Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 07-Jun-2022; No adverse event; Dose administered after expiration date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 07-Jun-2022) and NO ADVERSE EVENT (No adverse event) in a 77-year-old female patient who received mRNA-1273 (COVID 19 Vaccine Moderna) (batch no. 003K21-2A) for COVID-19 prophylaxis.     Previously administered products included for COVID-19 prophylaxis: COVID-19 Vaccine (Dose: 1, lot number: EN6203, route: intramuscular, body site: left arm, Dose: 0.3 ML.) on 26-Feb-2021, COVID-19 Vaccine (Dose: 2, lot number: ER8727, route: intramuscular, body site: left arm, Dose: 0.3 ML.) on 19-Mar-2021, COVID-19 Vaccine (Dose: 3, lot number: 32030BD, route: intramuscular, body site: left arm and Dose: 0.3 ML.) on 25-Oct-2021. Past adverse reactions to the above products included No adverse event with COVID-19 Vaccine, COVID-19 Vaccine and COVID-19 Vaccine.    On 07-Jun-2022 at 3:16 PM, the patient received fourth dose of mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) .25 milliliter. On 07-Jun-2022 at 3:16 PM,  after starting mRNA-1273 (COVID 19 Vaccine Moderna), the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 07-Jun-2022) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 07-Jun-2022) and NO ADVERSE EVENT (No adverse event) outcome was unknown. Not Provided      For mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related and EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date) to have an unknown relationship. No further causality assessment was provided for PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 07-Jun-2022).    No concomitant medication was reported.  It was reported that, expired vaccine was administered to the patient; the health care professional thought that Moderna had an extension like Pfizer and assumed vaccines would expire on the 13-Jul-2022 but it was expired on the 13-May-2022, they realized this on the 08-Jun-2022.  The used vials were placed refrigerator on the same day of administration (07-Jun-2022) and vials did not undergo any temperature excursion.  Event did not cause the patient to seek medical care.  It was unknown if there were any other potential causes or patient experience similar events in the past.  No treatment medication was reported.