Received Sep 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 3FMAS | IM / LA |
Patient 10/XX/19XX requested influenza vaccine at the (withheld name) Clinic located at (withheld address) at 1045. I, (withheld name), RN, checked the Immunization Registry's Forcaster and noted she was due for influenza. The pt denied any previous vaccines in the past month on the screening form and when asked verbally. I signed off on the screening form and (withheld name) administered the influenza vaccine. The error was found when entering the data into the registry at 1400 and an influenza immunization was documented on 9/11/2025. I confirmed it was not an error of the forcaster and informed the patient via telephone. (withheld name), RN 9/18/2025