KIDNEY FAILURE; HIS LIVER IS SHOT AND NOT GOING TO REGENERATE; LIVER TRANSPLANT; ESOPHAGEAL VARICES; FLU LIKE SWEATS; ARM SORENESS; JOINT SORENESS; FEVER (AS HIGH AS 101 DEGREES FAHRENHEIT); This spontaneous report received from a patient concerned a 61 year old male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (Janssen series 1) (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, 1 total administered on 07-APR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported.  On APR-2021, the patient experienced fever (as high as 101 degrees fahrenheit), flu like sweats, arm soreness, joint soreness. These symptoms started the next day or the same evening of vaccination and it lasted 1 week. Laboratory data included: Body temperature (NR: not provided) 101 F.  On 28-APR-2021, the patient experienced spitting blood was rushed to the emergency room (ER) and was hospitalized on unspecified date for a week or 2. Then patient confirmed he had esophageal varices. During the hospitalization endoscopy performed and sealed the leak. The physician did not think they could stop the leak but they did. The patient questioned whether his need for a liver transplant was because he received the Janssen Covid-19 Vaccine. The patient advised that the liver was 50/50 and maybe he could keep it or maybe not because of the attack that happened. The patient's liver had shot and not going to regenerate. The patient's liver transplant was done on an unspecified date (sometime during the end of June 2021 according to the patient) in JUN-2021 and he was hospitalized (unspecified date) for unspecified days. The patient was on anti rejection medication since the transplant. The patient was seemingly discharged in mid-late June and went to an emergency therapy center. He stayed there for 1 month until August. On an unspecified date, the patient developed kidney failure and needed dialysis since the liver transplant. Patient required dialysis for at least 2 months and got off it in September. Patient stated that he still has high creatinine readings but it was going down on its own and the last reading was 2 and got high as 7. Patient required dialysis as soon as the liver was replaced. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever (as high as 101 degrees fahrenheit), flu like sweats, arm soreness, and joint soreness on APR-2021, and the outcome of esophageal varices, kidney failure and liver transplant and his liver is shot and not going to regenerate was not reported. This report was serious (Hospitalization Caused / Prolonged). This case, from the same reporter is linked to 20211164408.; Sender's Comments: V0: 20211164631-COVID-19 VACCINE AD26.COV2.S-Kidney failure, his liver is shot and not going to regenerate, Esophageal varices, Liver transplant. These events are considered unassessable. The events have a compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the events.