Received Mar 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 5H95B | IM / RL |
Patient was due for Dtap and polio according to the system. Medical assistant seen that we had a combination immunization in the VFC stock for children for the 2 immunizations due and administered the combination medication. After the combination immunization was administered and patient left the medical assistant was putting it into epic when it gave an alert that the child was not yet old enough for that particular immunization combination. After further investigation the immunization combination that was administered was found to be for children 4 to 6 years of age and the patient in question is 11 months old. The health department was contacted and notified of the adverse event and gave guidance on how to handle the situation and what all steps needed to be taken. The patients' parent was contacted and told about the adverse event and re-educated on the adverse reactions to look out for and when to contact our office if they do present or if the patient's parent has any further questions. The medical assistant was re-educated on immunization administration, additional learning was assigned, and new safeguards were put in place.
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