patient went back for blood work a week later and he went to 3 and was hospitalized; hospitalized because he was at risk for internal bleeding; all blotchy; scared; he had a fever; was not feeling well/not doing well; This is a spontaneous report from a contactable consumer (patient's wife).  A 54-year-old male patient (husband) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 10Jul2021 (Lot Number: EW0185, unknown expiration; at the age of 54 years old) as dose 2, single for COVID-19 immunization.  Medical history included ongoing ITP (goes every couple of weeks to check his numbers and takes Promacta 75mg orally once a day for it); and elevated blood pressure and blood cholesterol increased (both under control with medication). Concomitant medications included unspecified regular medication for blood pressure and cholesterol. The patient previously received first dose of BNT162B2 (lot EW0185) on 19Jun2021 in the late afternoon in his left arm at the age of 54 years old for COVID-19 immunization and experienced blood test abnormal. The patient's wife reported that the patient (husband) received the COVID vaccine for both doses and has been checking in frequently with his hematologist. With the 1st dose, the patient was fine, his numbers were a little bit low, but they gave him the go ahead. The patient's wife stated that the patient totally crashed to 3 going on 2-3 weeks and they are thinking it may be due to the Pfizer COVID vaccine and how his body is reacting to it.  The patient was low to begin with, that 150-300 is normal and the patient was 50-60 and the on-call doctor said to go ahead. The patient goes every couple of weeks to check his numbers and takes Promacta 75mg orally once a day for it. The patient's wife confirmed that the patient was okay the 1st day. The day after the 2nd dose on 11Jul2021, early in the afternoon, the patient had a fever and was not feeling well. The patient's wife confirmed that these had resolved (in 2021). In 2021, the patient went back for blood work a week later and he went to 3 and was hospitalized. The patient started in the 60's and was told to come back and he crashed to 3 on 02Aug2021 and was hospitalized because he was at risk for internal bleeding. The patient got platelets and IV steroids and came home after 3 days and then they went on vacation and was checked right before, and he was 249 and they said great the treatment must have worked.  The patient's wife mentioned that the patient went in yesterday (on 02Aug2021) and was back down to 3 again. They are not positive but the only thing that has changed since is that he got this. The patient is home and not in the hospital. The patient is on heavy duty steroids and is all blotchy again. The patient's wife mentioned it was not a proven fact, but they are thinking it could be due to the vaccine, as the patient received the go ahead and that is the only thing that had changed. The patient is scared as there is a booster coming out and he is not doing well. The patient was drawn blood and they were able to get like a CBC to see the platelets and sugar level (unknown results; does not have specific name of test to provide). No additional vaccines administered on same date of the Pfizer suspect. The patient recovered from events fever and malaise in 2021. Outcome of blotchy and scared were unknown, while not yet recovered from the remaining events. The event "patient went back for blood work a week later and he went to 3 and was hospitalized/hospitalized because he was at risk for internal bleeding" was assessed as serious (hospitalization).