Received Apr 24, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 5KR3R | IM / UN |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 9X254 | IM / UN |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | UNK | Y1A201M | IM / UN |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | UNK | Z014738 | IM / UN |
Provider and MA did morning huddle to discuss vaccines to administer to patient while here for well child exam. Provider had wrote down exactly which dose to give the patient on the printed forecast paperwork for the MA to administer. The patient came to appt, MA completed her rooming process and then provider went in and spoke with pt and guardian. Once the provider was finished the MA went back in and administered the vaccines written on the forecast sheet from the provider. Once administration was complete MA went into EHR to document the vaccines and this is when she noticed the provider had changed the Dtap vaccine she request to Tdap in the EHR system. When she had noticed the mistake she went straight to the provider. The provider then told the direct MA's supervisor the next morning related this incident. The provider has then stated we need to reach out to the guardian of the patient so she can come back in for the second dose of Dtap to make the full dose of Tdap. The RN supervisor then reached out to the clinic manager and reported the issue, who in turn stated we need to reach out to the new company's informant to see how they handle VEARs. The informant stated we need to get all documentation and see what the CDC recommendation is for the patient's in order to get back on her vaccine schedule. RN called parent with recommendations for patient. Patient has not had any adverse effect to the vaccine.
none
none
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no known allergies
no