Received May 15, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTPPVHBHPB | DTAP+IPV+HIB+HEPB (VAXELIS) | MSP VACCINE COMPANY | UNK | U8512AA | IM / LL |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | MN0737 | IM / RL |
A clinical vaccine administration error occurred at our facility. 3-month patient A and 15-month patient B were seen in office today for their will child exams. Both patients were accompanied by three other occupants. Mother was given vaccine information sheets and agreed to vaccines for both patients today. During drawing up vaccines, the vaccines were put into two separate baskets. Patient A basket was baby blue and patient B basket was lime green. Before administering vaccines to patient B two verifiers were given to me. Patient B was due for Dtap and Hepatitis A but received patient A vaccines who was due for Vaxelis and PCV20. After administering the Patient B vaccines, immediately noticed that incorrect vaccines were given. I notified the primary provider of the incident that just recently accrued. I notified the patient of the mistake. Patient was understandable upset. We made a plan for the provider to call patient before the end of the day and that morning to check patient. Vital were rechecked before leaving. Provider will reach out to Patient Hematologist.
none
sickle cell
penicillin V Potassium and Hydroxyurea
none
none