felt fragile; sore left arm; elderly patient (Born in 1950) received an expired/lot number 001J21-2A returned that it was vaccine that had expired on April 12, 2022; expired monovalent vaccine was administered as purported updated Moderna bivalent vaccine; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (felt fragile), VACCINATION SITE PAIN (sore left arm), EXPIRED PRODUCT ADMINISTERED (elderly patient (Born in 1950) received an expired/lot number 001J21-2A returned that it was vaccine that had expired on April 12, 2022) and WRONG PRODUCT ADMINISTERED (expired monovalent vaccine was administered as purported updated Moderna bivalent vaccine) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001J21-2A, 004M21A, 045A21A and 024M20A) for COVID-19 prophylaxis.     No Medical History information was reported.   On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Jun-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Sep-2022, received fifth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Sep-2022, the patient experienced VACCINATION SITE PAIN (sore left arm), EXPIRED PRODUCT ADMINISTERED (elderly patient (Born in 1950) received an expired/lot number 001J21-2A returned that it was vaccine that had expired on April 12, 2022) and WRONG PRODUCT ADMINISTERED (expired monovalent vaccine was administered as purported updated Moderna bivalent vaccine). On an unknown date, the patient experienced FEELING ABNORMAL (felt fragile). At the time of the report, FEELING ABNORMAL (felt fragile), VACCINATION SITE PAIN (sore left arm), EXPIRED PRODUCT ADMINISTERED (elderly patient (Born in 1950) received an expired/lot number 001J21-2A returned that it was vaccine that had expired on April 12, 2022) and WRONG PRODUCT ADMINISTERED (expired monovalent vaccine was administered as purported updated Moderna bivalent vaccine) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications details were reported.  According to the booster card patient received a booster on 07-Sep-2022 (Lot number 001J21-2A & Exp. Date: 12-Apr-2022).   The patient and his wife went to a Pharmacy to see if they had gotten a Moderna bivalent booster dose on 07-Sep-2022. The patient provided the lot number 001J21-2A from the September vaccination to the Pharmacist and the lot number 001J21-2A returned that it was vaccine that had expired on 12-Apr-2022, long before the Moderna bivalent vaccine was available. On 07-Sep-2022 the patient's had traveled to an unfamiliar part of town to eat at a highly regarded Taco restaurant. After eating they ventured to the building next to the store which had a tent and a Health Care Professional offering to give the patient and his wife updated Moderna bivalent booster shots. The patient received first Moderna COVID-19 vaccine monovalent booster dose on 04-Sep-2021 Lot number 048F (may be an incomplete lot number)The patient reports that himself and his wife received what they thought was a Moderna bivalent vaccine booster dose on 07-Sep-2022 however they have found that the lot number of 001J21-2A was Moderna monovalent vaccine. The patient's wife also received what was apparently an expired Moderna monovalent booster dose on 07-Sep-2022. The patient was part of a study measuring antibodies and his Health Care Professionals recommended a second monovalent booster dose due to low antibodies value (300). Patient reported that, patient believed that he has received expired Moderna COVID-19 monovalent vaccine as part of a fraud scam where expired monovalent vaccine was administered as purported updated Moderna bivalent vaccine.  No treatment medications details were reported.   This case was linked to US-MODERNATX, INC.-MOD-2023-715130 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 11-Mar-2023: Follow-up received wherein additional reporter, patient information, medical history, new events, suspect vaccine and case narrative updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-715130:Wife's case (Same reporter)