Dizzy spells; Blurred vision; Fever; Chills; Shaking; Muscle weakness; Flu like symptoms; I was just really sick overnight that night; My arm is still sore; That is the only thing that is still the problem; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 77-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 19Oct2023 as dose 1, single (Lot number: HG9498) at the age of 77 years intramuscular, in left arm for covid-19 immunisation; rsv vaccine prot.subunit pref 2v (RSV VACCINE PROT.SUBUNIT PREF 2V), on 19Oct2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 77 years for immunisation; for immunisation; influenza vaccine (FLUZONE [INFLUENZA VACCINE]), on 19Oct2023 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "Depression" (unspecified if ongoing); "Diabetes" (unspecified if ongoing); "Anxiety" (unspecified if ongoing); "Glaucoma" (unspecified if ongoing); "Allergy" (unspecified if ongoing); "Acid Reflux" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing). Concomitant medication(s) included: PRAVASTATIN taken for blood cholesterol; LEVOTHYROXINE taken for thyroid disorder; AUVELITY taken for depression, anxiety; ALPRAZOLAM taken for anxiety; PRANDIN taken for diabetes mellitus; LANTUS taken for diabetes mellitus; PANTOPRAZOLE taken for gastrooesophageal reflux disease; AZELASTINE HCL nasal taken for hypersensitivity; FLUTICASONE PROPIONATE nasal; DORZOLAMIDE HCL taken for glaucoma; TIMOLOL taken for glaucoma; ZIOPTAN taken for glaucoma. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Oct2023, outcome "not recovered", described as "My arm is still sore; That is the only thing that is still the problem"; CHILLS (non-serious) with onset 19Oct2023, outcome "recovered"; PYREXIA (non-serious) with onset 19Oct2023, outcome "recovered", described as "Fever"; INFLUENZA LIKE ILLNESS (non-serious) with onset 19Oct2023, outcome "recovered", described as "Flu like symptoms"; ILLNESS (non-serious) with onset 19Oct2023, outcome "recovered", described as "I was just really sick overnight that night"; MUSCULAR WEAKNESS (non-serious) with onset 19Oct2023, outcome "recovered", described as "Muscle weakness"; TREMOR (non-serious) with onset 19Oct2023, outcome "recovered", described as "Shaking"; VISION BLURRED (non-serious) with onset 20Oct2023, outcome "recovered", described as "Blurred vision"; DIZZINESS (non-serious) with onset 20Oct2023, outcome "recovered", described as "Dizzy spells". Relevant laboratory tests and procedures are available in the appropriate section. The action taken for influenza vaccine was unknown. Therapeutic measures were taken as a result of pain in extremity. Additional information: Consumer stated, "I had the current booster shot on COVID-19 (Pfizer COVID-19 Vaccine). I had it two days ago and I ran a fever and I had chills and shaking and I was just really sick overnight, that night and muscle weakness and this flu like symptoms, real bad that first night and all they yesterday and all then the next day, today I am okay but yesterday I started getting okay. It was just the night of and the next day after I had it." When paraphrased the concern, consumer stated, "Yes, my arm is still sore. That is the only thing that is still a problem and I have it, this shot on the 19 (19Oct2023)." The consumer further stated, "I also got Fluzone. Is it called that? At the same time of this shot (Pfizer COVID-19 Vaccine), I got the new RSV Vaccine and they gave it to me at the same arm at the same time." (Further clarification unknown as patient was not sure if patient has taken Fluzone or RSV Vaccine hence both captured as suspect conservatively). Consumer stated, "The name of the RSV? She wrote Fluzone but she did not write the manufacturer. But I told him I want Pfizer on everything. But, I do not know, if, does Pfizer make the RSV Vaccine? No, I have a question. Does Pfizer make the RSV Vaccine? Do you manufacture this?" Consumer further stated, "I wanted to tell you one more thing that strange thing that happened to me. Last night (20Oct2023), I had a dizzy spell and blurred vision and I do not know, it lasted for you know, few couple of hours. I do not know if that could be from, still a reaction from the shots. Real dizzy and blurry eyes. I do not know from either one of those shots." Consumer was informed to contact the Pfizer Medical Information department. Consumer stated, "Okay and the other question I have is they told me at the pharmacy it was okay to have both of the shot at the same day, is that true because my husband said they told him not to take the shot?".   The information on the batch/lot number for bnt162b2 omi xbb.1.5 , rsv vaccine prot.subunit pref 2v, rsv vaccine prot.subunit pref 2v  has been requested and will be submitted if and when received.