Sex: U
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: vial was initially stored in the refrigerator on 24-Oct-2022 and administered to patient on 05-Dec-2022, after the 30 day beyond use date; No Adverse event; administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date.), PRODUCT STORAGE ERROR (vial was initially stored in the refrigerator on 24-Oct-2022 and administered to patient on 05-Dec-2022, after the 30 day beyond use date) and NO ADVERSE EVENT (No Adverse event) in an adult patient of an unknown gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7167B) for COVID-19 prophylaxis.     No Medical History information was reported.    On 05-Dec-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter. On 05-Dec-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (vial was initially stored in the refrigerator on 24-Oct-2022 and administered to patient on 05-Dec-2022, after the 30 day beyond use date) and NO ADVERSE EVENT (No Adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date.), PRODUCT STORAGE ERROR (vial was initially stored in the refrigerator on 24-Oct-2022 and administered to patient on 05-Dec-2022, after the 30 day beyond use date) and NO ADVERSE EVENT (No Adverse event) outcome was unknown. Not Provided      For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date.) and PRODUCT STORAGE ERROR (vial was initially stored in the refrigerator on 24-Oct-2022 and administered to patient on 05-Dec-2022, after the 30 day beyond use date).    No concomitant medications were reported.  It was unknown if patient received any other vaccines in the 4 weeks prior to COVID-19 vaccine. Vaccine coordinator called to report that they administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date. The vaccine coordinator reported that, they administered expired Bivalent booster Moderna COVID-19 vaccine after the 30-day beyond use date. It was individual vial with vial size of 2.5 ml. On 24 Oct 2022, the vial was initially stored in the refrigerator and vial did not undergo any temperature excursions.   No treatment medications were reported.  This case refers to the 5th patient among the 5 patients reported who received expired bivalent booster.