The vial was first punctured on 19-Apr-2023 2pm and was administered on 20-Apr-2023 9:30 am; No Adverse Event; Nurse HCP is calling to report that an adult patient received Expired Bivalent (2nd Shot) Moderna COVID-19 vaccine on 20-APR- 2023 beyond 12 hours after first punctured.; Patient received Bivalent as second shot.; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Nurse HCP is calling to report that an adult patient received Expired Bivalent (2nd Shot) Moderna COVID-19 vaccine on 20-APR- 2023 beyond 12 hours after first punctured.), PRODUCT STORAGE ERROR (The vial was first punctured on 19-Apr-2023 2pm and was administered on 20-Apr-2023 9:30 am), WRONG PRODUCT ADMINISTERED (Patient received Bivalent as second shot.) and NO ADVERSE EVENT (No Adverse Event) in an adult patient of an unknown gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7173B) for COVID-19 prophylaxis.     Previously administered products included for COVID-19 prophylaxis: Spikevax in 2022. Past adverse reactions to the above products included No adverse event with Spikevax.    On 20-Apr-2023, the patient received second dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 20-Apr-2023, the patient experienced EXPIRED PRODUCT ADMINISTERED (Nurse HCP is calling to report that an adult patient received Expired Bivalent (2nd Shot) Moderna COVID-19 vaccine on 20-APR- 2023 beyond 12 hours after first punctured.) and WRONG PRODUCT ADMINISTERED (Patient received Bivalent as second shot.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (The vial was first punctured on 19-Apr-2023 2pm and was administered on 20-Apr-2023 9:30 am) and NO ADVERSE EVENT (No Adverse Event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Nurse HCP is calling to report that an adult patient received Expired Bivalent (2nd Shot) Moderna COVID-19 vaccine on 20-APR- 2023 beyond 12 hours after first punctured.), PRODUCT STORAGE ERROR (The vial was first punctured on 19-Apr-2023 2pm and was administered on 20-Apr-2023 9:30 am), WRONG PRODUCT ADMINISTERED (Patient received Bivalent as second shot.) and NO ADVERSE EVENT (No Adverse Event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse Event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Nurse HCP is calling to report that an adult patient received Expired Bivalent (2nd Shot) Moderna COVID-19 vaccine on 20-APR- 2023 beyond 12 hours after first punctured.), PRODUCT STORAGE ERROR (The vial was first punctured on 19-Apr-2023 2pm and was administered on 20-Apr-2023 9:30 am) and WRONG PRODUCT ADMINISTERED (Patient received Bivalent as second shot.).    No concomitant information was reported. The 2.5 ml adult blue top vial post puncture was stored in refrigerator for 19 hrs and was not exposed to room temperature. It was unknown how the vial was initially stored. The vial did not underwent any temperature excursions. No treatment information was provided.