He says that his side effects have significantly increased with each shot of the Moderna vaccine; He had a fever which was not reducing even with Tylenol / couldn't keep temperature down; He was hot to touch bit delirious; sore arm with all shots; This spontaneous case was reported by an other health care professional and describes the occurrence of FEELING HOT (He was hot to touch bit delirious), PAIN IN EXTREMITY (sore arm with all shots), IMMUNISATION REACTION (He says that his side effects have significantly increased with each shot of the Moderna vaccine) and PYREXIA (He had a fever which was not reducing even with Tylenol / couldn't keep temperature down) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 088A22A, 939905, 048A21A and 028L20A) for COVID-19 vaccination.     No Medical History information was reported.   On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 04-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-May-2022, the patient experienced FEELING HOT (He was hot to touch bit delirious), PAIN IN EXTREMITY (sore arm with all shots) and PYREXIA (He had a fever which was not reducing even with Tylenol / couldn't keep temperature down). On an unknown date, the patient experienced IMMUNISATION REACTION (He says that his side effects have significantly increased with each shot of the Moderna vaccine). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. On 24-May-2022, FEELING HOT (He was hot to touch bit delirious), PAIN IN EXTREMITY (sore arm with all shots) and PYREXIA (He had a fever which was not reducing even with Tylenol / couldn't keep temperature down) had resolved. At the time of the report, IMMUNISATION REACTION (He says that his side effects have significantly increased with each shot of the Moderna vaccine) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: he was hot to the touch and somewhat delirious during this time..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were provided. The patient stated that received 4 doses of the Moderna COVID-19 vaccine so far with side effects getting progressively longer lasting and worse with each dose.He received his most recent booster dose on 21-MAY-2022, after which he was "under the weather" for 3 days. He had a fever which was not reducing even with Tylenol. He had to take Tylenol for 2 days. His wife stated that she could not keep his temperature down. She also stated she did not check how much fever he had but he was hot to the touch and somewhat delirious during that time.  Adverse events did not cause patient to seek medical care. The patient did not experience a similar event in the past. The patient was not given vaccines within 1 month prior to Moderna COVID-19 vaccine. The patient never ever had COVID + test or diagnosis.   This case was linked to MOD-2021-045065, MOD-2022-672860, MOD-2022-575425 (Patient Link).