signs of a transient ischemic attack; lost control of the left side of the face and possibly of the left side of his body; lost control of the left side of the face and possibly of the left side of his body; elevated blood pressure 180/100 and came down to 140/100 after the one-hour long episode; weakness; This is a spontaneous report from a contactable consumer (patient's son) via Medical Information team. A 52-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 08May2021 at 15:30 (at the age of 52 years old) (Batch/Lot number: EW0176, Expiration date was unknown) as the 2nd dose, single for COVID-19 immunization. The patient previously received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number: ER8730, Expiration date was unknown) on 17Apr2021 at 2:30 PM (at the age of 52 years old) for COVID-19 immunization. The vaccine was not administered at the military facility. Relevant medical history included ongoing high cholesterol, ongoing high low density lipoproteins (LDLs), ongoing high triglycerides, and patient might have borderline diabetes, possibly prediabetic, but the reporter was not quite sure. The patient had family history of heart problems. The patient was taking unspecified concomitant medications, but the reporter did not know the medications that the patient was taking. It was also reported that the patient was not completely compliant with his medications. The patient had no additional vaccines administered on the same date of the Pfizer suspect. Prior to vaccinations (within 4 weeks), the patient had no other vaccinations and there were no adverse events (AEs) following prior vaccinations. The reporter stated that in the morning at the time of the report on 13May2021, about 5 days after the second COVID-19 vaccine, the patient had signs of a transient ischemic attack; he lost control of the left side of the face and possibly of the left side of his body; he had elevated blood pressure 180/100 and came down to 140/100 after the one-hour long episode; and he experienced weakness, but was able to move around. At the time of the report, the patient was on his way to the emergency room (ER). The event "loss of control of left side of face" did require a visit to the emergency room. It was further reported that the patient had signs of a transient ischemic attack and loss of control of the left side of his face and maybe the left side of his body, but the reporter was not sure; he also had some weakness and this episode lasted about an hour during which time the patient's blood pressure was 180/100. After the hour, his blood pressure came down to about 140/100. The patient was able to move around and on the way to the emergency department. No further information was available regarding the patient's visit to the emergency room at the time of the report. The reporter was asking for information on transient ischemic attacks and the Covid 19 vaccine and if there were reports of strokes as well. The reporter stated his family called several doctor friends and doctor relatives and based on the patient's symptoms, it seemed likely that he had a transient ischemic attack. The outcome of the events was unknown.