Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Wrong product administered
Clinical narrative: On 11/25/2024 @8:50 Coordinator asked if we could add two nurse visits since we did not have a nurse on site. Staff confirmed with manager that it was okay to do a few nurse visits today and we added pts to nursing schedule. I went to take both pts Vitals BP was elevated informed Dr. she stated it was okay to continue with vaccines. Pt was added for Covid vaccine and pt was added for Flu vaccine. Vaccine Hx were printed for both pt and confirmed insurance. Vaccines were taken out of fridge and confirmed with Dr. vaccines were drawn up and placed in two spread trays with Vaccine Hx on top of each. I had Flu for "patient X" on top tray and covid for patient on the bottom tray, I went back into room with pts @ 9:30 and when entering the room Patient and dad requested she go first. I pulled Patient's Vaccine record from bottom tray and placed it on top with the top tray and I placed the second tray on the counter. I confirmed date of birth once again and proceeded to ask her to lift her sleeve from the side she wanted vaccine on. She lifted her right sleave and I cleaned and injected vaccine. Right when I was capping the needle I noticed I had injected flu instead of covid. I immediately excused myself from room and told father I would be right back. I went back to nurses? desk and notified CMA who said to call our Manager and tell Dr. due to pt having an egg allergy in chart. I went to one of the pt rooms where Dr. was charting and informed her of my mistake, she was quick to say we can add her to her schedule but also asked if pt has had vaccine in the past or a reaction I informed I would find out right away and add her to be seen. Next, I called manager explained the situation she transferred me to RN and I informed RN of my mistake and how I accidently switched the trays with the vaccines she asked if the pt has been given the Flu vaccine in the past and looking at pt  record pt had been given flu multiple times before but last one was given in 2020. RN suggested we add pt to walk-in schedule to be seen but I informed her we had already added pt to our schedule and Dr would be seeing patient shortly. I went back to room and asked how Patient was doing she said she felt great dad said she was fine. I told dad I had to inform him or something and continued to tell him about my mistake of how I had switched the trays with the vaccines and had given patient the flu instead of the Covid vaccine. He said oh well she has had it in the past with no reaction and I said yes but she has an allergy to egg and we are concerned she might have a reaction to the vaccine he continued to say ?she has an allergy to egg but we don?t know if it?s to the egg white or the yolk so that?s why we had stopped giving her the flu vaccine when we found out but before that she had never had a reaction to the flu vaccine? Informed dad we would be adding her to Dr's schedule for her to be checked before she could leave he said he understood and appreciated my honesty and that he knows it was an mistake. I gave him the option of having a different MA come in to give his second child the flu vaccine he still needed he said no that I had done a good job talking the patient though the vaccine that I could also give the 2nd patient his vaccine. He asked if we could still give patient the Covid vaccine I told him it would be best to wait a few days to make sure she doesn?t have a reaction. He understood and per Dr., we added her for a TELE app for tomorrow 11/26/24 to follow up. Dr gave the okay to discharge pts @10:10 and instructed them to come back or go to ER if pt was not feeling well. On the following day 11/26/2024 @9:00 AM patient's parent were called for a follow up appointment and reported she was doing fine to Dr only having a mild fever the night before but none that morning.