LARYNGITIS/ HOARSE VOICE; CONGESTION; RUNNY NOSE; DIARRHEA; 15 BRIGHT RED DOTS AROUND YELLOW CIRCLE, LATER DOTS WERE BROWN; YELLOW RING ON LEFT FOREARM SIZE OF A QUARTER; ERYTHEMA AND SORES ON THROAT, APPEARED BRIGHT RED WITH 3 INCH AREAS WITH LITTLE BLISTER IN BACK OF MOUTH; GASTROINTESTINAL SYMPTOMS; BAD ABDOMINAL CRAMPING AFTER EATING AND ABDOMINAL PAIN; CHILLS; MUSCLE PAIN; FEVER; TIREDNESS- FALLS ASLEEP WHILE SITTING, WORKING, NOT NORMAL; HEADACHE; RAPID HEART BEAT/ TACHYCARDIA SHORTLY AFTER VACCINATION; CHEST PAIN; This spontaneous report received from a patient concerned a 72 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: arrhythmias, urinary tract infection, low blood pressure, biliary disease, alcoholic, non smoker, and red spots over body, and other pre-existing medical conditions included: Patient had no drug abuse or illicit drug usage. The patient experienced drug allergy when treated with clindamycin, cyproheptadine hydrochloride, benzylpenicillin, sulfacetamide sodium/sulfadiazine/sulfadimidine/sulfamerazine, tetracycline, and vancomycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 23-AUG-2021 for prophylactic vaccination. Concomitant medications included bnt 162 for prophylactic vaccination. On 23-AUG-2021, the patient experienced rapid heart beat/ tachycardia shortly after vaccination. On 23-AUG-2021, the patient experienced chest pain. On 23-AUG-2021, the patient experienced headache. On 24-AUG-2021, the patient experienced erythema and sores on throat, appeared bright red with 3 inch areas with little blister in back of mouth. On 24-AUG-2021, the patient experienced gastrointestinal symptoms. On 24-AUG-2021, the patient experienced bad abdominal cramping after eating and abdominal pain. On 24-AUG-2021, the patient experienced chills. On 24-AUG-2021, the patient experienced muscle pain. On 24-AUG-2021, the patient experienced fever. On 24-AUG-2021, the patient experienced tiredness- falls asleep while sitting, working, not normal. Laboratory data included: Body temperature (NR: not provided) 99.8 F. On 02-SEP-2021, the patient experienced yellow ring on left forearm size of a quarter. On 02-SEP-2021, the patient experienced 15 bright red dots around yellow circle, later dots were brown. On an unspecified date, the patient experienced laryngitis/ hoarse voice, congestion, runny nose, and diarrhea. Treatment medications (dates unspecified) included: ibuprofen, acetylsalicylic acid, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from rapid heart beat/ tachycardia shortly after vaccination on 23-AUG-2021, chest pain on 24-AUG-2021, gastrointestinal symptoms, bad abdominal cramping after eating and abdominal pain, diarrhea, chills, and muscle pain, headache on AUG-2021, and fever on 01-SEP-2021, was recovering from tiredness- falls asleep while sitting, working, not normal, and erythema and sores on throat, appeared bright red with 3 inch areas with little blister in back of mouth, had not recovered from laryngitis/ hoarse voice, yellow ring on left forearm size of a quarter, and 15 bright red dots around yellow circle, later dots were brown, and the outcome of congestion and runny nose was not reported. This report was non-serious.