Adds then the headaches  started waking her up in the night; very high blood pressure (169/92); severe cluster migraines/headaches; headaches; mild discomfort; This is a spontaneous report from a contactable consumer. A 70-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6205; Expiry Date: unknown), via an unspecified route of administration, administered in Arm Right on 27Feb2021 at 16:30 as dose 1, single for covid-19 immunisation. Medical history included osteoarthritis, she has had osteoarthritis for a long time in her fingers, toes, knee and neck, energy and age bone health. The patient reported she had visited a rheumatologist who wanted to put her on Prolia but she told him no. Patient had no illness at time of vaccination. Patient History was not reported. Concomitant medication included ascorbic acid, betacarotene, biotin, calcium, chromium, colecalciferol, copper, folic acid, iodine, iron, lycopene, magnesium, manganese, nicotinamide, pantothenic acid, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, vitamin b1 nos, vitamin b12 nos, vitamin e nos, xantofyl, zinc (CENTRUM SILVER [ascorbic acid;betacarotene; biotin; calcium; chromium; colecalciferol; copper;folic ac-id;iodine;iron;lycopene;magnesium;manganese;nicotinamide;pantothenic acid;phosphorus; phytomenadione; potassium; pyridoxine hydrochloride;retinol;riboflavin); vitamin d nos orally at 2000 iU, alternate day for age bone health; calcium taken orally at 600 mg, alternate day for age bone health; Ongoing magnesium orally at 250 mg, alternate day taken for age bone health; cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]) taken at 1000 mg, as needed for energy. The patient experienced very high blood pressure (169/92) on 10Mar2021, severe cluster migraines/headaches, mild discomfort and headache on 02Mar2021 and adds then the headaches started waking her up in the night on an unspecified date. The patient underwent lab tests and procedures which included blood pressure measurement: 162/92 on her blood pressure was 169/92, blood pressure measurement: 150, blood pressure measurement: back to normal, computerised tomogram: it was fine. It was reported that the Benadryl and Rizatriptans that the doctor gave her did not help relieve the symptoms. Based on the side effects that she had with the 1st dose, consumer wants to know if it would still be safe for her to receive the 2nd dose tomorrow. She also wants to know if the 2nd dose would cause a more severe reaction than the 1st dose. Upon Follow-up on 19Mar2021, the onset date of the events were reported. The report is not related to a study or programme. Reporter gave consent to contact. NDC number of Pfizer COVID 19 vaccine was unknown. Consumer stated that she was due to get the second dose of the Pfizer COVID 19 vaccine tomorrow. Adds she has ask a number of professionals if she should get the next dose due to the side effects she got and has not been able to get an answer. The patient is very fit; she works out; she is very active; fit and trim; and not sick; people think she is in her forties. Clarifies she received the first dose of the Pfizer COVID 19 vaccine on 27Feb2021 at 16:30PM in the right arm. Three days later she noticed a very mild headache, very mild discomfort that she just passed off. Then on Wednesday she had another mild headache. Then on Thursday the headache started with more intensity and became more and more frequent; she started to see a pattern of every nine minutes she has a headache. She read regarding the side effects of the vaccine and it said headaches are normal. Adds then the headaches started waking her up in the night; she sat upright in bed; they were in a pattern of having a headache everyone and half to two hour for ten minutes and then she would be fine but once she wakes up she can't go back to sleep. So she has not been getting any sleep. She was told to see her HCP by the pharmacy who set up the vaccine so she did see her HCP 10Mar2021, and had a headache when she was in the office. While having the headache they took her blood pressure and it was 150 so they sent her to the emergency room. She sat in the ER waiting for hours and thought she would die. Finally they did a CAT Scan in the ER and it was fine but her blood pressure was 169/92. They treated her with a cocktail of Reglan/Benadryl/saline by IV. They advised if it didn't help then to take whatever over the counter works for her. Adds she read and her headache sounds like an ice pick headache; it is on the left side behind her eye and down alongside her nose. She did try Tylenol; Ibuprofen; and Bufferin. If she caught the headache in time, she got relief with the Tylenol, Ibuprofen or Bufferin. She was prescribed Rizatriptan, but she didn't finish it because it didn't help. And now she is afraid to take it anymore. Call-er does not see NDC, lot or expiration date on Rizatriptan product dispensed in a pharmacy vial. Adds she saw where the severe headache incidence tripled in the younger ages per the literature but she doesn't want to assume that relates to her. She is scheduled to receive the next dose of the vaccine 20Mar2021. States she doesn't know if she should get the shot tomorrow? or should she delay? What is the con of not getting it? Mentions she does have a portable blood pressure cuff and she tried out the blood pressure cuff and her blood pressure was back to normal. Adds she thinks the blood pressure is related to the headaches and she her blood pressure goes up with the headache.  Adds the headaches have lessened in frequency in the past two days. Today she had one at 06:00AM; 11:00AM; 14:00PM and just got over one while she was on hold. Mentions she takes care of her mother and gets tired from the drive so she was trying some B12 for energy, but she rarely takes it. Adds she doesn't take the vitamins that she listed everyday but rather as she thinks she needs them because she has a good diet. Vaccination Facility was a pharmacy. The patient reported an AE for the Pfizer COVID 19 vaccine mentions she was prescribed Rizatriptan, but she didn't finish it because it didn't help with her headache. And now she is afraid to take it anymore. Caller does not see NDC, lot or expiration date on Rizatriptan product dispensed in a pharmacy vial. Full report details were unable to be obtained. Outcome of the event high blood pressure was not recovered, migraines was recovering and the outcome of sleep disorder was unknown and that of headache was not recovered and outcome of the event mild discomfort was recovered on an unspecified day in 2021.  No follow-up attempts are possible. No further information is expected.