Sex: U
Vaccine: RAB
Symptoms: Inappropriate schedule of product administration, Needle issue, Underdose, Wrong technique in product usage process
Clinical narrative: The nurse primed the syringe with RabAvert diluent and 0.2ml came out probably and when the nurse put it in the powder had trouble getting that medication pulled into the syringe.; The nurse primed the syringe with RabAvert diluent and 0.2ml came out probably and when the nurse put it in the powder had trouble getting that medication pulled into the syringe.; The patient received dose of RabAvert by long needle instead short needle; The patient received doses of RabAvert one day after animal exposure and four days after animal exposure; Case reference number US-BN-2024-001730 is a spontaneous case report initially received from a consumer via Agency (reference number: USBAV24-0577) on 27-Mar-2024 and concerns a patient of unspecified age or gender.  The patient's medical history was not provided.  The patient's concomitant medication included HRIG (immunoglobulin human anti-rabies).  On unspecified dates, as reported in 2009 or 2010 or 2011, the patient was vaccinated with RabAvert (batch number: unknown), at an unknown dose, route or site administration for immunization.  On unspecified dates, as reported in 2012, 2014 and 2017, unknown amount of time after immunization with RabAvert, the patient received booster doses of RabAvert (batch number: unknown), at an unknown dose, route or site administration.  On 17-Mar-2024, the patient was bitten by unspecified animal in the lower leg.  On 18-Mar-2024, one day after animal exposure the patient received a dose of RabAvert (batch number: unknown), at an unknown dose, in deltoid for post exposure to rabies (explicitly coded as 'Inappropriate schedule of vaccine administered').  As reported, the nurse primed the syringe with the diluent and 0.2ml came out probably and when put it in powder had trouble getting that medication pulled into the syringe. The nurse spent 30 to 20 minutes to pull the medication into the syringe, there were so much pressure, and the nurse did not how to alleviate that. Then the nurse got it all in the syringe for the exception of a tinny drop (explicitly coded as 'Syringe issue', 'Underdose'). As reported, the nurse used long needle instead of the short one for vaccination (explicitly coded as 'Incorrect needle gauge used').  On 21-Mar-2024, four days after animal exposure the patient received a dose of RabAvert (batch number: unknown), at an unknown dose, in deltoid region (explicitly coded as 'Inappropriate schedule of vaccine administered').  At the time of the initial report, it was unknown if the patient experienced any adverse event due to RabAvert vaccine.  Additional information received from consumer on 27-Mar-2024 included confirmation of provided information and attached voice message.; Reporter's Comments: A patient of unspecified age or gender received a dose of RabAvert on the day 1 after the animal exposure, for post exposure to rabies, which is considered as inappropriate schedule of vaccine administered. Reportedly, the nurse primed the syringe with the diluent and 0.2ml came out probably and when put it in powder had trouble getting that medication pulled into the syringe. The nurse spent 30 to 20 minutes to pull the medication into the syringe, there were so much pressure, and the nurse did not how to alleviate that. Then the nurse got it all in the syringe for the exception of a tinny drop, which is considered as syringe issue, underdose. As reported, the nurse used long needle instead of the short one for vaccination, which is considered as incorrect needle gauge used. On the day 4 after the animal exposure, the patient received a dose of RabAvert, which is considered as inappropriate schedule of vaccine administered. It was unknown if the patient experienced any adverse event due to RabAvert vaccine. Syringe issue, underdose, wrong technique in product usage process and inappropriate schedule of product administration are considered as listed per company convention. The patient's medical history was not provided, and concomitant medication included HRIG. Syringe issue, underdose, wrong technique in product usage process and inappropriate schedule of product administration have been considered as not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.; Sender's Comments: A patient of unspecified age or gender received a dose of RabAvert on the day 1 after the animal exposure, for post exposure to rabies, which is considered as inappropriate schedule of vaccine administered. Reportedly, the nurse primed the syringe with the diluent and 0.2ml came out probably and when put it in powder had trouble getting that medication pulled into the syringe. The nurse spent 30 to 20 minutes to pull the medication into the syringe, there were so much pressure, and the nurse did not how to alleviate that. Then the nurse got it all in the syringe for the exception of a tinny drop, which is considered as syringe issue, underdose. As reported, the nurse used long needle instead of the short one for vaccination, which is considered as incorrect needle gauge used. On the day 4 after the animal exposure, the patient received a dose of RabAvert, which is considered as inappropriate schedule of vaccine administered. It was unknown if the patient experienced any adverse event due to RabAvert vaccine. Syringe issue, underdose, wrong technique in product usage process and inappropriate schedule of product administration are considered as listed per company convention. The patient's medical history was not provided, and concomitant medication included HRIG. Syringe issue, underdose, wrong technique in product usage process and inappropriate schedule of product administration have been considered as not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.