The vaccine was initially moved from the freezer to the refrigerator on 29-Sep-2022 and administered on 30-Oct-2022; No adverse event; bivalent vaccine were administered to patients after the 30 day beyond use date; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (bivalent vaccine were administered to patients after the 30 day beyond use date), PRODUCT STORAGE ERROR (The vaccine was initially moved from the freezer to the refrigerator on 29-Sep-2022 and administered on 30-Oct-2022) and NO ADVERSE EVENT (No adverse event) in a 70-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 027E22A) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: Influenza vaccine (IIV 3, (Inject), 65 years 9 months, High dose) on 25-Jan-2018, Prevenar 13 (65 years and 9 months) on 25-Jan-2018, Influenza vaccine (IIV 3, (Inject), 65 years 9 months, High dose) on 05-Oct-2018, Pneumovax (67 years and 4 months) on 22-Aug-2019, Flucelvax (IIV 3, (Inject), 67 years 8 months, High dose) on 08-Jan-2020, Pfizer biontech (68 years 10 months, PFR 30 mcg) on 02-Mar-2021, Pfizer biontech (68 years 11 months, PFR 30 mcg) on 24-Mar-2021, Pfizer biontech (68 years 11 months, PFR 30 mcg) on 04-Oct-2021, FLUAD QUAD (IIV 4, (Inject), 69 years 5 months, High dose) on 04-Oct-2021, FLUAD QUAD (V 4, (Inject), 70 years 6 months and High dose) on 30-Oct-2022. Past adverse reactions to the above products included No adverse event with FLUAD QUAD, FLUAD QUAD, Flucelvax, Influenza vaccine, Influenza vaccine, Pfizer biontech, Pfizer biontech, Pfizer biontech, Pneumovax and Prevenar 13. Concomitant products included INFLUENZA VACCINE INACT SAG 3V (FLUAD) for an unknown indication.   On 30-Oct-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. On 30-Oct-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (bivalent vaccine were administered to patients after the 30 day beyond use date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (The vaccine was initially moved from the freezer to the refrigerator on 29-Sep-2022 and administered on 30-Oct-2022) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (bivalent vaccine were administered to patients after the 30 day beyond use date), PRODUCT STORAGE ERROR (The vaccine was initially moved from the freezer to the refrigerator on 29-Sep-2022 and administered on 30-Oct-2022) and NO ADVERSE EVENT (No adverse event) outcome was unknown. Not Provided    For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (bivalent vaccine were administered to patients after the 30 day beyond use date) and PRODUCT STORAGE ERROR (The vaccine was initially moved from the freezer to the refrigerator on 29-Sep-2022 and administered on 30-Oct-2022).    The size of the vial was 2.5ml.  The vial was initially stored in refrigerator on 29-Sep-2022.  The vial did not undergo any temperature excursions.  On 30-Oct-2022, 10 (ten) Moderna Bivalent vaccines were administered to 10 patients. The by-use-date on the product was 29Oct2022. LOT 027E22A. The error was discovered on 31Oct2022.  It was reported that patients had no reported symptoms, no additional doses, medications, or treatments.