Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine was initially stored in refrigerator on 22Aug2022 and administered on 27Sep2022; No Adverse event; Patient was given vaccine beyound 30 day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient was given vaccine beyound 30 day use by date), PRODUCT STORAGE ERROR (Vaccine was initially stored in refrigerator on 22Aug2022 and administered on 27Sep2022) and NO ADVERSE EVENT (No Adverse event) in a 3-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. AR9236B and AS1416B) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: HEPATITIS B VACCINE (Dose 1, full dose) on 23-Dec-2018, PREVNAR 13 (Dose 1, full dose) on 25-Feb-2019, POLIO VACCINE (Dose 1, full dose) on 25-Feb-2019, HIB VACCINE (Dose 1, full dose) on 25-Feb-2019, HEPATITIS B VACCINE (Dose 2, full dose) on 26-Feb-2019, ROTAVIRUS VACCINE (Dose 1, full dose) on 26-Feb-2019, DTP/ap (Dose 1, full dose) on 26-Feb-2019, HEPATITIS B VACCINE (Dose 3, full dose) on 25-Apr-2019, HIB VACCINE (Dose 2, full dose) on 25-Apr-2019, POLIO VACCINE (Dose 2, full dose) on 25-Apr-2019, ROTAVIRUS VACCINE (Dose 2, full dose) on 25-Apr-2019, DTP/ap (Dose 2, full dose) on 26-Apr-2019, PREVNAR 13 (Dose 2, full dose) on 26-Apr-2019, POLIO VACCINE (Dose 3, full dose, batch no: MG92B, intramuscular route, Anatomical site: Left Thigh) on 27-May-2019, HIB VACCINE (Dose 3, full dose, batch no: UJ119AAA, intramuscular route, Anatomical site: Right Thigh) on 27-May-2019, ROTAVIRUS VACCINE (Dose 3, full dose, batch no: R034701, PO route,) on 27-Jun-2019, HEPATITIS B VACCINE (Dose 4, full dose, batch no: MG92G, intramuscular route, Anatomical site: Left Thigh) on 27-Jun-2019, DTP/ap (Dose 3. full dose, batch no: MG92G, intramuscular route, Anatomical site: Left Thigh) on 27-Jun-2019, PREVNAR 13 (Dose 3, full dose,  batch no: AA7118, intramuscular route, Anatomical site: Right Thigh) on 27-Jun-2019, INFLUENZA VACCINE (Dose 1, full dose, batch no: XM9TB, intramuscular route and Anatomical site: Right Thigh) on 23-Sep-2019. Past adverse reactions to the above products included No adverse reaction with DTP/ap, DTP/ap, DTP/ap, HEPATITIS B VACCINE, HEPATITIS B VACCINE, HEPATITIS B VACCINE, HEPATITIS B VACCINE, HIB VACCINE, HIB VACCINE, HIB VACCINE, INFLUENZA VACCINE, POLIO VACCINE, POLIO VACCINE, POLIO VACCINE, PREVNAR 13, PREVNAR 13, PREVNAR 13, ROTAVIRUS VACCINE, ROTAVIRUS VACCINE and ROTAVIRUS VACCINE.   On 16-Aug-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 27-Sep-2022, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 27-Sep-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient was given vaccine beyound 30 day use by date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine was initially stored in refrigerator on 22Aug2022 and administered on 27Sep2022) and NO ADVERSE EVENT (No Adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient was given vaccine beyound 30 day use by date), PRODUCT STORAGE ERROR (Vaccine was initially stored in refrigerator on 22Aug2022 and administered on 27Sep2022) and NO ADVERSE EVENT (No Adverse event) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Patient was given vaccine beyound 30 day use by date) and PRODUCT STORAGE ERROR (Vaccine was initially stored in refrigerator on 22Aug2022 and administered on 27Sep2022).    No concomitant medication was reported. It was reported that vaccine coordinator was calling to report that some patients (Adults and Pediatrics) received expired Moderna COVID-19 vaccine after 30 day beyond use date (22-Sep-2022). There were unbroken cartons. Vial size for 6 months to 5 year. The vial was initially stored in the refrigerator on 22-Aug-2022. The patient was given vaccine after BUD date. The vial did not undergo any temperature excursions. No treatment medication was reported.