had completely forgotten about the nosebleeds I got after my COVID vaccine initial shots; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID. The reporter is the patient.  A 72-year-old patient received BNT162b2 (BNT162B2), on 16Aug2021 at 15:00 as dose 3 (booster), single (Lot number: FC3181) at the age of 72 years intramuscular, in arm for covid-19 immunisation. The patient's relevant medical history included: "ESRD", start date: 10Feb1996, stop date: 20Sep1998, notes: Pertinent details: CAPD; "Renal TX", start date: 20Sep1998 (ongoing), notes: Pertinent details: Still working; "HFPEF" (ongoing), notes: Pertinent details: aortic valve replacement 2011; "aortic valve replacement", start date: 2011 (unspecified if ongoing). Concomitant medication(s) included: EVUSHELD, start date: 21Jun2022, stop date: 21Jun2022. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Time (24hrs): 11:15, Site and route of injection:, Anatomical site of injection: Arm, Route of administration: Intramuscular, Batch/Lot number: EL9261), administration date: 29Jan2021, for COVID-19 immunization, reaction(s): "nosebleeds"; BNT162b2 (DOSE 2, SINGLE, Time (24hrs): 17:30, Site and route of injection:, Anatomical site of injection: Arm, Route of administration: Intramuscular, Batch/Lot number: WT EM9809), administration date: 18Feb2021, for COVID-19 immunization, reaction(s): "nosebleeds"; tdap (Manufacturer: NA, Batch/lot#: NA, Route: Intramuscular, Anatomical site of injection: Arm), administration date: 14Jan2021. The following information was reported: EPISTAXIS (non-serious) with onset 2021, outcome "unknown", described as "had completely forgotten about the nosebleeds I got after my COVID vaccine initial shots". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Patient stated that, I owe you an apology. I had completely forgotten about the nosebleeds I got after my COVID vaccine initial shots. I never wrote it down as I thought I could access vsafe to get the dates but I can't. If you want to resend the forms, I will fill them out as best I can with the nosebleed dates. They lasted less than 24 hours but each time I had several over the course of a few hours. Again I apologize for my faulty memory and would like to help your understanding of the outcomes from the shots. I did get COVID but all the vaccines, both initial and boosters and the monoclonal antibodies both Evusheld and Bmab, I had an easy recovery. Description of Event Outcome: I have had 3 Pfizer vaccines as part of my initial treatment, 2 Pfizer Boosters, and the current bivalent Booster along with Evusheld. When I got COVID this fall I was able to be treated with monoclonal antibodies and stayed home. I have a very compromised immune system. I feel as if no one is hearing me. I started to fill out the forms that you sent and finally realized it was all about some of the Pfizer COVID vaccine. I had no reaction to any of my 3 vaccines and 2 boosters and 1 bivalent booster. My urine bleeding issues were after Evusheld and the monoclonal antibodies I received. I had bleeding 5 days after I received Evusheld and 3 weeks after the monoclonal antibodies. I tested positive for covid on 02Oct2022. This is the information I shared with the CDC. I had stressed that it was not related to the vaccines. Please feel free to contact me if you are interested in the above. Otherwise, thank you for providing the vaccines. I did all I could to avoid COVID and was very pleased to see that the vaccines and Evusheld and monoclonol antibodies worked. I was barely ill and I didn't end up in the hospital or in the ground. I am not going to fill out the form as it will not add to your understanding of the vaccines. However, I am including some of the pages that may be useful to you. Although the episode after the Bmab was more than two weeks I feel it's still relevant - just a delayed reaction. In each case, the bleeding lasted no more than 48 hours. I was put on Cipro for the first in anticipation of a UTI. As for the second, there was no treatment. In both, there was no UTI and the cultures were negative. The only other tests were CBC and renal panel. Other than some anemia and the color of the urine, results were within normal range for me. Thank you for contacting me to further your understanding of the drugs. Family medical history relevant to adverse events (AES) was None. Specific relevant test for thromboembolic events with thrombocytopenia: Unknown. Concomitant drugs: Evusheld, Reason for use: Pretreatment, Route: Derriere, Start date: 21Jun2022, Stop date: 21Jun2022. Booster dose due to a weakened immune system. Use of medications that suppress the immune system (e.g., high-dose of corticosteroids, cyclosporine, methotrexate, azathioprine, and biologic therapies like rituximab and etanercept).  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202200098796 same patient, same drug, different dose/events(3rd dose);