No adverse event; Patient received Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes; Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes), PRODUCT STORAGE ERROR (Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes.) and NO ADVERSE EVENT (No adverse event) in a 72-year-old male patient 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.     No Medical History information was reported.    On 21-Apr-2023, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In April 2023, the patient experienced PRODUCT STORAGE ERROR (Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes.). On 21-Apr-2023,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes), PRODUCT STORAGE ERROR (Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes.) 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 (Patient received Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes) and PRODUCT STORAGE ERROR (Moderna Covid-19 vaccine that had been left in a medical cooler with the temperature not monitored for 19 hours and 25 minutes.).    Concomitant medication details not reported by the reporter. The patient received his first dose of the moderna monovalent vaccine series on May 18, 2021 lot number 033B21A, second dose of the Moderna Primary series on June 15, 2021 lot number 026B21A, first Moderna monovalent booster dose lot number 045L21A expiration date is not known. Patient received in his left arm. No adverse reactions were reported.  Treatment details was not reported by the reporter.