Age: 12.0
Sex: M
Vaccine: MENB, TDAP
Symptoms: Injection site pain, Wrong product administered
Clinical narrative: MA response: On Thursday, 11/14/24, Dr. asked that I give patient, (dob: 7/XX/12) two vaccines. Dr. ordered Tdap (Boostrix) and Menveo (Meningococcal A) to be given to patient. I went into Immunization room and took out Tdap and Meningococcal vaccines. I checked them a second time as I was preparing them. I read the Tdap and the Meningococcal labels on the syringes and felt I had the appropriate vaccines. After preparing them I gave the injections to the patient. No reactions noted.  Upon entering the information in the chart I found that I gave the patient a Meningococcal B known as Bexero and not what was ordered, the Menveo. I reported this error to Dr. and  RN After researching CDC guidelines, RN reported to Dr. and myself that there is no harm to the patient, age 12, to receive the Bexero. Patient will need to come in for the Menveo at the parents convenience. I did contact the father but was only able to leave a detailed message and asked that he contact our office with further questions or concerns. All information stated above was documented in patient chart.  Doctor's conversation with patient's father pm 11/15/24 at 1:30 pm   Dad acknowledges that we called and left a message on his phone regarding the error after being able to get ahold of him.  He also understands that I ordered the correct vaccines, but the MA selected the wrong vaccine which was administered in error.   He feels it was an accident and not a volitional error, but still an error nonetheless.   1) Upon getting the message, he was deeply concerned for the health of his son and had significant concerns that Pt's health could be compromised and Dad slept poorly last night keeping an eye on him.   2) He contacted the school nurse and let her know what happened and wanted her to keep an eye on him throughout the school day.  Thus far, Patient was only reporting some soreness at the injection site.  3) Father called the clinic at least 3 times starting in the early morning and felt like he was getting the run around and couldn't get a direct answer from anyone until late morning.   He was told that people were in a meeting but that his concerns were not being taken seriously.  4) He reiterated that he was deeply concerned for his son's health at getting the wrong vaccine and didn't know what to expect or look out for.    I consulted multiple sources including the vaccine manufacturer, CDC, National Registar and others to review the side effect profile.    As with most vaccines, common occurrences include soreness at the injection site, mild discomfort.  Uncommon effects with Bexero can include headaches, some nausea, malaise and fatigue, mild fever.     However rare severe side effects may include severe Headache, rashes, GI upset and diarrhea, and higher fevers.   Life threatening reactions may include signs of anaphylaxis:  Hives, difficulty breathing/swallowing, throat closing sensation which are typically seen within the first hour.    Lastly, extremely severe outcomes were seen in a review in which in a cohort of nearly 1.6 million patients, 2 developed Guillain-Barre syndrome and 1 case of Transverse Myelitis.    Dad appreciated the information and felt more relieved but acknowledged that although significant side effects are VERY RARE, getting the wrong vaccine in our clinic also seems to be VERY RARE but it happened.  I concurred with him and our mistake and that his son doesn't appear to be significantly effected doesn't discount our error.