blood vessels in her left eye popped and eye looks bloody; Caller adds that it is gross; Caller adds that it looks like it is getting red, more red, it does not look like it is spreading but it is getting darker; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in arm left on 05Apr2021 10:15 (Lot Number: ER8732) at age of 41 years old as single dose for covid-19 immunisation, alpha-1 antitrypsin deficiency, liver disorder, lung disorder. Medical history included ongoing alpha-1 antitrypsin deficiency, ongoing factor v leiden carrier, ongoing bipolar disorder, diabetes mellitus (she did not know if it meant anything but it turned out they were both very very diabetic.  She adds this scares her, she does not want a needle), iron deficiency, vitamin d deficiency, lung disorder, emphysema, chronic obstructive pulmonary disease, hypertension, insomnia, depression, dumping syndrome and acid reflux. There was no history of all previous immunization with the Pfizer vaccine considered as suspect. There was no vaccines administered on same date with the Pfizer vaccine considered as suspect. There was no any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. AEs following prior vaccinations was none. Concomitant medications included fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for alpha-1 antitrypsin deficiency, emphysema, chronic obstructive pulmonary disease from an unspecified start date and ongoing; colestipol taken for dumping syndrome from an unspecified start date and ongoing; dexlansoprazole (DEXILANT) taken for gastrooesophageal reflux disease from an unspecified start date and ongoing; iron taken for iron deficiency; lamotrigine (LAMICTAL) taken for bipolar disorder from an unspecified start date and ongoing; levomefolic acid (L-METHYLFOLATE) taken for depression from an unspecified start date and ongoing; lisinopril taken for hypertension; amlodipine besilate (NORVASC) taken for hypertension from an unspecified start date and ongoing; alpha-1-antitrypsin (PROLASTIN-C) taken for alpha-1 antitrypsin deficiency from an unspecified start date and ongoing (did not have dosage, she got an infusion into a port once a week.  She got five bottles.  She was on this for alpha-1, maybe 10 years); tiotropium bromide (SPIRIVA) taken for lung disorder, alpha-1 antitrypsin deficiency, chronic obstructive pulmonary disease, emphysema from an unspecified start date and ongoing (Caller thinks it is a standard, it is once a day.   She has been on for 10 years.  It does not say anything else, it just says Spiriva handihaler); temazepam taken for insomnia; vilazodone hydrochloride (VIIBRYD) taken for bipolar disorder; colecalciferol (VITAMIN D3) taken for vitamin d deficiency; olanzapine (ZYPREXA) taken for bipolar disorder from an unspecified start date and ongoing; multivitamin (Dosage text: Caller takes one a day, it does not really have a dose, she does not see a dose thing on it. has been taking for about 20 years, Caller states she eats like crap). The patient got her first shot yesterday (05Apr2021), and then woke up with the blood vessels in her left eye were popped, and her whole eye looked bloody. She added this was kind of tripping.  She wanted to know if this had anything to do with the shot (Pfizer Covid19 vaccine) or anything else. It was gross, and she did not like looking at it. It looked like there was blood around her eye, and it started when she woke up this morning it was like that. It looked like it was getting red, more red, it did not look like it was spreading but it was getting darker. She clarified and stated that it was a lot of pets.  She did start an allergy drop a week and a half ago, Pataday (lot number 102C5, expiration date Dec20211, over the counter) eye drop; it was a 0.2 % antihistamine. Treatment reported as: just the Pataday eye drops, which were for allergies.  She did not know what was up with the pollen this year but it was trying to kill her.  She started these a week and a half ago. The events did not require a visit to Physician office or Emergency Room. The outcome of events was not recovered.  Follow-up attempts are completed. No further information is expected.