Received Feb 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (ENGERIX-B) | GLAXOSMITHKLINE BIOLOGICALS | 3 | J3952 | IM / LA |
NO ADVERSE REACTIONS/EVENT OCCURRED. I am reporting this for tracking of data from this safety event. Patient's forecast showed she was due for a Hep B vaccine. Verified patient's vaccine history and confirmed with provider patient needed a Hep B vaccine. Verified patient allergies, contraindications, medications list, vitals, and pertinent history. Order for Hep B Peds (Engerix/B) Ped/Adolescent was entered by provider. I verified the order. Hep B is not stocked in the Clinic records. I went to outpatient pharmacy with the patient's label and provided the patient's label to the pharmacist. I verbalized that I was from Clinic and needed a Hep B vaccine for this patient. I was given the adult dose of Hep B vaccine (20 mcg) instead of the pediatric dose of Hep B vaccine (10 mcg). I did not know this was not the correct dose and I administered it to the patient. I went to document the vaccine that was given to provide an immunization record to the guardian but could not find the Lot# J3952 under the pediatric Hep B. I contacted outpatient pharmacy about this and was transferred to the point of contact pharmacist. I let her know I could not find the Lot# for the Hep B vaccine I picked up from the outpatient pharmacy. She assisted me in checking the Lot# and confirmed it was the Lot# for the adult Hep B vaccine. This is when I realized the error. I had been given the adult dose of Hep B (20 mcg) instead of the pediatric dose (10 mcg), and I administered it, unaware this was the adult dose.
Sick for one day: vomiting, stomach pain, fever, body aches, and coughing.
Tylenol 0700 per triage
NKA/NKDA
None; NO ADVERSE REACTIONS/EVENT OCCURRED.