Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Product administered to patient of inappropriate age, Product dispensing error
Clinical narrative: error in dispensing medication; a 7 year old patient was given 0.2mL of gray cap; Eczema; This is a spontaneous report received from contactable reporter(s) (Nurse) from medical information team.  A 7-year-old female patient received BNT162b2 (BNT162B2), on 25May2022 at 17:00 as dose 1, 0.2 ml single (Lot number: FN2908) at the age of 7 years intramuscular, in left deltoid for covid-19 immunisation. The patient's relevant medical history included: "Stress", start date: 17Feb2022 (ongoing), notes: Adjustment Reaction to Chronic Stress(F 43.8). The patient's concomitant medications were not reported. The following information was reported: ECZEMA (non-serious) with onset 25May2022, outcome "not recovered"; PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (non-serious) with onset 25May2022, outcome "unknown", described as "a 7 year old patient was given 0.2mL of gray cap"; PRODUCT DISPENSING ERROR (non-serious) with onset 25May2022 at 17:00, outcome "unknown", described as "error in dispensing medication". Therapeutic measures were taken as a result of eczema.  Additional Information: Caller said they have had some administration errors with regards to the Pfizer covid vaccine both orange and gray cap formulation. Caller stated that a 7-year-old patient was given 0.2mL of GRAY CAP as their first primary dose. Caller also stated that a 13, 14, and 18 year old patients were given 0.3mL of ORANGE CAP as their first primary dose. Caller wants to know guidelines for the said administration error. Caller said they have had some administration errors with regards to the Pfizer covid vaccine both orange and gray cap formulation. Caller wants to know guidelines for the said administration error. Caller has their medical record numbers; She guesses she can look up the names of the patients. She has their date of birth and their sex, but no height, weight, or ethnicity. She does not have the NDC/LOT/Expiry of the vaccines with her right now. She can get the NDC number from the chart, but do not give the number. They do not have the NDC/LOT/Expiry of the vaccines at this time. Upon Follow-up on 27Jun2022 the patient Did not provide information regarding the reported adverse event(s) with the use of products, Patient Age at Time of Vaccination was 7 year 11 month(Years), Prior Vaccinations (Within 4 weeks) : None. Started Kenalog 0.025 % cream Aquaphor Ointment. 7 year old was given correct dose of COVID 0.2 cc but wrong concentration. Child received 0.2 cc of COVID for 12 plus year old's, Space where both vials of vaccine were kept with their own clipboard for recording was switched, plus 12 vials had been on left side of table and 5-11 year old orange vials to the right. That day boards vials switched and this writer did not notice until end of shift. Problem resolved. Vials now kept in separate tables and spaces. No clinical consequences.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.  Follow-up (27Jun2022): This is a spontaneous follow-up report received from a contactable nurse. This nurse reported in response to HCP letter sent which included that: Updated information: Drug start time, route of administration, anatomical site of injection and batch number was updated, Vaccination facility details were added, patient medical history, new event Eczema and error in dispensing medication was added.  No follow-up attempts are possible. No further information is expected; Sender's Comments: Linked Report(s) : US-PFIZER INC-202200767471 same reporter/drug/event, different patient;US-PFIZER INC-202200767472 same reporter/drug/event, different patient;US-PFIZER INC-202200767473 same reporter/drug/event, different patient;