congestion on his lungs; Every time he wakes up he spits phlegm; PSA count was 2.4 before receiving the vaccine and then went up to 4.4; Hemoglobin dropped 4 points after receiving the vaccine; When he bends over to pick something, he feels light headed and dizzy; feels a bit more tired on the afternoon; This spontaneous case was reported by a patient and describes the occurrence of PULMONARY CONGESTION (congestion on his lungs), PRODUCTIVE COUGH (Every time he wakes up he spits phlegm), PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA count was 2.4 before receiving the vaccine and then went up to 4.4), HAEMOGLOBIN DECREASED (Hemoglobin dropped 4 points after receiving the vaccine) and DIZZINESS (When he bends over to pick something, he feels light headed and dizzy) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 058F21A, 007M20A and 013A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product MULTIVITAMIN [VITAMINS NOS] for an unknown indication.    Concurrent medical conditions included Penicillin allergy, Iodine allergy, Prostate cancer (He went through radiation cycles, and the last one was on 2016) since 2015 and Latex allergy (Latex bandages.). Concomitant products included TAMSULOSIN HYDROCHLORIDE (FLOMAX [TAMSULOSIN HYDROCHLORIDE]) for an unknown indication.   On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient started MULTIVITAMIN [VITAMINS NOS] (unknown route) at an unspecified dose. On an unknown date, the patient experienced PULMONARY CONGESTION (congestion on his lungs), PRODUCTIVE COUGH (Every time he wakes up he spits phlegm), PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA count was 2.4 before receiving the vaccine and then went up to 4.4), HAEMOGLOBIN DECREASED (Hemoglobin dropped 4 points after receiving the vaccine), DIZZINESS (When he bends over to pick something, he feels light headed and dizzy) and FATIGUE (feels a bit more tired on the afternoon). At the time of the report, PULMONARY CONGESTION (congestion on his lungs), PRODUCTIVE COUGH (Every time he wakes up he spits phlegm), PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA count was 2.4 before receiving the vaccine and then went up to 4.4), DIZZINESS (When he bends over to pick something, he feels light headed and dizzy) and FATIGUE (feels a bit more tired on the afternoon) had not resolved and HAEMOGLOBIN DECREASED (Hemoglobin dropped 4 points after receiving the vaccine) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Haemoglobin: dropped 4 points (Low) dropped 4 points. On an unknown date, Prostatic specific antigen: 2.4 2.4 and 4.4 went up to 4.4.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication included multivitamin. Patient had Latex bandages allergy. Historical conditions were not relating to mentioned adverse event and both acute and chronic illnesses at the time of vaccination. Patient never had COVID positive test as well was not diagnosed with covid. Patient did not relate to mentioned AE and both Acute and Chronic illnesses at the time of vaccination: No. It was reported that patient Hemoglobin dropped 4 points after receiving the vaccine. Patient also has congestion on his lungs, every time he wakes up he spits phlegm. When he bends over to pick something, he feels lightheaded and dizzy. He feels a bit more tired on the afternoon. Adverse event cause patient to seek medical care. It was reported that patient has an appointment with his gastroenterologist who will perform an MRI on his stomach. Patient does not experience a similar event in the past.