Feel off balanced. pain and fullness under eyes and face. feel tight. blood pressure fine. ear ache a little. what could this be?

Possibilities are: Sinus congestion/sinusitis, . Middle eear infection, vestibulopathy/inner ear infection. Get examined by your dr. You may need antibiotics. In the meantime, try some dayquil/nyquil combo. Take care!

Suspect ear/sinus: Fullness and discomfort under the eyes/ear ache suggest sinus congestion or infection with possible extension into the ear. This might cause imbalance or vertigo symptoms.