure high and Diabetes. Concomitant products included LOSARTAN for Blood pressure high, METFORMIN for Diabetes, ACETYLSALICYLIC ACID (ASPRIN) for an unknown indication.    In April 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In April 2021, the patient experienced HEART RATE INCREASED (Immediately after the first dose the patient reported their heart started beating fast,you could see it beating out of their neck), HYPERHIDROSIS (Sweating), DIZZINESS (Lightheadedness), DYSPNOEA (Hard to breathe), CHEST PAIN (Chest pain), CARDIAC DISORDER (The provider did an angiogram and now the patient has two heart defects that were not there before receiving the vaccine), MALAISE (Just overall not feeling good), NAUSEA (Nausea), FATIGUE (Always tired), HEADACHE (Headaches every day) and PRODUCT DOSE OMISSION ISSUE (Receive the first dose of the Moderna COVID-19 vaccine in April/ scared to get the second dose). The patient was treated with ACETYLSALICYLIC ACID, CAFFEINE, PARACETAMOL (EXCEDRIN [ACETYLSALICYLIC ACID;CAFFEINE;PARACETAMOL]) for Headache, at an unspecified dose and frequency. At the time of the report, HEART RATE INCREASED (Immediately after the first dose the patient reported their heart started beating fast,you could see it beating out of their neck), HYPERHIDROSIS (Sweating), DIZZINESS (Lightheadedness), DYSPNOEA (Hard to breathe), CHEST PAIN (Chest pain), CARDIAC DISORDER (The provider did an angiogram and now the patient has two heart defects that were not there before receiving the vaccine), MALAISE (Just overall not feeling good), NAUSEA (Nausea), FATIGUE (Always tired) and HEADACHE (Headaches every day) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Receive the first dose of the Moderna COVID-19 vaccine in April/ scared to get the second dose) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Heart rate: increased (High) Heart started beating fast. In April 2021, Oxygen saturation: 93 % (Low) low 90's% like 93%. On an unknown date, Angiogram: abnormal (abnormal) Two heart defects that were not there before receiving the vaccine..     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Most recent FOLLOW-UP information incorporated above includes: On 08-Nov-2021: The follow up document contains no new information.