Terrible headaches; Pressure on chest; Blood pressure really high 199/97; Heart started pounding; Wakes up from sleep; Left arm pain; Left hand is always cold; Exhaustion; she was clammy and sweaty; her chest it is not all the time, its with severe palpitations; migraine with vomiting type of thing; how long ago it was that her arm went numb; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0150, Expiry date: unknown), dose 2 via an unspecified route of administration, administered in Arm Right on 02Apr2021 as dose 2, single for covid-19 immunisation. Medical history included supraventricular tachycardia, headache (She has had headaches since she was 12, about that age) and hypotension. Concomitant medication(s) included metoprolol succinate (METOPROLOL) taken for blood pressure measurement. Historical vaccine includes first dose of BNT162B2 (Lot number: EN6201) on right arm on 12Mar2021 (at the age of 60 years) for covid-19 immunization and experienced red, itchy arm lasted about half an hour and exhaustion. The patient reported, with the second dose her blood pressure has been high and she had to go on a blood pressure medication. She thought it was no big deal because she has supraventricular tachycardia. She has a cardiac loop and unfortunately her loop died so she does not know if it picked up any of this. All of a sudden, the nurse asked if she was alright and she said no and was trying not to panic. It was so bad she could almost see her heart pounding and she was clammy and sweaty. This is getting so much worse. They took her back and took her blood pressure and it was really high. She normally has had a low blood pressure her whole life. She said until that day, 98 would be high. 58 to 60 as the bottom number would be normal. They took it and said to wait a while. They took it again and it was higher and they waited a while. The nurse practitioner said it is not normal and called an EMT for her to go to the hospital. The EMTs took her blood pressure and it was higher. They also did an EKG that was normal. She had thought she had lost the leads because it was beeping, but her blood pressure was through the roof. It was like 225, she thinks they said, and she can't remember the bottom number but close to like 130. She went to the ER and it was a weird ER visit. She had been to the hospital a lot unfortunately. She was on Metoprolol 50mg. She called the cardiologist last week because it got so bad that she wakes up from her sleep and has terrible headaches. She was not sleeping but when she does fall asleep, she was getting like two hours of sleep on average because she was being woken up by this pounding and getting these headaches. She thought it was time to report it because something was not right. She was getting worse not better. Last night her blood pressure was 199/97, which is high for someone who is usually 90/58. She took it a while ago again and it was 157 over about 58 or something like that. The exhaustion started within a day or 2, probably within 24 to 48 hours. She doesnt know if high blood pressure can cause her to be tired, but she also cant sleep. She was going to the doctor and was trying not to panic. She doesnt think it was as bad now. She was tired, but not as bad. When she had the first shot, she had exhaustion immediately that lasted a week. She doesnt think her exhaustion now has anything to do with the shot. Her blood pressure one hundred percent, yes, does have something to do with the shot. She has never had this in her life and she cant stand it. She also has had left arm pain and she feels like there is a fist in her chest. That is why she was heading to the cardiologist. They took her blood pressure 4 times at the place where she had the second shot done. The EMT showed up and transported her to the hospital and said it was way too high, was their exact words. They said it was very unsafe. She didnt get admitted to the hospital. She said it was a strange ER visit. She didnt think she even saw a doctor, it was very odd. If it was her regular hospital and they had her records, they would have kept her because she has a lot of medical issues, but no, they didnt keep her. It was the strangest ER visit she has had in years. When she was sleeping the palpations are what wakes her up. She still has to take heart medication, she keeps calling it heart medication but it is a blood pressure pill. It is metoprolol 50, now they have her on it two times a day. She was on it 2 times a day originally took it at night because it would make her blood pressure drop too low. Her trouble sleeping is worse. She will sleep for about 2 hours and wake up because her heart is pounding so much. It will wake her up from a sound sleep. She cant say her sleep was great anyway but it has gotten worse since this pounding and blood pressure issue. She has had headaches in the past. These are different headaches. She has had headaches since she was 12, about that age. These have gotten different. This morning she said she had another one of these weird headaches. Her pain doctor said it was probably from her blood pressure as it can cause a different type of headache. She hopes it is related to the shot and they can fix her. The headaches are about the same, they are not worse. It is not like a regular migraine with vomiting type of thing. She has Fioricets for those headaches but she really doesnt take it for these type of headaches, because they are different and they didnt seem to help. She doesnt know what kind of headache it is. It started pretty much around when she had the heart pounding, within a day or 2 of the vaccine or within 24 to 48 hours after. Her left arm felt strange and cold. It was weird, it was not a good feeling. She doesnt know how to explain that. She asked her husband about how long ago it was that her arm went numb. She then said it started about a week ago. She still has that feeling in her arm but she is more concerned about her chest. It was like a mans fist, a large fist. It started at the same time as her arm and it is getting worse. Her arm is just coming and going. With her chest it was not all the time, its with severe palpitations. Whenever it started, she thought she had a heart attack and she did again last night. She didnt look up the symptoms. The pressure in her chest is not right. Sometimes it is there and sometimes its not there. When asked if the coldness in her left hand has improved, worsened, or was persisting, she says right now her hand was pretty bad. It feels clammy too, her body was doing something. She definitely has some strange things happening. This is the only thing that is different, so that is why she is associating with it. She could be completely wrong. She hopes it isnt Pfizer because she doesnt want anything to stop this from getting this virus under control. The patient underwent lab tests and procedures which included blood pressure measurement: 225/130, blood pressure measurement: 199/97, blood pressure measurement: 157/58, electrocardiogram normal: normal on Apr2021. Therapeutic measures were taken as a result of terrible headaches (headache). Outcome of events hyperhidrosis, palpitations, vomiting, hypoaesthesia was unknown while outcome of other events were not resolved.  No follow up attempt are needed. No further information is expected.; Sender's Comments: Linked Report(s) INC-2021539378 same patient, different dose number and event