The nurse immediately realized her error and alerted the patient as well as the attending physician, who at once began monitoring the young woman for adverse reactions. Unfortunately, this contributed to the error," he said. "They are both transparent liquids of the same density. "She thought that the dilution had taken place," said Bellandi. The nurse administering the vaccine on Sunday mistakenly injected all of the liquid from an undiluted vial. He said the hospital had launched an investigation to review safety procedures.īellandi explained that each vial of the Pfizer vaccine contains six doses, which must be individually extracted and placed in separate vials, where they are then diluted.
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