Received May 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | UNK | X013192 | IM / RA |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | UNK | X013192 | OT / RA |
No adverse side effects were reported. No additional information available; Indicate at which point in the process the medication error occurred: Dispensing; HCP calling to report an MMR II vaccine was administered to a patient today 5/12/2025 and expired 5/8/2025; This spontaneous report was received from a nurse and refers to a 67-year-old female patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 12-MAY-2025, the patient was vaccinated with an expired dose of measles, mumps, and rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), injection, lot #X013192; which has been verified to be valid for measles, mumps, and rubella (Wistar RA 27-3) Virus Vaccine, Live, expiration date reported and upon internal validation establish as 08-MAY-2025 administered for prophylaxis (strength, exact quantity volume, route and anatomical site of administration were not provided) (Expired product administered). The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT), expiration date reported as 10-NOV-2025) (lot # was not reported) No adverse side effects were reported. No additional information available (No adverse event). Follow-up information has been received from a nurse on 19-MAY-2025. The vaccine was administered intramuscularly (IM) in right deltoid (RD) by a registered nurse, at a clinic. The nurse did not realize the vaccine was expired. After vaccination, the nurse immediately spoke with state VCF program coordinator who advised to call the manufacturer. The manufacturer stated that vaccination still counted as a dose and there was no recommendation to re-vaccinate. The nurse was re-educated where expiration dates can be found on box and vaccine to ensure this would not happen again. The clinic had a safety feature on their computer to notify when vaccine expires and placed vaccine expiration dates on the outside of each box. It was reported that the medication error occurred at dispensing (Product dispensing error) and administration.
Merck sterile diluent