Initial information received on 18-Jul-2018 regarding an unsolicited valid serious case received from a consumer. This case is linked to case 2018SA199688. This case involves a 75 years old female patient who experienced walks it feels like a paralysis, felt sicker, more nausea, headache, dizziness, continued with nightmare and tingling in her hips, buttocks, while she received vaccine IMOVAX RABIES. The patients past medical history included Hypersensitivity and Lip swelling. The patients past vaccination(s) included IMOVAX RABIES with 5 shots 3 years ago after a scratch wound. It was reported that reporter thinks a bat bit her when she reached into some bushes in the dark. She didn't see it but afterwards there were two teeth marks on the Left leg in the fleshy part by her knee and she felt something fly by. The patients past medical treatment(s) and family history were not provided. On 05-Jul-2018, the patient received a dose of suspect RABIES (HDC) VACCINE lot number not reported via unknown route in the left middle thigh. On an unknown date, patient developed a serious walks it feels like a paralysis when she walk following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious felt sicker (malaise) following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious more nausea following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious headache following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious dizziness following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious continued with nightmare following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. On an unknown date, patient developed a serious tingling in her hips, buttocks (paraesthesia) following the administration of RABIES (HDC) VACCINE. This event was assessed as medically significant. She states she has been in the bed for the last 4 days. Patient required emergency department or doctor visit. Other relevant tests included No lab data. Final diagnosis was tingling in her hips, buttocks, continued with nightmare, dizziness, headache, more nausea, felt sicker and walks it feels like a paralysis. An unknown corrective treatment was received. The patient outcome is reported as Unknown for felt sicker, as Unknown for more nausea, as Unknown for headache, as Unknown for dizziness, as Unknown for continued with nightmare, as Unknown for walks it feels like a paralysis and as Unknown for tingling in her hips, buttocks. Sender's Comments: Patient experienced paralysis, nightmare, paraesthesia, malaise, nausea, headache and dizziness after vaccination. Time to onset is unknown. More details regarding patient's condition during vaccination, previous vaccination history, history of similar episode, etiological workup and investigation reports to identify alternative etiology are needed for complete assessment of the case. Based on the available information the role of vaccine cannot be assessed.