blood pressure has been high ever since/ went from 125 or 130 over 82 or 83 to 178/116; This is a spontaneous report from a contactable consumer or other non hcp. A 73-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on 25Feb2021 (at the age of 73 years old) (Batch/Lot Number: EN6202) as single dose for COVID-19 immunisation. Medical history included, hypertension, epilepsy, speaks hillbilly, epileptic seizures, seizure from an unknown date and unknown if ongoing. Concomitant medications included eslicarbazepine acetate (APTIOM) two 600mg tablets at night has been on it three years. He takes it because he has a history of epileptic seizures and speaks hillbilly, spironolactone 50mg one per day taken for hypertension his ankles use to swell and has lost 50 pounds since Aug2020 he is trying to stay hunkered down, Carvedilol 12.5mg twice a day taken for high blood pressure and has been on it three years, Primodone two 50mg tablets at night, one 50mg tablet in the morning taken for seizure and has been on it several years, hydralazine is his blood pressure medication. The patient had the shot three weeks ago, he is supposed to go this Thursday to get the second shot. His blood pressure has been high ever since and enquired if this is a common thing. Everything went smooth expect his blood pressure has been crazy. It was a day or two after he got the vaccine that blood pressure went high. He is not sure if it is related to the vaccine. When you are old anything could go wrong. Shortly after he got COVID shot, he doesn't remember if it was a day or three days, there was a spike in his blood pressure. He is not sure what caused it. It may have nothing to do with the shot. His blood pressure went from 125 or 130 over 82 or 83 to 178/116. He went to the doctor. The first time he went he didn't get to see his doctor he saw another doctor. He was taking Hydralazine 100mg per day. He was taking a 50mg tablet in the morning and one at night. The first doctor he saw changed it to 40mg per day, she went down with it. He went back to the doctor the next week and saw his real doctor. He changed it to 25mg three times a day at first. That got caller back up to 75mg and it still didn't do anything. Now caller is taking 50mg three times per day. Hydralazine is in the pharmacy vial. He has been on Hydralazine for 5 to 6 years for blood pressure. His doctor did blood work in December and it was phenomenally good. All his blood work is good. He had called Pfizer wanting to know about if anyone had complained of high blood pressure after the shot because he had experienced that. He was connected to a doctor who told him it was an experimental drug authorized by the FDA for emergency use and that we had no answers yet regarding the effects. The patient underwent lab tests and procedures which included blood pressure measurement: 178/116   on an unspecified date, blood test: normal on an unspecified date. Therapeutic measures were taken as a result of blood pressure has been high ever since/ went from 125 or 130 over 82 or 83 to 178/116. The outcome of the event was not recovered.  No follow-up attempts are needed. No further information is expected.