L arm numb, swollen, cold and achy- Start Medrol (Pak) 4 mg tablets in a dose pack taper per pack instructions Start cephALEXin 500 mg capsule 1 capsule every 6 hours for 5 days

Red itchy rash that showed up 6 days later

Patient became dizzy per parent lowered to the floor, monitored in office for about 15 minutes, dizziness resolved prior to leaving the Pediatrician office.

Prior to lunch time, NCMA had asked me to administer vaccines for her last patient so she could go to lunch on time. She gave me the sheet with the list of immunizations needed and advised that patient had the consent forms. I verified the insurance with her and went to get the vaccines from the fridge. The sheet said patient was a 63-year-old female. I had LPN verify my vaccines. Flublok was not available, so Vaccine coordinator advised it was ok to use Fluzone. However, after administering COVID and flu vaccines, I entered them in the system and saw it was a different patient listed on the consent forms (68-year-old male). Although patient received the vaccines that he needed, he should have received Fluzone High- I learned that I need to bring all forms with me including consent sheets whenever I verify vaccines and check the names on the sheets given to me to ensure it is the correct patient.

RED ARM & WARM TO TOUCH A FEW DAYS AFTER SHOT ADMINISTERED

None, wrong vaccine given.

Patient was given wrong does. No adverse affects. Patient was given the 5-11yo dose.

None stated.

NA

The Employee Health Nurse administered a Hep B first dose, vaccine today that has an expiration date of 1/4/2025. No adverse events noted at this time.