Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered, Product temperature excursion issue
Clinical narrative: Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions; Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions; No adverse event; This spontaneous case was reported by a pharmacist and describes the occurrence of POOR QUALITY PRODUCT ADMINISTERED (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions), PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions) and NO ADVERSE EVENT (No adverse event) in an 84-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 014B22A) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, the patient experienced POOR QUALITY PRODUCT ADMINISTERED (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions), PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions) and NO ADVERSE EVENT (No adverse event). At the time of the report, POOR QUALITY PRODUCT ADMINISTERED (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions), PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 (Spikevax) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for POOR QUALITY PRODUCT ADMINISTERED (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions) and PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received Moderna COVID-19 vaccine that had undergone multiple temperature excursions).    No concomitant medications were reported. Patient weight was unknown. The pharmacist reported that, the vaccine underwent multiple temperature excursion and the storage condition at the time of temperature excursion was frozen. The maximum or minimum temperatures reached (specify temperature was in C or F) were as follows; first excursion at 5.05 Degrees Fahrenheit for 28 minutes, second excursion at 5.22 Degrees F for 28 minutes, third excursion at 5.05 Degrees Fahrenheit for 20 minutes, forth excursion at 5.02 Degrees Fahrenheit for 21 minutes, fifth excursion at 5.07 Degrees Fahrenheit for 15 minutes, sixth excursion at 5.11 Degrees Fahrenheit 29 minutes, seventh excursion at 5.05 degrees Fahrenheit for 13 minutes, eighty excursion at 5.05 degrees Fahrenheit for 34 minutes and ninth excursion at 5.11 Degrees Fahrenheit for unspecified time. On 09-Aug-2022, the vials were initially moved from freezer to refrigerator and vials were in the refrigerator under quarantine currently. Upon visual inspection vaccines appeared normal after the excursion and they were currently in the refrigerator.    It was stated that, up to 9 vials from the carton of Moderna COVID-19 vaccine have been administered to patients and it was not known which dose in the series that the patient received vaccine that had undergone multiple temperature excursions. No other adverse reactions were reported.  No treatment medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 12-Aug-2022: Follow up received no new information.