Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Pain in extremity, Product label confusion, Product packaging confusion
Clinical narrative: saying packaging for children says booster and got confused  and vial colors are similar; saying packaging for children says booster and got confused  and vial colors are similar; felt warm for a millisecond; arm hurts; shiver in the night,possible chills; received monovalent booster instead of Bivalent pediatric booster; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (felt warm for a millisecond), PAIN IN EXTREMITY (arm hurts), CHILLS (shiver in the night,possible chills), WRONG PRODUCT ADMINISTERED (received monovalent booster instead of Bivalent pediatric booster) and PRODUCT LABEL CONFUSION (saying packaging for children says booster and got confused  and vial colors are similar) in a 6-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. AR6965B) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient did no had Allergies to medications, food and other products.  Previously administered products included for Product used for unknown indication: Pfizer (Dose number 1, Lot number: FK5127) on 06-Nov-2021, Pfizer (Dose number 2, Lot number: FK5127) on 27-Nov-2021, Pfizer (Dose number First booster, Lot number: FL8095) on 20-May-2022 and Flu shot (Site of administration: Arm) on 20-Sep-2022. Past adverse reactions to the above products included No adverse event with Flu shot, Pfizer, Pfizer and Pfizer.    On 13-Oct-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 13-Oct-2022, the patient experienced FEELING HOT (felt warm for a millisecond), PAIN IN EXTREMITY (arm hurts), CHILLS (shiver in the night,possible chills) and WRONG PRODUCT ADMINISTERED (received monovalent booster instead of Bivalent pediatric booster). On an unknown date, the patient experienced PRODUCT LABEL CONFUSION (saying packaging for children says booster and got confused  and vial colors are similar) and PRODUCT PACKAGING CONFUSION (saying packaging for children says booster and got confused  and vial colors are similar). At the time of the report, FEELING HOT (felt warm for a millisecond), PAIN IN EXTREMITY (arm hurts) and CHILLS (shiver in the night,possible chills) had not resolved and WRONG PRODUCT ADMINISTERED (received monovalent booster instead of Bivalent pediatric booster), PRODUCT LABEL CONFUSION (saying packaging for children says booster and got confused  and vial colors are similar) and PRODUCT PACKAGING CONFUSION (saying packaging for children says booster and got confused  and vial colors are similar) outcome was unknown.              Concomitant medications details were not reported by the reporter.  Reportedly, Parent stated that they called pharmacy in advance to see if they had the new approved vaccine and confirmed multiple times that it was the correct vaccine prior to the administration, which they confirmed. Two hours later, the pharmacy called to inform that they had taken the wrong vial by mistake and to bring her back at another time to be vaccinated. Parent stated that they tried to blame Moderna, perhaps thinking that was going to sue them, packaging for children says booster and get confused and that vial colors were too similar.  It was reported that Parent would like to know if her child was protected now and how much worried should be, worried about body was making antibodies for the other variants instead of the new variants, because the patient was tiny. Patient received monovalent moderna booster dose instead of bivalent pediatric booster of batch number AS7166-Unknown.  The event did not cause patient to seek medical care.  Treatment details were not reported by the reporter.   Most recent FOLLOW-UP information incorporated above includes: On 14-Oct-2022: Follow-up document contains no additional information. On 14-Oct-2022: Non Significant live follow up ("QE-022606" number updated)