Heart failure; Blood pressure high/blood pressure was really high, like 200/138-148; High cholesterol; scared; She was feeling lousy; having a hard time breathing; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A 61 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 21Apr2021 (Lot number: EP7533, Expiration Date: 31Jul2021) at the age of 61 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "sinus trouble", start date: 11Sep2001 (unspecified if ongoing), notes: Has very bad sinusitis; "Anxiety" (unspecified if ongoing); "Asthma" (unspecified if ongoing), notes: Asthma acts up when she gets upset.; "hip replacement surgery", start date: 2019 (unspecified if ongoing), notes: Had surgery a couple years ago for her hip, it makes it hard for her.; "bronchitis" (unspecified if ongoing); "Acid reflux" (unspecified if ongoing), notes: Has acid reflux really terrible.; "COPD" (unspecified if ongoing); "constipation" (unspecified if ongoing), notes: Takes Senna.; "Every now and then her nose will bleed uncontrollably", start date: 2019 (unspecified if ongoing), notes: she bleeds from her sinuses every day.; "She was a drug user, but was an IV drug user" (unspecified if ongoing), notes: She was a drug user, but was an IV drug user; "Found out she has holes in her nose." (unspecified if ongoing), notes: She was a drug user, but was an IV drug user; "Caller has a left branch block" (unspecified if ongoing), notes: Caller has a left branch block. Family history included: "Heart condition" (unspecified if ongoing), notes: Both caller's parents died of heart conditions. , Her grandma had heart conditions; "Murmur" (unspecified if ongoing), notes: Her sister has murmur and left branch block.; "Angina" (unspecified if ongoing), notes: Her grandma had heart conditions and angina. Concomitant medication(s) included: METHADONE taken for pain; INFLUENZA VACCINE taken for immunisation; TOPROL; OMEPRAZOLE [OMEPRAZOLE SODIUM] taken for gastrooesophageal reflux disease; SYMBICORT FORTE taken for asthma; INCRUSE taken for chronic obstructive pulmonary disease; SPIRIVA. Vaccination history included: Bnt162b2 (Dose: 01, LOT: EN6207, EXP: 31Jul2021, Route: injection into upper left arm), administration date: 31Mar2021, when the patient was 61 years old, for COVID-19 Immunization. The following information was reported: CARDIAC FAILURE (hospitalization, medically significant) with onset Oct2021, outcome "unknown", described as "Heart failure"; HYPERTENSION (medically significant) with onset Oct2021, outcome "unknown", described as "Blood pressure high/blood pressure was really high, like 200/138-148"; BLOOD CHOLESTEROL INCREASED (non-serious) with onset Oct2021, outcome "unknown", described as "High cholesterol"; FEAR (non-serious) with onset Oct2021, outcome "unknown", described as "scared"; FEELING ABNORMAL (non-serious) with onset Oct2021, outcome "unknown", described as "She was feeling lousy"; DYSPNOEA (non-serious) with onset Oct2021, outcome "unknown", described as "having a hard time breathing". The patient was hospitalized for cardiac failure (discharge date: 31Oct2021, hospitalization duration: 7 day(s)). The events "heart failure", "blood pressure high/blood pressure was really high, like 200/138-148", "high cholesterol", "scared" and "having a hard time breathing" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood cholesterol: (Oct2021) bit high; blood pressure measurement: (Oct2021) 200/138-148, notes: blood pressure was really high; blood test: (unspecified date) unknown results, notes: Everything was the same; sars-cov-2 test: (Oct2021) negative. Therapeutic measures were taken as a result of cardiac failure, hypertension, blood cholesterol increased, fear, feeling abnormal, dyspnoea. Clinical course: Patient has never had chest pains or things like that. 2019 had hip replacement surgery and had complications days later. It fractured for no reason. Was on muscle relaxers and anti-inflammatories. Since the heart failure and being on the heart medication, patient is breathing better. Now her quality of life is a little better. Since her breathing is better, her nose is 75% better. She still has to clean her nose, but not half as much. Every morning has blood in her nose. When she was hospitalized in Oct2021, the her COVID-19 test was negative. Patient is a borderline diabetic, doesn't have diabetes. Doesn't take medication for it. Has to watch what she eats, which she doesn't. Patient would drink 2 gallons of water a day, but has to cut that down to 32 ounces. In the hospital, they pumped 4lbs of water out of her. Patient did not specify if she was taking Lasix prior to her heart failure hospitalization in Oct2021. She also had a problem with her legs.   No follow-up attempts are possible. No further information expected.