Paresthesia/numbness in her left hand and left foot; Paresthesia/numbness in her left hand and left foot; Paresthesia/numbness in her left hand and left foot; blood pressure going up; pressure in head; nervous; This is a spontaneous report from a contactable consumer or other non hcp.  A 57-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 25Mar2021 19:45 (Batch/Lot Number: EN6204) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included atrial fibrillation Verbatim: A-fib, tachycardia Verbatim: Tachycardia, muscle twitching Verbatim: Body twitching, gastrooesophageal reflux disease Verbatim: Severe laryngospasms, blood iron decreased, vitamin d deficiency, erythema Typically when she has higher blood pressure she gets red cheeks and pain on top of her head, headache Typically when she has higher blood pressure she gets red cheeks and pain on top of her head, sinus node dysfunction from an unknown date and unknown if ongoing. Concomitant medication included alprazolam (ALPRAZOLAM),  iron taken for blood iron decreased, acetylsalicylic acid (BABY ASPIRIN) taken for atrial fibrillation, colecalciferol (D3) taken for vitamin d deficiency, magnesium, vitamin b complex (VITAMIN B COMPLEX) taken for vitamin supplementation from an unspecified start date and ongoing, On Mar2021 States that it started one hour after the vaccine and lasted for 10 minutes. Took blood pressure 5 minutes later and had come back down into the 140's. Like a half hour, was back to normal. States that it was high as 161/93, which was 20 points higher than she's ever experienced. She wasn't even upset, she was eating dinner, she wasn't even thinking about the shot. States that it occurs sometimes and is intermittent. Over the last couple years it has occurred in the right hand have to shake her right hand a little bit. This time it is weird and is in the left side foot and hand and kind of up to her elbow. States that it started yesterday morning but is not still happening. States that it was weird and felt like her entire left arm was not in pain but kind of like what happens with her right hand. States that it was like that but amplified by 100. States that it is usually the right hand and a couple of fingers are numb but this is not the same. States that it is now the whole left hand, including all of the fingers and goes half way up the elbow and to the left foot.  This was intermittent and started around the same time as the high blood pressure occurred. She felt it for 10 minutes intermittently. States that it was weird and very uncomfortable like nothing she had ever experienced. It was not a headache and not painful but felt like her an inch above her ears bilaterally were being pushed in like a vice. States that it was about a 5 out of 10. Like you go to the deepest part of the ocean. States that she tolerated it for 10 minutes without taking her blood pressure. When she checked, it was 161/93, then, the pressure in the head stopped, the blood pressure taken again in like 3-4 minutes was down in the 140's. States she was very relieved. 10 minutes later was completely normal. She did not check the blood pressure while the pressure in the head was occurring. Caller states that she was so nervous about it that she took Alprazolam the night before getting the vaccine. Caller #(withheld) said she had a neurological issue, and she's asking what the neurological side effects of the Pfizer vaccine are. In addition, (name) said she got the first dose of vaccine on 25Mar2021, and an hour after she got the vaccine there's an on and off pressure on her head (bilateral), BP is high and 4 days after the first dose she is experiencing paresthesia (numbness in her left hand and left foot). Caller hung up, was not able to transfer to DSU and created a manual AE form. The patient underwent lab tests and procedures which included blood pressure measurement: 161/93   on Mar2021 it was up to 161/93 which is like 20 points higher than it had ever been in her life , laboratory test: negative on sometimes in the morning has paresthesia in the right hand. Was tested for carpal tunnel at a specialty clinic and it was negative. Outcome of the events was unknown.   No follow-up attempts are possible; information about lot/batch number cannot be obtained.