SICK A LITTLE BIT; HARD TIME BREATHING; COVID-19 PNEUMONIA; MASSIVE LUMP IN LUNG; NOSE BLEEDING; LOST SOME WEIGHT; COUGHING UP BLOOD; STOMACH CRAMPS; GETTING COLDS QUICK; This spontaneous report received from a patient concerned a 48 year old male of an unspecified race and ethnicity. The patient's weight was 175 pounds, and height was 72 inches. The patient's concurrent conditions included: alcohol user (once in a while), and non-smoker, and other pre-existing medical conditions included: The patient had no known drug allergies and no history of drug abuse or illicit drug usage. Patient did not have health issues and never went to the physician. Patient was generally healthy, no drugs and did not do anything. Patient never get sick or call out of work prior to vaccine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, batch number and expiry date were not reported) dose was not reported, 1 total administered on an unspecified date in MAY-2021 to left arm for covid-19 prophylaxis. Age at time of vaccination 47 years old. The batch number was not reported and has been requested. No concomitant medications were reported.  The patient got the vaccine done, was told might get really sick from it. On an unspecified date, the patient was sick a little bit. On an unspecified date in 2022, the patient experienced stomach cramps, and getting colds quick. On an unspecified date in 2023 (FEB-2023 or MAR-2023 as reported) a year and a half later, patient was coughing up blood and it would not stop and nose was running and bleeding. It went away, and patient never got it checked out. The patient went to the emergency room (ER) and CAT Scan (Computerized tomogram) found something in lung. It was unknown what it was. The patient went for tests and biopsy next week. It was massive lump against his lung. The patient had a hard time breathing, massive lump in lung blocking airway. The patient was told by lung specialist that it was been there a year and a half. The patient said that was about time he got the shot. The patient wanted a second covid shot but then chose JNJ vaccine because one shot and done. The patient did not get booster shot or anything. The patient said a lot of people got covid shot and got cancer and bad things out of it. Now the lungs were on the line as take it to court. The patient still got covid on top of that. On an unspecified date in APR-2023, the patient had Covid last week, pneumonia on top of it, throwing up and coughing up blood. The patient lost some weight. There was a massive lump by lung, and patient was given breathing stuff, inhaler to breath with. The patient said it was upsetting and could not believe it. The patient never got sick or called out of work. This past year was awful for patient. The patient got colds quick, stomach cramps. This past week, patient kept on coughing, coughing coughing, coughing blood, more and more kept coming out. Went to ER and found out patient got COVID and pneumonia, no fever, massive thing pushing against the lung of patient. The patient was throwing up and coughing up blood. The patient had no fever but had stomach cramps last week then head cold, out of work on Monday and Tuesday (last week before reporting), but worked Wednesday and throwing up twice in toilet with hard time breathing. Once in a while had to take a breath, trouble breathing, cough once in a while had a massive lump 2 to 2.5 cm long by the airway.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nose bleeding on 2023, had not recovered from massive lump in lung, and covid-19 pneumonia, and the outcome of stomach cramps, sick a little bit, getting colds quick, coughing up blood, hard time breathing and lost some weight was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20230447238 and 20230445860. This report was associated with product quality complaint: 90000279898.; Sender's Comments: V0: 20230446012- COVID-19 pneumonia. The event is deemed to be scientifically implausible, i.e., there is scientific evidence against a drug/event relationship; AND there is no known class effect. Therefore, this event is considered inconsistent with vaccine administration.