had a really bad cough for about 15 minutes; During that time I had headache also; glands in my neck swelled up tremendously; COVID symptoms; had open heart surgery in APR2023 and reconstructive surgery in 22SEP2023, because the chest bone did not heal after the April surgery.; This spontaneous case was reported by a patient and describes the occurrence of IMPAIRED HEALING (had open heart surgery in APR2023 and reconstructive surgery in 22SEP2023, because the chest bone did not heal after the April surgery.), COUGH (had a really bad cough for about 15 minutes ), HEADACHE (During that time I had headache also), LYMPHADENOPATHY (glands in my neck swelled up tremendously) and SUSPECTED COVID-19 (COVID symptoms) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 060H21A, 002B21A and 036B21A) for COVID-19 prophylaxis.     Concurrent medical conditions included Congenital heart disease NOS (since childhood) and Atrial fibrillation (on & off since childhood.).   On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In 2023, the patient experienced IMPAIRED HEALING (had open heart surgery in APR2023 and reconstructive surgery in 22SEP2023, because the chest bone did not heal after the April surgery.). On an unknown date, the patient experienced COUGH (had a really bad cough for about 15 minutes ), HEADACHE (During that time I had headache also), LYMPHADENOPATHY (glands in my neck swelled up tremendously) and SUSPECTED COVID-19 (COVID symptoms). At the time of the report, IMPAIRED HEALING (had open heart surgery in APR2023 and reconstructive surgery in 22SEP2023, because the chest bone did not heal after the April surgery.) was resolving, COUGH (had a really bad cough for about 15 minutes ) had resolved and HEADACHE (During that time I had headache also), LYMPHADENOPATHY (glands in my neck swelled up tremendously) and SUSPECTED COVID-19 (COVID symptoms) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: blood pressure shut up to 180/120, for three days. He didn't go to the emergency room. Patient called cardiologist and was put on a stronger blood pressure medication to lower it..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No relevant concomitant medications were reported. Three weeks after the third shot, he had COVID symptoms, bad cough and glands in his neck swelled up) but did not do the PCR nor home testing for COVID. He knows it was COVID disease because 1 week after he had the symptoms, his family had positive COVID tests and he did not get COVID Disease again. He was debating about whether he should get the new Moderna vaccine. His doctors have told him to get it. But he was just very reluctant because of recent reports of people having heart issues, tachycardia problems and some people have died because of certain reactions.   This case was linked to US-MODERNATX, INC.-MOD-2023-747584, US-MODERNATX, INC.-MOD-2023-747585, US-MODERNATX, INC.-MOD-2023-747588, US-MODERNATX, INC.-MOD-2023-747597, US-MODERNATX, INC.-MOD-2023-747601 (Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 27-Oct-2023: Live follow-up received: Reference id updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-747584:Patient's friend's mother case US-MODERNATX, INC.-MOD-2023-747588:Girlfriend's family case US-MODERNATX, INC.-MOD-2023-747601:Case for Uncle US-MODERNATX, INC.-MOD-2023-747585:Girlfriend Case US-MODERNATX, INC.-MOD-2023-747597:Case for the patients who live live next door to reporter