Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Accidental exposure to product, Incorrect dose administered, Wrong product administered
Clinical narrative: Patient is extremely upset that this happened; She did not receive a full dose; A large amount of vaccine had come out of the injection site and ran down her arm; Patient was given Fluad Quadrivalent instead of high dose influenza vaccine; This spontaneous case was received on 23-Sep-2020 from other non-health professional via agency (reference number: SEQW20-02256) and concerned a 74-year-old, female patient.   The patient's past medical history included flu, after which the patient started receiving vaccines and did not have any trouble. The patient's current medical history and concomitant medications were not reported.  On 07-Sep-2020, the patient was vaccinated with Fluad Quadrivalent (influenza vaccine, inactivated influenza virus surface antigen (subunit), egg-derived, MF59; dose: less than 0.5 ml, route of administration, anatomical location, expiry date: not reported) instead of the high dose influenza vaccine (explicitly coded as: 'Wrong vaccine administered') for protection against seasonal influenza. The patient stated that the clerk administering the vaccine seemed very unsure of herself and ''not confident in what she was doing" when she was administering the vaccine and did not know how to hold the syringe compared to the many other times she received an influenza vaccine from other people The patient noticed that, after administration of the vaccine, a large amount of vaccine came out of the injection site and ran down her arm, and patient was pretty sure that she did not receive a full dose (explicitly coded as 'Accidental exposure to product' and 'Incomplete dose administered'). The patient was extremely upset that happened. The batch number was not reported. The patient did not get any corrective treatment.  At the time of initial reporting on 23-Sep-2020, the patient had not recovered from the event of  'emotional distress'.  The reporter did not provide a causality assessment.  The reporter assessed the case as non-serious.  Company comment: A 74-year-old, female patient was administered incomplete dose of Fluad Quadrivalent. Patient was given Fluad Quadrivalent instead of high dose influenza vaccine. A large amount of vaccine had come out of the injection site and ran down her arm. Reportedly, the patient was extremely upset that this happened. Incorrect dose administered, accidental exposure to product and wrong product administered are assessed as not related, per company's conventions. The event of emotional distress is considered not related to the suspect vaccine substance, due to accidental nature of events.; Sender's Comments: A 74-year-old, female patient was administered incomplete dose of Fluad Quadrivalent. Patient was given Fluad Quadrivalent instead of high dose influenza vaccine. A large amount of vaccine had come out of the injection site and ran down her arm. Reportedly, the patient was extremely upset that this happened. Incorrect dose administered, accidental exposure to product and wrong product administered are assessed as not related, per company's conventions. The event of emotional distress is considered not related to the suspect vaccine substance, due to accidental nature of events.