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The Kedah Health Department has apologised to a Covid-19 vaccine recipient and her family after she was mistakenly given the wrong type of vaccine for her second dose at a vaccination centre in Sik on Aug 5.
Its director Dr Othman Warijo said based on investigations, the mistake occurred after a nurse at the vaccination centre failed to check the details on the woman's vaccination card.
“The incident occurred on Aug 5 at 8.25am at Injection Room 1, Dewan Al Hana Vaccination Centre (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 yesterday.
On that day, there was more than one type of vaccine used in the hall, namely 1,043 Pfizer-BioNTech shots for first doses, 223 Pfizer-BioNTech shots for second doses, and 141 Sinovac shots for second doses, he added.
Othman said isolation and lane separation for vaccine recipients have been implemented to prevent errors.
Vaccine handling guidelines were also issued daily by the supervisor nurse before the start of the vaccination sessions, he added.
“The nurse involved has admitted her mistake and personally apologised to the recipient of the vaccine. She had also been reprimanded, given counselling, and taken off duty that day," he said.
As soon as the mistake was realised, Othman said the vaccine recipient was referred to a medical officer for counselling and given clarification on the possible side effects of the vaccine.
“The recipient accepted the explanation and forgave the nurse. The recipient underwent observation before she was allowed home,” he added.
He said the department was very concerned over the incident and to prevent similar mistakes, vaccination centre staff will be instructed to ensure all vaccination guidelines are followed and also monitored by the centre's supervisor or manager.