lethargic; lacks motivation; easily stressed; easily angered; emotional; mentally confused/sometimes difficult to make any decisions/thought process affected; depressed; has anxiety; difficulty in sleeping/hard to get normal sleep/not getting enough sleep; total feeling of unease/feeling of something is wrong/paranoid all for nothing but it could be something; not totally healthy; restless; lazy (he says he used used to be a driven person); tired all the time/tired at the same time always wants to go to sleep; has body aches; joint aches; heart palpitations; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (heart palpitations), LETHARGY (lethargic), APATHY (lacks motivation), STRESS (easily stressed) and ANGER (easily angered) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031B21A, 002C21A and 045J21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Patient had not tested positive for Covid-19 before or after getting the Covid-19 vaccine.  Previously administered products included for Product used for unknown indication: flu vaccine on 20-Mar-2019, pneumonia vaccine (Prevenar on 13-Jan-2020 and SHINGRIX on 20-Jan-2020. Past adverse reactions to the above products included No adverse event with SHINGRIX, flu vaccine and pneumonia vaccine (Prevenar. Concurrent medical conditions included Hypertension (high blood pressure), Hypercholesteraemia (high cholesterol) and Type 2 diabetes mellitus. Concomitant products included AMLODIPINE and LISINOPRIL for Blood pressure high, ROSUVASTATIN for High cholesterol, METFORMIN and GLIMEPIRIDE for Type 2 diabetes mellitus, ACETYLSALICYLIC ACID (ASPIRIN 81) for an unknown indication.   On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In January 2022, the patient experienced PALPITATIONS (heart palpitations). On an unknown date, the patient experienced LETHARGY (lethargic), APATHY (lacks motivation), STRESS (easily stressed), ANGER (easily angered), EMOTIONAL DISORDER (emotional), CONFUSIONAL STATE (mentally confused/sometimes difficult to make any decisions/thought process affected), DEPRESSION (depressed), ANXIETY (has anxiety), INSOMNIA (difficulty in sleeping/hard to get normal sleep/not getting enough sleep), FEELING ABNORMAL (total feeling of unease/feeling of something is wrong/paranoid all for nothing but it could be something), MALAISE (not totally healthy), RESTLESSNESS (restless), LAZINESS (lazy (he says he used used to be a driven person)), FATIGUE (tired all the time/tired at the same time always wants to go to sleep), MYALGIA (has body aches) and ARTHRALGIA (joint aches). At the time of the report, PALPITATIONS (heart palpitations), LETHARGY (lethargic), APATHY (lacks motivation), STRESS (easily stressed), ANGER (easily angered), EMOTIONAL DISORDER (emotional), CONFUSIONAL STATE (mentally confused/sometimes difficult to make any decisions/thought process affected), DEPRESSION (depressed), ANXIETY (has anxiety), INSOMNIA (difficulty in sleeping/hard to get normal sleep/not getting enough sleep), FEELING ABNORMAL (total feeling of unease/feeling of something is wrong/paranoid all for nothing but it could be something), MALAISE (not totally healthy), RESTLESSNESS (restless), LAZINESS (lazy (he says he used used to be a driven person)), FATIGUE (tired all the time/tired at the same time always wants to go to sleep), MYALGIA (has body aches) and ARTHRALGIA (joint aches) outcome was unknown.            Heart palpitations started having infrequently in Jan2022 or Feb2022 but in Mar2022 he started noticing it more frequently on a daily basis. Patient wanted to know if he should get the 2nd booster dose. Treatment medication was not provided by the reporter. It was reported no consult has been done regarding his heart palpitations. No medications are being taken and no laboratory nor radiologic exams were done.