Singapore sets a world record: An individual was given 5 doses of the Pfizer Covid-19 vaccine! Accidentally…

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He was given an undiluted dose.


Singapore National Eye Centre worker mistakenly given 5 doses of Covid-19 vaccine

Dominic Low

  • PUBLISHED 1 HOUR AGO

SINGAPORE – A staff member at the Singapore National Eye Centre (SNEC) has been erroneously administered the equivalent of five doses of the Pfizer-BioNTech Covid-19 vaccine.

This occurred during a vaccination exercise on Jan 14, said the SNEC on Saturday (Feb 6).

The error was discovered within minutes of the vaccination, when the staff member was resting in a designated area.

“Senior doctors were alerted immediately and the staff (member) was assessed and found to be well, with no adverse reaction or side effects,” said SNEC.

The staff member was warded at the Singapore General Hospital (SGH) for further observation, before being discharged two days later.

The SNEC said it has been following up closely with the worker, who remains well.

As a safety measure, the vaccination exercise at the SNEC was stopped immediately upon detection of the error. The rest of the SNEC staff were vaccinated at SGH. 

“Our investigations showed that it was human error resulting from a lapse in communication among the vaccination team, who had been preparing and administering the injections at that time,” said the centre.

It said the worker in charge of diluting the vaccine had been called away to attend to other matters during the preparation of the vaccine.

A second staff member had mistaken the undiluted dose in the vial to be ready for administering.

The SNEC has apologised to the affected staff member and the worker’s family, said Professor Wong Tien Yin, who is medical director of the centre.

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“The error was discovered within minutes of the vaccination when the staff was resting in a designated area after vaccination,” said SNEC in a press release.

“Senior doctors were alerted immediately and the staff was assessed and found to be well, with no adverse reaction or side effects.”

As a precaution, the affected employee was warded at Singapore General Hospital (SGH) for observation. 

“The staff’s condition remained stable throughout and the staff was discharged two days later. We have been following up closely with the staff, who remains well,” said SNEC.
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According to SNEC, investigations showed that it was a human error resulting from a lapse in communication among the vaccination team at the time.

“The staff in charge of diluting the vaccine had been called away to attend to other matters during the preparation of the vaccine, and a second staff member had mistaken the undiluted dose in the vial to be ready for administering,” said SNEC.

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