Diffuse mediastinal and hilar adenopathy is again noted; Blood Pressure: 134/84; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 49-year-old female patient received BNT162b2 (BNT162B2), on 26May2022 as dose 4 (booster), single (Lot number FK9894) at the age of 49 years intramuscular, in right arm for covid-19 immunisation. The patient's relevant medical history included "Anxiety" (ongoing), notes Onset date For years, Stop date Ongoing, "Depression" (ongoing), notes Onset date For years, Stop date Ongoing, "Positive ANA", start date 2019 (ongoing), notes Onset date 2019 , Stop date Ongoing, "Hypertension" (ongoing), notes Onset date For years , Stop date Ongoing, "Moderate pain" (unspecified if ongoing), "Migraine" (unspecified if ongoing), "wheezing" (unspecified if ongoing), "Shortness of breath" (unspecified if ongoing), "Cough" (unspecified if ongoing). Concomitant medication(s) included RIZATRIPTAN oral taken for migraine, ASPIRIN 81 oral, CYANOCOBALAMIN oral, IBUPROFEN oral taken for pain, BREO ELLIPTA, CALCIUM CARBONATE AND VITAMIN D3 oral, AMITRIPTYLINE oral, METOPROLOL SUCCINATE oral, SERTRALINE oral, ALPRAZOLAM taken for anxiety, ALBUTEROL SULFATE HFA taken for wheezing, dyspnoea, cough. Vaccination history included BNT162b2 (Dose 1st, Date/time, Date 22Dec2020, Site and route of injection , Anatomical site of injection Left Arm, Route of administration Intramuscular, Batch/lot number EJ1685), administration date 22Dec2020, when the patient was 47-year-old, for COVID-19 Immunization, reaction(s) "feel under the weather", BNT162b2 (Dose 2nd, Date/time, Date 12Jan2021, Site and route of injection, Anatomical site of injection Left arm, Route of administration Intramuscular, Batch/lot number EJ1686), administration date 12Jan2021, when the patient was 47-year-old, for COVID-19 Immunization, reaction(s) "feel under the weather", BNT162b2 (Dose 3rd , Date/time, Date 07Oct2021, Site and route of injection, Anatomical site of injection Arm Right, Route of administration Intramuscular, Batch/lot number EW0179), administration date 07Oct2022, when the patient was 48-year-old, for COVID-19 Immunization, reaction(s) "enlarged lymphnodes", "FEVl/FVC_POST 91.03%, Standard Range 70.81 - 90.40 %", "Cough", "long term breathing issues", "chronic cough", "I had to really fight to breath", "acid reflux", "allergies", "Somedays I can walk the stairs at work other days I can't", "mildly reduced vital capacity". The following information was reported HILAR LYMPHADENOPATHY (medically significant), outcome "unknown", described as "Diffuse mediastinal and hilar adenopathy is again noted", HYPERTENSION (medically significant), outcome "unknown", described as "Blood Pressure 134/84". The patient underwent the following laboratory tests and procedures Angiotensin converting enzyme (16-85) (unspecified date) 29 U/L, notes Component Angio Convert Enzyme Your value 29 U/LStandard range 16-85 U/L, Anion gap (9-18) unspecified date) 11mmol/L, notes Component Anion Gap Your value 11mmol/L Standard range 9-18 mmol/L, Biopsy (unspecified date) Non-cancerous but still no answer, Blood calcium (8.6-10.3) (unspecified date) 9.6 mg/dL, notes Component Calcium Your value 9.6 mg/dL Standard range 8.6- 10.3 mg/dL, Blood chloride (98-108) (unspecified date) 99mmol/L, notes Component Chloride Your value 99mmol/L Standard range 98-108mmol/L, Blood creatinine (0.60-1.10) (unspecified date) 0.92mg/dL, notes Component Creatinine Your value 0.92mg/dL Standard range 0.60-1.10 mg/dL, (unspecified date) 9 mg/dl, notes Component BUN/ Creatinine ratioYour value 9 Standard range 6-20, Blood glucose (70-99) (unspecified date) 87mg/dL, notes Component glucose (not fasting) Your value 87mg/dL Standard range 70-99 mg/dL, Blood potassium (3.5-5.3) (unspecified date) 4.1 mmol/L, notes Component Potassium Your value 4.1 mmol/L Standard range 3.5-5.3 mmol/L, Blood pressure measurement (27Sep2022) 126/74, notes Blood pressure 126/74, (03Oct2022) 134/84, notes Blood pressure 134/84, Blood sodium (135-145) (unspecified date) 139mmol/ L, notes Component Sodium Your value 139mmol/ L Standard range 135-145mmol/L, Blood urea (6-20) (unspecified date) 8mg/dL, notes Component BUN Your value 8mg/dL Standard range 6-20 mg/dL, (unspecified date) 9 mg/dl, notes Component BUN/ Creatinine ratio Your value 9 Standard range 6-20, Body fluid analysis (unspecified date) Bronchus, right lower lobe, notes Component Source, Body fluid Your value Bronchus, right lower lobe, Body height (27Sep2022) 159.99 cm, (03Oct2022) 159.99 cm, Body mass index (27Sep2022) 39.16, notes BMI 39.16, (03Oct2022) 39.05, notes BMI 39.05, Carbon dioxide (23-32) (unspecified date) 29mmol/L, notes Component CO2 Your value 29mmol/L Standard range 23-32 mmol/L, Chest X-ray (26Oct2021) Unknown results, notes Unremarkable, Computerised tomogram thorax (unspecified date) my lymph nodes in my chest had grown significantly, (unspecified date) I did not pass, (26Oct2021) Unknown results, (23Dec2021) Unknown results, notes EXAMINATION CT Chest with IV contrast EXAM DATE 23Dec2021 821 AM, Diagnostic aspiration (unspecified date) inconclusive, EGFR status assay (normal high range 60) (unspecified date) 76mL/min, notes Component eGFR Your value 76mL/min Standard range >60 mL/min, Eosinophil percentage (unspecified date) 4% %, notes Component Eosinophil %, Fluid Your value 4% Standard range %, FEV1/FVC ratio (70.81-90.40) (30Mar2022) 91.03 %, notes Flag H, (30Mar2022) 87.85 %, notes Component FEV1/FVC PRE Your value 87.85% Standard Range 70.81-90.40%, Forced expiratory volume (2.12-3.32) (30Mar2022) 2.24 L, notes Flag H, Forced expiratory volume (2.19-3.32) (30Mar2022) 2.27 L, Forced vital capacity (2.78-4.13) (30Mar2022) 2.47 L, notes Flag L, (30Mar2022) 2.59 L, notes Component FVC PRE Your value 2.59L Standard Range 2.78-4.13L Flag L, Gram stain (unspecified date) Many WBC's, notes Component Gram stain result Your Value Many WBC's, (unspecified date) No organism seen, notes Gram stain resultYour Value No organism seen, Imaging procedure (unspecified date) Unknown results, notes I have had multiple imaging and testing done, Body Fluid cell Count (unspecified date) 240199756, notes There is no component information for this result, (unspecified date) 1241820823, (unspecified date) Negative, notes Histoplasma Immunodiff Your value Negative Standard Range Negative, (unspecified date) Negative, notes Component Results Component Histoplasma Mycelial Your value Negative Standard Range Negative, (unspecified date) Negative, notes Component Histoplasma Yeast Your value Negative Standard Range Negative, RV PRE (0.92-2.47) (30Mar2022) 1.41 L, (unspecified date) Unknown results, notes I have had multiple imaging and testing done, Lymphocyte percentage (unspecified date) 9% %, notes Component Lymphocyte %, Fluid Your value 9% Standard range %, Mononuclear cell percentage (unspecified date) 71% %, notes Component Mononuclear %, Fluid Your value 71% Standard range %, Nucleated red cells (unspecified date) 254/uL, notes Component Nucleated cells, fluid Your value 254/uL Standard range /uL, Oxygen saturation (27Sep2022) 98%, notes Oxygen Saturation 98%, (03Oct2022) 98%, notes Oxygen Saturation 98%, Peak expiratory flow rate (4.99-8.30) (30Mar2022) 4.21 L/S, notes Flag L, (30Mar2022) 5.55 L/S, notes Your value 5.55 L/S Standard Range 4.99-8.30 L/S, Pulmonary function test (unspecified date) I did not pass, Red blood cell count (normal high range 1000) (unspecified date) <1000/ uL, notes Component RBC, Fluid Your value <1000/ uL Standard range /uL, SARS-CoV-2 test (unspecified date) Negative, notes Neg covid testing, (unspecified date) Negative, notes I tested multiple times for COVID all were negative, (unspecified date) Negative, Total lung capacity (3.83-5.98) (30Mar2022) 3.86 L, Weight (unspecified date) 220 lb, (unspecified date) 3552.1 oz, notes Weight 222 lb 0.1 oz, (27Sep2022) 221 lb, (03Oct2022) 3526.4 OZ, notes Weight 220 lb, 6.4 oz, White blood cell count (unspecified date) 16% %, notes Component Polymorphonuclear % fluid Your value 16% Standard range %.