HEART FLUTTERS WHILE SLEEPING AND/OR AWAKE; LEFT AND RIGHT JAWLINE PAIN; JAWLINE PULSATIONS/ RIGHT PECTORAL MUSCLE COLD AT FIRST THEN HOT; PAIN IN LEFT AND RIGHT CHEST/SPORADIC CHEST PAINS/PAIN IN STERNUM; SHOOTING PAIN THAT STARTS FROM SHOULDERS AND TRAVELS UP AND DOWN BOTH ARMS; FELT LIKE HEMORRHOIDS LIKE A BURNING SENSATION IN HIS ANUS; LUMP IN NECK; NECK WAS SWOLLEN AROUND THE AORTA AREA; UNABLE TO SLEEP; FELT LIKE LUNG IS BEING INFLATED AND DEFLATED; FELT LIKE THERE IS BUBBLES IN INTESTINAL TRACT AND THAT IT MAKES HIM VERY GASSY ON BOTH ENDS.; ANXIETY; UNABLE TO TURN HEAD; CANNOT BE ACTIVE; LIFESTYLE HAS CHANGED; SHARP PAINS IN LEFT ARM; HEADACHES; PAIN IN THROAT; BLOOD PRESSURE WAS ELEVATED; HEART PALPITATIONS; DIFFICULTY BREATHING/HARD TO BREATH; JOINT PAIN; NAUSEA; This spontaneous report received from a patient concerned a 38 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included: blood pressure, and allergy. Was taking medication for both. Other pre-existing medical conditions included: no known drug allergies, lived a very active lifestyle, and was a body builder. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1816022 expiry: unknown) dose was not reported, frequency time 1 total administered to the left arm on 27-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-AUG-2021, the patient experienced heart palpitations, difficulty breathing/hard to breath, joint pain, and nausea. The heart palpitations and difficulty breathing got much worse on second day, therefore needed to go to the ER (emergency room) at the base. On 28-AUG-2021, the patient had blood pressure elevated. His blood pressure was 167/112 mmHg. At the ER, he was given a dose of Toradol (ketorolac tromethamine) and the physician changed his blood pressure medication. They also did X-rays and echocardiograms, but could not find a cause and so he was transported back for further evaluation. On 18-SEP-2021, the patient experienced pain in throat. On unspecified dates, the patient experienced heart flutters while sleeping and/or awake, left and right jawline pain, jawline pulsations, pain in left and right chest/sporadic chest pains/pain in sternum, shooting pain that starts from shoulders and travels up and down both arms, felt like hemorrhoids like a burning sensation in his anus, lump in neck, and neck was swollen around the aorta area, unable to sleep, felt like lung is being inflated and deflated, felt like there were bubbles in intestinal tract and that it made him very gassy on both ends, anxiety, right pectoral muscle cold at first then hot, unable to turn head, sharp pains in left arm, and headaches. He was not active, and his lifestyle was changed. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) highest being 142 over 90's, diagnostic ultrasound (NR: not provided) unknown, EKG (NR: not provided) unknown, echocardiogram (NR: not provided) awaiting results, ultrasound chest (NR: not provided) unknown, and X-ray (NR: not provided) unknown. Patient had visited ER at least 5 times. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headaches, pain in left and right chest/sporadic chest pains/pain in sternum, anxiety, cannot be active, and lifestyle has changed, and the outcome of nausea, heart palpitations, difficulty breathing/hard to breath, joint pain, blood pressure was elevated, left and right jawline pain, shooting pain that starts from shoulders and travels up and down both arms, felt like hemorrhoids like a burning sensation in his anus, pain in throat, lump in neck, neck was swollen around the aorta area, unable to sleep, felt like lung is being inflated and deflated, felt like there is bubbles in intestinal tract and that it makes him very gassy on both ends, sharp pains in left arm, right pectoral muscle cold at first then hot, unable to turn head, heart flutters while sleeping and/or awake and jawline pulsations was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210941109.; Sender's Comments: V0: 20210941047-COVID-19 VACCINE AD26.COV2.S- Heart flutters while sleeping and/or awake, Blood pressure was elevated. This event(s) is considered unassessable. 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).