paralyzed; had dry heels all day; Chills; Still I am feeling very sore; I just feel sore all over; Very sick; I just could not get warm; I feel just a little warmly; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 76-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 21Oct2023 as dose 1, single (Batch/Lot number: unknown) at the age of 76 years for covid-19 immunisation; rsv vaccine prot.subunit pref 2v (RSV VACCINE PROT.SUBUNIT PREF 2V), on 26Oct2023 at 15:00 as dose number unknown, single (Batch/Lot number: unknown), in right arm for immunisation; for immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Influenza vaccine (I have my flu shot that was about 6 weeks ago (History) and then like I say Comirnaty last Saturday), administration date: Sep2023, for COVID-19 immunisation; Covid-19 vaccine (Primary Immunization series complete;  unknown manufacturer.), for COVID-19 immunisation. The following information was reported: FEELING COLD (non-serious) with onset 28Oct2023, outcome "unknown", described as "I just could not get warm; I feel just a little warmly"; PARALYSIS (medically significant), outcome "unknown", described as "paralyzed"; SKIN FISSURES (non-serious), outcome "recovering", described as "had dry heels all day"; CHILLS (non-serious), outcome "recovering"; PAIN (non-serious), outcome "not recovered", described as "Still I am feeling very sore; I just feel sore all over"; ILLNESS (non-serious), outcome "unknown", described as "Very sick". Clinical course: The patient stated, "I went to (pharmacy name withheld), a week ago and had a booster." On 21Oct2023, the patient had a booster shot (Clarified as Comirnaty) and 'everything was okay.' "I am over 75 almost 76" (as reported). On 26Oct2023, the patient had the RSV injection, and it was just felt like a bee sting but other than that, the patient went on about her day. The patient reported that on an unspecified date (reported as 'yesterday') the patient felt like she was paralyzed, had dry heels all day, and 'chills that I just could not get warm.' She was glad she had her heating pads. The patient was feeling better, but she was still feeling very sore. "I just feel sore all over. They gave me some, the drug store gave me some information just telling me to report any adverse effects. Well, the first last week, last Saturday getting the booster there was no effect, adverse effect. But on Thursday on the 26th, I was very sick with the RSV drug, the injection." The patient further stated, "Yes, I had dry heels, chills and today I feel just a little warmly. I feel kind of, when I say sore all over, I just feel like wow, like I have been hit by a train or something." Regarding treatment: the patient stated, "No, I have not taken any medication. Yesterday, I just waited it out and I feel much better today but yesterday I felt very sick." Therapeutic measures were not taken as a result of paralysis, skin fissures, chills, feeling cold, pain, illness.  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.