Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Chest X-ray, Expired product administered, Investigation, Physical examination
Clinical narrative: Expired vaccine used; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038B21A, 003B21A and 003B21A) for COVID-19 vaccination.     The patient's past medical history included Lumbar radiculopathy, Iritis, Conjunctivitis (Conjunctivitis, left), Pain in heel (Left heel pain), Sinusitis, Anxiety, Sciatica, Cough, Sore throat, Reactive airways disease, Granuloma (Calcified granuloma in right middle lobe) and Cervical radiculopathy. Previously administered products included for Product used for unknown indication: Influenza on 11-Oct-2018, Influenza on 08-Oct-2019 and Vaccine Pneumococcal. Past adverse reactions to the above products included Adverse event with Vaccine Pneumococcal; and No adverse event with Influenza and Influenza. Family history included Crohn's disease (Family history of crohn's disease). Concurrent medical conditions included Sulfonamide allergy (Allergy to Sulfa (critical)), Allergy to antibiotic (Allergy to Avelox (critical)), Drug allergy (Allergy o Macrobid (critical)), Hyperlipidemia, Allergic rhinitis (Allergic rhinitis, seasonal), Dry eye syndrome, Diabetes, Raynaud's syndrome and Bronchitis. Concomitant products included DICLOFENAC SODIUM for Pain, VITAMIN D3 and CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) for an unknown indication.   On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 28-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine used). On 10-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Antinuclear antibody: positive (Positive) Positive. On an unknown date, Chest X-ray: abnormal (abnormal) abnormal. On an unknown date, Investigation: no results provided (Inconclusive) screen colon cancer - no results provided, no results provided (Inconclusive) Screen lung cancer - no results provided, no results provided (Inconclusive) screen osteoporosis - no results provided, no results provided (Inconclusive) Screen ovarian cancer - no results provided, no results provided (Inconclusive) Screen skin cancer - no results provided, no results provided (Inconclusive) Screening breast cancer - no results provided and no results provided (Inconclusive) Screening cervical cancer - no results provided. On an unknown date, Physical examination: no results provided (Inconclusive) no results provided. On an unknown date, Tuberculin test: positive (Positive) Positive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No treatment information was provided by the reporter.  Other lab data included, Antibody response examination - no results provided. Patient was under Physical therapy evaluation and treatment for Left Quadriceps strain. Last refill was on 05F EB 2020.Letter of medical necessity included Gym membership to be placed on hold during pandemic to protect a family member who was immunocompromised. Last refill was on 02 Nov 2020. Services that were due included, Hemoccult or Sigmoid, TD Booster, BP Diastolic, BP Systolic, Mammogram, Breat exam