Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient presented to clinic and registered as 18 y/o for Janssen vaccine. Patient presented school ID, stated she did not have her drivers license. I scanned ID in chart and verified all demographic information including DOB. Patient stated all information was correct and LPN staff, LPN who was in orientation with FT clinic staff LPN, Another LPN. They were both in the room with me from the start of the visit. Emergency Use Authorization and VAERS V-SAFE Fact Sheet reviewed with patient. Patient denied any questions. Patient reported allergy to eggs. Consulted with pharmacist, Matengy and Janssen Manufacturer hotline to ensure that vaccine does not contain egg products which it does not contain any egg products. This took about 40 mins to do these consultations and research. While I was doing the research the patient kept asking if we can hurry and get the vaccine so she can leave and go to work. LPN's nd I kept reassuring patient that I have to make sure of her safety with getting this vaccine by making sure it does not contain eggs and to be patient.  Also, called mom who verified that patient's only allergy is to eggs. Mom said yes she's only allergic to eggs and that patient has done alot of research and she knows all the risks. Discussed with patient the risks of rare blood clots in her age group 18-50 years old. Patient said that she is well aware of the research as her mom is a dentist and all of her family have gotten the Janssen and she wants to get that one as well. She also stated that her PCP told her to come here and get the Janssen vaccine because they don't have it at the office. After all information discuseed LPN gave her the vaccine and LPN wrote the information on the covid vaccination card including her DOB and I sgned it. After getting the vaccine I gave the patient her visit summary and the card. As she was walking out the door to the observation area she looked at the card and said "Can you change this? I was born in 2003." I replied that is what you told us and that is what is in the system and she said I'm sorry it is 2003. So I changed the DOB in the system and it made her 17y/o, not 18. The Janssen vaccine is approved for 18 years and older. I immediately asked the patient to call her mom for me so that I can talk to her. She called mom I informed her that she was registered as 18 y/o and mom said "Oh that's okay. I don't mind that she got the vaccine. As long as she will get something saying she got the vaccine so that she can go to school." I explained to her that the vaccine is not approved for under 18 y/o. She said "I'm ok with that. I won't say anything. You can let whoever know so that if they want to put her in a trial or something I'm ok with that too." I told her I would be writing a safety report and I would let management know. Patient did not experience any adverse effects and left the clinic. LPN witnessed this conversation. I called SPM, who is covering for my manager today. SPM stated to complete a Patient Safety Event and VAERS report. Called collaborating MD Dr. and left a message to call me back.