EXTREME FATIGUE; EXTREME MUSCLE PAIN; JOINT PAIN; PAIN IN SHOULDER; SWELLING IS WORSE IN RIGHT ARM; PAIN ALL OVER BODY MORE IN HANDS AND ELBOWS; NOT BEEN ABLE TO SLEEP; PAIN IS WORSE IN RIGHT ARM; This spontaneous report received from a patient concerned a 64 year old female. The patient's weight was 220 pounds, and height was 62 inches. The patient's concurrent conditions included fibromyalgia, bipolar polar i, hypothyroidism, reactive hypoglycemia, abstains from alcohol, non smoker, and preexisting hand pain, and other pre-existing medical conditions included the patient had known allergies antidepressant drug had agitation allergy and narcotics drug had itching allergy. the patient did not have any drug abuse/illicit drug use. the patient is taking eye drops for unknown indication. The patient was previously treated with risperidone for bipolar disorder; and experienced vomiting when treated with dexamethasone for drug used for unknown indication, and drug allergy when treated with erythromycin for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 26-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included acarbose non-company for drug used for unknown indication, calcium citrate for drug used for unknown indication, colecalciferol for drug used for unknown indication, colestyramine for drug used for unknown indication, duloxetine hydrochloride for drug used for unknown indication, fluticasone furoate/vilanterol trifenatate for drug used for unknown indication, iron for drug used for unknown indication, lamotrigine for drug used for unknown indication, levothyroxine sodium for drug used for unknown indication, lithium non-company for drug used for unknown indication, melatonin for drug used for unknown indication, nortriptyline for drug used for unknown indication, pancreatin for drug used for unknown indication, phenytoin for drug used for unknown indication, tegretol non-company for drug used for unknown indication, vitamin b12 nos for drug used for unknown indication, vitamin c for drug used for unknown indication, oxycodone/paracetamol for pain, and vitamins nos. On JUN-2021, the subject experienced pain all over body more in hands and elbows. On JUN-2021, the subject experienced not been able to sleep. On JUN-2021, the subject experienced pain in shoulder. On JUN-2021, the subject experienced swelling is worse in right arm. On JUN-2021, the subject experienced pain is worse in right arm. On 10-JUN-2021, the subject experienced joint pain. On 10-JUN-2021, the subject experienced extreme muscle pain. Laboratory data included: Pain scale (NR: not provided) 7-8/10. On an unspecified date, the subject experienced extreme fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from extreme fatigue, had not recovered from extreme muscle pain, swelling is worse in right arm, pain is worse in right arm, pain all over body more in hands and elbows, and joint pain, and the outcome of pain in shoulder and not been able to sleep was not reported. This report was non-serious.