PAIN IN CHEST/HEART AREA; TINGLING IN RIGHT AND LEFT HAND; TINY BIT SORE AT THE SITE; TINGLING IN NERVES; VERTIGO; SENSATION DOWN IN ARM AND HAND (BOTH SIDES); This spontaneous report received from a patient concerned a 70 year old male of unknown race and ethnic origin. The patient's height, and weight were not reported. The patient's past medical history included: Patient had a history of vertigo (rocks in ears) maybe 5 or 6 years ago, and stenosis back surgery with spinal stenosis surgery, had stents and concurrent conditions included: cardiac event (heart attack maybe). The patient had covid-19 vaccine ad26. cov2. s (suspension for injection, route of admin not reported, batch number: unknown, expiry: UNKNOWN, dose was not reported, 1 total administered on 22/Jun/2021 at right arm for prophylactic vaccination (dose number in series 1). The batch number was not reported and has been requested.  On 22/JUN/2021, the patient experienced tingling sensation in right arm/hand which was decreasing. The tingling sensation was like when hand was going to sleep. Patient told a woman at work and she pushed on his back and he felt it in his hand. There was apparently a knot and the woman mashed on it and he could feel it in his hand. After that he came home and took 1/2 a naproxen and it was better. The tingling started in his arm and hand right side, then became mostly hands. In Jul/2021, patient experienced suspected clinical vaccination failure. He Had tingling sensation started around the same time as his vaccine likely after but he was not sure. On 25th/Oct/2021, Medicine doctor (MD) said it was carpel tunnel which was between his 2 vaccinations. Patient also noticed diminished energy very slight after the shot. He attributed it to his COVID-19 but he was not sure because he noticed it after his COVID-19. He had very poor sense of taste and smell. Patient had COVID-19 after his first dose of COVID shot, 3 weeks after. When he had COVID he lost his appetite. Lost weight 250 to 210lbs, due to decreased appetite. Patient noticed sore throat with mask use but noticed a sore throat with a different feel. Doctor diagnosed him with COVID-19 via a swab in the nose. 15 minutes later it came back positive (not sure the test he had). Events occurred on dose series 1. The patient received booster dose of covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1855194, expiry: UNKNOWN) dose was not reported, 1 total, administered on 14/NOV/2021 at right arm for prophylactic vaccination (dose number in series 2). No concomitant medications were reported.  On an unspecified date the patient experienced a tiny bit sore at the site of injection. It seem like that it responds to a half dose of naproxen sodium. Patient thought that it maybe the muscle in back was clamped down causing some tingling in his nerves. The patient experienced tingling in right and left hand. When he was up and moving none of the tingling bothers him. When his hands sit he can feel it. Nothing was going on with gut/bowel. On DEC/2021, the patient experienced vertigo (ongoing dizziness), sensation down in arm and hand (both sides) and started sense it in his left hand. On 17/DEC/2021, in morning the patient  had sensation/pain which was not bad but does not normally get those, had it may be around 3 times. On an unspecified date, the patient experienced pain in chest/heart area. Events occurred on dose series 2. Laboratory data (dates unspecified) included: BP (NR: not provided) 117/91, Echocardiogram (NR: not provided) not reported, and Stress test (NR: not provided) not reported. Treatment medications (dates unspecified) included: naproxen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vertigo, was recovering from tingling in right and left hand, and the outcome of tiny bit sore at the site, sensation down in arm and hand (both sides), tingling in nerves and pain in chest/heart area was not reported. This report was not serious. This case, involving the same patient is linked to 20211240502.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.