red spot and a lump under the skin/shoulder/the same side where got shot; red spot and a lump under the skin/shoulder/the same side where got shot; can not lift her hand past her head/she is not able to lift her arms over her head; pain; pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm; pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm; pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 79-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 09Oct2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 79 years, in left arm for immunisation, respiratory disorder, lung disorder. The patient's relevant medical history included: "Asthma" (unspecified if ongoing), notes: Asthma has had since childhood; "Blood pressure" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing). Concomitant medication(s) included: NEBIVOLOL oral taken for blood pressure abnormal, start date: 2000 (ongoing); ROSUVASTATIN oral taken for blood cholesterol abnormal (ongoing). Vaccination history included: Bnt162b2 (Primary series completed), for COVID-19 Immunization; Bnt162b2;bnt162b2 omi ba.4-5 (COVID-19 Boosters), for COVID-19 Immunization. The following information was reported: PAIN (non-serious) with onset 09Oct2023, outcome "recovering"; VACCINATION SITE PAIN (non-serious), ARTHRALGIA (non-serious), PAIN IN EXTREMITY (non-serious) all with onset 09Oct2023, outcome "recovering" and all described as "pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm"; JOINT RANGE OF MOTION DECREASED (non-serious) with onset 10Oct2023, outcome "recovering", described as "can not lift her hand past her head/she is not able to lift her arms over her head"; RASH MACULAR (non-serious), VACCINATION SITE MASS (non-serious) all with onset 19Oct2023, outcome "unknown" and all described as "red spot and a lump under the skin/shoulder/the same side where got shot". The events "pain" and "pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm" required physician office visit. Additional information: She has pain and red spots and a lump under her shoulders, and she mentioned that she is not able to lift her arms over her head, and she had some pain. Caller states she was having pain the night she took the vaccine and the pain was so bad it woke her up. Caller states since then (09Oct), she has been having pain and can not lift her hand past her head as it hurts so bad. Caller states if she goes around the house to do anything, it hurts. Caller states this morning she woke up with a red spot and a lump under the skin. Caller states her doctor is on vacation, and the pharmacist has been calling her daily to see how she is and how is the pain. Got vaccine in the afternoon, pain started later at night, it woke her around 3-4 am on 10Oct2023. Outcome - much better than that pain she had that night. That night pain came down to almost her wrist but now it's just in the spot where she got the shot and her shoulder, left arm. Can't lift arm past her head - started like 2-3 days after the vaccine or a day after. Outcome - lifting it is much better than it was. Red spot and lump is the same side where got shot. States she pinched her arm real hard and then gave her the shot. It's an inch and a half needle but didn't say amount. She was concerned if shot lodged in arm and not her body.   The information on the batch/lot number for rsv vaccine prot.subunit pref 2v, rsv vaccine prot.subunit pref 2v  has been requested and will be submitted if and when received.