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VAERS ID 2547987
성별 알 수 없음
나이
주 코드 MI
제약회사 MODERNA
로트 번호 042H22A
예방접종 횟수
접종일 2022-12-28
발병일 2022-12-28
상태
증상
  • 부작용 없음(No adverse event)
  • 유통기한이 지난 제품이 관리됨(Expired product administered)

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증상 상세

No adverse event; Pharmacist is calling to report that 2 adult patients received Expired Bivalent booster beyond 12 hours post puncture.
Dose administered >12(US) hours post puncture; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that 2 adult patients received Expired Bivalent booster beyond 12 hours post puncture.
Dose administered >12(US) hours post puncture) 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.
042H22A) for COVID-19 prophylaxis.
No Medical History information was reported.
On 28-Dec-2022, 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 28-Dec-2022, after starting mRNA-1273 BIVALENT .
222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.
4/BA.
5)), the patient experienced EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that 2 adult patients received Expired Bivalent booster beyond 12 hours post puncture.
Dose administered >12(US) hours post puncture).
On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event).
At the time of the report, EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that 2 adult patients received Expired Bivalent booster beyond 12 hours post puncture.
Dose administered >12(US) hours post puncture) 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 assessment was provided for EXPIRED PRODUCT ADMINISTERED (Pharmacist is calling to report that 2 adult patients received Expired Bivalent booster beyond 12 hours post puncture.
Dose administered >12(US) hours post puncture).
Concomitant product use was not provided by the reporter.
On 21-Dec-2022 2.
5 ml vials were initially stored in the refrigerator.
On 27-Dec-2022 at 2:30 P.
M, vial was first punctured.
On 28-Dec-2022 11:30 A.
M vaccine was administered Vial was exposed to room temperature (8° to 25°C or 46° to 77°F) for 21 hours.
Vial did not undergo any temperature excursions.
Treatment information was not provided.
; Sender's Comments: US-MODERNATX, INC.
-MOD-2022-693180:Master case (patient 1 of 1)