TRANSIENT ISCHAEMIC ATTACK; GOUT FLARE; PAIN BEHIND RIGHT KNEE; RIGHT CALF PAIN; CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; VERTIGO; LITTLE SHORTNESS OF BREATH; BLOOD PRESSURE RISING; HEADACHE; TIREDNESS; TRANSIENT CHEST PAIN; TRANSIENT NECK PAIN; This spontaneous report received from a patient concerned a 52 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included: asthma and drug allergy (Aspirin). The patient didn't have covid prior to being vaccination. The patient was previously treated with salbutamol.  The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: 18-FEB-2022) dose was not reported, 1 total, first dose administered to the left arm on 11-SEP-2021 for covid-19 prophylaxis. Age at time of vaccination 52 years old. Concomitant medications included allopurinol, budesonide, cetirizine hydrochloride, clopidogrel bisulfate, colchicine, losartan, metoprolol, pantoprazole, and rosuvastatin.  Immediately following vaccination on 11-SEP-2021, the patient had headaches, dizziness, vertigo and a little shortness of breath and tiredness (overly), blood pressure started rising. On 11-SEP-2021, from time of vaccine to the time he went to the hospital, the patient had transient chest and neck pain. The patient had headaches for months and treated with paracetamol (Tylenol). The patient was sent for a brain scan due to headaches, dizziness and tiredness which was negative. Patient's blood pressure came down and the dizziness and headaches subsided some. On 03-JAN-2022, the patient got COVID-19 and he was out with COVID-19 until 14-JAN-2022 which was confirmed by the coronavirus disease-19 polymerase chain reaction (COVID-19 PCR) test and coded as confirmed covid-19 infection and confirmed clinical vaccination failure. Most likely took the test on the 03-JAN-2022 or over the prior weekend on JAN-2022, Laboratory data included: COVID-19 PCR test Positive. On 28-MAY-2022, the patient experienced transient ischaemic attack (TIA). On 29-MAY-2022, the patient called doctors clinic. The left side of his body went numb while putting up groceries so he laid down and went to hospital on 30-MAY-2022. On 31-MAY-2022, he came back home form hospital. The patient also had brain fog/a foggy memory and went back to work on 06-JUN-2022 and worked from home. He saw cardiologist and neurologist in hospital and on an unspecified date, he had mini stroke and was put on medications. The headaches are nearly gone with the medications. On an unspecified date, the patient had gout flare and hard for him to put on shoes and walk, and had trouble sleeping and got bed at 21:20 and got up and got ice and Tylenol around 1:30 and put the ice on his foot. The throbbing subsided enough to go sleep. The patient toss and turned and went to sleep around 3:00 and woke up at 6:00. On JUL-2022, a month ago from the time of reporting, the patient experienced pain behind right knee, and right calf pain. He was sent for MRI (Magnetic resonance imaging) for bakers cyst and blood clots and resulted as negative. The pain continued for 4 more days then it subsided. The number of days of hospitalization was not reported. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from confirmed covid-19 infection on 14-JAN-2022, blood pressure rising, pain behind right knee, and right calf pain, and transient chest pain, and transient neck pain on 30-MAY-2022, was recovering from headache, and the outcome of little shortness of breath, tiredness, transient ischaemic attack, gout flare, vertigo and confirmed clinical vaccination failure was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition). This case was associated with a product quality complaint: 90000248576.; Sender's Comments: V0: 20220863240-covid-19 vaccine ad26.cov2.s-transient ischaemic attack. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). Therefore, this event(s) is considered unassessable.  20220863240-covid-19 vaccine ad26.cov2.s-Confirmed clinical vaccination failure. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS. Therefore, this event(s) is considered not related.