Received May 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y015180 | — |
the patient involved did not experience any medical concerns after the GARDASIL 9 was inadvertently administered; The wrong vaccine was pulled from the refrigerator and administered because of human error; a 2 month old patient was inadvertently administered a dose of GARDASIL 9 today, 5/5/2025, during a routine vaccination appointment when the patient was ordered to receive a dose of VAXNEUVANCE; This spontaneous report was received from an administrator (also reported as "health business professional [HBP]") concerning a 2-month-old patient of unknown gender. The patient's medical history, concurrent conditions, concomitant therapies and drug reactions/allergies were not reported. On 05-May-2025 (also reported as "today"), the patient was inadvertently administered a dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), batch/lot number Y015180 has been verified to be a valid batch/lot number for Human Papillomavirus 9-valent Vaccine, Recombinant, expiration date reported and upon internal verification established as 28-Jan-2027, dose number 1, 0.5 mL administered as prophylaxis (anatomical location and route of administration were not reported) during a routine vaccination appointment when the patient was ordered to receive a dose of 15-Valent Pneumococcal Conjugate Vaccine (CRM197) suspension for injection (VAXNEUVANCE) 0.5 mL as single or four dose series (wrong product administered). Reporter confirmed the patient involved did not experience any medical concerns after Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) was inadvertently administered (no adverse event). It was also stated that "the wrong vaccine was pulled from the refrigerator and administered because of human error" (product selection error.) No additional information provided.