WOKE UP WITH SWEAT; FELT ACHY SENSATION IN FACE; FELT LIKE EAR CLOGGED ON LEFT SIDE OF THE HEAD; PAIN ON THE RIGHT SIDE FROM THE WAIST, ABDOMEN, RIGHT LEG, HIP BONE; SEVERE STOMACH PAIN; FEELING OF SINUS INFECTION ON THE LEFT EAR, LEFT SIDE OF FACE, ON THE LEFT EYE, LEFT SIDE OF THE HEAD; HEART PALPITATIONS/ PULSING SENSATION IN THE HEART/ HEART RACE IN MIDDLE OF NIGHT; HEADACHE ON BACK OF THE HEAD BY THE BASE OF THE NECK; MUSCLE PAIN ON THE NECK; FELT VERY SLEEPY/12-24 HOURS SLEEPY; EXTREMELY TIRED; HORRIBLE PAIN DOWN THE RIGHT ARM WHEN THE INJECTION WAS BEING ADMINISTERED, IT FELT BURN, EXTREMELY PAINFUL; This spontaneous report received from a patient concerned a 67 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: fibromyalgia, gastroesophageal reflux disease, non-smoker, non-alcohol user, latex allergy, penicillin allergy, sulfa allergy, and polyethylene glycol allergy. The patient was previously treated with benzylpenicillin, sulfacetamide sodium/sulfadiazine/sulfadimidine/sulfamerazine, and macrogol; and experienced drug allergy when treated with acetone, and rifampin non-company.  The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported.  On 09-APR-2021, the patient experienced horrible pain down the right arm when the injection was being administered, it felt burn, extremely painful. On 10-APR-2021, the patient experienced felt very sleepy/12-24 hours sleepy. On 10-APR-2021, the patient experienced extremely tired. On 14-APR-2021, the patient experienced feeling of sinus infection on the left ear, left side of face, on the left eye, left side of the head. On 14-APR-2021, the patient experienced heart palpitations/ pulsing sensation in the heart/ heart race in middle of night. On 14-APR-2021, the patient experienced headache on back of the head by the base of the neck. On 14-APR-2021, the patient experienced muscle pain on the neck. On 02-SEP-2021, the patient experienced severe stomach pain. On 20-SEP-2021, the patient experienced pain on the right side from the waist, abdomen, right leg, hip bone. On an unspecified date, the patient experienced woke up with sweat, felt achy sensation in face, and felt like ear clogged on left side of the head. Laboratory data (dates unspecified) included: Laboratory test (NR: not provided) Normal, and Stress test (NR: not provided) Not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt very sleepy/12-24 hours sleepy, and extremely tired on 12-APR-2021, and horrible pain down the right arm when the injection was being administered, it felt burn, extremely painful on 09-APR-2021, was recovering from feeling of sinus infection on the left ear, left side of face, on the left eye, left side of the head, and felt like ear clogged on left side of the head, had not recovered from headache on back of the head by the base of the neck, heart palpitations/ pulsing sensation in the heart/ heart race in middle of night, muscle pain on the neck, pain on the right side from the waist, abdomen, right leg, hip bone, and severe stomach pain, and the outcome of woke up with sweat and felt achy sensation in face was not reported. This report was non-serious.