This is a spontaneous report from a contactable Nurse (patient). A 62-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number is either EW0158 or EWD158), intramuscular, administered in Arm Left on 15Apr2021 as 1ST dose, single for COVID-19 immunization. Medical history included Lumpectomy over 20 years ago, High cholesterol over 20 years ago, seasonal allergy and asthma. She gets flu shot every year and has never had any issue with vaccines. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. Prior Vaccinations (within 4 weeks) and AE(s) following prior vaccinations were none. Concomitant products included tocopherol (VITAMIN E); ascorbic acid (VITAMIN C) for the past six months to prevent COVID; colecalciferol (VITAMIN D); and acetylsalicylic acid (BABY ASPIRIN) for the cholesterol thing, takes it every day and has been on it about a year. She uses an inhaler for asthma she has had. Caller had experienced hypertension post first dose. Caller would like to know if she can or should get the second dose of vaccine on 20May2021. Caller has consulted with her PCP and states that she was not able to get answers. She had her first Pfizer COVID19 vaccine on 15Apr2021.That same week she was diagnosed with COVID. She had mild symptoms initially. She started having symptoms that afternoon and didn't know if was related to the vaccine. She had arm soreness, fatigue, foggy memory, and was not feeling right. She went to her internist on that Friday who said she was exhibiting symptoms of COVID. They tested her. She had been tested twice the week before for traveling and was negative. So she was tested a week before she boarded and five days before she left. On the afternoon of 15Apr2021 she had chills and didn't feel well and the symptoms were so similar she didn't known if it was coincidental. The did COVID test on Friday and got the results on Saturday morning. She got sick with fever, chills, malaise, and all of those things. She was in quarantine. Her blood pressure started escalating. She is very fit and an avid walker. She walks 7 to 8 miles per day. She had no issues before the vaccine with blood pressure. Her blood pressure runs 110/60 and heart rate in 60s in Apr 2021, but since the vaccine she has been hypertensive. She ended up in the ER last week because she was having chest tightness probably from COVID and shortness of breath. She went to urgent care because the chest tightness got severe. They said her lungs looked good and she had resolving pneumonia. Her blood pressure was almost 170/110 in Apr 2021. It was very up and down and all over the place. They had said maybe it was related to chest tightness and shortness of breath. She is very concerned because of her blood pressure and she is still having some shortness of breath and tightness of chest. They said that could linger a while. All other symptoms are better, but the shortness of breath has not gotten better. Her blood pressure will be better, but if she walks it immediately shoots up. They had made a mistake and scheduled her to get her second vaccine on 05May2021. Callers internist said that they recommend waiting a little longer and there were lots of cases where patients get COVID in between vaccines. They said to wait until 20May2021 to get the second dose of the COVID19 vaccine. Should she get the vaccine if she is still having hypertension? She can't live like this if it is secondary to vaccine. Caller had EKG and all her cardio was good. She was checked for clots because post COVID people get clots. Her dimer was good and all of her results. She had no evidence of clots in the lungs. Caller runs a little high cholesterol. It has always been that way, but her other levels are good. Due to COVID caller cant be on statin. Caller clarified that she had never been on a statin for her cholesterol. The doctor never wanted to start on her a statin because her other levels were good. Her cholesterol is not causing the issue with her blood pressure. She dont know if she should get the second vaccine. She is in her 60's and looks like she is in her 40s. Caller knows the vaccine is directly related to the hypertension. It is not from COVID. The doctor said because she is over the other symptoms except shortness of breath and a little tightness. Her blood pressure is up and down. She knows she can get anxious if she continues to check it. In the morning she has pressure in the neck that she didn't have before. The elevated blood pressure happens all over the day. She didnt check it yesterday. Right now it is 130/80 and that is high for her. Her heart rate is in the 80s currently and usually she has a low pulse. She is getting back to trying to walk a little bit. She is pacing herself. Overall, she feels ok. Her appetite is still not better. She lost 7 to 8 pounds since COVID. She is about 119 pounds, but feels like it is muscle loss because she is not exercising. Can she safely take the other vaccine that is scheduled for 20May2021? Has it been long enough now? She knows she shouldn't do it before the 14th. Is this going to go away? Are there other reported cases? She did not want to go on blood pressure medication. She is in good health and just turned 63. She never had medical issues. The only issue she had was a lumpectomy over 20 years ago. weight: around 118 pounds. She was in the upper 120s, but since COVID she has not been able to get back to walking 7 to 8 miles per day. Caller was sick, but not as most cases. She didn't end up in the hospital from COVID. She went to hospital because of chest tightness and shortness of breath. Her blood pressure was up when she went to urgent care. All the other symptoms were gone. She is currently still having shortness of breath, chest tightness, and elevated blood pressure. Sometimes the blood pressure will stabilize in the 120s. She is finally sleeping better. She wakes up with a stiff neck, but it is not the bed because she has a nice bed and pillow. As a medical professional and after discussing it with her family that are medical professionals, she feels that it is a result form Pfizer. She just needs to know if it is safe for her to get it. Does she need it since she has antibodies from the first one? Arm soreness: it lasted a week. When she feels her arm now it is tender in the spot. The fatigue and foggy memory were disabling and she couldn't do anything. Hypertensive: Seriousness is hospitalization. She was in the ER for six or seven hours. After they removed her IV the discharge nurse checked her blood pressure again manually and it was 168 over 100. She asked if it was safe to send her home. They said that everything else looked good and that it was related to being cold and being in the hospital. They had ruled the other things out. She was still symptomatic and was still having shortness of breath and chest tightness when she was leaving the ER. The blood pressure hovered a lot in the 140s when she was laying in the bed. Her O2 sats were good, 98 or 99. Her blood pressure would shoot up to the 160s or 170s. The time they have for caller to go back is 05May2021 which is not 30 days. It is completely messed up. First, she went to the Urgent care on 30Apr2021 and they did x-ray. They couldn't check her for clots. She was having shortness of breath, chest tightness, and elevated blood pressure. They sent her to the ER on 30Apr2021. Her main question is the hypertension. Blood pressure is related to the vaccine itself and is not from COVID. Does she need the second vaccine since she already had the first one and has antibodies from COVID? Is it safe to do the second vaccine having hypertension from the first? She doesn't want to escalate this more and have it linger for several months. She has to get to work and do her job. With hypertension she gets tightness in chest. They said her lungs look good except for the area of resolving pneumonia. When she gets short of breath it is related to high blood pressure and tightness of chest. Is it safe to get second vaccine? She is very concerned about getting the second vaccine. What will happen with her blood pressure being all over the place? Her blood pressure is not steady and stable. The chest tightness is still there and has not gone away. It has improved some. It wasn't even 30 days. Is it ok to take the second dose with the blood pressure issues? The onset date of events was Apr 2021. The outcome of the events was unknown. The nurse considered the COVID19 Vaccine was related to arm soreness, hypertensive, foggy memory and not feeling right. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Based on the temporal association, there is a reasonable possibility that the administration of vaccination with BNT162B2 played a contributory role in triggering the onset of the events. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities.