The Kedah Health Department (JKN) has apologised to a Covid-19 vaccine recipient and her family after she was given her the wrong type of vaccine for her second dose at Dewan Al Hana vaccination centre (PPV) last Thursday (5 August).
According to Bernama, Kedah Health Director, Dr Othman Warijo said that the investigations found that the mistake arises when the nurse on duty failed to check her details on the vaccination card before administering her the vaccine.
“The incident occurred on Aug 5 at 8.25am at Injection Room 1, Dewan Al Hana PPV, in Sik. The recipient was a 58-year-old woman who came to the PPV to get her vaccine second dose produced by Pfizer-BioNtech.”
“The mistake happened after the nurse administered the Sinovac vaccine and this mistake was noticed by other workers who then immediately informed the PPV manager and supervisor.” he said.
Meanwhile, he said that on that day, there was more than 1 type of vaccine being administered in the hall, with 1,043 shots for the first dose of Pfizer-BioNtech vaccine, 141 second doses of Sinovac vaccine and 223 second doses of Pfizer-BioNtech.
Dr Othman then explained that the isolation and lane separation for vaccine recipients heading towards the immunisation room for the first dose of Pfizer-BioNtech, the second dose of Pfizer-BioNtech and the second dose of Sinovac has been implemented to prevent errors.
In addition, the vaccine handling guidelines were issued on a daily basis by the supervisor nurse before they start the vaccination session for the day.
“The nurse involved has admitted her mistake and has personally apologised to the recipient of the vaccine. She had also been reprimanded, given counseling and taken off duty that day.” he said.
However, as soon as they realised a mistake was made, the vaccine recipient was being referred to a medical officer for counseling and she was given clarification on the side effects of the vaccine that usually occur after the shot.
“The recipient accepted the explanation and forgave the nurse. The recipient underwent observation before she was allowed home.” he said.
Nonetheless, he added that the department is very concerned over the incident and they will instruct all staff to ensure all the vaccination guidelines are being followed to prevent similar mistakes. In addition, the PPV supervisor or manager will be monitoring the situation too.
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