Kedah Health Dept apologises over vaccine 2nd dose blunder

Kedah Health director Dr Othman Warijo said based on investigations, the mistake occurred after a nurse at the PPV failed to check the details on her vaccination card.

"The incident occurred on Aug 5 at 8.25 am 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 in a statement today.

He said on that day, there was more than one type of vaccine used in the hall, namely 1,043 shots for the first dose of Pfizer-BioNtech vaccine, 141 second doses of Sinovac vaccine and 223 second doses of Pfizer-BioNtech.

Explaining further, Dr Othman said 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 have been done to prevent errors.

He said vaccine handling guidelines were also issued daily by the supervisor nurse before the start of the vaccination sessions.

"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.

Dr Othman said as soon as the mistake was realised, the vaccine recipient was referred to a medical officer for counseling and 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.

He said the department was very concerned over the incident and to prevent similar mistakes, PPV staff would be instructed to ensure all vaccination guidelines are followed and also monitored by the PPV supervisor or manager.