teenage daughter given different second dose?

[greenweepingwillow]

so this morning myslef and my 17 yr old daughter (who has ASD for context as to why I was helping he at appointment)went for vaccinations. Mine was for a booster, dd was for her second dose. When I booked it stated the venue had both pfizer and moderna available. It also stated if for a second dose it needed to be the same as your first - which I knew.
My concern is my daughter has been given the moderna vaccination, but had pfizer for first dose. My understanding was that she should have same as first dose, and also that only pfizer was used for under 18s? We were very clear it was her second dose, and I challenged the nurse about this when she said it would be moderna(they didnt have any pfizer), but was told by the nure the guidance had changed and she could now have any vaccine for second dose.
When I have come home and tried to research this I cant find that new guidance anywhere at all. Does anyone know f this is right?
I am concerned and angry that she may have been given the worng vaccination.The nurse was incredibly dismissive of my concerns and really just wanted us out (which I understand given how bisy they are but still)(I am also angry with myself for not standing firm and refusing the vaccination.)How can I follow this up? Tried calling 119, to just have someone repeat to me off a script that 17yr olds are now eligible for a second dose.....and totally unable to answer my questions.
How can I follow ths up?

@Frazzled2207

Will it not potentially have repercussions for her covid pass if two different vaccines?

No, it should be fine as long as she's had 2 approved vaccines. I had two different ones& no-one's ever looked to see what they were, just that I've had them.

Something odd has happened because she should have only been offered Pfizer appointments. Yes I’d ring the relevant overseeing trust and report it. It’s also a risk having a centre doing Pfizer and Moderna at the same time.

thanks for all the replies. I emailed the ccg with my concerns yesterday and just had a call back from one of the GPs overseeing this vaccination centre.
He confirmed she should not have been given moderna, and that something had gone wrong with system for her to have been given it. Also confirmed that the nurse should not have dismissed my concerns when I challenged, or told me there had been a change in guidance (there hasn't)
He said the centre was mostly offering pfizer, but had been using moderna only for 4 days last week (including day we went)( although this was not made clear at time of booking, which stated both pfizer and moderna would be available.)
GP confirmed there would not be any untoward effects from the vaccine, and that efficacy was still likely to be good. Also confimed it should show as complete course on covid pass (I cant access that yet )
However GP agreed this was a serious error and is logging it as a serious incidenet which will then be fully investigated and further training/guidance/review of processes as needed will happen asap. He thanked me for flagging it and was very apologetic.
Im mostly now very annoyed with myself for allowing her to have it and not standing up for her more, but oh well, should all be OK.

Am pleased you have had this broadly sorted out OP. Pretty rubbish but I’m sure your daughter will be adequately protected- as I understand it both Pfizer and Moderna are relatively similar.

My dd had her 2nd last week, the vaccination centre had both vaccines but dd was told she would have Pfizer because she’s under 18, my friend went in with her to have her booster and she was given moderna.

I was on the ComCov study, according to the results they sent us last week:
The results:
Participants who had a first dose of Pfizer and a second dose with Moderna had antibody levels that were slightly higher than those receiving a second dose of Pfizer.
What it means:
Having Moderna as a second dose after a first dose of Pfizer gives an antibody response that is at least as good as having two doses of Pfizer.

Im mostly now very annoyed with myself for allowing her to have it and not standing up for her more don't be. We have to put our trust in our health care providers and they screwed up here not you.

From what I have read Moderna and Pfizer are very similar.

Also, under 18s in America were given Moderna back in the first half of the year, so it’s approved for them there, if not here.

My Moderna patient leaflet just says that it is not recommended for children aged under 12 years.

Just remembered that when DD went for her second jab the screen flashed up red to say she shouldn’t be having Moderna but in the end they decided it was best to complete the course. I was very pleased as I feel she is well protected.
Just out of interest @Cookerhood / was Pfizer/Moderna more effective than Moderna/Moderna?
I was in the original Com cov trial but I. Our trial they were looking at Pfizer/AZ mix. Thanks.

@greenweepingwillow

thanks Cookerhood. That is what I thought. TBH I know you are right about both safety and efficacy - but the fact it happened concerns me. It was defintiely moderna - they told us that, as they didnt have any pfizer, which is why I questioned it. I felt very fobbed off when I challenged it tbh which made me doubt myself. I am concenred though becuase it is in fact a serious drug error and reflects significant concerns about their practice as another error may have more serious consequences for someone.= which is why I am following up.

It is not a serious drug error, it is perfectly acceptable to mixed doses of licensed vaccines.

A lot of doctors in the US are actually very much in favour of mixing vaccines when possible. She may well have accidentally benefitted!

@CiderWithLizzie the link to the results is
www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02718-5/fulltext

@MatildaIThink it is counted as a serious error even if clinically it isn't dangerous.

@CiderWithLizzie they didn't study Moderna/Moderna in the study, only AZ followed by AZ, Moderna or Novavax and Pfizer followed by Pfizer, Moderna or Novavax.

Thank you @Cookerhood.

thanks for the further replies.
Good to see that studys support the efficacy of mixed vaccines

@MatildaIThink she was given a drug which in effect had not been prescribed for her. The PGD which covers the prescriptions of vaccinations does NOT cover giving moderna to under 18s, therefor the nurse administered an unprescribed medication. That IS a serious drug error. Just because it thankfully didn't have any serious consenquences in this instance, does not mean that he error was not serious, and it defintiely needs investigating to understand how it happened and to ensure similar can't happen again, because on another occasion it could have serious implicaitons.