Confusion in her mind, they only gave her 1 injection but with that she thought she got both products in 1 and that was what she was concerned; Abrysvo is an RSV vaccine and the other two are for different age groups for COVID-19, but they are not meant to be administered using the same syringe; Abrysvo is an RSV vaccine and the other two are for different age groups for COVID-19, but they are not meant to be administered using the same syringe; This is a spontaneous report received from contactable reporter(s) (Nurse) from medical information team. The reporter is the patient.  An 86-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 05Oct2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 86 years, in right deltoid for immunisation; for immunisation; bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 05Oct2023 as dose 1, 0.3 ml single (Lot number: HG2282, Expiration Date: 30Nov2024) at the age of 86 years, in right deltoid for covid-19 immunisation. The patient's relevant medical history included: "Diabetic type 2" (unspecified if ongoing), notes: Diabetic type 2; "Overweight" (unspecified if ongoing); "very mild form congestive heart failure" (unspecified if ongoing), notes: very mild form congestive heart failure. Concomitant medication(s) included: INSULIN taken for type 2 diabetes mellitus. Vaccination history included: bnt162b2 (First dose:, Pfizer COVID-19 vaccine, LOT: EN6200, EXP: Jun2021, Withheld), administration date: 21Feb2021, when the patient was 83-year-old, for COVID-19 immunization; bnt162b2 (Second Dose:, LOT: EN6208, EXP: Jun2021, Withheld), administration date: 15Mar2021, when the patient was 84-year-old, for COVID-19 immunization; bnt162b2 (Third Dose: Pfizer COVID-19 vaccine, labeled as booster dose, EXP: 31Dec2021, LOT: FF8841, Quantity 0.3 units unknown, NDC: 59267-1000-02), administration date: 28Sep2021, when the patient was 84-year-old, for COVID-19 immunization; bnt162b2 (Fourth Dose: Pfizer COVID (12yUP), EXP: 31May2022, LOT: FJ4991, NDC: 59267-1025-04), administration date: 15Apr2022, when the patient was 85-year-old, for COVID-19 immunization; bnt162b2, bnt162b2 omi ba.4-5 (Fifth Dose: 29Sep2022, Bivalent Pfizer COVID-19 vaccine, LOT: GJ5342, EXP: 30Jun2023), administration date: 29Sep2022, when the patient was 85-year-old, for COVID-19 immunization; bnt162b2, bnt162b2 omi ba.4-5 (Sixth Dose: Pfizer COVID Bivlaent(12YUP), Provides additional number on card as, 705-816, EXP: 31Jan2024, LOT: GL2042, NDC: 59267-0304-02), administration date: 24May2023, when the patient was 86-year-old, for COVID-19 immunization. The following information was reported: WRONG TECHNIQUE IN DEVICE USAGE PROCESS (non-serious), PRODUCT PREPARATION ISSUE (non-serious) all with onset 05Oct2023, outcome "unknown" and all described as "Abrysvo is an RSV vaccine and the other two are for different age groups for COVID-19, but they are not meant to be administered using the same syringe"; CONFUSIONAL STATE (non-serious), outcome "unknown", described as "Confusion in her mind, they only gave her 1 injection but with that she thought she got both products in 1 and that was what she was concerned". Additional information:  What happened was when people were getting vaccination, she was getting 23-24 Covid vaccination and they were also handing out at the same time information from Comirnaty as well as Abrysvo, but not giving at same time with it. The confusion was they were handing out to let people know about it and should not be doing that. Confusion in her mind, they only gave her 1 injection but with that she thought she got both products in 1 and that was what she was concerned. Pharmacist at the time shined her off and wasn't listening.  Thinks he didn't know and hadn't checked information himself and didn't know what handout was. Caller called this morning and talked to a different pharmacist and was told they were just handing out information about Abrysvo at same time as Comirnaty vaccine. They were not doing both vaccines at same time. She is a retired nurse and not particularly in that field she wondered if they gave her both and it didn't sound right. When she called she kept getting their very overworked pharmacy tech and they didn't know and suggested to call Pfizer and she did. Caller states she has had a total 7 of various Covid shots and hasn't had a problem with any of it. Didn't feel when giving and after on next day had nothing. 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.    Follow up (06Oct2023): This is a spontaneous follow-up report received from a contactable Other HCP (patient). This other-HCP(patient) reported for herself that:   Updated information included: New event "Confusion in her mind, they only gave her 1 injection but with that she thought she got both products in 1 and that was what she was concerned", LRN.   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.