VAERS 1419965
SANOFI PASTEUR · DTAP + IPV + HIB (PENTACEL) · Charge U6986AA
- Staat
- IN
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 23.06.2021
- Impfdatum
- 15.06.2021
- Beginn
- 15.06.2021
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / LL
Symptomtext
MA accidentally injected a 15 month old patient, with only the Daptacel/Ipol portion of the Pentacel vaccine and the patient did not receive the ActHIB powdered portion with no reported adverse event; Initial information regarding an unsolicited valid non-serious case was received from the other health professional via Regulatory authority (Reference number- 00642362) and transmitted to Sanofi on 15-Jun-2021. This case involves a 15-month-old male patient who only received the Daptacel/Ipol portion and did not received the Act-HIB powdered portion, while patient was receiving a 0.5 mL fourth dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] [Diluent Vial: Lot number: U6986AA, expiry date: 22-Jul-2022, National Drug Code (NDC): 4928156005, Powder: Lot number: UJ529AA, expiry date: 22-Jul-2022, NDC: 4928154858, Box: Lot number: UJ529AAA, expiry date: 22-Jul-2022, NDC: 4928151005, Vaccine presentation: vial] on 15-Jun-2021 for prophylactic vaccination (product preparation issue). Medical history, medical treatment, vaccination and family history were not reported. Concomitant medications included PNEUMOCOCCAL VACCINE CONJ 7V (CRM197) (PREVNAR). It was a case of actual medication error due to inappropriate reconstitution technique. (Latency: same day) It was reported that, the medical assistant (MA) accidentally injected the only the Daptacel/Ipol portion of the suspect and patient did not received the Act-HIB powder portion. At the time of report, the MA wanted to know how she can give the ActHIB portion to patient and stated that, the error was occurred because she did not pay attention when she was getting the Pentacel out of the box and did not mix them together. The MA noticed the error after the patient was gone and when she was documenting. At the time, it was reported that, the patient did not had any adverse event as result and discussed the way to give Act-HIB portion to patient. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PREVNAR
- Allergien
- -
- Vorherige Impfungen
- -