Received Mar 3, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 4L454 | IM / LL |
On 03/03/2026 at approximately 10:13 am, a vaccine administration error occurred in which the nurse inadvertently administered the incorrect vaccine to the patient. The Kinrix was administered instead of the Dtap. The error was identified shortly after administration. The provider was notified immediately. The provider informed the parent/guardian of the error, explained the situation, and reviewed any recommended follow-up care or monitoring. The parent/guardian verbalized understanding of the information provided and did not express additional concerns at that time. The patient was assessed following the incident and remained stable. Appropriate documentation was completed in the medical record. Clinic protocol for medication/vaccine errors was initiated, including notification to leadership and completion of an incident report. Corrective actions will include review of vaccine verification procedures with staff to prevent recurrence.