Pre-pneumonia; Pains; Too much pain from  her breast to her armpit; She started coughing; Feeling very bad right now; Now she cannot do anything; Too much pain from  her breast to her armpit; She had high fever; This spontaneous case was reported by a consumer and describes the occurrence of ATYPICAL PNEUMONIA (Pre-pneumonia) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 16-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ATYPICAL PNEUMONIA (Pre-pneumonia) (seriousness criterion medically significant), PAIN (Pains), BREAST PAIN (Too much pain from  her breast to her armpit), COUGH (She started coughing), FEELING ABNORMAL (Feeling very bad right now), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Now she cannot do anything), AXILLARY PAIN (Too much pain from  her breast to her armpit) and PYREXIA (She had high fever). At the time of the report, ATYPICAL PNEUMONIA (Pre-pneumonia), BREAST PAIN (Too much pain from  her breast to her armpit), FEELING ABNORMAL (Feeling very bad right now), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Now she cannot do anything), AXILLARY PAIN (Too much pain from  her breast to her armpit) and PYREXIA (She had high fever) outcome was unknown and PAIN (Pains) and COUGH (She started coughing) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient got second dose of Moderna vaccine and went to emergency room and was diagnosed with pre-pneumonia, had high fever, pains, too much pain from breast to armpit.   Patient was strong and had nothing before vaccine, now cannot do anything, started coughing (continues) and doctor prescribed some coughing medicine and still had pain.  Concomitant medications were not reported.  The action taken for m-RNA-1273 COVID-19 Moderna Vaccine was not applicable.  Company Comment: This case concerns a 67-year-old female with a serious unexpected event of atypical pneumonia, and non-serious breast pain, feeling abnormal, loss of personal independence in daily activities, axillary pain and pyrexia. Event onset with unknown latency after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded   This case was linked to MOD-2021-244483 (Patient Link).; Sender's Comments: This case concerns a 67-year-old female with a serious unexpected event of atypical pneumonia, and nonserious breast pain, feeling abnormal, loss of personal independence in daily activities, axillary pain and pyrexia. Event onset with unknown latency after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded