Received Mar 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | UNK | X000177 | LA |
No additional AE; Indicate at which point in the process the medication error occured: preparation for administration; HCP called to report an expired dose of MMRII was administered to a patient; This spontaneous report has been received from a nurse, regarding to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant medications, and previous drug reactions or allergies were not reported. On 14-FEB-2025, the patient was vaccinated with an expired dose (Expired product administered) of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) solution for injection, at a dose of 0.5 milliliters (ml), as prophylaxis, lot number X000177, which has been verified to be valid, expiration date reported and validated as 22-JAN-2025) plus a sterile diluent (BAXTER STERILE DILUENT). Follow up received from nurse on 20-FEB-2025. The report regarding 27-year-old female patient. The patient's pertinent medical history included being not immune to mumps. Concomitant medication included Vitamin d (Ergocalciferol), 50 mg Desvenlafaxine, Extended-release tablets (Desvenlafaxine fumarate) and Skyla (Levonorgestrel). It was updated that patient was vaccinated in left arm. It was indicated that medication error occurred at point of preparation for administration (product preparation error). On 14-FEB-2025, The patient was return to the office after discovering she was not immune to mumps. The person which was administering the vaccine retrieved it from the refrigerator, logged it to the appropriate page, and brought it to the room. She had the patient sign the consent and administered the vaccine. It wasn't until the patient left what she noticed that vaccine was expired. She returned to refrigerator and saw that all the MMR vaccines in the box ere expired and removed them. The patient was informed about the event through a call and was assured that the vaccine would cause no harm and they would not be needed to revaccinate.
Medical History/Concurrent Conditions: Mumps antibody test negative
Vitamin D; Desvenlafaxine; Skyla; DILUENT MRK