Received Mar 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (DAPTACEL) | SANOFI PASTEUR | 5 | 3CA25C1 | IM / LA |
No adverse event occurred. On 3/20/25, the patient (8 years old) had appointment at 4:30 PM, and was brought in by his mother to receive vaccines. The mother did not know which vaccines her child needed, but brought in a form from the patient's school with a list of required vaccines, as well as the patient's vaccination record. The pharmacist reviewed the list and vaccination record, and determined that the patient had not yet received the 5th dose of Daptacel (DTaP). The school-required vaccines also indicated that the patient needed a 5th dose of DTaP. The pharmacist informed the patient's mother that he would be receiving Daptacel, and proceeded to check-in the patient and prepare the vaccine. The patient received the Daptacel vaccine 0.5 mL intramuscularly in the left deltoid. After the patient and his mother left, the pharmacy clerk attempted to complete the appointment. However, she was not able to select Daptacel as the product used. On the following day, 3/21/25, the pharmacist opened a ticket to see why we were not able to select the vaccine. informed us that we were not able to select Daptacel because it is only indicated for patients ages 6 months to 6 years old. After reviewing CDC guidelines, the pharmacist determined that the patient was actually indicated for Tdap, and should have received Adacel or Boostrix, instead of Daptacel. However, CDC guidelines also state that Daptacel is still valid for a patient in his age group, and that the patient can then receive a booster of Adacel or Boostrix once he turns 11 years old. The pharmacist called the patient?s mother using the telephone interpreter service (the patient?s mother only speaks Spanish). The pharmacist informed the patient?s mother of the mistake, and the patient?s mother was understanding and said ?Okay.? The pharmacist also received the patient?s PCP information from his mother and informed the PCP office of the mistake. For error prevention in the future, the pharmacist will thoroughly check CDC guidelines and age recommendations, and will not administer vaccines unless they are indicated for the patient?s age group.
NONE
NONE
NONE
NONE
NONE