Sex: M
Vaccine: RAB
Symptoms: Product administration error, Product preparation error
Clinical narrative: The nurse mistakenly administered only the diluent to the patient, not the powder from the vial; The nurse mistakenly administered only the diluent to the patient, not the powder from the vial; Case reference number US-BN-2023-001312 is a spontaneous case report initially received from a pharmacist via Agency (reference number: USBAV23-1053) on 26-Jul-2023 and concerns a *69-years-old male* patient.  The patient's relevant medical history and concomitant medication details were *unknown*.  On *26-Jul-2023*, the patient was vaccinated with only the diluent of RabAvert vaccine (batch number not provided) at *dose reported as 2.5U, intramuscularlly in the left deltoid route for post-exposure but reported as questionable because the patient slept in the cabin and in the morning the bat was in it. Not sure if there was a bite or not, but vaccination was recommended* (explicitly coded as 'active ingredient not added to diluent'). As reported, the nurse mistakenly administered only the diluent to the patient, not the powder from the vial (explicitly coded as 'product administration error'). *After administration of diluent only, the nurse prepared RabAvert vaccine properly and the patient received the first dose*  *As reported, it was unknown if the patient received any additional doses.*  At the time of the initial report, it was unknown if the patient experienced any adverse event due to RabAvert.    Additional information received form Agency on 27-Jul-2023 included local Agency case ID.  All follow-up information is blended into the case narrative above, with the latest information presented between asterisks (*).  Follow up information was received from on 02-Avg-2023: New information included a confirmation of patients initial, age and date of birth, date of vaccination, indication for use, dose received, anatomical location and route of administration, and confirmation that patient received proper dose after administration of only diluent, and confirmation that it was unknown if the patient received any additional doses.; Reporter's Comments: A 69-years-old male patient was vaccinated with only the diluent of RabAvert vaccine, which is considered as active ingredient not added to diluent. As reported, the nurse mistakenly administered only the diluent to the patient, not the powder from the vial, which is considered as product administration error. It was unknown if the patient experienced any adverse event due to RabAvert. Product preparation error and product administration error are considered as listed per company convention. The patient's relevant medical history and concomitant medication details were not provided. Product preparation error and product administration error 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 69-years-old male patient was vaccinated with only the diluent of RabAvert vaccine, which is considered as active ingredient not added to diluent. As reported, the nurse mistakenly administered only the diluent to the patient, not the powder from the vial, which is considered as product administration error. It was unknown if the patient experienced any adverse event due to RabAvert. Product preparation error and product administration error are considered as listed per company convention. The patient's relevant medical history and concomitant medication details were not provided. Product preparation error and product administration error have been considered as not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.