You are going to see some people on the right saying this man was holding a cane and a Bible and try to turn it that people are shaming him for a disability for not shaking the VP's hand. See this video so you can decide for yourself if he had a moment to shake her hand or if he just did not want too. I'll add that he does have a cane in his right hand.
https://x.com/NoLieWithBTC/status/1876313754625089778