Tdap (adacel) 3CA22C1 0.5 mL was given on 12/18/24 to client. Client was 6 years old when dose was given. Error was discovered on 01/16/25 when RN had patient again and discovered that wrong vaccine was given. RN notified nurse manager of error and per review of CDC and immunize.org as well as standing orders no harm could come of giving this dose. RN started correct series with Dtap on 1/16/25 and educated client and FOC of client of error and new plan for restarting Dtap series. FOC and client stated understanding and were okay with plan going forward

Insomnia for night after injection.

Patient reports localized swelling, redness and tenderness at injection site that she first noticed the morning after her injection. Patient first reported the symptoms to the clinic on 1/22/25. At this time the symptoms have improved.

N/A

Muscle pain, joint pain, malaise, weakness, chills, fever, headache, watery eyes, pain in hair and nails, sleepiness, tiredness.

No known adverse reaction.

Per patient: I came in Friday 01/17/2025 for my second shot almost exactly 3 months from the first shot which I also received the Flu shot for veterans over 65 had absolutely no reaction to these but the shot I received Friday 01/17/2024 time was approximately 16:15 pm I had extreme negative reaction accelerated heart above 100 moving slowly extreme head pain, nausea, extreme, ringing of ears, aches and pains joint, legs, arms, un controlled shivering, very dizzy, no elevated temperature absolutely miserable Friday, Saturday, Sunday general weakness of complete body, some relief Monday and today 01/21/2025

MOC REPORTS THAT PATIENT HAD A FEVER (99.6 F) ON WEDNESDAY , 1/1/2025. SHE GAVE THE PATIENT INFANT TYLENOL EVERY 4 HOURS FOR 3 DOSES UNTIL THERE IS WAS NO MORE FEVER. ON THURSDAY, 1/2/2025, MOC REPORTS THAT PATIENT WAS DOING BETTER. ON FRIDAY, 1/3/2025, MOC TOOK PATIENT TO THE PRIMARY PROVIDER TO GET VACCINES. ON SATURDAY, 1/4/2025, MOC NOTICED THAT PATIENT BECAME VERY FUSSY AND CRIED A LOT, HOWEVER, SHE WAS CONSOLABLE. ON SUNDAY, 1/5/2025, IN THE MORNING MOC REPORTS THAT PATIENT WAS STILL FUSSY, BUT NOW HAD A RASH ON HER. IT WAS ON BOTH ELBOWS, LEFT PINKIE AND MIDDLE FINGER, RIGHT RING FINGER AND LEFT FOOT AND KNEE WERE RED, HOT AND SWOLLEN. PARENTS TOOK PATINENT TO THE ER FOR FURTHER EVALUATION. MOC REPORTS THAT SHE TOLD THEM THAT PATIENT HAD SHOTS A COUPLE OF DAYS AGO. ER DIAGNOSED PATIENT WITH URTICARIA AND WAS PRESCRIBED PRENISOLONE 15MG/5ML SOLUTION – IN A STEP DOWN REGIMEN FOR 6 DAYS. MOC RPORTS THAT SHE WAS ADVISED TO FOLLOW-UP WITH PATIENT’S PRIMARY PROVIDER. WHEN SHE WENT PATIENT WAS REFERRED TO AN ALLERGIST FOR FURTHER EVALUATION.

There were no adverse reactions to this vaccination. The patient got 2 vaccinations instead of one

SUDDEN AND TEMPORARY LOSS OF CONSCIOUSNESS, DIZZINESS