Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood pressure measurement, C-reactive protein, Expired product administered
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 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038B21A, 01LM70A and 041L20A) for COVID-19 vaccination.     The patient's past medical history included Chronic fatigue, Menopausal symptoms, Abdominal pain, Hematuria, Metabolic syndrome, Hypercalcemia, Vitamin D deficiency, Gastrointestinal disorder, Olecranon bursitis (Right), Headache, Belching, Nausea, Epigastric pain, Edema, Urge incontinence, Fatigue, Microscopic hematuria, Synovial cyst of popliteal space, Lumbar radiculopathy, Diverticulosis of colon (without mention of haemorrhage), Obesity hypoventilation syndrome, GERD, Gastropathy (Gastropathy due to NSAID), Nephrolithiasis and Postmenopausal symptoms (post menopausal on hormonal replacement therapy). Previously administered products included for Product used for unknown indication: Influenza vaccine on 20-Sep-2021. Past adverse reactions to the above products included No adverse event with Influenza vaccine. Family history included Colon cancer (Family history) and Breast cancer. Concurrent medical conditions included Dyspnea, Bronchitis, Reactive airways disease, Osteoporosis, Estrogen deficiency, Testosterone deficiency, Bruxism (teeth grinding), Esophageal motility disorder (Esophageal dysmotility), Benign paroxysmal positional vertigo, Pain of lower extremities, Overgrowth bacterial (Small bowel bacterial overgrowth), Urticaria, Fatty liver, Morbid obesity, Osteoarthritis knee (Osteoarthritis of right knee), Colitis (Colitis in the terminal ileum presumed infectious origin.), Hyperlipidemia, Insomnia, Depression, Obstructive sleep apnea syndrome, Migraine and Adhesive tape allergy. Concomitant products included RIFAXIMIN (XIFAXAN) for Blind loop syndrome, SALBUTAMOL SULFATE (VENTOLIN HFA) for Cough and Wheezing, OXYGEN for Hypoxemia and Obstructive sleep apnea syndrome, ONDANSETRON (ZOFRAN [ONDANSETRON]) for Nausea and Vomiting, MELOXICAM for Osteoarthritis, TRAMADOL HCL for Pain, METHYLPREDNISOLONE (MEDROL [METHYLPREDNISOLONE]) and CEFDINIR for Respiratory infection, ZOLPIDEM TARTRATE (AMBIEN) for Sleep decreased, MECLIZINE HCL for Vertigo and Dizziness, METAXALONE (SKELAXIN [METAXALONE]), NYSTATIN, BETAMETHASONE DIPROPIONATE, CLOTRIMAZOLE (LOTRISONE), TRIAMCINOLONE ACETONIDE, LATANOPROST, LOSARTAN POTASSIUM, TESTOSTERONE, ESTRADIOL, METFORMIN HYDROCHLORIDE (METFORMIN ER), VITAMIN D3, ROSUVASTATIN and MIRABEGRON (MYRBETRIQ) for an unknown indication.   On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine used). On 12-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) had resolved. Not applicable    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood glucose: elevated (High) Elevated and impaired (abnormal) Impaired. On an unknown date, Blood pressure measurement: high (High) High. On an unknown date, C-reactive protein: elevated (High) Elevated.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Screening test including for breast cancer, cervical cancer, osteoporosis, skin cancer, colon cancer, lung cancer and CAD screening, CAD Calcium Heart Score 43 were reported.  Lab exam ,preoperative examination, observation and evaluation for suspected exposure to other biological agent, and annual exam was also reported.  Patient was in due to receive flu vaccine, pneumovax, TD Booster.