Received Mar 26, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | 3 | 5YB7L | IM / RA |
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | 1 | 407003 | IM / LA |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 37KR7 | IM / RA |
| HIBV | HIB (PEDVAXHIB) | MERCK & CO. INC. | 3 | Z003263 | IM / RA |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | Z012111 | SC / LA |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 3 | LX2498 | IM / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Z010438 | SC / RA |
I am a Public Health Nurse (PHN) , and I was giving immunizations in the home with family present. The patient is a 3 year old female, but she was receiving a "catch-up" series of shots. I gave all the other vaccines, and I inadvertently gave Varicella (Varivax), and Measles, Mumps, Rubella and Varicella (MMRV), instead my intent was to give Varicella and MMR. I noticed my error when I got back to my office and was charting in the evening. I immediately reported the incident to my supervisor, [name withheld], DPHN, Clinical Director, Dr. [name withheld] and pharmacy, to see if there was any further actions needed to be taken, immediately. There were no additional actions to take. I reported the incident in VEARS, Merck provider line, and the parent in the am on 3/26/26. No adverse reactions noted with the patient, and only to watch out for routine side effects- fever, erythemic rash, pain, and swelling at the injection site. Parent alerted to these side effects.
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