Received Jun 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 4 | UK208AA | IM / LL |
Patient was due for a Hib vaccine, along with PCV20 and Dtap. I drew hib vaccine without realizing powder needed to be mixed. Vaccine diluent was administered by college, while I administered the other two vaccines. Parents were notified of incident, and verbalize patient is well, and denied having no adverse effects. Attempted to schedule patient for a nursing visit to repeat vaccine, but family has moved. Informed parents they should contact us back once they have a new pcp, to address the incident before new Hib vaccine is administered. Parents agreed with plan.
No
No
No allergies to medications, foods, or other products