hives; swelling in her throat or tongue; swelling in her throat or tongue; numbness on her lips; straight up her nose, and straight up through her head; It feel like there is pressure in her head; head congestion; She is scared; tongue started being numb; She had a metallic taste in her throat; blood pressure sky rocketed; This is a spontaneous report from a contactable consumer (patient). A 71-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN5318) via an unspecified route of administration, administered in Arm Left on 24Jan2021 02:15 PM (at the age of 71-year-old) as single dose for covid-19 immunization.  Medical history included ongoing trigeminal neuralgia, ongoing high cholesterol and is on a cholesterol medication for that, medicine allergies (multiple drug allergies, She has a lot of allergies. She has 10 medicine allergies). Concomitant medication patient received in two weeks included gabapentin 300 taken for trigeminal neuralgia and Ongoing; montelukast; rosuvastatin and Cholesterol medication.  The patient experienced tongue started being numb, she had a metallic taste in her throat, blood pressure sky rocketed on 24Jan2021 14:30, hives, swelling in her throat or tongue, swelling in her throat or tongue, numbness on her lips, straight up her nose, and straight up through her head, it feel like there is pressure in her head, head congestion, she is scared on an unspecified date. It was reported that the patient received an injection of the Pfizer-BioNTech COVID-19 vaccine on 24Jan2021. After the injection, she started experiencing a numbness of the tongue and a metallic taste and her blood pressure was "off the charts". She reports the numbness has progressed from the tongue to the lips and the forehead. She reports her tongue is not swollen although it feels like it is swollen and she has not experienced hives or constriction of the throat. Treatment has included Benadryl and Pepcid. The consumer reports the Benadryl helps but makes her drowsy and when she does not take it, her symptoms worsen again. The consumer reports a history of multiple drug allergies and trigeminal neuralgia. Immediately to 10 minutes after, her tongue started being numb. She had a metallic taste in her throat. Her blood pressure sky rocketed. Her daughter is an ER doctor who knows the EMT that was helping her. She suggested they give her Benadryl, but they only had IV Benadryl. That got her a ride to the emergency room. Her reactions to medications include hives or swelling in her throat or tongue. She has an epi pen which she uses when necessary. She avoids those medications at all costs. Her tongue is not as numb right now. She also has numbness on her lips, straight up her nose, and straight up through her head. It feel like there is pressure in her head. It is different than her Trigeminal Neuroglia. Which is a shooting pain sideways from her left ear. She has head congestion, her lips and nose are numb if she doesn't take Benadryl. If she takes Benadryl, she walks around all drowsy, and she can't drive. She had to run errands today. So she did not take Benadryl, and her tongue is numb again. She is scared about taking the second dose. She can't get the numbness to disappear. When she stops taking Benadryl it feels like her tongue is doubling in size, but it is not. Events resulted in Doctor or other healthcare professional office/clinic visit. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No treatment was received for the adverse event. The patient underwent lab tests and procedures which included blood cholesterol: high, blood pressure: off the charts/sky rocketed on an unspecified date. Therapeutic measures were taken as a result of hives and swelling in her throat or tongue with Benadryl and Pepcid. The outcome of the event tongue started being numb, She had a metallic taste in her throat, blood pressure sky rocketed was not recovered and was unknown for other events.  Follow-up attempts are completed. No further information is expected.