Received Sep 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | 407971 | IM / RA |
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | 407971 | IM / LA |
Patient was to receive his annual influenza and Covid-19 vaccine while attending the pharmacy-provided clinic on 9/16/2025. Instead, the patient received two doses of the Moderna mRNA 2025-26 formula Covid-19 SPIKEVAX vaccine 0.5mL (one in the right deltoid and one in the left deltoid). The administration error was not immediately recognized by the pharmacy staff. Pharmacy staff had the patient wait post vaccination for 15 minutes per protocols and no immediate adverse side effects were observed. Upon discovery of the administration error, the facility where the patient resides was notified so that further and proper monitoring could take place and all other parties (patient, responsible party, physician) can be notified. Additional daily checkups with the facility staff have provided that no adverse effects have been observed.
hemiplegia and hemiparesis following cerebral infarction affecting right dominating side, epilepsy, DM2, CKD
Please see attached
Codeine, Metoprolol Albumin (human), fish derived products