acute/idiopathic pancreatitis; DELIRIUM; bilateral pneumonia; having a harder time breathing; UTI; decreased blood sugar; hard time putting his thought together; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (bilateral pneumonia), DYSPNOEA (having a harder time breathing), URINARY TRACT INFECTION (UTI), DELIRIUM (DELIRIUM) and PANCREATITIS ACUTE (acute/idiopathic pancreatitis) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included MS, Hypertension, Type 2 diabetes mellitus, Hypothyroidism and Quadriplegia. Concurrent medical conditions included Drug allergy (cipro,flagyl). Concomitant products included FUROSEMIDE (LASIX [FUROSEMIDE]), SPIRONOLACTONE, METOPROLOL, INSULIN, LISINOPRIL, GLATIRAMER ACETATE (COPAXONE) and LEVOTHYROXINE for an unknown indication.    On 19-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, the patient experienced PNEUMONIA (bilateral pneumonia) (seriousness criteria hospitalization and life threatening), THINKING ABNORMAL (hard time putting his thought together), DYSPNOEA (having a harder time breathing) (seriousness criterion hospitalization) and URINARY TRACT INFECTION (UTI) (seriousness criteria hospitalization and life threatening). On 31-Mar-2021, the patient experienced DELIRIUM (DELIRIUM) (seriousness criteria hospitalization and life threatening). On 26-Apr-2021, the patient experienced PANCREATITIS ACUTE (acute/idiopathic pancreatitis) (seriousness criteria hospitalization and life threatening). On an unknown date, the patient experienced BLOOD GLUCOSE DECREASED (decreased blood sugar). The patient was hospitalized on 31-Mar-2021 due to DELIRIUM, and then for 6 days due to URINARY TRACT INFECTION. At the time of the report, PNEUMONIA (bilateral pneumonia), THINKING ABNORMAL (hard time putting his thought together), DYSPNOEA (having a harder time breathing), URINARY TRACT INFECTION (UTI), DELIRIUM (DELIRIUM), PANCREATITIS ACUTE (acute/idiopathic pancreatitis) and BLOOD GLUCOSE DECREASED (decreased blood sugar) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood glucose decreased: Low. On an unknown date, Chest X-ray: No results are given.. On an unknown date, Computerised tomogram: pancreatitis. On an unknown date, Lipase: 1207. On an unknown date, White blood cell count: 19.7.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered PANCREATITIS ACUTE (acute/idiopathic pancreatitis) to be related. No further causality assessments were provided for PNEUMONIA (bilateral pneumonia), THINKING ABNORMAL (hard time putting his thought together), DYSPNOEA (having a harder time breathing), URINARY TRACT INFECTION (UTI), DELIRIUM (DELIRIUM) and BLOOD GLUCOSE DECREASED (decreased blood sugar).    On 26 Apr 2021 the patient got readmitted for acute/idiopathic pancreatitis and remains in ICU as of 28 Apr 2021. Treatment for the events included steroids and antibiotics.  Very limited information regarding this events has been provided at this time.  However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.  Further information can't be  requested; Sender's Comments: Very limited information regarding this events has been provided at this time.  However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.  Further information can't be  requested.