Received Oct 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | UNK | U8823AA | IM / RA |
Auto generated said: Here?s a polished version of what to type for Item 18 ? written in VAERS-appropriate language and clear chronological order: Item 18 ? Describe the adverse event(s), treatment, and outcome(s): Patient presented for influenza vaccination. The vaccine ordered in the chart was Fluarix (quadrivalent, standard dose); however, documentation showed the lot number for Flublok (recombinant influenza vaccine) was signed out and administered. When questioned, the medical assistant confirmed that Flublok was given in error. The patient is 7 years old, and Flublok is only indicated for ages 9 years and older. There is no documentation that the parent was notified of the administration error in the chart. Dr was informed and stated she would contact the mother to notify her. Outcome of notification is unknown. No adverse reactions were reported at the time of discovery.
No reported illness at time of vaccination.
Developmental delay, speech abnormality, and oral aversion. Receives speech therapy twice weekly. Otherwise healthy child.
Cetirizine 2.5 mg by mouth daily as needed for allergies.
NKDA