Adverse Event Reporting

VAERS ID 1994704
Gender Unknown
Age 83
StateCode FL
Pharmaceutical Company MODERNA
Lot Number 047C21A
Number of vaccinations 3
Vaccinated 2021-08-17
Onset 2021-08-17
Condition Recovered
Symptoms
  • Expired product administered

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

patients received a dose of a vial after 12 hours of initial puncture; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (patients received a dose of a vial after 12 hours of initial puncture) in an 83-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no.
047C21A) for COVID-19 vaccination.
No Medical History information was reported.
On 17-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.
On 17-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (patients received a dose of a vial after 12 hours of initial puncture).
On 17-Aug-2021, EXPIRED PRODUCT ADMINISTERED (patients received a dose of a vial after 12 hours of initial puncture) had resolved.
Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.
No Concomitant and treatment medications were reported.
Vial punctured 01-Jun-2021 Vial stored in refrigerator once punctured, in freezer prior to puncture (Vial was being used past the recommended 12 hour post puncture time).
This case was linked to MOD-2021-418964 (Patient Link).