Found 2 cases where Lot Number contains 'AZ230080'

Administered by: Work       Purchased by: ?
Symptoms: Wrong product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: n/a
Preexisting Conditions: none
Allergies: nkda
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: gave the rsv vaccine instead of the pcv vaccine. the rsv vaccine was in a basket that was labeled for pcv. I was not trained on the vaccine sign out process since dept. is short staffed so I was unable to verify vaccine ordered. all documentation was done correctly in chart.the next day when trained on the vaccine sign out process thatis when I caught the medical error I had submitted.

Administered by: Private       Purchased by: ?
Symptoms: Autopsy, Death, Respiratory arrest, Resuscitation
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2024-01-09
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Preterm Newborn (35 Weeks), First twin.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: According to the mother, the patient departed the clinic at 1 pm after the vaccine was administered. Subsequently, the patient took a nap and at approximately 8 pm, the father observed that the patient was not breathing. The parents attempted CPR but it was unsuccessful. Shortly thereafter, the parents called both ambulance and police assistance. Upon the paramedics'' arrival, the patient had already deceased; The causes of death are unknown, An autopsy is presently in the process of being investigated. The mother has not yet reported the exact cause of death, information was given via a telephone call.