it has screwed up my sinuses; when I jog it is like I am coughing out the phlegm; that phlegm has come up from my esophagus; have this stuff ever since I had that vaccination; messed with my 'air way'; it could have affected my 'air way' to make my white blood cells count go sky high; its allergy, its allergy; messed with my 'air way'; it could have affected my 'air way' to make my white blood cells count go sky high; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A patient (no qualifiers provided) received bnt162b2 (BNT162B2), administration date 23Sep2021 (Batch/Lot number: unknown) as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 1), for COVID-19 Vaccination. The following information was reported: SINUS DISORDER (medically significant), outcome "not recovered", described as "it has screwed up my sinuses"; PRODUCTIVE COUGH (non-serious), outcome "not recovered", described as "when I jog it is like I am coughing out the phlegm; that phlegm has come up from my esophagus; have this stuff ever since I had that vaccination"; RESPIRATORY DISORDER (non-serious), WHITE BLOOD CELL COUNT INCREASED (non-serious), outcome "unknown" and all described as "messed with my 'air way'; it could have affected my 'air way' to make my white blood cells count go sky high"; HYPERSENSITIVITY (non-serious), outcome "unknown", described as "its allergy, its allergy". The events "it has screwed up my sinuses", "when i jog it is like i am coughing out the phlegm; that phlegm has come up from my esophagus; have this stuff ever since i had that vaccination", "messed with my 'air way'; it could have affected my 'air way' to make my white blood cells count go sky high" and "its allergy, its allergy" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative; white blood cell count: go sky high. Therapeutic measures were taken as a result of sinus disorder, productive cough, respiratory disorder, hypersensitivity.  Clinical course: Ever since patient had that second vaccination, it has screwed up patient's sinuses. It's not allergy for 8 months, 9 months. Patient had taken Amoxicillin, Benadryl, cold congestions (unspecified medication) and everything (unknown) and it would not go away. Patient had no problem until she took vaccination, and she was a rider, healthy and jogger. When patient jog it was like she was coughing out the phlegm, patient do not know, that phlegm has come up from her esophagus and had this stuff ever since patient had that vaccination. Patient's ear and nose doctor wants to do surgery (not clarified). Patient stated vaccine could have affected her air way and white blood cells count go sky high.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: As there is limited information in the case provided, the causal association between the Reported events and the suspect drug cannot be excluded. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.