they packed my nose to stop it from  bleeding, clots were coming out, clots coming both ways,; nose bleed; my blood pressure went up; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 14Mar2021 10:00 as 2nd dose ,single for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included acetylsalicylic acid (ASPIRIN BAYER). The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Feb2021 for COVID-19 Immunization. The patient received the Second dose of Pfizer on 14Mar2021, states, "On 17Apr2021, Saturday, nose bleed started, and my blood pressure went up. I Called ambulance took blood pressure and it was 210/107. I didn't go to hospital, nose bleed had stopped while they were there, I stayed in ambulance until blood pressure came down. Sunday I went to ER  (emergency room) because my nose started bleeding again, it stopped Sunday, but they checked the nose, nothing was there. I stayed in the hotel, Monday morning I blood again, Tuesday I bled even more starting at 7am and it didn't stop. Went to the hospital to ER (emergency room), they packed my nose to stop it from  bleeding, clots were coming out, clots coming both ways, they checked blood, not anemic, everything okay with blood.  on 23rd they removed the pack from nose, ENT told me no vessels were broken, he said I was fine. That is when I received a phone call about someone else having this problem. A week later a class mate said her sister had the same reaction after getting the Pfizer vaccine." She was calling about the Covid 19 vaccine. She received her second vaccine on 14Mar2021 and had no problems during that time. On 17Apr2021 she called an ambulance because she had a nosebleed. Her blood pressure was also high at that time around 210/107mmHg. Her nosebleed stopped with emergency management technicians and her blood pressure came back down. She did not go to the emergency room at this time. On 18Apr2021 at around 3:00AM, she had another nosebleed and she did go to the emergency department at about 10:00AM. She has never had a nosebleed before. When she was examined in the emergency room on 18Apr2021, she had no blood in her nose that the doctor could see. On 19Apr2021 around 7:00AM she had another nosebleed but the nosebleed stopped and she did not go back to the emergency room. On 20Apr2021, her nose started bleeding around 5:00AM and it didn t stop so she went back to the emergency room around 7:00AM and the doctor in the emergency room packed her left nostril and the blood was coming out of the right nostril and out of her mouth. She was bleeding for a few more minutes and then the bleeding stopped. Her blood pressure was fine. Her bloodwork was checked and everything was fine. She wasn t anemic or anything like that. She didn t have an bad effects from the nosebleeds. The emergency room told her to follow up with her primary care doctor on Thursday, 22Apr2021, but her primary care doctor no longer takes her insurance. She did go see an Ear, Nose, and Throat doctor on Friday, 23Apr2021. The Ear, Nose, and Throat doctor removed the nasal packing and examined the inside of her nose and told her that he could not see any broken vessels or any cause as to why she would be having nosebleeds. The patient's apartment is being renovated and she thought she might be having a reaction to the hotel she s staying in. She moved out of her apartment on 12Apr2021 and her nosebleeds started 17Apr2021. She has missed work because of her nosebleeds and she started back to work this week. When probing for her Covid 19 vaccine information she reports she does not have the vaccine record card with her. She received the second Covid 19 vaccine on 17Mar2021. NDC/Lot/Expiry not known. First Covid 19 vaccine date is in the suspect product field. She does not have the NDC/Lot/Expiry for the first date either. She reports she had a regular physical with her doctor in Nov2020. She received a tetanus vaccine at that visit. She reported she sometimes takes 2-3 regular Bayer Aspirin for minor pain. She took the Bayer Aspirin on Saturday, 17Apr2021, because she was going somewhere and she knew she would be sitting for a while at that place. She would like to report she experienced no discomfort, or aches or pains or headaches with her Covid 19 vaccine. There is no prior Vaccinations (within 4 weeks). The outcome of the events was unknown.  Information about lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021476976 same reporter/drug/event, different patient