sinus issue daily; nasal issue daily; lots of mucus from nose; coughing up a lot of mucus; slight vertigo; tension, painful headache; high blood pressure; thyroid biopsy due to growths and test was negative; The initial case was missing the following minimum criteria: unspecified event. Upon receipt of follow-up information on 03Dec2021, this case now contains all required information to be considered valid.  This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 10Mar2021 14:00 (Batch/Lot number: unknown) at the age of 67 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history (None at time of vaccination). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 1st, Time (24hr): 2:00, Anatomical site of injection: Left Arm, Route of administration: Intramuscular), administration date: 17Feb2021, for COVID-19 immunization. The following information was reported: SINUS DISORDER (non-serious) with onset 2021, outcome "unknown", described as "nasal/sinus issue daily"; NASAL DISORDER (non-serious) with onset 2021, outcome "recovered" (2021), described as "nasal issue daily"; INCREASED UPPER AIRWAY SECRETION (non-serious) with onset 2021, outcome "unknown", described as "lots of mucus from nose"; PRODUCTIVE COUGH (non-serious) with onset 2021, outcome "recovered" (2021), described as "coughing up a lot of mucus"; VERTIGO (non-serious) with onset 2021, outcome "unknown", described as "slight vertigo"; TENSION HEADACHE (non-serious) with onset 2021, outcome "recovered" (2021), described as "tension, painful headache"; HYPERTENSION (non-serious) with onset 2021, outcome "unknown", described as "high blood pressure";THYROID DISORDER (non-serious) with onset 2021, outcome "unknown", described as "thyroid biopsy due to growths and test was negative". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of nasal disorder, increased upper airway secretion, productive cough, tension headache. Fluticasone (Mar2021 to Oct2021) and Propionate via route: Nasal for lots of mucus and a painful headache. Patient stated that she never in her life (before) had a sinus issue, nor had experienced high blood pressure, or what she'll describe as a tension, painful headache. Patient experienced a nasal/sinus issue daily where lots of mucus from nose and coughing up a lots of mucus. She also experienced slight vertigo. She had a thyroid biopsy due to growths (as reported) and test was negative. The only thing in her life is the two vaccines. Patient had adverse reaction (unspecified) to 2nd shot, resulting in 2 ER visits. In Jul2021 18:00, adverse event (unspecified, pending clarification) was experienced(Seriousness Criteria: Important medical event; AE required visit to : Emergency Room with AE Outcome: Recovered. Treatment: Yes, If Yes Details : had to get a thyroid biopsy). Furthermore, in Aug2021, adverse event (unspecified, pending clarification) was experienced (Seriousness Criteria: Important medical event; AE required visit to : Emergency Room with AE Outcome: Recovered. Treatment: Yes, If Yes Details : thyroid biopsy). It was reported that the 3rd dose was administered on 01Nov2021 05:00 intramuscular in left arm.  The lot number for bnt162b2 was not provided and will be requested during follow up.