Received Dec 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | Z9S4D | IM / LL |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | z010824 | RL |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | mg7416 | IM / RL |
| RV1 | ROTAVIRUS (ROTARIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 32PF3 | PO / MO |
Staff member inadvertently pulled HPV vaccine instead of HIB vaccine that were in the fridge on the shelf under neath each other. Vaccines were ordered in the computer as HIB vaccine instead of HPV vaccine and then administered incorrect vaccine due to pulling the wrong vaccine .
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Patients parents were counseled on possible adverse reaction signs and symptoms by provider. Provider aware and patient safety report created.