he had heart failure. He is not sure about the medical term, but had fluid around the heart. Congestive heart failure might be the correct term; had fluid around the heart; He had blood clots in his left arm; asthma attack; panic attack; lethargic; loss of energy; Myocarditis; Pericarditis; .Diagnosed with Covid-19 after the second Moderna dose, on christmas of 2021; After receiving first dose: he had nauseas, not a big deal; This spontaneous case was reported by a patient and describes the occurrence of CARDIAC FAILURE CONGESTIVE (he had heart failure. He is not sure about the medical term, but had fluid around the heart. Congestive heart failure might be the correct term), PERICARDIAL EFFUSION (had fluid around the heart), THROMBOSIS (He had blood clots in his left arm), ASTHMA (asthma attack), PANIC ATTACK (panic attack), LETHARGY (lethargic), ASTHENIA (loss of energy), COVID-19 (.Diagnosed with Covid-19 after the second Moderna dose, on christmas of 2021), MYOCARDITIS (Myocarditis) and PERICARDITIS (Pericarditis) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036821A and 030M20A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Surgery (pacemaker). Concurrent medical conditions included Allergic to cats (cat fur), Asthma (when younger he took preventive medicine.), Cholesterol high and Thyroid disorder.   On 26-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In December 2021, the patient experienced COVID-19 (.Diagnosed with Covid-19 after the second Moderna dose, on christmas of 2021) (seriousness criteria hospitalization, disability and medically significant). On an unknown date, the patient experienced CARDIAC FAILURE CONGESTIVE (he had heart failure. He is not sure about the medical term, but had fluid around the heart. Congestive heart failure might be the correct term) (seriousness criteria hospitalization, disability and medically significant), PERICARDIAL EFFUSION (had fluid around the heart) (seriousness criteria hospitalization, disability and medically significant), THROMBOSIS (He had blood clots in his left arm) (seriousness criteria hospitalization, disability and medically significant), ASTHMA (asthma attack) (seriousness criteria hospitalization, disability and medically significant), PANIC ATTACK (panic attack) (seriousness criteria hospitalization, disability and medically significant), LETHARGY (lethargic) (seriousness criteria hospitalization, disability and medically significant), ASTHENIA (loss of energy) (seriousness criteria hospitalization, disability and medically significant), NAUSEA (After receiving first dose: he had nauseas, not a big deal), MYOCARDITIS (Myocarditis) (seriousness criteria hospitalization, disability and medically significant) and PERICARDITIS (Pericarditis) (seriousness criteria hospitalization, disability and medically significant). The patient was treated with PREDNISONE at an unspecified dose and frequency; SACUBITRIL, VALSARTAN (ENTRESTO) at a dose of 50 milligram twice a day; METOPROLOL at a dose of 50 milligram; ROSUVASTATIN for High cholesterol, at a dose of 40 milligram; FUROSEMIDE at a dose of 40 milligram; Surgery for Cardiac failure congestive; Surgery for Myocarditis and Surgery for Pericarditis. At the time of the report, CARDIAC FAILURE CONGESTIVE (he had heart failure. He is not sure about the medical term, but had fluid around the heart. Congestive heart failure might be the correct term), THROMBOSIS (He had blood clots in his left arm), ASTHMA (asthma attack), PANIC ATTACK (panic attack), LETHARGY (lethargic), ASTHENIA (loss of energy), COVID-19 (.Diagnosed with Covid-19 after the second Moderna dose, on christmas of 2021) and NAUSEA (After receiving first dose: he had nauseas, not a big deal) had not resolved and PERICARDIAL EFFUSION (had fluid around the heart), MYOCARDITIS (Myocarditis) and PERICARDITIS (Pericarditis) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: blood work was fine.. On an unknown date, Cardiac function test: His heart function went down to 10% but now went up to 30%. On an unknown date, Weight: gaining weight, maybe 20 lbs.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine.  No concomitant medications were reported.  The patient received a surgery: pacemaker, which helps the heart to pump and had been experiencing complications for 18 months now. The patient was in the hospital 15 times last year. He gained weight. He stated there were like 7 doctors who treated him. But then he started gaining weight, maybe 20 lbs. He was sleeping all the time, he was lethargic and had loss of energy - he just thought he was getting old. He couldn´t walk, couldn´t do his regular routine. He also mentioned a medication for the thyroid but he didn´t provide the name. He also has to go through a regular check up. His heart function went down to 10% but now went up to 30% He has a pacemaker. He was checked 1 year before, or about 6-8 months before receiving the vaccines, and everything was fine. His heart was fine and blood work was fine. The patient was diagnosed with myocarditis or pericarditis but was not sure which of them. He had never experienced something like this before.  Company Comment: This is a spontaneous case concerning a 57-year-old male patient with a history of Asthma, Cholesterol high and Thyroid disorder, who experienced the serious (due to medically significant, disability and hospitalization) unexpected, events of cardiac failure congestive, pericardial effusion, thrombosis, asthma, panic attack, lethargy, asthenia and COVID-19, and the serious (due to medically significant, disability and hospitalization) events of myocarditis and pericarditis, which occurred on an unknown date after a dose of mRNA-1273 vaccine. After receiving first dose, he had nausea. Then he started gaining weight. He was sleeping all the time; he was lethargic and had loss of energy. He couldn´t walk nor do his regular routine. Then after the second dose (which was a stressful time because of his divorce), he fell on his knees, he thought he was having a panic attack, or an asthma attack. He was hospitalized 3 times because of "asthma attacks". They gave him prednisone and he went home. Then in the 4th hospitalization he was told he had heart failure, not asthma attacks. His actual treatment includes 6 different medications, he mentioned a few of them: Entresto 49-5mg, metoprolol 50mg, Rosuvastatin, Furosemide 40mg. He also mentioned a medication for the thyroid but he didn´t provide the name. He also must go through a regular check- up. His heart function went down to 10% but now went up to 30%. He states he had heart failure. He is not sure about the medical term but had fluid around the heart. Congestive heart failure might be the correct term. He received a surgery: pacemaker. He has been experiencing complications for 18 months now. He states he was in the hospital 15 times last year. He gained weight. He had blood clots in his left arm. He also had lung issues, which seemed like something complicated but then it went away. He was checked 1 year before, or about 6-8 months before receiving the vaccines, and everything was fine. His heart was fine, his blood work was fine. Reported said that there was a diagnose of myocarditis or pericarditis, but he is not sure which of them. The mentioned medical history of asthma could be confounder factor for event asthma. Medical history of Cholesterol high could be a risk factor for event heart failure. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: Company Comment: This is a spontaneous case concerning a 57-year-old male patient with a history of Asthma, Cholesterol high and Thyroid disorder, who experienced the serious (due to medically significant, disability and hospitalization) unexpected, events of cardiac failure congestive, pericardial effusion, thrombosis, asthma, panic attack, lethargy, asthenia and COVID-19, and the serious (due to medically significant, disability and hospitalization) events of myocarditis and pericarditis, which occurred on an unknown date after a dose of mRNA-1273 vaccine. After receiving first dose, he had nausea. Then he started gaining weight. He was sleeping all the time; he was lethargic and had loss of energy. He couldn´t walk nor do his regular routine. Then after the second dose (which was a stressful time because of his divorce), he fell on his knees, he thought he was having a panic attack, or an asthma attack. He was hospitalized 3 times because of "asthma attacks". They gave him prednisone and he went home. Then in the 4th hospitalization he was told he had heart failure, not asthma attacks. His actual treatment includes 6 different medications, he mentioned a few of them: Entresto 49-5mg, metoprolol 50mg, Rosuvastatin, Furosemide 40mg. He also mentioned a medication for the thyroid but he didn´t provide the name. He also must go through a regular check- up. His heart function went down to 10% but now went up to 30%. He states he had heart failure. He is not sure about the medical term but had fluid around the heart. Congestive heart failure might be the correct term. He received a surgery: pacemaker. He has been experiencing complications for 18 months now. He states he was in the hospital 15 times last year. He gained weight. He had blood clots in his left arm. He also had lung issues, which seemed like something complicated but then it went away. He was checked 1 year before, or about 6-8 months before receiving the vaccines, and everything was fine. His heart was fine, his blood work was fine. Reported said that there was a diagnose of myocarditis or pericarditis, but he is not sure which of them. The mentioned medical history of asthma could be confounder factor for event asthma. Medical history of Cholesterol high could be a risk factor for event heart failure. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.