affected balance, eyes, hands; affected balance, eyes, hands; affected balance, eyes, hands; every bone in body hurts; triggered an attack on lupus; triggered an attack on lupus; This is a spontaneous report received from a Consumer or other non HCP. A 91-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 29Nov2024 as dose 1, single (Batch/Lot number: unknown) for immunisation. The patient’s relevant medical history included: “Lupus”, start date: 2023 (ongoing), notes: under the care of a dermatologist, doing fine; “Covid-19”, start date: 2023 (unspecified if ongoing). The patient’s concomitant medications were not reported. The following information was reported: CONDITION AGGRAVATED (medically significant, disability) with onset 2024, outcome “not recovered”, SYSTEMIC LUPUS ERYTHEMATOSUS (medically significant, disability), outcome “not recovered” and all described as “triggered an attack on lupus”; BALANCE DISORDER (disability), EYE DISORDER (disability), LIMB DISCOMFORT (disability), outcome “not recovered” and all described as “affected balance, eyes, hands”; BONE PAIN (disability), outcome “not recovered”, described as “every bone in body hurts”. Clinical course: The patient got lupus 2 years ago (2023) when got covid (2023), but she has been under the care of a dermatologist. The patient was doing fine and the day after thanksgiving she got RSV vaccination shot, and patient has been sick ever since. The RSV shot triggered an attack on lupus, the shot also affected her balance, eyes, hands and every bone in body hurts. Patient stated that Pfizer was going to say the age, 91, had a lot to do with it but that’s not true. Now patient was suffering from these debilitating side effects. The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.