Received Oct 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | NA0738 | — |
PATIENT ENTERED THE PHARMACY AND REQUESTED TWO IMMUNIZATIONS. I THOUGHT SHE ASKED FOR A FLU AND COVID SHOT. I HAD HER FILL OUT THE REQUIRED IMMUNIZATION QUESTIONAIRE AND PREPARED THE SHOTS. AFTER EXAMINING HER QUESTIONAIRE I ASKED HER ID SHE WANTED A SHOT IN EACH ARM OR BOTH IN ONE ARTM AND SHE REQUESTED THEY BOTH BE PUT IN HER RIGHT ARM. I ADMINISTERED BOTH SHOTS IN THE DELTOID MUSCLE WITH PROPER SPACING. AFTER COMPLETION OF THE SHOTS PATIENT ASKED IF WE CARRY THE RSV VACCINE AND I INFORMED HER THAT WE DID THEN SHE STARTED TALKING ABOUT HOW SHE HAD RECEIVED THE FIRST SHINGLES SHOT IN MAY OF 2025. I SAID THAT'S GOOD YOU ARE STILL IN THE APPROPRIATE TIME RANGE FOR THE SECOND DOSE. AFTER I TOLD HER SHE LOOKED AT ME AND SAID THAT'S WHAT THIS IS, MY SECOND SHINGLES SHOT. I RESPONDED NO MA'AM I THOUGHT YOU ASKED FOR A COVID SHOT. SHE SAID NO I DONT WANT A COVID SHOT AND I TOLD HER THAT I WAS SORRY THAT I MUST NOT HAVE HEARD HER CORRECTLY AND I HAD ALREADY GIVEN HER THE SHOT. SHE THEN TOLD ME THAT SHE HAD NO INTENTIONS OF EVER TAKING ANOTHER COVID SHOT BECAUSE HER SISTER HAD A STROKE AND DIED AFTER A COVID SHOT. I APPOLOGISED AGAIN AND TOLD HER TO TAKE CARE OF HERSELF. SHE CALLED ABOUT 30 MINUTES LATER AFTER LEAVING AND SAID THAT SHE WANTED TO BE SURE THAT IS WAS NOTED SOMEWHERE THAT SHE DID NOT WANT THE SHOT AND THAT IT WAS GIVEN TO HER BY MISTAKE. I ASKED HER IF IT WOULD BE OK FOR ME TO FOLLOW UP WITH HER LATER IN THE WEEK TO BE SURE SHE IS DOING OK AND SHE AGREED. I AM FILLING THIS REPORT TO MAKE A RECORD OF WHAT OCCURED.