she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath; she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath; she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath/dyspnoea (Difficult/labored breathing); swallowing; she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath; her left arm where the injection was administered became swollen; She was given a nasal spray for her nasal congestion; she might have asthma.; This spontaneous case was reported by a patient and describes the occurrence of ASTHENIA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), CHEST PAIN (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), DYSPNOEA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath/dyspnoea (Difficult/labored breathing)), DYSPHAGIA (swallowing) and NASAL CONGESTION (She was given a nasal spray for her nasal congestion) in a 73-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 8057450) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Chest pain (some pain pills) on 20-Oct-2023. Concurrent medical conditions included Hypertension, Osteoporosis, Asthma, Glaucoma both eyes and Kearns-Sayre syndrome.    On 20-Oct-2023, the patient received fifth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 23-Oct-2023, the patient experienced NASAL CONGESTION (She was given a nasal spray for her nasal congestion), ASTHMA (she might have asthma.) and INJECTION SITE SWELLING (her left arm where the injection was administered became swollen). On 26-Oct-2023, the patient experienced ASTHENIA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), CHEST PAIN (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), DYSPNOEA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath/dyspnoea (Difficult/labored breathing)), DYSPHAGIA (swallowing) and DIZZINESS (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath). At the time of the report, ASTHENIA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), CHEST PAIN (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath), DYSPNOEA (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath/dyspnoea (Difficult/labored breathing)), DYSPHAGIA (swallowing), NASAL CONGESTION (She was given a nasal spray for her nasal congestion), ASTHMA (she might have asthma.), DIZZINESS (she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath) and INJECTION SITE SWELLING (her left arm where the injection was administered became swollen) outcome was unknown.            No concomitant medication was reported. The morning before the patient took the vaccine, the patient went to the cardiologist because the patient was feeling some pain on the side. An EKG was taken and was given some pain pills. That afternoon, the patient got the Spikevax vaccine. On 23Oct2023, the patient's left arm where the injection was administered became swollen. It had knot like the size of a golf ball. The patient called her primary physician to make an appointment, but she was seen by another HCP. The patient was given a cream to apply to the swollen site. On 26Oct2023, the patient went to an urgent care because she was feeling dizzy and all kinds of symptoms - dizziness, weakness, chest pain, pain on the right side of the chest, swallowing, hard of breathing, shortness of breath. The patient was given a nasal spray for her nasal congestion. The patient said that she might have asthma.   This case was linked to MOD-2023-748719 (Patient Link).