Received Nov 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | N/A | 3052581 | IM / RA |
Wrong dose of COVID vaccine administered to patient. Patient presented to clinic with mother for COVID vaccine. Mother provided prescription for COVID vaccine from PCP. I went to pull vaccine from freezer from the state side, from the bin that was labeled "6 months through 11 years". I administered vaccination. After patient left clinic. I went to document the immunization. The lot number was not matching. The lot number I wrote down from the vaccine I gave and the lot number from system were different. Initially I thought someone put in wrong lot numbers into system. After further investigation I realized that the vaccine was in the incorrect bin. The bin was labeled "6 month to 11 years old" but the actual box that was in the bin was the over 12 year old vaccines. RN (supervisor) notified of incident. RN (state consultant) informed of incident. Mother of patient informed of incident. Instructed mother to keep eye out for localized or adverse reaction from vaccine and report to ER if occurs or call clinic for any questions. When called patient's mother she did not report having noticed any adverse reactions so far.
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No know allergies