running nose; A patient experienced chest pain; A patient experienced Dry cough/dry cough is so bad sometimes they cannot even speak  with cough drops; A patient experienced Trouble breathing; asthma; t feels as if they have on a tight jacket allowing them not to breathe properly./ pressure in the chest; a hard time lifting,; have difficulty breathing/were breathing at 100% before the vaccination they are now breathing at 40%.; sore throat are due to the excessive coughing.; very tired,/fatigue; A patient experienced Fever; This spontaneous case was reported by a patient and describes the occurrence of NASOPHARYNGITIS (running nose), CHEST PAIN (A patient experienced chest pain), COUGH (A patient experienced Dry cough/dry cough is so bad sometimes they cannot even speak  with cough drops), DYSPNOEA (A patient experienced Trouble breathing) and ASTHMA (asthma) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009C21A and 047C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 29-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-May-2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced NASOPHARYNGITIS (running nose), CHEST PAIN (A patient experienced chest pain), COUGH (A patient experienced Dry cough/dry cough is so bad sometimes they cannot even speak  with cough drops), DYSPNOEA (A patient experienced Trouble breathing), ASTHMA (asthma), CHEST DISCOMFORT (t feels as if they have on a tight jacket allowing them not to breathe properly./ pressure in the chest), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (a hard time lifting,), DYSPNOEA (have difficulty breathing/were breathing at 100% before the vaccination they are now breathing at 40%.), OROPHARYNGEAL PAIN (sore throat are due to the excessive coughing.), FATIGUE (very tired,/fatigue) and PYREXIA (A patient experienced Fever). The patient was treated with AZITHROMYCIN at a dose of 500 mg; BENZONATATE at a dose of 100 mg and PREDNISONE at a dose of 20 mg. At the time of the report, NASOPHARYNGITIS (running nose), CHEST PAIN (A patient experienced chest pain), COUGH (A patient experienced Dry cough/dry cough is so bad sometimes they cannot even speak  with cough drops), DYSPNOEA (A patient experienced Trouble breathing), ASTHMA (asthma), CHEST DISCOMFORT (t feels as if they have on a tight jacket allowing them not to breathe properly./ pressure in the chest), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (a hard time lifting,), DYSPNOEA (have difficulty breathing/were breathing at 100% before the vaccination they are now breathing at 40%.), OROPHARYNGEAL PAIN (sore throat are due to the excessive coughing.), FATIGUE (very tired,/fatigue) and PYREXIA (A patient experienced Fever) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test negative: negative (Negative) negative.         The HCP stated the patient had asthma and allergies to pollen.This diagnoses confused the patient, the patient emphasized they are 39 years old and have never been allergic to anything nor have they every has .seasonal allergies   Most recent FOLLOW-UP information incorporated above includes: On 11-Jun-2021: Follow up received on 11-JUNE-2021. updated on both dose details, new events were added, treatment medications were added patient demographics were updated, reporter information were updated.