unable to walk; had two sprained ankles; high heart rate; had a sharp pain in her hand that went to her finger and into her wrist; Initial information was received on 23-Jan-2023 regarding an unsolicited valid  non-serious case received from a consumer/non-hcp.  This case involves a 65 years old female patient who was unable to walk, had two sprained ankles, high heart rate and had a sharp pain in her hand that went to her finger and into her wrist after receiving influenza quadrival A-B vaccine [Fluzone quadrivalent].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. At the time of the event, the patient had ongoing Rheumatoid arthritis in Jul-2017.  Concomitant medications included methotrexate and prednisone.  On an unknown date, the patient received an unknown dose of suspect influenza quadrival A-B vaccine (Suspension for injection) (lot number, expiry date, strength, frequency was unknown) via unknown route in unknown administration site for Immunisation.  On an unknown date the patient developed a non-serious events unable to walk (gait inability), two sprained ankles (ligament sprain), high heart rate (heart rate increased)and had a sharp pain in her hand that went to her finger and into her wrist (pain in extremity) (unknown latency) following the administration of influenza quadrival A-B vaccine.  It was reported when she does not have the methotrexate and she walked through the dollar store if felt like she had two sprained ankles. She still has problems with her hands. They lock up and get stiff and it has gotten worse over time. Consumer states that she turned down the medicine but had to be put on medicine within a week of receiving the vaccine. Caller states that she continues to have problems and when she is walking through the yard it felt like she sprained her ankle and her ankle hurt pretty bad. It only last 15-30 seconds. Caller says that she was at work and felt terrible and it took her a year and a half to recover. Her left hand still locks up. Caller says that she got the vaccine at work, and she was trying to get an attorney but did not want to since she got the vaccine at work. Caller says that she could do 20000 steps during a hurricane and worked 18 hours a day before getting the vaccine. Caller says that she was 62 at the time and had no pain or problem and now she has to have regular blood work and she is terrified to get vaccines. Caller says that she reported the issue to her healthcare provider and her rheumatoid arthritis doctor. She went to the foot doctor, and she was prescribed prednisone that caused her to have a high heart rate. Caller says that now out of the blue something hurts. Caller says that she had to get chest xrays, echo cardiogram and xrays on her chest and wrist. She had to go through the trouble of getting blood work done and she is a hard stick. Caller says that she had to use Bengay and hot water because her thumbs were hurting so bad. Caller states that she wanted some compensation from Sanofi but was not offered anything.  Action taken: not applicable.  It was not reported if the patient received a corrective treatment for the events.  At time of reporting, the outcome was Unknown for the events.