passed out; blood pressure is low/blood pressure was 80 something over 50 something; white blood count is high; dehydrated; not feeling well; This is a spontaneous report from a contactable consumer (patient). A 57-years-old male patient received bnt162b2 (PFIZER COVID 19 VACCINE, Batch/Lot Number: EW0169), via an unspecified route of administration, administered in Arm Left on 22Apr2021 08:00 (57-years-old) as 1st dose, single for COVID-19 immunization (his cardiologist recommended him to get it and signed him up for it). Medical history included ongoing coronary stents  (Has 18 coronary stents in total. The last three stents were put in 2018), burning of nerves in the back from Apr2021 (The burning of nerves was done through injection), underlying heart issue, neuropathy, diabetes, blood pressure, Cholesterol. Concomitant medications included metformin taken for diabetes from an unspecified start date and ongoing; pantoprazole from an unspecified start date and ongoing; lorazepam from an unspecified start date and ongoing; gabapentin like a nerve block for neuropathy and diabetes from an unspecified start date and ongoing; isosorbide taken for slow release nitro for heart from an unspecified start date and ongoing; carvedilol taken as beta blocker and helps blood pressure and stuff from an unspecified start date to 10May2021; rosuvastatin  taken for cholesterol from an unspecified start date and ongoing; ticagrelor (BRILINTA) taken as blood thinner; losartan taken for blood pressure from an unspecified date and unspecified date; acetylsalicylic acid (ASPRIN, Bayer) from an unspecified start date and ongoing; magnesium from an unspecified start date and ongoing; furosemide taken as water pill from an unspecified date and unspecified date; metoprolol from 10May2021 to an unspecified stop date; amlodipine from an unspecified date and from May2021; chlorthalid tabniva taken as water pill (25mg at night at the time of the shot, couple of days ago he had to start cutting it in half, now he is only taking 12.5mg at night). The patient previously took Plavix (Brilinta replaced Plavix to keep his stents open. He was on Plavix over 6 years ago), Fentanyl, and Versed. The patient experienced passed out (hospitalization) on 04May2021, blood pressure is low/blood pressure was 80 something over 50 something (hospitalization) on 01May2021, not feeling well on Apr2021, white blood count is high on an unspecified date, dehydrated on an unspecified date. The patient was hospitalized for passed out and blood pressure is low/blood pressure was 80 something over 50 something from 04May2021 to 05May2021. The patient underwent lab tests and procedures which included blood count: 13 on 12May2021.  The patient received Pfizer COVID vaccine and reported after 1st dose received on 22Apr2021 he is not feeling well, he has an underlying heart issue and a history of stents placed, white blood cells are high and has a low blood pressure. His Dr. asked him to call Pfizer to ask if this could have been reported as side effects from vaccination. He was asking if he should get the second dose. He had Pfizer shot and has got to get the second one on Saturday. He doesn't know if it is related or not. He has been going to the doctor. He has underlying conditions and takes heart medications and has stents. He has not been feeling good since getting the shot. He is not sure if it is affiliated. His white blood count is high and he has to go to the doctor. His doctor is advising him to hold off on getting the second one and told him to call and ask if anyone else has had side effects like that. He clarified shot as COVID19 Vaccine. He saw his cardiologist yesterday and they thought it was interesting that he started having problems. They wanted him to call the phone number and see if he can postpone the second one. He is not sure if it is related to the shot. His blood pressure has been really low (01May2021) since taking the shot. He takes a ton of medications and they are having to adjust his medications since. Not been feeling good is ongoing. It started 3 to 4 days after getting shot. White blood count is high information reported as he was in the hospital and they didn't say anything about his white count. They did his blood count yesterday and they said it was 13 and want him to see his primary care. He just found out about that yesterday. He is going to see his primary care today. He was in the hospital from 04May2021 to 05May2021 because he passed out because his blood pressure was 80 something over 50 something. Blood pressure is low has improved but they have adjusted his medications to help it improve. COVID19 Vaccination Card: it says first dose COVID19. It doesn't have how much was administered. There is a number 42221 on the vaccination card, but he is not sure what it is. At first caller had said he got the vaccine on 24Apr2021, but then clarified that he got the vaccine on 22Apr2021. The patient went to Emergency Room. His wife had to call the ambulance because his wife thought it was his heart. They took him to the ER. They were treating him for his heart and then realized it was his blood pressure was extremely low. Prior Vaccinations (within 4 weeks): No vaccine, but he did have burning of nerves in the back at Pain Clinic done in Apr2021. The burning of nerves was done through injection. He has had it done many times. They give him a local anesthetic when they do it and also Fentanyl and Versed. He has had Fentanyl and Versed many times, due to having stents. Family Medical History Relevant to AE: No. His sisters have gotten it and they are fine. His brother has gotten it and he is fine. Patient did not wish to do a report about his siblings experience with the vaccine. His brother has issues like caller and takes medications, but he hasn't had any side effects from the vaccine. The outcome of the event blood pressure is low/blood pressure was 80 something over 50 something was recovering, not feeling well was not recovered, while for other events was unknown.