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Wrong vaccine administered- what to do????

post #1 of 22
Thread Starter 
I am sooooo sooooo sooooooo very angry right now with my pediatrician's office.

My DD was bit (pretty badly) by our pet hamster this weekend. Her finger was quite swollen and not looking right this morning. I made a doctor appointment, as a precaution, for this evening. By the time we went at 6:00 her finger was looking like it was getting infected so my precautionary appointment seemed to be turning into necessity.

We ended up seeing a different dr. in the practice at the last minute b.c our doctor was at the hospital working on an emergency case. The doctor talked to us in some detail about treatment- basically an antibiotic to prevent a full-on infection and also to make sure that she is up to date on her tetanus. He then looks in her charts and sees that we have chosen not to vaccinate. I told him that she was selectively vaccinated as a baby- she is 8 years old now- but that we stopped altogether when she was older after her brother had some bad side effects, but that in a case by case scenario I was not opposed. I told him that if this was something he recommended for her in this particular case I wanted to do what was right to protect her. Heck- I am up to date on my tetanus vaccine.

So I started with many questions. Do you have just a tetanus w/o the full DTaP combo. He tells me that they do a DT but not just T. I got a lot of information on why this is and how many shots she would need and whatnot. The dr. left and the nurse came back to tell me that they do not actually have the DT and I would have to go down to the health department and wait for who knows how long tomorrow. So she and I checked my DD's chart and realized that she had all 4 of her DTaP shots as a baby and was just missing her booster at age 5. So she told me that DD could get that booster today and be protected until she was a teenager. Great- seems like the simple way to go. If I've already caved into the vaccine why not just finish this series off. Of course they gave me the "what you need to know" sheet after administering the vaccine on our way out. So at dinner I'm reading it and it clearly says "DTaP is not licensed for adolescents, adults, or chldren 7 years of age and older." My DD is 8!!!!!!!!!!!!!!!!!! Why did they give this to her? I just read on line that the reason it is not licensed for children over 7 is b/c the pertussis vaccine is not licensed for children over 7. I asked sooooo many questions. I took so much time trying to get the information. They had ample time to f*$%ing wake up and remember that this vaccine was not meant for an 8 year old child!

So- of course I have issues to take up with the office. That and they didn't call in the antibiotic prescription as I asked and when we got to the pharmacy an hour later to pick it up they had no record of it!

Who do I talk to? Office manager? Our usual doctor? If she has no adverse side effects (which I so hope not and somehow feel quite optimistic that there won't be) then can this be reported to any "official" vaccine reporting agencies?
post #2 of 22
IMO its seems like they should have given TIG if they where concerned about tetanus.

It may be time to look for a new dr.
post #3 of 22
Thread Starter 
Quote:
Originally Posted by momto l&a View Post
IMO its seems like they should have given TIG if they where concerned about tetanus.

It may be time to look for a new dr.
What is TIG?

I don't think this would have happened with our normal doc, but we saw someone else in the practice. Who knows- maybe the whole practice is careless...
post #4 of 22
TIG stands for tetanus immunoglobulin, which is what they should have given to your dd if they were concerned about her contracting tetanus from this wound. You should ask them why they didn't consider it.

Sorry you're going through this, in your shoes I wouldn't give them a second chance and would find another doctor ASAP.

Hope your dd's finger heals quickly!!
post #5 of 22


I would be ticked too.

Though that wound wouldn't really be a tetanus risk.

hope she feels better soon!

-Anglea
post #6 of 22
Thread Starter 
Quote:
Originally Posted by kidspiration View Post
TIG stands for tetanus immunoglobulin, which is what they should have given to your dd if they were concerned about her contracting tetanus from this wound. You should ask them why they didn't consider it.
I am trying to sort this out. I found something online but it was a bit technical. If I read it correctly (and feel free to tell me if I did NOT) the TIG would need to be administered either with a full dose of the other tetanus or if the patient was current on their regular tetanus. My DD was not current b/c she never had the 5 year old booster and she is now 8 1/2.

Quote:
Originally Posted by alegna View Post

Though that wound wouldn't really be a tetanus risk.
It seems like animal bites are considered "high risk" for contracting tetanus.



THANK YOU for your kind thoughts on her healing up quickly.
post #7 of 22
Quote:
Originally Posted by SabraMamma View Post

It seems like animal bites are considered "high risk" for contracting tetanus.
Why do you say that? I don't think I've ever read of a tetanus case from an animal bite.

Really tetanus is incredibly rare in children at all (always has been).

-Angela
post #8 of 22
Thread Starter 
Quote:
Originally Posted by alegna View Post
Why do you say that?
Just seems like everything i have read on line says this and everyone who i spoke to today about her bite mentioned tetanus.
post #9 of 22
Thread Starter 
Any advice or suggestions on who to talk to/report this?
post #10 of 22
I don't think it's anything that anyone will care enough to take a report on

I've researched tetanus fairly extensively and never read anything to indicate that animal bites are a risk. Crushing injuries. Closed injuries. Severe burns. Injuries in persons with compromised circulation. But I wouldn't even worry about tetanus in this situation.

Infection? you bet.



-Angela
post #11 of 22
You could mention it to your regular doctor and get his/her opinion. I am not sure anyone would be too excited about it.

The T vaccine does not confer immunity when there is a immediate risk for tetanus. If there is a serious concern, TIG is the only option as it gives passive (immediate) immunity. The idea is that the vaccine is needed to confer immunity for the next serious wound so that TIG is not needed again.
post #12 of 22
I would be mad too. However doctors regularly administer and prescribe drugs off label (meaning they goive drugs for conditions they are not "licensed" for, so this doesn't really surprise me. I would complain, but I wouldn't hold my breath about anything being done. I would find a new doc too.

As for Tetnus in a hamster bite, I wouldn't worry either. If it bled, Im sure it would have been fine. I would worry about infection and would get antibiotics.
Just something to think about if it ever happens again. Hope she feels better soon
post #13 of 22
Thread Starter 
Here's the update- the gave her something called "boostrix" (sp?) which is the TDaP and is the correct vaccine for someone her age. They gave me the wrong paperwork on "what to know" about the vaccine that was administered!!! Argh. Had a long talk with the office manager this morning. I'm still fuming mad but at least now I know she received the correct shot and it was a minor mistake on paperwork. Thanks for all the thoughts, info, suggestions.
post #14 of 22
Have you read the CDC pink book on tetanus?
http://www.cdc.gov/vaccines/pubs/pin...etanus-508.pdf
post #15 of 22
Yikes. How's her finger now?
post #16 of 22
Quote:
Originally Posted by alegna View Post
I've researched tetanus fairly extensively and never read anything to indicate that animal bites are a risk.
Actually, I have read this. Even that a lick from an animal on a part of skin with a wound is a risk. The question is "how much of a risk."
post #17 of 22
Quote:
Originally Posted by anewmama View Post
Actually, I have read this. Even that a lick from an animal on a part of skin with a wound is a risk. The question is "how much of a risk."
Eh, they can *say* anything is a risk, but without stats or info to back that up, it's nothing.

I have never read of any animal-bite related tetanus case.

-Angela
post #18 of 22
Quote:
Originally Posted by SabraMamma View Post
Here's the update- the gave her something called "boostrix" (sp?) which is the TDaP and is the correct vaccine for someone her age. They gave me the wrong paperwork on "what to know" about the vaccine that was administered!!! Argh. Had a long talk with the office manager this morning. I'm still fuming mad but at least now I know she received the correct shot and it was a minor mistake on paperwork. Thanks for all the thoughts, info, suggestions.
Actually... Boostarix is only appoved for ages 10-64...
post #19 of 22
Quote:
Originally Posted by Proverbs31 View Post
Actually... Boostarix is only appoved for ages 10-64...
Yes. They screwed up yet again.

Here is the package insert for Boostrix for more information.

(PS...I would be livid in your shoes, and definitely would take things to the next level on this. This negligence needs to be reported.)
post #20 of 22
I'm confused as to why a hamster bite would warrent a tetanus shot in the first place? and a plain ol' tetanus shot won't do anything, you would need the immuglobin anyways. I'm sorry that this happened, I would be very angry as well! Maybe you need to do some research on tetanus to know what type of wound warrents a shot (if you do vax) in the first place so this doesn't happen again.
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