cannot get healthy; breathing really bad/When taking a shower,have to stop and pause to take a breath; skin broke out with the worst sores; bones hurt, like they're on fire now; I get so hot that I get dizzy/It happens every single day now; fever spikes; felt like I had the flu and pneumonia; Shaking; This spontaneous case was reported by an other health care professional and describes the occurrence of PNEUMONIA INFLUENZAL (felt like I had the flu and pneumonia) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 050C21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 11-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Jun-2021, the patient experienced PNEUMONIA INFLUENZAL (felt like I had the flu and pneumonia) (seriousness criterion medically significant). 12-Jun-2021, the patient experienced TREMOR (Shaking). On 15-Sep-2022, the patient experienced GENERAL PHYSICAL HEALTH DETERIORATION (cannot get healthy), DYSPNOEA (breathing really bad/When taking a shower,have to stop and pause to take a breath), RASH (skin broke out with the worst sores), BONE PAIN (bones hurt, like they're on fire now), DIZZINESS (I get so hot that I get dizzy/It happens every single day now) and PYREXIA (fever spikes). At the time of the report, PNEUMONIA INFLUENZAL (felt like I had the flu and pneumonia), TREMOR (Shaking), GENERAL PHYSICAL HEALTH DETERIORATION (cannot get healthy), DYSPNOEA (breathing really bad/When taking a shower,have to stop and pause to take a breath), RASH (skin broke out with the worst sores), BONE PAIN (bones hurt, like they're on fire now), DIZZINESS (I get so hot that I get dizzy/It happens every single day now) and PYREXIA (fever spikes) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Sep-2022, Body temperature: Spiked/Patient got hot. On an unknown date, Laboratory test: could not find anything.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported. AE caused patient to seek medical care. Patient had to go to the doctors all the time. No treatment medications were reported. All symptoms was worsened at the time of report. Symptom of skin eruption was reported as skin wound.   Company Comment: This spontaneous case concerns a 49-year-old female patient, with no medical history reported, who experienced the unexpected serious (medically significant) event of Pneumonia influenzal, and the unexpected non-serious event of Tremor that occurred approximately 1 day after receiving the second dose of mRNA-1273 Vaccine. The unexpected non-serious events of General physical health deterioration, Dyspnea, and Bone pain occurred approximately 1 year 3 months after the second dose. Treatment information was not provided. The outcome of the events was reported as not resolved. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.   This case was linked to MOD-2022-646289 (Patient Link).; Sender's Comments: This spontaneous case concerns a 49-year-old female patient, with no medical history reported, who experienced the unexpected serious (medically significant) event of Pneumonia influenzal, and the unexpected non-serious event of Tremor that occurred approximately 1 day after receiving the second dose of mRNA-1273 Vaccine. The unexpected non-serious events of General physical health deterioration, Dyspnea, and Bone pain occurred approximately 1 year 3 months after the second dose. Treatment information was not provided. The outcome of the events was reported as not resolved. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.