{"id":22461,"date":"2025-12-04T15:06:19","date_gmt":"2025-12-04T04:06:19","guid":{"rendered":"https:\/\/mvec.mcri.edu.au\/?p=22461"},"modified":"2025-12-04T15:10:09","modified_gmt":"2025-12-04T04:10:09","slug":"a-reminder-about-diluents-and-vaccine-safety","status":"publish","type":"post","link":"https:\/\/mvec.mcri.edu.au\/vi\/a-reminder-about-diluents-and-vaccine-safety\/","title":{"rendered":"A reminder about diluents and vaccine safety"},"content":{"rendered":"<p><span data-contrast=\"auto\">Vaccine errors, relating to the way a vaccine is stored, prepared or administered, are a type of adverse event following immunisation (AEFI). Diluent-related errors occur when only the diluent of a vaccine requiring reconstitution is administered, or the incorrect diluent is used to reconstitute a vaccine manufactured in a powered or pellet form.<\/span><\/p>\n<p><span data-contrast=\"auto\">In general, where only a diluent has been administered, the vaccine should be repeated ideally on the same day or as soon as possible.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The diluent supplied with\u00a0<\/span><b><span data-contrast=\"auto\">Infanrix\u00a0hexa<\/span><\/b><span data-contrast=\"auto\">\u00a0contains\u00a0the\u00a0DTPa-hepB-IPV (<a href=\"https:\/\/mvec.mcri.edu.au\/references\/diphtheria\/\">b\u1ea1ch h\u1ea7u<\/a>&#8211;<a href=\"https:\/\/mvec.mcri.edu.au\/references\/tetanus-prone-wounds-management\/\">u\u1ed1n v\u00e1n<\/a>-acellular <a href=\"https:\/\/mvec.mcri.edu.au\/references\/pertussis-whooping-cough\/\">ho g\u00e0<\/a>, <a href=\"https:\/\/mvec.mcri.edu.au\/references\/hepatitis-b\/\">hepatitis B<\/a>, inactivated <a href=\"https:\/\/mvec.mcri.edu.au\/references\/polio\/\">poliovirus<\/a>) components as liquid in a syringe. If only the Infanrix\u00a0hexa\u00a0diluent is administered, the vaccinee will not receive the <a href=\"https:\/\/mvec.mcri.edu.au\/references\/haemophilus-influenzae-type-b-hib\/\">Hib<\/a> (haemophilus\u00a0influenzae type B)\u00a0component\u00a0of the vaccine. In this instance, a dose of\u00a0ActHIB\u00a0should be given either at the same time or as soon as the error is\u00a0realised. This will provide protection against Hib without increasing the chance of vaccine reactions due to the\u00a0additional\u00a0dose of other antigens if Infanrix\u00a0hexa\u00a0were repeated.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">If\u00a0doses are packaged in multipacks,\u00a0there is an added complication\u00a0of\u00a0identifying\u00a0which individuals\u00a0have been\u00a0impacted\u00a0by a diluent error.\u00a0In the case of\u00a0a discrepancy in diluent\u2013antigen count\u00a0in a multipack, it is difficult to narrow down which individuals are\u00a0impacted.<\/span><\/p>\n<p><span data-contrast=\"auto\">Any adverse event following immunisation (AEFI), including diluent errors, should be reported to the\u00a0<\/span><a href=\"https:\/\/mvec.mcri.edu.au\/references\/adverse-events-reporting-australia\/\"><span data-contrast=\"none\">adverse event reporting service<\/span><\/a><span data-contrast=\"auto\">\u00a0in your\u00a0jurisdiction.<\/span><\/p>\n<p><a href=\"https:\/\/mvec.mcri.edu.au\/references\/open-disclosure\/\"><span data-contrast=\"auto\">MVEC: Open disclosure<\/span><\/a><br \/>\n<a href=\"https:\/\/mvec.mcri.edu.au\/references\/multi-dose-vials\/\">MVEC: Multidose vials<\/a><br \/>\n<a href=\"https:\/\/education-mvec.mcri.edu.au\/courses\/use-of-multi-dose-vials\/\">Education Portal: Use of multidose vials eLearning<\/a><br \/>\n<a href=\"https:\/\/mvec.mcri.edu.au\/references\/herpes-zoster\/\">MVEC: Herpes zoster (shingles)<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Vaccine errors, relating to the way a vaccine is stored, prepared or administered, are a type of adverse event following<\/p>","protected":false},"author":493,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":"","_wp_rev_ctl_limit":""},"categories":[87,1],"tags":[],"class_list":["post-22461","post","type-post","status-publish","format-standard","hentry","category-news","category-default"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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