Received Feb 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 3 | 79K45 | IM / RL |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 4 | Y003146 | IM / LL |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 4 | 5YB7L | IM / LL |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 4 | LC5484 | IM / RL |
Accidental third dose of Influenza (flulaval) IZ administered to pt. No adverse reaction occured - did call mother of patient followind day, 02/25/2025 and ask how patient was doing, MOC (speaking) notified that pt was doing well and had no side effects or adverse reaction. Did speak with provider of visit and supervisors of incident day of (02/24/2025) - notified by supvervisor to report incident.