Phlegm that came up with red blood/coughed up phlegm and blood with a clot; Phlegm that came up with red blood/coughed up phlegm and blood with a clot; Blood came from her nose; This is a spontaneous report received from a contactable consumer or other non-healthcare professional (Patient). A 63-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8737), via an unspecified route of administration on 06Apr2021 either a quarter to 11:00 AM or at 11:00 AM, her appointment was at 10:30 AM (at the age of 63-years-old) as dose 1, single for COVID-19 immunisation. Medical history included blood pressure high, sinus from an unknown date and unknown if ongoing , psoriasis from 2007 to an unknown date. Concomitant medication included atenolol (ATENOLOL) taken for blood pressure high, start and stop date were not reported. Caller said that this was refilled April 1st and dispensed in an orange pharmacy bottle. She provided RX 2970309-05293. Caller said they have not had any other recent vaccinations or started any new medications. Patient received the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine on 06Apr. That night, and today, she said phlegm that came up with red blood/coughed up phlegm and blood with a clot on 06Apr2021. She wanted to know if this is a side effect to the vaccine. Caller said her sinus problems would come and go, she does not know if it was the pollution there in city. She said she will be ok during the day, but in the morning and when she goes to sleep, she was clogged up. She said she told the pharmacist and girl who gave her the shot that she has had for maybe 9 months sinus problems and she takes only the Atenolol for her high blood pressure. She said she has never had anything for her sinuses, and never had blood come up with phlegm. She said when she blew her nose blood came from her nose on 06Apr2021, and it happened again this morning. She said she was afraid to get the second dose which was supposed to be the fourth. Caller said she went to see her doctor for a physical in February. She said that her children encouraged her to get the vaccine, she has not tested positive since all this commotion at all, she takes care of herself and does not go places. Caller said this happened the first time on night of April 6th, the day she got the vaccine, and then it also happened today. She said the first time it was late at night, they were in bed, around midnight or 11:00 PM or something, she was still awake watching TV, she could not fall asleep. Caller said she did no treatment, it stopped. She said she blew her nose and lay down and it stopped. She said for the phlegm she coughed and drank some water. Caller said she was not taking anything for psoriasis, this was kind of under control, she puts lotion on. She said that she took a medication about 3-4 years ago that would lower her immune system, that medication she stopped taking about 3-4 years ago. No further details provided about this medication. Caller said her husband got his Pfizer COVID-19 vaccine yesterday, clarified to April 7th, and she has not heard anything from him, but he felt dizzy when he got home. Caller said she does smoke cigarettes and her husband does too. She said she does not know, she has never had that problem that she would cough and blood come up. She said just the blood and clot first day, then again today, a smaller one today, it was smaller one than the first which was bigger and had like an attachment or vein or something, it looked weird and freaked her out. She said she tries not to think about it, then today this morning it happened again so she would like to ask what is happening or if she should go to a doctor. She said she would like to know is this a reaction, what could happen, she would like to have peace of mind. The outcome of the events was reported as unknown.  No follow-up attempts are needed. No further information is expected.