blood pressure was higher than ever; This is a spontaneous report from a contactable consumer. A 59-years-old female consumer (patient) reported for herself that she received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EP6955, Expiry Date: 30Jun2021, NDC number: Unknown), via an unspecified route of administration in left arm on 14Mar2021 between 4:40 PM and 5:00 PM (at the age of 59 years) as dose 1, single for covid-19 immunization. AEs following prior vaccination: In 2012, she had live shingles shot (no NDC/LOT/EXP to provide) and was still had reactions from that. It was the shingles shot that was supposed to last forever. Reaction had not gone away. She had to go back to the office several times to have that treated. Clarified reaction as welts, hives, and itching on skin. She took a lot of dermatology. She did have a reaction with the Flu shot (no NDC/LOT/EXP). She received it when she had an empty stomach and after working out for a couple hours. She stated that it went all the way through her. It was several years ago. She got a Flu shot every year after that reaction and it had worked fine. Preferred clinical, or synthetic, and not live. Live stuff did not work well for her. Previously received Atenolol. It was reported that she had been taking Atenolol tablets forever, packed in pharmacy bottle (Zydus pharmaceuticals, NDC/LOT/EXP: unknown), 50mg once daily by mouth. No other medical history, family history and concomitant medications were reported. She has follow up with nurse practitioner on 01Mar2021. She had annual physical on 10Mar2021. At time of annual physical, blood pressure was higher than normal and received a new medication Losartan. She went to a clinic for vaccine and did not receive vaccine at military type facility. She did not want COVID. She did not want the long hauler's issues. She had been isolating and gaining weight, which was enough. Her physician had the Pfizer COVID-19 Vaccine. She received first COVID-19 Vaccine on 14Mar2021 by pharmacist and scheduled for second dose in Apr2021. She read information when waiting 15 minutes after COVID-19 vaccine and noticed she could have a possible fast heart rate. She wanted to know if that could cause her heart rate to go up. Thought she received a placebo. She did not have side effects. She didn't feel anything. Her arm didn't hurt. She had nothing until she took her blood pressure. She did the V-Safe and was logging in every day. She felt fine and didn't feel any different. She reported that as everything was fine, she was not going to start Losartan till she received the second COVID-19 vaccine but started on 22Mar2021. She didn't want to introduce new stuff into her system all at once. She didn't want to start Losartan until she knew everything was ok. She didn't want any linkage between the COVID-19 Vaccine and the Losartan. It was reported that she had a video call coming up with a nurse practitioner. She was afraid and did not want blood pressure to get close to stroke numbers. She did not feel sick and felt fine. She did not take drugs. She lived a healthy lifestyle for the most part. She was way too inactive. She went to gym, but people did not wear masks and she did not want COVID. Because her blood pressure numbers went up, she did not want kidney disease. As her numbers had gone up higher than it had ever been and she thought that she should began Losartan to see if the blood pressure numbers would go down. Blood pressure was 168/90 and had never been that high before. All week blood pressure had been high like 168 and sometimes 143. Her normal range was 118/73 to 137/79 before the COVID-19 vaccine. Blood pressure higher than normal began 22Mar2021. She took first tablet of Losartan tablets, 25mg once daily (Aurobindo, NDC Number: 65862-201-90, Lot Number: LJ2520017-A, Expiry date: Aug2023) on 22Mar2021 when she noticed her number were high because it was supposed to help. She needed glasses to see white manufacturer bottle. She tried different things and took blood pressure at different times of the day, but blood pressure numbers were staying up there. She had only 5 tablets and was concerned about her kidneys. All numbers with her labs were good except for her creatinine, which was different. She hoped to get blood pressure down because it was scaring her. The AE require visit to doctor's office. She did not go to ER. She was concerned and thought whether she need to go or not. She was concerned if she could not get her blood pressure numbers down. She never had this happen before. She had optimum blood pressure numbers with Atenolol of 115-117/70-75. Even after annual physical, her numbers when back down to normal. She had a one number change in her lab. She did not want to ruin kidneys. If she could get the weight down, she could get off the meds. Blood pressure numbers went down after doctor's office appointment. She was running up and down stairs to get to doctor's office. Blood pressure was higher than normal and she was stressed out getting through traffic. When she got home her blood pressure was normal and she was doing fine. It was reported that she had been taking Atenolol tablets forever, packed in pharmacy bottle (Zydus pharmaceuticals, NDC/LOT/EXP: unknown), 50mg once daily by mouth. Previous bottles of Atenolol are packaged in CVS pharmacy bottles. Atenolol typically controlled blood pressure. Doctor did not think Atenolol was control patient's blood pressure because it did not go down during physical and due to the lab work. She did have one lab that was a different number and deviated. She was working on weight loss and gained extra weight due to not working out and going to the gym because of pandemic. Regardless, she had never had blood pressure numbers this high. The patient underwent various lab test on specified dates which included blood pressure with results 168/90, blood pressure: 168, blood pressure: sometimes143, blood pressure: 118/73 to 137/79 (normal range), Blood pressure on 22Mar2021: Blood pressure higher than normal, blood pressure: 115-117/70-75, annual physical on 10Mar2021: her numbers when back down to normal (Even after annual physical), creatinine was different, Lab test: one number change in her lab, lab test: one lab that was a different number and deviated. The outcome of event was unknown.  No follow-up attempts are possible, No further information is expected.