Shingrix given subcutaneously instead of IM â†' report to:

The Occupational Safety and Health Administration (OSHA) is primarily concerned with workplace safety and health regulations. While they oversee safety practices in healthcare settings, they do not handle reports related to medication administration errors or adverse event reporting for vaccines. Therefore, OSHA is not the correct entity for reporting this type of incident.

iPLEDGE is a risk management program designed specifically for patients taking isotretinoin, aimed at preventing fetal exposure during pregnancy. It does not pertain to vaccines or their administration routes. As such, it is irrelevant to the reporting of Shingrix given subcutaneously.

The Institute for Safe Medication Practices (ISMP) Vaccine Error Reporting Program (VERP) focuses on the prevention and reporting of vaccine errors. While it may seem relevant, MedWatch serves as the primary federal reporting system for medication errors, including vaccine administration routes, making it the more appropriate choice for this scenario.