Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Extra dose administered, Vaccination site pain, Wrong product administered
Clinical narrative: received two injections of Prevnar 13 on the same day/patient was given 2 Prevnar 13 doses at once; was suppose to receive a Prevnar 13 and a flu shot but 2 Prevnar 13's were picked up by accident; Pt stated that her arms are sore from the injection site but other then she feels fine; This is a spontaneous report received from contactable reporter (Consumer or other non HCP) from medical information team.  A 65-year-old female patient received pneumococcal 13-val conj vac (dipht CRM197 protein) (PREVNAR 13), on 21Oct2021 at 15:45 as dose 1, single (Lot number: EE7120, Expiration Date: 30Jun2023), in left deltoid and on 21Oct2021 at 15:45 as dose 2, single (Lot number: EE7120, Expiration Date: 30Jun2023) at the age of 65 years, in right deltoid, all intramuscular for immunisation. The patient didn't receive influenza vaccine (INFLUENZA VACCINE). The patient's relevant medical history included: "Colitis", start date: Jun2021 (unspecified if ongoing); "Shortness of breath", start date: Jun2021 (unspecified if ongoing), notes: was referred to a pulmonologist but not sure if the patient went or not; "Cholesterol" (unspecified if ongoing). Concomitant medication(s) included: LIPTOR [ATORVASTATIN] taken for blood cholesterol abnormal. Past drug history included: Amoxicillin, reaction(s): "Allergy"; Codeine, reaction(s): "Allergy". The following information was reported: VACCINATION SITE PAIN (non-serious) with onset Oct2021, outcome "unknown", described as "Pt stated that her arms are sore from the injection site but other then she feels fine"; INCORRECT DOSE ADMINISTERED (non-serious) with onset 21Oct2021 at 15:45, outcome "unknown", described as "received two injections of Prevnar 13 on the same day/patient was given 2 Prevnar 13 doses at once"; WRONG PRODUCT ADMINISTERED (non-serious) with onset 21Oct2021 at 15:45, outcome "unknown", described as "was suppose to receive a Prevnar 13 and a flu shot but 2 Prevnar 13's were picked up by accident".  Additional Information: The patient seems to be fairly healthy, she had some normal colitis back in Jun2021 and shortness of Breath in Jun2021. She was referred to a pulmonologist but the reporter was not sure if the patient went or not. Patient was allergic to amoxicillin and codeine. The reporter wanted information on what adverse events to look for if two doses of Prevnar 13 are given on the same day. The patient received two injections of Prevnar 13 on the same day. The patient was given 2 Prevnar 13 doses at once. The reporter would like to know if there was something to tell the patient in regards to what to expect or if there were any adverse event to look out for or monitor. This took place today at 3:45PM, the provider let the patient go home, they felt there was no problem but reporter stated that she wanted to cover her bases and make sure. Both doses of Prevnar 13 were given today, she was supposed to receive a Prevnar 13 and a flu shot but 2 Prevnar 13's were picked up by accident. Error on the administration of wrong vaccine was not due to a possible name confusion. Patient was not admitted to hospital. No treatment was required. No specific tests required. CMA came to me right after given 2 Prevnar 13 vaccines-Pfizer Lot number EE7120 Expires 30Jun2023 instead of giving the patient one Prevnar 13 and one Flu vaccine. Noticed right away that she had done this and informed the patient to have a seat informing the patient she needs to ask the provider something. Came right to me and informed me of what she had done. We then went to the patients provider and informed her and she went to Dr and consulted with him. Both providers were in agreement that the did not feel this would harm the patient. FNP went to the patient with me and CMA present and informed her that she had been given 2 Pneumonia shots instead of one of them being the flu shot. Asked the patient if she has had any problems in the past with the COVID vaccine or any other vaccines and the patient stated no she had not. Informed her that if her arms got sore, she could place ice on it for a while or if they started to itch, she could take Benadryl. Patient was also informed that we did not want to give her the flu vaccine today and that she should wait at least 2 weeks to get the flu vaccine. Patient seemed to understand. Patient seemed to not be upset and the patient was in good medical condition with no complaints at the time the patient left the office.   No follow-up attempts are possible. No further information is expected.  Follow-up (12Apr2022): Follow-up attempts are completed. No further information is expected.  Follow-up (17May2022): This is a spontaneous follow-up report from a contactable other healthcare professional. This other healthcare professional reported for a patient in response to HCP letter via follow-up letter which included that: Updated information: reporter alternative phone number and Institution added. New event Injection site pain  was added.  No follow-up attempts are needed. No further information is expected.