bumps; can not sleep at night; pain from shoulder to hand on same side as FLUZONE HD injection site; Initial information received on 15-Jan-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 91 years old female patient who experienced bumps, can not sleep at night and pain from shoulder to hand on same side after receiving Influenza Usp Trival A-B High Dose Subvirion Vaccine [Fluzone HD]. The patient’s past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 05-Jul-2024, the patient received a unknown dose of suspect Influenza Usp Trival A-B High Dose Subvirion Vaccine Suspension for injection in pre-filled syringe (expiry date: 30-Jun-2025 and lot U8527AA) via unknown route in unknown administration site as immunization. On an unknown date in 2024 the patient developed bumps (swelling), can not sleep at night (sleep disorder) and pain from shoulder to hand on same side as fluzone hd injection site (pain in extremity) (latency: few days approximately). Action taken: not applicable. It was not reported if the patient received a corrective treatment for all events. At time of reporting, the outcome was Unknown for all events.