Received Jun 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 3273H | — |
Administration of the liquid portion only; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a 52-year-old female patient who received Herpes zoster (Shingrix) (batch number 3273H, expiry date 31-MAR-2027) for prophylaxis. On 22-MAY-2025, the patient received the 1st dose of Shingrix. On 22-MAY-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: Administration of the liquid portion only). The outcome of the inappropriate preparation of medication was not applicable. Additional Information: GSK Receipt Date: 30-MAY-2025 A nurse administered the Shingrix vaccine incorrectly. She drew up the adjuvant and she administer it without mixing it into the antigen component which led to inappropriate preparation of medication. And when she realized what she did, she attempted to correct the error on her own and she mix the antigen component with sterile saline, then drew that and administer that into a separate limb. A nurse reported that this happened on 22 May 2025 and the patient received both injections on the same day (on different limb). This was the 1st Shingrix dose. The Vaccine Administration Facility is the same as Primary Reporter. Consented to follow up.; Reporter's Comments: Wrong tech used in reconstitution Inappropriate preparation of medication