Received Jun 9, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | Z9S4D | IM / RA |
NP informed me after this had happened. He stated that he meant to give a patient the TDAP but instead gave her the Pediatrix vaccine. I asked what had happened? Why did he administer the wrong vaccine? NP stated it was an oversite and his nurse was at lunch, so instead of asking another nurse to assist him, he administered the injection himself? I advised him that I have to report this and do an event tracker. I then advised to please send me a Te with all the details of what happened. Right away I went to the patient (who was getting labs), I told the patient that "NP explained what had happened. I asked her how she was feeling? She said she's feeling good. I apologized and stated that we do not take this lightly that me and my practice manager will be looking into this. I told her if you need anything at all please let me know". After speaking with the patient, I then advised NP to do a te with all the details. I also explained to NP that moving forward get a nurse to assist him. The nurses all go to lunch at different times so there should always be someone available to assist him. The nurses should be pulling the injections and administering them.