Super bad, weird chemical taste in mouth/ It was getting better, then he took the morning dose today and it got worse; he has had COVID for 3-4 days, but tested positive yesterday, 02Jan2022; on Thursday he had a fever. Friday and Saturday, he had a 103 fever/Caller beat the fever; Breathing problem/Had a little bit of a breathing thing; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (Super bad, weird chemical taste in mouth/ It was getting better, then he took the morning dose today and it got worse), DYSPNOEA (Breathing problem/Had a little bit of a breathing thing), PYREXIA (on Thursday he had a fever. Friday and Saturday, he had a 103 fever/Caller beat the fever) and COVID-19 (he has had COVID for 3-4 days, but tested positive yesterday, 02Jan2022) in a 47-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037K20A and 037K20A) for COVID-19 prophylaxis.     Concurrent medical conditions included Asthma.   On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Dec-2021, the patient experienced DYSPNOEA (Breathing problem/Had a little bit of a breathing thing). On 30-Dec-2021, the patient experienced PYREXIA (on Thursday he had a fever. Friday and Saturday, he had a 103 fever/Caller beat the fever). On 02-Jan-2022, the patient experienced COVID-19 (he has had COVID for 3-4 days, but tested positive yesterday, 02Jan2022). On 02-Jan-2022 at 4:50 PM,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DYSGEUSIA (Super bad, weird chemical taste in mouth/ It was getting better, then he took the morning dose today and it got worse). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) (oral) on 02-Jan-2022 for COVID-19, at a dose of 3 dosage form every twelve hours. In January 2022, PYREXIA (on Thursday he had a fever. Friday and Saturday, he had a 103 fever/Caller beat the fever) had resolved. At the time of the report, DYSGEUSIA (Super bad, weird chemical taste in mouth/ It was getting better, then he took the morning dose today and it got worse), DYSPNOEA (Breathing problem/Had a little bit of a breathing thing) and COVID-19 (he has had COVID for 3-4 days, but tested positive yesterday, 02Jan2022) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Jan-2021, Body temperature: 103 fever. On 01-Jan-2022, Body temperature: 103 fever. On 02-Jan-2022, SARS-CoV-2 test: (Positive) Positive.         No relevant concomitant medications were reported. It was reported that asthma was diagnosed at the time of birth. Has grown out of it. As a kid, had treatments and inhalers all of the time. By 18, patients treatments were only as needed and the rest of the time he didn't need it. Now if the patient was sick, the asthma stuff activates. When patient was not sick, doesn't need or carry anything with him. Every time the patient was sick, he has to get on the nebulizer machine. Even with the regular Flu, he needs the nebulizer machine. When not sick, does not need the nebulizer. He had no sickness, but had this breathing thing and did his asthma machine, his nebulizer, for 1.5 days. He initially just thought he was having an asthma attack and his nebulizer worked. Patient had chewing gum and Ricola Honey and Herb candies. After dose one of Paxlovid the weird chemical taste in mouth had leveled off, but by dose two on 03 Jan 2022, it came back strong. It had stayed stronger this time and he was going to take another dose at 5:30PM. He moved his dose times from 1:30 to 5:30. He takes the Paxlovid every twelve hours at 5:30AM and 5:30PM.  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.