heart racing/palpitation/; BP:180/90/ my BP shoot up to 180 over 90; My heart rate raised up to 140/ Heart rate is really so high; tinnitus in left ear; felt dizzy; This is a spontaneous report from a contactable physician (patient). A 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration in Feb2021 (at the age of 56 years old) (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient's medical history was not reported. There were no concomitant medications. The patient experienced heart racing/palpitation, BP:180/90/ bp shoot up to 180 over 90, heart rate raised up to 140/ heart rate is really so high, tinnitus in left ear in Feb2021, felt dizzy in 2021. Patient had 1st dose of Pfizer covid vaccine in February in a hospital setting; shortly afterward felt her heart racing/palpitations at the vaccine facility. Staff checked her vitals; . HR 140; BP:180/90 and 10 mins later HR: 160 BP:190/80. She was sent to Emergency Room and slowly her vitals were normal. By the time she had an EKG it was normal. Had a cardiology workup and no problems found. She takes no medication and has no known medical hx. Reports 2 weeks after receiving vaccine, she  felt dizzy and felt heart racing; it went on for a few minutes and then resolved. States after 2 weeks it completely resolved (unclear if caller experienced this intermittently for 2 weeks). Also reports tinnitus in left ear since receiving covid vaccine in Feb2021; she has no prior hx of tinnitus. States it is still bothering her. She was seen by ENT but they didn't find anything wrong. States she did not get her  2nd dose due to adverse effects from  the first dose.  States she works in a hospital. States she asked for medical exemption for 2nd dose but was denied.  She was told her reactions weren't considered adverse reactions. Asking if her reactions were considered adverse and if we have any information that would help her case (regarding adverse reactions). Asking if it is advisable to take 2nd dose given her reactions to the first dose. Patient had her vaccine in February and the reaction she had is, 5 minute into after the injection her heart rate raised up to 140 and my BP shoot up to 180 over 90, so she felt her heart rate just, she was sitting there and she started feeling her heart rate just raising, she feels the palpitation and she asked her nurse and she said kindly check her vitals because she could hear her heart beat raising. So they checked it and it was 140 and they said just drink water just relax, they were thinking probably she has a lot of thinking but then they said just relax, they gave her some water, they were talking to her and then she said okay she was just talking to them and then they send and she said she think her heart rate is still going faster then what it is, so they check it again like an estimate on the timing right. So it is about 10 minutes, they checked it again her heart rate now is 160 and her blood pressure 190 over 80. Now at the time now they said well they have to call the rapid response for her because the heart rate is really so high. She could feel really her heart rate is like raising and the palpitation and she could even feel it on the back of the chair her heart. So they just called the RP, the rapid response in the hospital and she got it in the hospital. They have the program in the hospital where they had the vaccinations at the time and then they sent her to the emergency room. Now within that time frame the emergency room, within the time frame now of course they were still , her heart rate is 140, 150, 140. So they were waiting because there was EKG by that place where by the injection site, even if they call RP  they take her to the emergency room. She thinks it was '30' minutes or so that she was finally in the emergency room, but by that time her heart rate now was about 120 or 110 something like that, she did not remember exactly. Her blood pressure now went down to 140 over she did not exactly remember she has that in 140 over 80 or 150 over 80 something like that. So they did an EKG and of course did the heart rate. They actually this is her injection was about 10:30 in the morning and then 10:45 in the morning, she was in the emergency room and then they were in the emergency room, by the time she 'finish' in the emergency room it was about 01:30 in the afternoon. For that time frame she was all there. So she was asking for second, she didn't get the second dose because of the effect and she said like she was asking for medical exemption for second dose because of the reaction that she had. So she was now calling for advice because this is the COVID vaccine that she has and they are telling them they might deny her medical exception. So patient wanted to know if anybody who had also had that experience. She did not know if everybody is calling because right now like she said she had her vaccination in February and only now that she was calling because she did not know that there is a 'site' that she was supposed to call for Pfizer adverse reaction. The outcome of tinnitus was not recovered, while the rest of the events recovered on an unknown date.  Information on the batch/lot number has been requested.; Sender's Comments: Based on known temporal relationship there is reasonable possibility of causal association between the reported events blood pressure increased, palpitations, heart rate increased, tinnitus, dizziness and the suspect drug BNT162B2.  The impact of this report on the benefit/risk profile of the Pfizer product 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.