Received Sep 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 42Y93 | — |
Wrong vaccine; Wrong age; patient got Kinrix as third dose of Polio vaccine and as the fourth dose of DTaP; This non-serious case was reported by a nurse via call center representative and described the occurrence of wrong vaccine administered in a 17-month-old female patient who received DTPa-IPV (Kinrix) (batch number 42Y93, expiry date 20-JUN-2026) for prophylaxis. Co-suspect products included Diphtheria vaccine toxoid (Diphtheria) for prophylaxis, Tetanus vaccine for prophylaxis, Pertussis vaccine for prophylaxis and Polio vaccine for prophylaxis. Previously administered products included Diphtheria vaccine (on 26th April 2024 patient received Diphtheria vaccine), Tetanus vaccine (on 5th August 2024 patient received Tetanus vaccine with batch number 7C9NJ), Pertussis vaccine (on 30th January 2025 patient received pertusis vaccine with batch number 9KB9G), Polio vaccine (received 1st dose of vaccine on 26th April 2024) and Polio vaccine (received 2nd dose of vaccine on 5th August 2024 with batch number W1C751M). On 30-JUL-2025, the patient received Kinrix. The patient did not receive Diphtheria, Tetanus vaccine, Pertussis vaccine and Polio vaccine. On 30-JUL-2025, an unknown time after receiving Kinrix, the patient experienced wrong vaccine administered (Verbatim: Wrong vaccine), inappropriate age at vaccine administration (Verbatim: Wrong age) and inappropriate schedule of vaccine administered (Verbatim: patient got Kinrix as third dose of Polio vaccine and as the fourth dose of DTaP). The outcome of the wrong vaccine administered, inappropriate age at vaccine administration and inappropriate schedule of vaccine administered were not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 31-JUL-2025 and 01-AUG-2025 A registered nurse explained that a 17-month-old patient had been scheduled to receive the Diphtheria, Tetanus, and Pertussis vaccine and the Polio vaccine as separate injections. However, instead of administering them separately, the nurse had given Kinrix instead, which led to wrong vaccine administered and inappropriate age at vaccine administration. The patient received Kinrix as the third dose of the polio vaccine (instead of the fourth dose as indicated in the prescribing information) and as the fourth dose of DTaP (instead of the fifth dose as indicated in the prescribing information), which led to inappropriate schedule of vaccine administered.