Received Apr 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | UNK | LH4511 | — |
LPN attempted to administer an RSV (Abrysvo) vaccine to a patient and the reconstitution process of the vaccine kit, the luer locking section of the syringe fell off. LPN tried it a second time with another kit from the same box and lot number and it was defective as well. A third kit was obtained from a different box that had the same lot number and there was no issue with reconstituting the vial with that kit's syringe. The LPN had previous experience in reconstituting the kits. Situation- two RSV vaccine kits noted to be defective as the syringe and adapter had unsecure connection and detached while mixing medication causing the adapter and vial to vail onto dirty surface. LOT# LH4511 EXP: 2025/10. Background-potential risk for infection. Assessment--vaccines deemed defective and were not used. Response- vaccines wasted.