Moderna Booster - What was the dosage used in your facility?

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I work in a SNF and I just read the other day that the Moderna booster vaccine is only half of dose (0.25 mL) of regular shot. Our facility gave the same dose (0.5 ml)  to all residents, regardless if they were immunocompromised or not.

Is that something particular to nursing homes/LTCs? Or they just gave the wrong dose to our residents. 

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 45 years experience. 11 Articles; 17,391 Posts

Per CDC  11/9/21:   Moderna Booster Dose  = 0.25 mL

Administration Overview for Moderna COVID-19 Vaccine

Quote

Primary Series
Multidose vial: maximum of 15 doses per vial
Dosage: 0.5 mL

Booster Dose
Multidose vial: maximum of 20 doses per vial
Dosage: 0.25 mL
Do NOT mix with a diluent.
Discard vial when there is not enough vaccine to obtain a complete dose. Do NOT combine residual vaccine from multiple vials to obtain a dose.

https://www.CDC.gov/vaccines/covid-19/info-by-product/moderna/index.html

CDC Administration Overview for all US COVID-19 Vaccines available here:

NewRN'16

NewRN'16, ADN, RN

204 Posts

On 11/13/2021 at 6:16 PM, NRSKarenRN said:

Per CDC  11/9/21:   Moderna Booster Dose  = 0.25 mL

Administration Overview for Moderna COVID-19 Vaccine

CDC Administration Overview for all US COVID-19 Vaccines available here:

This is what I found yesterday. We just gave boosters to everyone (who consented) in facility with 0.5 ml as per DON order.  What do I  do next??? Should I report this?

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 45 years experience. 11 Articles; 17,391 Posts

DON's can not issue a medication order unless using standard protocol from a physician order. Contact DON and Medical director for further information. Due to recipients living in a SNF, along with high co-morbidities, physician may have chosen to give full dose.

NewRN'16

NewRN'16, ADN, RN

204 Posts

6 minutes ago, NRSKarenRN said:

DON's can not issue a medication order unless using standard protocpl from a physician order. Contact DON and Medical director for further information. Due to recipients living in a SNF, along with high co-morbidities, physician may have chosen to given full dose.

That is probably what  happened. I will ask my DON tomorrow. So far we haven't had any adverse reactions from anyone receiving the vaccine booster , I just panicked when I saw 0.25 ... I will update tomorrow. Ty x 

Edited by NewRN'16

T-Bird78

T-Bird78

Has 6 years experience. 1,007 Posts

I had a pt tell me they got the Moderna booster and was given the full dose, even though they told the pharmacy tech that it’s supposed to be a half-dose.  I think it’s a lot of misinformation and confusion with it.  I haven’t gotten my booster yet. I got Moderna for my first two but have heard nothing but horrible things about the booster. I’m waiting just a tad longer before I get my half-dose booster. 

SmilingBluEyes

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis. Has 25 years experience. 20,957 Posts

0.25 here!

Orca, ADN, ASN, RN

Specializes in Hospice, corrections, psychiatry, rehab, LTC. Has 27 years experience. 2,066 Posts

On 11/16/2021 at 4:36 AM, T-Bird78 said:

I had a pt tell me they got the Moderna booster and was given the full dose, even though they told the pharmacy tech that it’s supposed to be a half-dose.  I think it’s a lot of misinformation and confusion with it.  I haven’t gotten my booster yet. I got Moderna for my first two but have heard nothing but horrible things about the booster. I’m waiting just a tad longer before I get my half-dose booster. 

I had the Moderna booster, no effects whatsoever apart from moderate soreness at the injection site (oddly, it didn't appear until about two days after the shot, lasted for 2-3 days). 

Mine was a half dose, for those keeping score. ?

Edited by Orca

Rose_Queen, BSN, MSN, RN

Specializes in OR, Nursing Professional Development. Has 17 years experience. 5 Articles; 11,132 Posts

We have 2 separate designations- a third full dose for immunocompromised or other qualifying reason, and a half-dose booster for all others.

NewRN'16

NewRN'16, ADN, RN

204 Posts

Apparently it was ordered 0.5 for all residents who consented to the booster. I panicked because I am one of the nurses who administers the vaccines. They came in vials of 7.5 mL , for 15 doses from a vial. (Moderna)

I wish there was one day that my work didn't make me jump out of my skin , either there or at home when I review the whole day in my head. Smh LOL 

CommunityRNBSN

CommunityRNBSN, BSN, RN

Specializes in Community health. Has 4 years experience. 825 Posts

As someone else said, a “third dose” is different from a “booster.”  Third doses of 0.5mL are for those who are severely immunocompromised; booster of 0.25mL for everyone else.
Is it possible that the orders for 0.5mL were because your MD considers all the residents to be at very high risk?  I have a coworker who doesn’t technically fit into the “very immunocompromised” category but she got a whole third dose because her MD thought it was a good idea for her.