On 11Oct2021 the patient did not receive the scheduled dose of Genotropin because the cartridge in the pen was not changed properly and they could not press the injection button. The father was asked to repeat the steps they took and it was noticed that they failed to turn the injection button all the way, so they could not insert the cartridge correctly. They were given instructions again, they managed to do the ventilation and the pen was ready for the next medicine.