irregular heartbeat; tachycardia; high blood pressure; could not catch breath/lay in bed and would be out of breath; Refuses to get 2nd dose due to the reaction; Eyelid twitching; chest tightness/ pressure in my chest; I was unable to complete my 1/2 mile walk or get up the small hill near my house; I still wake up during the night; teeth chattering; twitching of the face/twitching; tremors all over the body/tremors 5 hours after receiving the 1st dose/ internal tremors; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TWITCHING (twitching of the face/twitching), TREMOR (tremors all over the body/tremors 5 hours after receiving the 1st dose/ internal tremors), HEART RATE IRREGULAR (irregular heartbeat), TACHYCARDIA (tachycardia) and HYPERTENSION (high blood pressure) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included METFORMIN HYDROCHLORIDE for Diabetes, CLONAZEPAM for Pill hangover.    On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-2021, the patient experienced MUSCLE TWITCHING (twitching of the face/twitching) and TREMOR (tremors all over the body/tremors 5 hours after receiving the 1st dose/ internal tremors). On an unknown date, the patient experienced HEART RATE IRREGULAR (irregular heartbeat), TACHYCARDIA (tachycardia), HYPERTENSION (high blood pressure), DYSPNOEA (could not catch breath/lay in bed and would be out of breath), PRODUCT DOSE OMISSION ISSUE (Refuses to get 2nd dose due to the reaction), BLEPHAROSPASM (Eyelid twitching), CHEST DISCOMFORT (chest tightness/ pressure in my chest), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (I was unable to complete my 1/2 mile walk or get up the small hill near my house), INSOMNIA (I still wake up during the night) and CHILLS (teeth chattering). The patient was treated with PROPRANOLOL ongoing since an unknown date for Product used for unknown indication, at a dose of 120 mg. At the time of the report, MUSCLE TWITCHING (twitching of the face/twitching), PRODUCT DOSE OMISSION ISSUE (Refuses to get 2nd dose due to the reaction), BLEPHAROSPASM (Eyelid twitching), CHEST DISCOMFORT (chest tightness/ pressure in my chest), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (I was unable to complete my 1/2 mile walk or get up the small hill near my house), INSOMNIA (I still wake up during the night) and CHILLS (teeth chattering) outcome was unknown and TREMOR (tremors all over the body/tremors 5 hours after receiving the 1st dose/ internal tremors), HEART RATE IRREGULAR (irregular heartbeat), TACHYCARDIA (tachycardia), HYPERTENSION (high blood pressure) and DYSPNOEA (could not catch breath/lay in bed and would be out of breath) had not resolved. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   tested for and declined having Lyme disease.   Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Non-Significant Follow-up On 20-Jul-2021: Non-significant Follow-up information received. On 08-Aug-2021: Follow-up received: Physician details and events added.