Blood pressure high/ Her blood pressure got high, the bottom number (diastolic) got up to 101. The highest the top number (systolic) got was 158; head congestion/pressure; head congestion/pressure; Headache; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and Expiry Date of COVID-19 Vaccine: unknown), via intramuscular in left arm on 01Feb2021 15:30 as single dose for covid-19 immunisation. Medical history included cancer from Nov2017, Verbatim was reported as cancer, she explains she started chemo in late Jan2018 and ran through that year. Starting in Aug2018, she had radiation every day, Intestinal cellulitis, this was diagnosed about 8 years ago; kidney problem and blood pressure. Concomitant medications included simvastatin 40 mg, tablet via mouth at once a day at night taken for blood pressure, start and stop date were not reported, caller verifies it was through insurance and is dispensed in a pharmacy bottle. lisinopril dihydrate 10 mg, tablet via mouth once a day before she goes to bed taken for blood pressure, start and stop date were not reported, it was dispensed in a pharmacy bottle. On 02Feb2021, the patient experienced headache; on an unknown date experienced blood pressure high/ her blood pressure got high, the bottom number (diastolic) got up to 101. the highest the top number (systolic) got was 158, head congestion/pressure. The report received as, caller received her COVID-19 shot on 01Feb2021. She is recorded to get the next vaccine on 19Feb2021. However, she read to not get the second vaccine before 21 days. She had trouble with first shot and is worried about getting in early. The caller confirms she received the vaccine on Monday, 01Feb2021.The caller states right at first while receiving the COVID-19 vaccine, she felt it go into her body. She clarifies further she felt it inside her. She could feel it. That didn't bother her or anything. She may have gotten a slight headache that night, but she had a worse headache the next day. The next day, Tuesday, 02Feb2021, she had a headache for most of the day. She was congested in the head. She wasn't normally congested in the head or have like pressure, the vaccine made her have it. She took Mucinex, but that didn't relieve her headache. She took Tylenol and that helped for a while. Caller provides the following product information for the Mucinex and Tylenol she took. Caller states she is sure the Mucinex (Lot: W000597049, Expiry date: Nov2014) was old because she doesn't take it very often. The caller clarifies she doesn't have Tylenol (Lot# 4HE16818, Expiry date: May2017), she actually has the Acetaminophen (Pain Reliever/Fever Reducer). What she was most worried about was what happened around Wednesday. She clarifies it wasn't the day after receiving the vaccine, it was the next day- Wednesday, Thursday, and Friday. Her blood pressure got high, the bottom number (diastolic) got up to 101. The highest the top number (systolic) got was 158. Having that bottom number at 101 was kind of scary. She was on blood pressure medicine and her daughter was going to take her to the hospital, but she went ahead and took her blood pressure earlier than what she would normally take it. The blood pressure medicine brought her blood pressure down within a half an hour. When probed for the outcome of her blood pressure, she explains she hasn't taken her blood pressure in the last day or two but she can tell when her blood pressure was high so she doesn't go through the trouble of taking it when it was not. She verifies she has recovered completely from the high blood pressure. Caller confirms she didn't go ahead and go anywhere. It was years and years, she doesn't take flu shot. Caller mentions her husband took the COVID-19 vaccine the same time as her and had no ill effects at all. The patient was not experienced the events in emergency room or physician office visit. The patient underwent lab tests and procedures which included blood pressure measurement: high and 158/101 on an unknown date (the bottom number (diastolic) got up to 101. The highest the top number (systolic) got was 158. Having that bottom number at 101). Therapeutic measures were taken as a result of the events with Mucinex, Tylenol and Acetaminophen (Pain Reliever/Fever Reducer). Outcome of the event Blood pressure high/ Her blood pressure got high, the bottom number (diastolic) got up to 101. The highest the top number (systolic) got was 158 was recovered on an unknown date and for remaining events outcome was unknown.  Information on Lot/Batch number has been requested.