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Report #2840042

Received May 8, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
36 yrs
State
MA
Recovered
Recovered
Vaccinated
May 2, 2025
Onset
May 2, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS242B22IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient came in for a post-partum visit 5/2/2025, patient was due for her second dose of hep b vaccine on 2/23/2025 but did not schedule appt. After collaboration with Dr. it was agreed she will receive her 2nd dose today during the appt. Upon getting the vaccine ready, I acciedntly pulled the Heb P vaccine from the state vaccine section in our vaccine refrigerator (pediatric dose 0.5 mL) and administered the hep b vaccine to patient. I was aware that I made this misake as I was in patient chart to document vaccine and the lot number was not populating in the state nor the private vaccine section. Asked Nursing Supervisor for assistance. She investigated and informed me that I pulled the wrong vaccine from fridge. Patient was called and informed of this situation and has been rescheduled for a nurse visit to get the correct dose of the Heb Vaccine. Pt had no adverse reaction outside of the need to repeat dose w/the 1 mL vaccine.

Current illness

NONE

Medical history

NONE

Other medications

DICLOFENAC 3% TOPICAL GEL, PRENATAL VITAMIN

Allergies

NKDA

Lab data

HEP B SURFACE ANTIBODY DATED 1/3/2025 = <3.5; PT WAS 29 WEEKS PREGANT AT TIME OF BLOOD DRAW; 1ST DOSE OF ENGERIX-B GIVEN 1/23/2025