blood pressure shot up over 200/zapped his blood pressure up/high blood pressure/Extremely high blood pressure; low pulse rate below 40; The booster had a negative effect on his life. He was off work and not able to do anything for almost a month; excessively fatigued; His body was covered with rash for over 10 days; expanded into blisters up to an inch long and quarter inch deep all over his body/Only as deep as a basal cyst; It went back and forth with blisters that were extremely painful and kept him from sleep; Sunday his fever ran the first time just under 100, the next morning it was 100.9 and got to 101 before seeing the emergency clinic; headache; It was an extremely anxious time to say the least; uncomfortable; heart condition; lost weight. He went from 216 pounds to 200.9 pounds/Began with exercise before the cardio; panic attack also increased Dec2021-Jan2022/His mind wouldn't stop with the high blood pressure like having a heat attack at night; panic attack also increased Dec2021-Jan2022/His mind wouldn't stop with the high blood pressure like having a heat attack at night; unconscious; Aftereffects in voice; extremely dizzy; extremely weak; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 73-year-old male patient received BNT162b2 (BNT162B2), on 14Dec2021 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 72 years for covid-19 immunisation. The patient's relevant medical history included: "help with sleep" (unspecified if ongoing); "more of the diuretic which helps clean out his system that may clog up his heart" (unspecified if ongoing); "Small pox" (unspecified if ongoing), notes: had small pox inoculation when young and then never got inoculation for anything for 18 years; "Heart condition", start date: 2022 (unspecified if ongoing), notes: heart condition Only got to see heart doctor after Pfizer booster zapped his blood pressure up.He was not able to work out, refuses to be invalid, cleans his yard, puts up rubbish, moves stuff around, he is active 24-7. He is assuming this will improve when he is able to exercise. It's a complication that comes with being a heart patient.; "Covid related vaccine" (unspecified if ongoing), notes: He had Covid related symptoms in Jan2019 or Feb2019, right at the onset; Covid vaccines were not available back then, so he quarantined; "Panic attack" (unspecified if ongoing). Concomitant medication(s) included: CHLORTHALIDONE oral taken for polyuria, start date: 26May2022 (not directly relate to blood pressure; started taking around 1100 on 26May2022 before he got Covid.); ESZOPICLONE taken for sleep disorder (Start date: around the same time or even before the booster); CLONAZEPAM taken for panic attack (takes this as needed. He does not take it everyday as prescribed. He does not take it twice a day as prescribed. He will take it occasionally only when he feels a panic attack coming on.). Vaccination history included: The medications haven't been knocking him out in the same way during recent Covid outbreak. He sleeps 4 hours on, then back to deep sleep in the early morning. Eszopiclone: He was having mild panic attacks and taken in combination with clonazepam literally knocks him out. They haven't been knocking him out in the same way during recent Covid outbreak. He sleeps 4 hours on, back to deep sleep in the early morning. Clonazepam: Start date and end date not provided. His panic attack also increased Dec2021-Jan2022. He does think they are genuine. His mind wouldn't stop with the high blood pressure like having a heat attack at night; Clonazepam 1mg tablet: Product strength and count size dispensed: 1mg tablet once daily by mouth, he takes every third day; BNT162b2 (DOSE 1, SINGLE), administration date: 26Feb2021, for Covid-19 immunization, reaction(s): "Got his first dose of vaccine and he got mild Covid, it could have been flu but he has never had flu"; BNT162b2 (DOSE 1, SINGLE), administration date: 26Feb2021, for COVID-19 immunization, reaction(s): "Got his first dose of vaccine and he got mild Covid, it could have been flu but he has never had flu"; BNT162b2 (DOSE 2, SINGLE), administration date: 19Mar2021, for COVID-19 immunization, reaction(s): "Got his first dose of vaccine and he got mild Covid, it could have been flu but he has never had flu. It was gone quickly and same with second dose. It was extremely mild, wasn't notable"; BNT162b2 (DOSE 2, SINGLE), administration date: 19Mar2021, for Covid-19 immunization, reaction(s): "Got his first dose of vaccine and he got mild Covid, it could have been flu but he has never had flu. It was gone quickly and same with second dose. It was extremely mild, wasn't notable"; Small pox vaccine (no other vaccination in his life besides small pox and polio.), for immunization; Polio vaccine (no other vaccination in his life besides small pox and polio.), for Immunization. Family Medical History Relevant to AE(s): None. Prior Vaccinations (within 4 weeks): No, no other vaccinations in his life besides small pox and polio. Flu was offered and pneumonia was suggested but he turned it down. ER insisted on testing him for Flu, but it was negative. Additional Vaccines Administered on Same Date of the Pfizer Suspect: No.  The following information was reported: HYPERTENSION (medically significant), outcome "unknown", described as "blood pressure shot up over 200/zapped his blood pressure up/high blood pressure/Extremely high blood pressure"; HEART RATE DECREASED (medically significant), outcome "unknown", described as "low pulse rate below 40"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (medically significant), outcome "unknown", described as "The booster had a negative effect on his life. He was off work and not able to do anything for almost a month"; FATIGUE (medically significant), outcome "not recovered", described as "excessively fatigued"; RASH (medically significant), outcome "unknown", described as "His body was covered with rash for over 10 days"; BLISTER (medically significant), outcome "unknown", described as "expanded into blisters up to an inch long and quarter inch deep all over his body/Only as deep as a basal cyst"; INSOMNIA (medically significant), outcome "unknown", described as "It went back and forth with blisters that were extremely painful and kept him from sleep"; PYREXIA (medically significant), outcome "unknown", described as "Sunday his fever ran the first time just under 100, the next morning it was 100.9 and got to 101 before seeing the emergency clinic"; HEADACHE (medically significant), outcome "unknown"; ANXIETY (medically significant), outcome "unknown", described as "It was an extremely anxious time to say the least"; DISCOMFORT (medically significant), outcome "unknown", described as "uncomfortable"; CARDIAC DISORDER (non-serious), outcome "unknown", described as "heart condition"; WEIGHT DECREASED (non-serious), outcome "not recovered", described as "lost weight. He went from 216 pounds to 200.9 pounds/Began with exercise before the cardio"; PANIC ATTACK (non-serious), outcome "unknown", CONDITION AGGRAVATED (non-serious), outcome "not recovered" and all described as "panic attack also increased Dec2021-Jan2022/His mind wouldn't stop with the high blood pressure like having a heat attack at night"; LOSS OF CONSCIOUSNESS (non-serious), outcome "unknown", described as "unconscious"; DYSPHONIA (non-serious), outcome "not recovered", described as "Aftereffects in voice"; DIZZINESS (non-serious), outcome "unknown", described as "extremely dizzy"; ASTHENIA (non-serious), outcome "unknown", described as "extremely weak". The event "his body was covered with rash for over 10 days" required physician office visit. The events "sunday his fever ran the first time just under 100, the next morning it was 100.9 and got to 101 before seeing the emergency clinic" and "unconscious" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: Shot over 200, notes: Pressure shot up over 200/blood pressure shot up over 200 started with booster; 170, notes: He got it back to 170; 174/74; Body temperature: 100, notes: His never ran the first time just under 100; 100.9, notes: the next morning it was 100.9 and got to 101 before seeing the emergency clinic on 14Jun2022; 101, notes: the next morning it was 100.9 and got to 101 before seeing the emergency clinic on 14Jun2022; Heart rate: 49; 30, notes: Covid his pulse is below 30; Influenza virus test: Negative; SARS-CoV-2 test: Positive; Thyroid hormones test: Negative, notes: 3 Thyroid screens that came up negative 2-3 weeks ago before the Covid; Weight decreased: 216; 200.9. Therapeutic measures were taken as a result of hypertension, rash, weight decreased.  Clinical summery: Had small pox inoculation when young and then never got inoculation for anything for 18 years. Never caught anything, has great immune system. He was renovating his house and lives in a much smaller pond, with many anti-vaxxers and got 2 Pfizer inoculations and had no problem at all. In Jan2022 or mid-to-late Dec2021 he got the Pfizer booster from his internist or general practitioner. His reaction was extremely severe and long lasting. Just contracted Covid yet again after the booster, thought he would say the booster did not work for him. He was coming off a course of Paxlovid, due to being positive for Covid again. The booster didn't have any effect. The booster had a negative effect on his life. He was off work and not able to do anything for almost a month. Excessively fatigued; Blood pressure shot up over 200; His body was covered with rash for over 10 days, expanded into blisters up to an inch long and quarter inch deep all over his body. It went back and forth with blisters that were extremely painful and kept him from sleep. He had fever, headache, blisters, and high blood pressure, which getting back under control. It was an extremely anxious time to say the least; he wasterrified of hospitals; he was given steroid and various injections by his doctors; 13 steroids in different packages; his bottom looked like a pin cushion. He can get the information on the steroids. He does not know the name or the NDC/LOT/Expiration of the steroids. They were by injection and all back in Jan2022 or Dec2021. He was just now recovering from getting Covid yet again. He went through all this back in Dec2021 or Jan2022; had been a month off work, and he just got right back to work. The next thing he knew 10 days ago, something never expected to come back, Not mild Covid style reaction to the inoculation but full fledge like he never been near inoculation. He lives on his own in an area of town that was completely alien to him, the culture was vastly different, they don't speak Spanish, doesn't help him. His encounters are minimal. He was extremely distanced, he was masked, otherwise he was on the beach. He couldn't be more excluded. He doesn't know the last time he socialized. How did he come into contact? Who and when would be hard to answer. Contracted Covid yet again after the booster: Start date: He has taken a five day course of Paxlovid and finished it yesterday morning; five days from yesterday morning plus four days it took to find a pharmacy to supply it; so nine days from yesterday morning. Take nine days from 22Jun2022. End date: Paxlovid took immediate effect and on concluded course of Paxlovid, other than phlegmy throat, his head was clearer, he has a mild ache behind eyes, but he works on a laptop; the day before yesterday it stopped on last day of Paxlovid, if he was a fool he would have stopped a day early. Paxlovid corrected and improve him. No pain medication comes with Paxlovid and there was degree of pain, immense and erratic sleep patterns that comes with Covid that Paxlovid can't treat. Sleep was shot to heck, was awake for 3-4 hours then not awake. If he could get back into gym he will be tiring himself normally. He couldn't stand, it could also be his heart; he had extremely low pulse rate in the range of 49; extremely dizzy, extremely weak; took effort just to get out bed. Off work: inoculation on 15th, and had symptoms around 25Dec2021 and 26Dec2021, Pfizer would have to check when he first saw (Withheld). Aware this was discrepant, but details were confirmed and documented as provided by the caller. Excessively fatigued: He was not able to work out, refuses to be invalid, cleans his yard, puts up rubbish, moves stuff around, he was active 24-7. He was assuming this will improve when hewasable to exercise. It's a complication that comes with being a heart patient. Extremely high blood pressure and low pulse rate below 40 was considered dangerous. With this Covid his pulse was below 30, then awake again in 2 hours and can't go back to sleep; no way of telling how soon that will be better; have yet to be cleared to work in the gym bring blood pressure back down. He lost weight. He went from 216 pounds to 200.9 pounds. Blood pressure shot up over 200 started with booster. It was not ongoing. He got it back to 170. Proud of himself. 174/74 this morning. End date: Unknown, it overlaps with work out he was doing until he had full on Covid; matter of 5 days. Diet was very low not to excite his blood pressure. Has improved since seeing a cardiologist a month and a half ago. He can't see cardiologist right away. He wanted to see in December because his blood pressure rate was up there. Not even a hygienist would clean his teeth with his blood pressure up there. He couldn't see the cardiologist for 1-2 months. Some of these might have been instigated by Covid but sustained because he couldn't get to cardiologist that could prescribe properly. If you can't see a doctor you'll just have it. Body was covered with rash: Started the first day he got sleep in weeks. It didn't last more than 5-6 days, Aware this was discrepant, but details were confirmed and documented as provided by the caller. Outcome: recovered completely. End date: Imagines sometime in early to mid-Jan2022 as soon as his general practitioner gave multiple steroids in his backside. Fever and headache: Start date: Sunday his fever ran the first time just under 100, the next morning it was 100.9 and got to 101 before seeing the emergency clinic on 14Jun2022. Caller confirms that he was not admitted to the hospital. He has twice gone to the hospital for something minor, staph out of ankle, and knee explosion that the doctor told him to get his prayers in order; This occurred before caller received Covid vaccines while rock climbing 17-18 years ago. Aftereffects in voice: Start date: Extreme form when he got Covid at tail end. End date: Effects die away daily, it'll be gone by tomorrow if drinks water with lemon. End date: ongoing. Lost weight: Start date: Began with exercise before the cardio but has been 90% due to loss of appetite from Covid; can't eat more than 4oz, doesn't eat much a day; liable to slow down when he starts cardio, that will boost protein intake and appetite. End date: unknown. He would relay the dizziness from aggravating a heart condition while he has Covid. Was out of his mind with booster reaction and he really can't remember much. He was unconscious a lot. Out of his mind quite literally, all those that happen in the book of Revelation, they were after me. I didn't have the frogs but got the boils so to speak. Treatment: went to the emergency clinic on 14Jun2022, and they provided nothing except confirmation he had Covid. They couldn't have been more unhelpful. Reached out to his general practitioner and got the Paxlovid. He had Covid symptoms before vaccines were available. Got his first dose of vaccine and he got mild Covid, it could have been flu but he has never had flu. It was gone quickly and same with second dose. It was extremely mild, wasn't notable, and he took cold medicine. The third time, the booster resulted in full fledge Covid outbreak confirmed by the emergency room and doctors, approximately 08Jun2022. Can you hear my voice? It's the aftereffects. The day he felt something coming on was Sunday, 12Jun2022, it might have occurred before that. 13Jun2022 he tried to get in the emergency room; 14Jun2022 he got in the emergency room and they ignored that he was a heart patient and recommended that he take aspirin, which could have been deadly. The emergency room wasnot supplied with Paxlovid. Could have far worse repercussions when they recommend to take aspirin for pain. He believes Paxlovid has been effective, but has not able to sleep because he can't take pain medications due to heart. He's exhausted; can't do cardio. Now free of Covid;wasthere a waiting period before having re-test? He spoke with Pfizer Medical Information and they gave him 16 pages of information. At no point did they say he can test again on completion or he would have to wait a week. Paxlovid indication: Because literally the hapless, helpless emergency clinic paid no attention to the symptoms and medication being taken with his cardiologist. Their advice was go home, isolate, take cold medication, drink plenty of fluids, for pain take aspirin and ibuprofen, which was deadly with someone with his heart condition. They did not offer Paxlovid. He spoke with his cardiologist and general practitioner and didn't understand why they didn't prescribe Paxlovid. No emergency clinic stocks it or prescribes, his doctor gave it and he got it from the only pharmacy that had it. It was the only safe and noncontradictory treatment for Covid that would work with cardiologist prescribed medication. He needed something and it's the only single, freely available. It was not being recommended outside the doctor, the FDA, and Pfizer itself. Antipyretic Use (around the date(s) of Vaccination): No, went straight to Paxlovid  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202200893445 Same patient, same vaccine in different dose, partial same event;