Trying not to freak out but my vet just accidentally injected nasal bordatella vac

Gah! Shes young and says shes not had any experience with this before. She immediately called the manufactuer and they recommended fluids and antibotics to help prevent infection, so thats what we are doing.

Cant find much info online, but other than watching for abcess in the injection site does not seem to be too serious if treated. Hoping maybe someone has been through this and can talk me off a ledge!

I’d be freaking out :(, that’s not good. I’m sure your vet is completely freaked out too :(.

Is she running bloodwork to monitor his organs? That’s the only other thing I’d be thinking, although I’m not a vet nor have I had this happen. I almost had this happen one time, but thankfully an intranasal vaccine was the only reason I was at the clinic so I knew nothing should be getting injected & stopped it.

I have seen it happen before. Puppies got a huge lump at the injection site, but ultimately were ok with minimal supportive care…hopefully your recovers as quickly

A DVM I know had a client (kennel owner) do this with his dogs. (client dogs).

No long-term effects; several had abscesses.

Thanks guys. Vet says abcess is most likely the biggest concern and if it forms it will be in the next 4 days. Hopefully the fluids and antibiotics will stopt that.

Both the vet and tech (new girl - poor thing!) were horrified at the error but I have to say they handled it very well. Were up front, informative and professional and I appreciate that. Vet says she will check in through the weekend and I appreciate that too.

Watch and wait, watch and wait

I don’t do general practice so don’t give many vaccines. However my understanding is when this happens dogs should be started on doxycycline as a preventative to avoid infection. The intranasal vaccine is a modified live vaccine.

Not to be a meanie, but, this SHOULD go on her record. I’ve dealt with slovenly vets before (well, once - fired her immediately) who “got away” with such sloppy practice too often.

Yes, she probably feels like sh!t about it, but YES, it should go on file somewhere so, if she slips up a few more times, there is a track record.

I don’t see why one (and one’s pets) should be guinea pigs for people like this. She graduated vet school, and she should know better. Yes, human error, no, if this happens again and again.

[QUOTE=In The Gate;7801061]
I don’t do general practice so don’t give many vaccines. However my understanding is when this happens dogs should be started on doxycycline as a preventative to avoid infection. The intranasal vaccine is a modified live virus.[/QUOTE]

Bordetella bronchoseptica is a bacterium I believe.
If it were viral, doxycycline would be useless any road, as it has no antiviral activity.

I believe some instances of this have had reported effects on the liver; localized reactions (pain, inflammation, abscesses) are most common, however.

What happened to cause the error? Did the vet tech draw it up and then the vet give it without realizing that it was the intranasal vaccine? You may want to report this to the FDA. There should be safety mechanisms in the packaging, particularly since it sounds like this has happened many times before in other practices. Perhaps the manufacturer should send the vaccine in a special syringe that will not accept a needle, but will take the intranasal tip. The word intranasal could be stamped in big red letters on the vaccine container and syringe.

Your report to the FDA can prevent this from happening again. Many of us reported errors related to fever reducing medication in infants to the FDA’s anonymous online system for reporting errors. Tylenol used to come in 2 strengths. Stupidly, the bottle for infants was the more concentrated one with more medicine per ml. Many parents gave infants what would have been the proper amount of Tylenol but was actually a double dose. Finally, the FDA got lots of reports about errors and made all of the liquid Tylenol the same strength. They also required the manufacturers to list the proper doses by age and weight of the child.

I hope your dog is unharmed by the error. I also hope the FDA does something so other dogs aren’t harmed by the same error. When an error happens once, I blame the person who made the error. When an error happens repeatedly, I believe the manufacturer at least shares the blame.

[QUOTE=AKB;7801389]
What happened to cause the error? Did the vet tech draw it up and then the vet give it without realizing that it was the intranasal vaccine? You may want to report this to the FDA. There should be safety mechanisms in the packaging, particularly since it sounds like this has happened many times before in other practices. Perhaps the manufacturer should send the vaccine in a special syringe that will not accept a needle, but will take the intranasal tip. The word intranasal could be stamped in big red letters on the vaccine container and syringe.

Your report to the FDA can prevent this from happening again. Many of us reported errors related to fever reducing medication in infants to the FDA’s anonymous online system for reporting errors. Tylenol used to come in 2 strengths. Stupidly, the bottle for infants was the more concentrated one with more medicine per ml. Many parents gave infants what would have been the proper amount of Tylenol but was actually a double dose. Finally, the FDA got lots of reports about errors and made all of the liquid Tylenol the same strength. They also required the manufacturers to list the proper doses by age and weight of the child.

I hope your dog is unharmed by the error. I also hope the FDA does something so other dogs aren’t harmed by the same error. When an error happens once, I blame the person who made the error. When an error happens repeatedly, I believe the manufacturer at least shares the blame.[/QUOTE]

FDA isn’t involved in animal vaccines. USDA/APHIS is.

The vaccine is lyophilized, and needs to be reconstituted before use; therefore it cannot be prepackaged in a syringe.

Not a vet nor do I play one on TV, but from what I understand bordetella has/is a live antigen which is why it is not given SQ or IM. Body treats it as an infection = can cause abcess.

As far as what happpened? B dog was in for distemper, hw check, bordetella, and to have a lump aspirated so there were several syringes on the table. Yes the tech should have pullled the needle off the bordetella syringe but yes vet should have checked. Tech was new. Syringe did have a lable on it. Vet knew and acknowleged immmediately the mistake and took appropriate action.

B dog is on Cephalexin. He seems good tonight and we will watch the injection area for heat and swelling over the next few days.

As a registered nurse we were taught to read the label THREE times. Once when it is removed from the shelf, once when we prepare it and once before it is administered. I see no valid excuse for a mistake like this…what if it DID harm you dog??? Sorry…this BAD vet technique!! JMO!!

[QUOTE=crosscreeksh;7801463]
As a registered nurse we were taught to read the label THREE times. Once when it is removed from the shelf, once when we prepare it and once before it is administered. I see no valid excuse for a mistake like this…what if it DID harm you dog??? Sorry…this BAD vet technique!! JMO!![/QUOTE]

Ditto this. As much as I can understand making a mistake like this and have sympthay for the vet and tech involved, the fact that it happened at all speaks volumes for the way the practice is run. There should be precautions taken to make sure vaccines don’t get mixed up in situations like this.

Yes, we are all taught to read the labels on meds. CDC has put out many, many pages of instructions on safe administration of vaccines. Still, when the same error happens repeatedly, I think the manufacturer should make some changes. If the syringe that comes with the vaccine were a special color and came with a needle less system, there would be fewer incidents. This is like the problem with intranasal strangles vaccine that has been inadvertently injected in so many horses.

Ghazzu, is there an on line reporting system for veterinary errors like the one the FDA has for vaccine and medication errors? It would be really nice if this never happened again.

Some manufacturers DO package intranasal KCV differently than the injectable version. (And yes, there IS an injectable version of KCV). IME, the packaging/logistics of the “needless/syringeless” KCV SUCKS. Not easy to work with at all.

Problems can happen because just about every canine/feline vaccine is a variation of “pink” once it is in the syringe. Experienced vets/techs can tell the subtle differences, new ones, not so much. Every clinic I have worked at had a procedure to LABEL each syringe immediately after the vaccine was drawn up, to ID what vaccine it was. And it didn’t involve much - just a single letter written on the circular end of the plunger - R - D - K - L, etc to ID what the contents were. Didn’t take much time, and avoided mistakes. Intranasal vaccines ALWAYS ALWAYS ALWAYS had the needle removed immediately after being drawn up to avoid mistakes.

Would I fire a vet for something like this. No, not since they were upfront with you and honest about the entire process. If they had in any way tried to hide it, then yes, I would be switching vets.

Crap happens. NOBODY is perfect. My 11 yr old BC had the wrong surgery done on the wrong hip in THE CLINIC I WORKED AT. Crap happens.

[QUOTE=crosscreeksh;7801463]
As a registered nurse we were taught to read the label THREE times. Once when it is removed from the shelf, once when we prepare it and once before it is administered. I see no valid excuse for a mistake like this…what if it DID harm you dog??? Sorry…this BAD vet technique!! JMO!![/QUOTE]

While I too would be upset about a mistake of this manner, I think it is important to understand that all protocols implemented by humans will always have a factor of human error. I think the “breach of protocol” with the recent Texas Ebola situation shows that.

IMO how someone handles themselves after a mistake happens is of utmost importance. To come forth and admit the mistake and swiftly take measures to correct the mistake show a great level of responsibility. I wish the CDC and hospital in Texas would heed that same level of honesty and responsibility.

[QUOTE=Blume Farm;7809240]
While I too would be upset about a mistake of this manner, I think it is important to understand that all protocols implemented by humans will always have a factor of human error. I think the “breach of protocol” with the recent Texas Ebola situation shows that.

IMO how someone handles themselves after a mistake happens is of utmost importance. To come forth and admit the mistake and swiftly take measures to correct the mistake show a great level of responsibility. I wish the CDC and hospital in Texas would heed that same level of honesty and responsibility.[/QUOTE]

Very well said. Mistake do happen. I am sure the vet feels real bad about this.

Has there been any side effects? Is the pup ok?

Update please ?!~!? everything copasectic ?

Pleasean update on your dog ?

Hoping everything is copasectic ~ Jingles & AO still in effect ~