HAIR STARTED FALLING OUT; CONSTANT BRAIN FOG, DOES NOT FEEL LIKE HERSELF ANYMORE; VISION BOTHERING, STRUGGLES WITH READING, BLURRY; RIGHT LEG SWELLING, A POCKET OF SWELLING NEAR THE ANKLE; FEELS HOT; CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; HORRIBLE HEADACHE; VITILIGO; This spontaneous report received from a patient concerned a 59 year old female. Initial information processed along with the follow up information received on 09-SEP-2022. The patient's height, and weight were not reported. The patient's past medical history included: thyroid removed due to a goiter about 10 years ago. The patient was previously treated with radio active iodine for goiter but treatment failed. The patient's concurrent conditions included: surgical tape allergy, abstains from alcohol, and non smoker, and the patient was in good health prior to the vaccination and had blood work previous to the vaccine to prove it. The patient was a retired police officer. No drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A expiry: 23-JUN-2021) dose was not reported, 01 total administered at left arm on 08-APR-2021 for covid-19 prophylaxis. Age at time of vaccination 59 years old. Concomitant medications included levothyroxine sodium, daily every morning before meals (Synthroid 0.112 micrograms).  On 08-APR-2021, after 15 minutes of vaccine administration, the patient got a horrible headache and ended up sitting in the pharmacy for one hour to be observed. Within one week after vaccination on an unspecified date in APR-2021, the patient developed vitiligo. Hair started falling out. The patient had constant brain fog. The patient knew her body and does not feel like herself anymore. The patient vision was bothering and was struggling with reading and if the room was not light then the patient struggles to see. Some days the patient could see better than other, some days things were blurry. The patient was unsure if vision was tied to the vaccine or not. The patient's doctors did not want to admit the vaccine was causing problems. The PCP (primary care physician) informed that the vaccine could be the cause with all her problems. The patient visited 2 different specialists, an endocrinologist, and she did the blood work for 20 years. One of the doctor wanted to give the patient Gabapentin as he stated that she was just having trouble sleeping. The patient stated that vaccine made her tired. The patient had to go to the ER (emergency room) on 19-FEB-2022 as her right leg started swelling. They performed x-ray, a CT (Computed tomography) scan possibly and/or an ultrasound. They performed blood work. The patient was recommended to get a compression stocking to wear. The patent did wear and it helped and the swelling eventually got down. The patient went to the ER out of fear of having a clot. On 01-AUG-2022, the patient tested positive for COVID-19 virus test (confirmed clinical vaccination failure, and confirmed covid-19 infection). The patient had a heat sensitivity, weak (No fever or cough). Tested positive for two and a half weeks using home rapid tests. The first home test was negative and then the next night the test was positive. The patient used to walk her dog 3-4 miles before but after Covid states that she can only walk her dog one mile. The patient was frustrated, feeling tired all the time since having the vaccine. The patient was too tired to lead normal life the way she used to be. Vitiligo had spread and she stated there was no cure for it. The patient had spots on right hand, right shoulder, right foot and one spot on left hand. Then went to her dermatologist who diagnosed her with vitiligo. The patient tends to get headaches more often that lead to brain fog. The hair failing out was resolved but after having tested positive for covid was now falling out again. The leg swelling resolved initially however, 3 months prior to this report it came back as a pocket of swelling near the ankle. The patient wear the compression stocking when needed. The patient felt weak all the time and does not feel like herself. States the heat bothers her more than ever before. The patient felt like she would pass out and feels winded when it occurs, feels hot, out of breath and like struggling to breathe. The pancreas level was elevated and a CT scan was performed. The levels remained elevated even after a few months. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from vitiligo, hair started falling out, constant brain fog, does not feel like herself anymore, right leg swelling, a pocket of swelling near the ankle, and horrible headache, and the outcome of vision bothering, struggles with reading, blurry, confirmed covid-19 infection, confirmed clinical vaccination failure and feels hot was not reported. This report was serious (Other Medically Important Condition). This report was associated with a product quality complaint: 90000250377.; Sender's Comments: V0:20220914040 -covid-19 vaccine ad26.cov2.s -confirmed clinical vaccination failure. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS. Therefore, this event(s) is considered not related.