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    JENNAH MARIE ARANGORIN
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    This incident report from the Rural Health Unit Palauig details expired vaccines that were not used due to low patient vaccination compliance. Specifically, 5 doses of the HPV vaccine with a batch number of S041018 and expiration date of June 1, 2022 were expired. The municipal health officer was notified and an investigation was conducted. The expired vaccine vials were labeled and stored separately for inventory and reverse logistics purposes.

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    This incident report from the Rural Health Unit Palauig details expired vaccines that were not used due to low patient vaccination compliance. Specifically, 5 doses of the HPV vaccine with a batch number of S041018 and expiration date of June 1, 2022 were expired. The municipal health officer was notified and an investigation was conducted. The expired vaccine vials were labeled and stored separately for inventory and reverse logistics purposes.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    11 views1 page

    Expired Vaccines Form

    Uploaded by

    JENNAH MARIE ARANGORIN
    This incident report from the Rural Health Unit Palauig details expired vaccines that were not used due to low patient vaccination compliance. Specifically, 5 doses of the HPV vaccine with a batch number of S041018 and expiration date of June 1, 2022 were expired. The municipal health officer was notified and an investigation was conducted. The expired vaccine vials were labeled and stored separately for inventory and reverse logistics purposes.

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    © All Rights Reserved
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    of 1

    Republic of the Philippines

    DEPARTMENT OF HEALTH
    OFFICE OF THE SECRETARY

    EXPIRED VACCINES/MEDICINES INCIDENT REPORT FORM


    Name of Health Facility: RURAL HEALTH UNIT PALAUIG Date of Reporting: 6/24/2022

    Municipality: PALAUIG Province: ZAMBALES Region: III

    TYPE OF VACCINES PROGRAM BATCH/LOT EXPIRATION QUANTITY


    NUMBER DATE

    HPV NPI S041018 JUNE 1, 2022 5

    Date / time of incident: Description of incident:


    Vaccines were not used due to low patient vaccination compliance.

    Details of Investigation Conducted: Actions taken:

    The MHO were notified about the incident. An Vaccine vials were labelled as Expired, stored at the bottom of layer of the vaccine ref. For inventory & reverse logistics.
    incident report was made & reported.

    Prepared by: Noted by: (Municipal Health Officer/ Chief of Hospital) Acknowledge by:

    Jennah Marie M. Arangorin, RN FEDERICO B. NACIN, III, MD


    PHN Municipal Health Officer

    Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila * Trunk Line 651-7800 Direct Line : 711-9501
    Fax: 743-1829, 743-1786 * URL :http://www.doh.gov.ph: email: osec@doh.gov.ph

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