Vaccine leaking out of injection site

[soontobepharmd2017]

Has anyone ever given a flu shot where after the needle was taken out of the skin, there was medication leaking out? I had it happen the other day with fluad and afluria... never happened before but am confused and worried.

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[PharmDBro2017]

Did you put the needle in all the way (to the hub)?


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[soontobepharmd2017]

Did you put the needle in all the way (to the hub)?


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Yes, i'm pretty sure I did

 

[zelman]

Has anyone ever given a flu shot where after the needle was taken out of the skin, there was medication leaking out? I had it happen the other day with fluad and afluria... never happened before but am confused and worried.

No.

 

[owlegrad]

Nothing from Unchained about vaccines being fake news anyway?

It never happened to me but I did see this happen to a preceptor of mine when I was an intern. Obviously it's less than ideal but what are you going to do? I just hope that enough stayed in to be effective.

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[Amphetamine Salts]

yes I admit this happened to me a few times. I'm an appe student and the pharmacist allows me to give the flu shots. as long as you are pushing the needle to the hub you should be fine

 

[soontobepharmd2017]

Thanks for your responses everyone! Really appreciate it!

 

[wagrxm2000]

Are you giving the correct length of needle based on weight? Usually this happens because people use the one inch needle for a patient weighing 300 pounds. Also don't let them roll up sleeves.

 

[Dr Wario]

It has happened to me when people wear long sleeve shirts and when they roll them up it is so tight that it takes on the properties of a tourniquet. I have gotten into the habit of rubbing the injection site gently with my thumb directly after pulling out the needle, helps prevent vaccine blowback and bleeding.

 

[PharmDminus]

Has anyone ever given a flu shot where after the needle was taken out of the skin, there was medication leaking out? I had it happen the other day with fluad and afluria... never happened before but am confused and worried.

this happened to me once or twice out of thousands of shots. you have to remember at 20 drops/ml,

Thanks for your responses everyone! Really appreciate it!

dont forget z-trak technique

 

[Swishers]

It's happened to me at least a dozen times this year with Fluad. I've never had this issue in the past. It's probably no big deal though.

 

[Abby Atwood]

I've never had that happen with a vaccine, but I've occasionally had that happen with subcutaneous injections on myself. For example, if I remove the plastic cannula for my insulin pump right after I bolus. Was it with a larger patient? Any chance the vaccine went into subcutaneous tissue?

*edited to avoid pronoun confusion

 

[trailerpark]

What's the worst that can happen if the injection goes into SQ tissue? The longest needle I had was 1.5'' (I only have 5/8'', 1'' and 1.5'' needles in my kit) but one lady was huge and I'm pretty sure I didn't hit muscle.

 

[Abby Atwood]

What's the worst that can happen if the injection goes into SQ tissue? The longest needle I had was 1.5'' (I only have 5/8'', 1'' and 1.5'' needles in my kit) but one lady was huge and I'm pretty sure I didn't hit muscle.

I don't think anyone could have done better. I haven't seen any 2" needles anywhere and I haven't seen any recommendations for use of 2" needles anywhere either. There are probably a lot of reasons for vaccine leakage after injection. I wasn't sure about negative outcomes with subcutaneous injections, so I looked it up. It looks like there may be decreased immunogenicity and a higher risk of local adverse reactions.
The importance of injecting vaccines into muscle : Different patients need different needle sizes

 

[CetiAlphaFive]

What's the worst that can happen if the injection goes into SQ tissue? The longest needle I had was 1.5'' (I only have 5/8'', 1'' and 1.5'' needles in my kit) but one lady was huge and I'm pretty sure I didn't hit muscle.

Are you not feeling for the deltoid when finding your injection site?
I'm pretty aggressive when I do it, and I usually keep pressure on the arm with my off hand.

Never had a problem even with Ham-Planets