Recieved Trumenba and Flulaval vaccine in left deltoid on 01/27/25. Patient returned to office on 01/29/25 reporting rash and fever. Patient/caregiver state sore throat (scratchy throat) and cough began 1-2days before given vaccines. Patient/caregiver report fever and rash began on 01/27/25 after vaccination. Rash: site of rash: (left deltoid with macular serpiginous rash/ +erythema/no signs infection otherwise)

Hep A given to the wrong sibling, given to the 10 month old younger sibling of the patient it was intended for

headache, dizziness, rash across the torso treated with Benadryl every 4 hours, ongoing

Patient was unaware of previous doses. MD told patient at his most recent appointment that he needed to get Shingrix. However when I went to document the vaccine in system, it shows that the patient received both doses via his primary care in 11/2023 and 01/2024

18mo patient was seen here today for her well visit. Due to her sickle cell disease, due for a dose of MCV4. A Menveo 1-vial presentation was given instead of the Menveo 2-vial presentation. All parties involved in patient care aware of error. No immediate reactions noted for patient.

I grabbed the under 65 influenza vaccine from the fridge and administered the vaccine. It wasn’t until afterwards that I realized the patient should have gotten the over 65 influenza vaccine.

Persistently sore arm (now 4+ months later).

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Patient had localized redness, swelling, pain at injection site and presumed regional lymphadenopathy although axillary ultrasound report was normal. This occurred 2 days after injection and resolved spontaneously within a week. No further concerns.