Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin, C-reactive protein, Expired product administered, High density lipoprotein, Macrocytosis
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 an 83-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 Contusion of knee, Knee pain, Conjunctivitis, Insect bite NOS, Otalgia (left), Plantar warts (right), GERD, Anemia (Macrocytic anemia), Skin cancer (Screen skin cancer), Osteopenia, Cervical cancer (Screening Cervical cancer), Ovarian cancer (Screen ovarian cancer), Lung cancer NOS (Screen lung cancer), Hypercalcemia, Impaired fasting glucose, Syncope, Colon cancer (Screen colon cancer), Breast nodule (breast nodule right), Breast cancer (FH breast cancer), Staphylococcus aureus infection (Staphylococcal infection in bacterial feet), Back pain (thoracic region, lumbar, chronic) and Constipation predominant irritable bowel syndrome (with constipation). Previously administered products included for Product used for unknown indication: vaccine Influenza on 09-Oct-2019 and NSAID (Aftercare long term use of NSAID). Past adverse reactions to the above products included No adverse event with NSAID and vaccine Influenza. Concurrent medical conditions included Dermatitis contact (Dermatitis due to drug taken internally), Vitamin D deficiency, Eczematous dermatitis, Vitamin B12 deficiency, Osteoarthritis, Alcoholism, Renal insufficiency, Osteoporosis, Varicose vein (Lower extremities), Sinus bradycardia, Monoclonal gammopathy, Raynaud's disease, Hypothyroidism (Post-radioactive Iodine), Graves' disease, Drug allergy (celebrex) and Allergy to nuts (Pistachios). Concomitant products included MAGNESIUM, LEVOTHYROXINE SODIUM, ZOLPIDEM TARTRATE, ZINC, CHOLECALCIFEROL and CYANOCOBALAMIN for an unknown indication, FISH OIL (FISH OIL OMEGA 3).   On 29-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-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. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood albumin: high (High) serum elevated. On an unknown date, C-reactive protein: high (High) C-reactive elevated. On an unknown date, High density lipoprotein: low (Low) Low HDL. On an unknown date, Macrocytosis: high (High) macrocytosis red blood cells. On an unknown date, Serum ferritin increased: high (High) ferritin elevated.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Expired vaccine administration took place over 3 days.  No treatment medications provided by the reporter.  Patient reported services due details, that are FLU vax, Pneumovax, TD Booster