Sex: M
Vaccine: DTAP, DTAPIPV, DTAPIPV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: 3 doses of Kinrix, 6 doses of DTaP, 5 doses of IPV; Administered Infanrix instead of Kinrix; This case was reported by a nurse via call center representative and described the occurrence of extra dose administered in a child male patient who received DTPa (Infanrix) (batch number NG5GF, expiry date 26th November 2021) for prophylaxis.   Co-suspect products included dtpa vaccine pre-filled syringe device (Infanrix Pre-Filled Syringe Device) injection syringe for prophylaxis, DTPa-IPV (Kinrix) for prophylaxis, dtpa-ipv vaccine pre-filled syringe device (Kinrix Pre-Filled Syringe Device) injection syringe for prophylaxis, DTPa-IPV (Kinrix) for prophylaxis and dtpa-ipv vaccine pre-filled syringe device (Kinrix Pre-Filled Syringe Device) injection syringe for prophylaxis.   Previously administered products included DTaP (received 2 doses of DTaP on an unknown date), Kinrix (received a dose of Kinrix on an unknown date) and IPV (received a dose of IPV on an unknown date).   On 20th May 2021, the patient received Infanrix and Infanrix Pre-Filled Syringe Device. On an unknown date, the patient received the 3rd dose of Kinrix, Kinrix Pre-Filled Syringe Device, the 2nd dose of Kinrix and Kinrix Pre-Filled Syringe Device. On 20th May 2021, unknown after receiving Infanrix and Infanrix Pre-Filled Syringe Device, the patient experienced wrong vaccine administered. On an unknown date, the patient experienced extra dose administered. On an unknown date, the outcome of the extra dose administered and wrong vaccine administered were unknown.     This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK receipt date: 12-Sept-2022 Reporter's comment: The nurse reported during quality check that they came across records that indicated a 6 year old child received extra dose of DTaP.   The patient is a 6 year old male who came in to clinic as a new patient and needed school immunizations, but the clinic did not had his prior vaccine record on file.  The doctor of medicine ordered DTaP, so the medical assist administered Infanrix, but the patient was supposed to have Kinrix.    The patient came back in later was given IVP separate.   During the call reporter stated that the patient has had 3 doses of Kinrix and ultimately had 6 doses of DTaP and 5 doses of IPV The vaccine administration facility was the same as primary reporter. The reporter gave permission for follow-up. Additional supportive information: The patient had received 2 additional doses of Kinrix, which led to extra dose administered. The patient had received Infanrix instead of Kinrix, which led to wrong vaccine administered. This case was identified as duplicate of US2022131437. Case US2022131437 was deleted and all the future correspondence will be added in the present case US2022131418 which stands as a case of record for this subject.  As per reported information, it was not clear which schedule was followed for this patient and due to lack of information, the case was processed in worst approach and for the same further clarification was raised and also regarding facility type.