my heartrate is 175-180 BPM; have minimal energy; Fatigue; inappropriate schedule of vaccine administered; This spontaneous case was reported by a patient and describes the occurrence of FATIGUE (Fatigue), HEART RATE INCREASED (my heartrate is 175-180 BPM), ASTHENIA (have minimal energy) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered) in a 22-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 070H21A) for COVID-19 prophylaxis.    Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication.    Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. patient received Estroidal within 2 weeks of vaccination. Patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID- 19. Device Date: 09Feb2022.  Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (Dose Number: 1 Batch/Lot No: er8727 Location of injection: Arm Left) on 31-Mar-2021 and PFIZER BIONTECH COVID-19 VACCINE (Dose Number: 2 Batch/Lot No: ew0172 Location of injection: Arm Left) on 22-Apr-2021. Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE. Concurrent medical conditions included Allergy NOS.   On 18-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient received first dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On an unknown date, received second dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FATIGUE (Fatigue), HEART RATE INCREASED (my heartrate is 175-180 BPM), ASTHENIA (have minimal energy) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered). At the time of the report, FATIGUE (Fatigue), HEART RATE INCREASED (my heartrate is 175-180 BPM) and ASTHENIA (have minimal energy) had not resolved and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate: 175-180 BPM.         patient was collegiate runner capable to run 4min30sec miles at elevated heartbeats. Since having her shots she can barely run 7 min miles and her heartrate was 175-180 BPM. Patient had fatigued continuously when exercising. She found that she had minimal energy and seem to have lactic acid buildup in arms (very unusual) when trying to run. Her body was not recovering after a workout. She was 23 years old and should recover in same/next day as she had been for past 10-15 years while running track or swimming. She needs to have some testing performed to understand what was happening to her heart. to her recovery. Patient was world class athlete who had been trying to compete on TRiathalon team, with passion and drive, but with setback on stamina and intensity. No treatment details were reported. This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in