A 1.5-year-old boy was supposed to receive Tamiflu for seasonal flu treatment. Instead, he was prescribed the chemotherapy drug, tamoxifen. MedAware alerted the care team of the mistake, and the order was canceled.

If treated with tamoxifen, the child could have suffered from side effects of chemotherapy, such as hypertension, nausea, hepatic impairment, and thrombotic events. Additionally, untreated flu can lead to complications in young children.