Received Jan 9, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (VAQTA) | MERCK & CO. INC. | 1 | Z011972 | IM / LL |
Patient examination was complete by Pediatrician, Dr. Reporter then mistakenly grabbed Hepatitis A from the vaccine fridge rather than Hepatitis B. Reporter then charted the vaccine, still not catching the mistake. The NDC from Hepatitis A and Hepatitis B are 1 number off so therefore if not carefully looked at the mistake is not caught. Once the vaccine was documented, reporter put a needle on the vial for the vaccine to be given. Employee offered to give the vaccine so therefore she was handed the vaccine, walked into the patients room without verifying vaccine obtained and gave the vaccine in patients left thigh. She removed the needle to dispose in the room and brought the vial back to the nurse station to ensure documentation. This is where the error was caught after she examined the vial again and realized she had given the wrong vaccine. Employee and reporter made Dr aware of vaccine error, Dr then called patients mom to make aware of incident. Mom was advised, by Dr, what to pay attention to for possible adverse reaction, discussed vaccine plan and will receive Hepatitis B at 2 month visit. Will still need normal Hep A immunizations at age 1 year and 18 month. . No reaction was noted.
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