Caller stated that she received the second dose of the pfizer covid 19 on 4Feb2021. Caller stated that she tested positive for covid 19 yesterday, 28Mar2021; Patient contracted COVID; head cold, one nostril she can't smell out of, it is a sinus inflammatory; head cold, one nostril she can't smell out of, it is a sinus inflammatory; head cold, one nostril she can't smell out of, it is a sinus inflammatory; Her nose is not running as much; This is a spontaneous report from a contactable nurse (patient). A 59-year-old female patient received second dose BNT162B2 (Solution for injection, lot number: EL9264) via an unspecified route of administration on 04Feb2021 at 15:30 at single dose for COVID-19 immunisation. Patient medical history included ongoing Sinus pain (Sudafed sinus maximum strength. LOT PLC017, expiration date May2021) and ongoing Mild Hypertension. Historical vaccine included first dose BNT162B2 (Solution for injection, lot number: EL3302) via an unspecified route of administration in left arm on 14Jan2021 at 15:30 at single dose for COVID-19 immunisation. Concomitant medications included losartan potassium started at 50 mg, once a day for mild hypertension nearly a year ago, stopped as she did not really have hypertension, she was healthy, she exercises, she goes to the doctor but she gets white coat syndrome (AS REPORTED) , paracetamol, pseudoephedrine hydrochloride (SUDAFED SINUS, lot number: PLC017, expiry date: May2021) for sinus pain. She stated that she received the second dose of Pfizer Covid-19 vaccine on 04Feb2021. On 25Mar2021, she stated that she was tested positive for Covid 19 on 28Mar2021. She stated her son had Covid and she thought she would be protected. She wanted to know how this could happen and if there was something in the vaccine incorrect. She contacted her state to let them know she contracted Covid 19 after two doses. She wanted to know if the vaccine would prevent her symptoms if she would get worse. Symptoms started on March 25th. She got tested on Saturday and got the results on Sunday (AS REPORTED). She says it has not been not serious so far, it has been 5 days, her son was fine it was just a head cold. On 25Mar2021, she says one nostril she can't smell out of, it was a sinus inflammatory. On 25Mar2021, her nose was not running as much, it was a right nostril sinus problem, she still can't smell out of it. She can smell and taste because the other nostril was open. She asked if she should call the center, they said to call Pfizer. She says she was not obese. She had stress. She was walking for 7 hours on her feet, her blood pressure was low at home. She went to doctors and it was a little elevated at 150, when she gets procedures it elevates. She has white coat syndrome. She used saline spray up her right nostril yesterday. Spray lot number HT920788, expiration date on 26Jun2021. She also took a Sudafed yesterday for some sinus pain. LOT PLC017, she says its hard to tell with these labels, expiration date in May2021. She took one Sudafed sinus maximum strength. Patient contracted COVID 19: lack of efficacy. Reporter considered events as non-serious. Outcome of events was not recovered. Causality not provided.  Information on the lot/batch number has been requested.