Viral meningitis; Replies but is not very coherent; Heart murmur (did a stress test and found his heart paused 4 times); Psychosis; Every time his leg is touched, it hurts him; Gout; Lost about 20lbs; Did not look like himself; Looked like he was dying; This spontaneous case was reported by a consumer and describes the occurrence of MENINGITIS VIRAL (Viral meningitis), GOUT (Gout), PSYCHOTIC DISORDER (Psychosis), CARDIAC MURMUR (Heart murmur (did a stress test and found his heart paused 4 times)), INCOHERENT (Replies but is not very coherent), WEIGHT DECREASED (Lost about 20lbs) and PAIN IN EXTREMITY (Every time his leg is touched, it hurts him) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013A21A and 001B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Viral meningitis in 1971.   On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form.  On 29-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular). On 04-Mar-2021, the patient experienced FEELING ABNORMAL (Did not look like himself) and FEELING ABNORMAL (Looked like he was dying). On 04-Apr-2021, the patient experienced MENINGITIS VIRAL (Viral meningitis) (seriousness criteria hospitalization and medically significant), GOUT (Gout) (seriousness criterion hospitalization), PSYCHOTIC DISORDER (Psychosis) (seriousness criteria hospitalization and medically significant), CARDIAC MURMUR (Heart murmur (did a stress test and found his heart paused 4 times)) (seriousness criterion hospitalization), INCOHERENT (Replies but is not very coherent) (seriousness criterion hospitalization), WEIGHT DECREASED (Lost about 20lbs) (seriousness criterion hospitalization) and PAIN IN EXTREMITY (Every time his leg is touched, it hurts him) (seriousness criterion hospitalization). The patient was hospitalized on 04-Apr-2021 due to CARDIAC MURMUR, GOUT, INCOHERENT, MENINGITIS VIRAL, PAIN IN EXTREMITY, PSYCHOTIC DISORDER and WEIGHT DECREASED. At the time of the report, FEELING ABNORMAL (Did not look like himself), FEELING ABNORMAL (Looked like he was dying), MENINGITIS VIRAL (Viral meningitis), GOUT (Gout), PSYCHOTIC DISORDER (Psychosis), CARDIAC MURMUR (Heart murmur (did a stress test and found his heart paused 4 times)), INCOHERENT (Replies but is not very coherent), WEIGHT DECREASED (Lost about 20lbs) and PAIN IN EXTREMITY (Every time his leg is touched, it hurts him) had not resolved.       The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.  Wife reports her husband received his first dose on 02March2021 and his second dose on 29March2021 (lot 001B21A) in the unknown arm (deltoid) at HealthCare. She reports that on 04March2021, she saw the family picture and her husband did not look like himself and looked like he was dying. She states that he was completely healthy, lively until the first shot. Her husband was admitted to the hospital on 4April2021 in Hospital and has been there since. Patient discloses that they both went out of town and his friends gave him a corner of a THC gummy and when he was admitted to the hospital she disclosed that to the doctor, and they jumped to conclusion and said her husband is an alcoholic and a drug addict, which she states, was outrages because he is not. Patient states that due to this reason (doctors wanting to dry him out), the doctors ended up delaying the antibiotic for 5 days (for his viral meningitis). After being wrong, they now have diagnosed him with viral meningitis, he has gout, and now psychosis. She states that every time his leg is touched, it hurts him. They also diagnosed him with heart murmur (did a stress test and found his heart paused 4 times). He replies but is not very coherent and has lost about 20lbs while in the hospital. These symptoms have started from the first vaccination and have been continuous throughout and after the second vaccination. Patient discloses that her husband has had meningitis at age 20 years old before and she is now wondering if this jumpstarted anything that was either lying dormant or any previous illnesses.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.; Sender's Comments: Although a temporal association exist, based on the known etiology of viral meningitis being of an infective etiology, a  causal relationship between the event and the administration of mRNA-1273 is unlikely.  However, the relationship between the other events and mRNA-1273 cannot be excluded based on temporal association.