Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received Moderna vaccine Booster on 04/08/2022. Vaccine was given beyond use date) and PRODUCT STORAGE ERROR (Vaccine was received in refrigerator on 07/03/2022 in appropriate temperature (2-8 Celsius). Vaccine was administered to patient 5 days past the 30 day time in refrigerator.) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046L21A, 014F21A and 037C21A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Patient is allergic to Metformin). On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 07-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 08-Apr-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 08-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received Moderna vaccine Booster on 04/08/2022. Vaccine was given beyond use date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine was received in refrigerator on 07/03/2022 in appropriate temperature (2-8 Celsius). Vaccine was administered to patient 5 days past the 30 day time in refrigerator). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received Moderna vaccine Booster on 04/08/2022. Vaccine was given beyond use date) and PRODUCT STORAGE ERROR (Vaccine was received in refrigerator on 07/03/2022 in appropriate temperature (2-8 Celsius). Vaccine was administered to patient 5 days past the 30 day time in refrigerator) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EXPIRED PRODUCT ADMINISTERED (Patient received Moderna vaccine Booster on 04/08/2022. Vaccine was given beyond use date) and PRODUCT STORAGE ERROR (Vaccine was received in refrigerator on 07/03/2022 in appropriate temperature (2-8 Celsius). Vaccine was administered to patient 5 days past the 30 day time in refrigerator) to be not related. No concomitant medications were reported. Weight of the patient was given as 139 (No units provided). Race of patient was given as Hispanic. Patient had no Acute illnesses at the time of vaccination and up to one month before vaccination. The reporter reported that they had refrigerated some vials of Moderna Covid-19 vaccine more than 30 days. Reporter would like to know if the vaccine was still viable 30 days after the vaccine had been in the fridge. Reporter further stated that it was stored between 2 and 8 Celsius degrees. Dose was administered after 30 day use by date or after manufacture date of expiry. Lot number  046L21A. No of doses or vials 9 doses. Date the vial was initially stored in the refrigerator 07-Mar-2022. The vial had not undergone any temperature excursions. No treatment medications were reported. This case was linked to MOD-2022-546711 (Patient Link).