No adverse event; They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours; They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT STORAGE ERROR (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours), EXPIRED PRODUCT ADMINISTERED (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours) and NO ADVERSE EVENT (No adverse event) in a  patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7170B) for COVID-19 prophylaxis.     No Medical History information was reported.    On 11-Jan-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 11-Jan-2023, the patient experienced PRODUCT STORAGE ERROR (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours) and EXPIRED PRODUCT ADMINISTERED (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, PRODUCT STORAGE ERROR (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours), EXPIRED PRODUCT ADMINISTERED (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours) 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 PRODUCT STORAGE ERROR (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours) and EXPIRED PRODUCT ADMINISTERED (They had Moderna vial that was out of the fridge between 20 to 24 hours and the vial was already punctured and a dose was given from this vial/ approximately 25 hours).    No relevant concomitant medications were reported. Date the vial was initially stored in the refrigerator was 06 Jan 2023 6. The vial was first punctured on 10 Jan 2023 around 12:00PM to 1:00PM. Vaccine was administered on 11 Jan 2023 around 2:00 PM. The vial haven't undergone any temperature excursions. No treatment medication reported.