feeling dizzy like going to pass out; feeling dizzy like going to pass out; like I'm going crazy, like I'm losing my mind; it is hard for her to sleep; severe headaches; ringing and "thump thump thump" in her head comes back; blood pressure goes up; chilly; had some sniffles; vision and her blood pressure and everything went up; This is a spontaneous report from a contactable consumer, reporting for herself.  A 72-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EN6200) via an unspecified route of administration, administered in the left arm on 01Mar202 (at the age of 72 years old) at a single dose for COVID-19 immunization. Vaccination was done in a baseball stadium. Vaccine was administered not administered military facility but firefighters and military were the ones giving the vaccine. Medical history included headaches from an unknown date and unknown if ongoing, ongoing cholesterol, ongoing seasonal allergies, ongoing sinus gets stopped up and high blood pressure and severe migraines (gets a shot every three months both from an unknown date and unknown if ongoing. Concomitant medications included cetirizine hydrochloride (ZYRTEC) taken for seasonal allergy and sinus gets stopped up/helps sinuses from Feb2021 and ongoing; lisinopril taken for high blood pressure and atorvastatin taken for cholesterol, both from an unspecified start date and ongoing. It was reported that the patient started taking lisinopril and atorvastatin years ago in her 50s. The patient experienced severe headaches, ringing and "thump thump thump" in her head comes back, blood pressure goes up, chilly, had some sniffles and vision and her blood pressure and everything went up on 02Mar2021, and feeling dizzy like going to pass out, like I'm going crazy, like I'm losing my mind and it is hard for her to sleep on an unspecified date. It was reported that the patient experienced severe headaches she's having was normal after receiving the Pfizer BioNTech COVID-19 vaccine on 01Mar2021 at around 13:00 or 14:00, appointment was between 13:00 and 15:00. She has had these headaches before but these were different since she had her vaccine. The patient stated severely when asked if she still has headaches.  She sometimes takes a break from having the headaches, and she writes down medications she takes. Then, headaches will come back. It was not a long break, stated that the ringing and "thump thump thump" in her head comes back. She received her first dose and felt fine afterwards, had no side effects; and waited at the facility for 15 minutes. She left and got something to eat and came home after 4-5 hours. However, on the following Tuesday and Wednesday, the headaches started rolling in and have not stopped since. When she takes something for the headaches, her blood pressure goes up. She was feeling dizzy like she was going to pass out and like she was going crazy, like she was losing her mind. She has tried taking Tylenol and Ibuprofen but it seemed to aggravate it and says everything she takes make it worse. It was also reported that it was hard for her to sleep. She was concerned if she was in any kind of danger with these headaches and would like to know if there was any other medications she can take for it. It was also reported that on the second day, she was kind of chilly and had some sniffles and took a Zyrtec and said that her vision and her blood pressure and everything went up. She said that it seemed like if she takes a Tylenol or anything her blood pressure goes up. Her blood pressure only goes up if she takes something, she gets rush so bad and that blood pressure goes so high. When she feels this, she takes her blood pressure medication. She said that she thought maybe her headache would go away but has not gone away and she had another bad attack of a headache today and she took one of her medicines for headache, Butal-acet-caff 50-325-40 mg which did not make it worse.  Also, tried Tylenol and Ibuprofen.  She was trying everything all week but scared to take anything else because it brings a rush and feels like she's going to have a blackout. Took Tylenol at 10 o'clock last night, it seemed like she went crazy and it drove her nuts so she went and got high blood pressure medication so she could lay down.  Took three Tylenol.  She stated that somebody told her to take three, and that it was the worst mistake she made.  Stated extra strength Tylenol. She wanted to know what advise she can get, with the virus going on she did not want to go to the emergency room. She also would like to know if it was recommended that she take the second dose of BNT162B2 vaccine following these severe headaches that she was experiencing after receiving her first dose. The patient underwent lab tests and procedures which included blood pressure: up on an unspecified date 2021 and magnetic resonance imaging: no brain damage or anything on 2020. The patient clarified the MRI was last year at some point before receiving vaccine. The outcome of the event severe headaches was not recovered while the outcome of all other events was unknown.