She felt like having Covid-19, and in fact she does.She has pneuomonia for Covid for the 4th time/When she received the dose, she called the pharmacy because she was sick for 7 days/ she had all the symptoms, every side effect; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 PNEUMONIA (She felt like having Covid-19, and in fact she does.She has pneuomonia for Covid for the 4th time/When she received the dose, she called the pharmacy because she was sick for 7 days/ she had all the symptoms, every side effect) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     Concurrent medical conditions included COPD.    On 16-Mar-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 PNEUMONIA (She felt like having Covid-19, and in fact she does.She has pneuomonia for Covid for the 4th time/When she received the dose, she called the pharmacy because she was sick for 7 days/ she had all the symptoms, every side effect) (seriousness criteria hospitalization and medically significant). At the time of the report, COVID-19 PNEUMONIA (She felt like having Covid-19, and in fact she does.She has pneuomonia for Covid for the 4th time/When she received the dose, she called the pharmacy because she was sick for 7 days/ she had all the symptoms, every side effect) had not resolved.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported.  The patient reported that she was not good,  when she received the dose, she called the pharmacy because she was sick for 7 days. She stated she had all the symptoms, every side effect. She felt like having Covid-19, and in fact she does.  They are going to give her a blood transfusion. She received the original vaccines and the booster and had Covid 4 times.   No treatment medications were reported.  Company comment:This is a spontaneous case concerning a female patient of unknown age with relevant medical history of chronic obstructive pulmonary disease, who experienced the unexpected serious (medically significant /hospitalization) event of COVID-19 pneumonia. The event occurred on unknown day after a dose of mRNA-1273.222 vaccine. Patient reported she felt sick for 7 days and she was hospitalized for blood transfusion. She stated she had Covid-19 four times so far after vaccinations. No further information disclosed about diagnostic tests performed or treatments received. The medical history remains as a confounder. At the time of the report, event was not resolved. The benefit-risk relationship of mRNA-1273.222 vaccine is not affected by this report. Events seriousness assessed as reported.     Reporter did not allow further contact; Reporter's Comments: This is a spontaneous case concerning a female patient of unknown age with relevant medical history of chronic obstructive pulmonary disease, who experienced the unexpected serious (medically significant /hospitalization) event of COVID-19 pneumonia. The event occurred on unknown day after a dose of mRNA-1273.222 vaccine. Patient reported she felt sick for 7 days and she was hospitalized for blood transfusion. She stated she had Covid-19 four times so far after vaccinations. No further information disclosed about diagnostic tests performed or treatments received. The medical history remains as a confounder. At the time of the report, event was not resolved. The benefit-risk relationship of mRNA-1273.222 vaccine is not affected by this report. Events seriousness assessed as reported.