COVID-19 vaccines with an emergency use authorization do not have fixed expiration dates, and the dates can be extended as more stability data is received and analyzed, according to the FDA. Shelf Life Extension for the SPIKEVAX (elasomeran) COVID-19 Vaccine with Printed Expiry Dates on Vial and Carton Labels. /Parent 16 0 R It might seem confusing that Johnson & Johnson has already extended their COVID-19 vaccines shelf life twice. A recording of this webinar, slides and Q&A(under Resources tab) are available in CDC TRAIN (free account required). The new bivalent Moderna 6 months through 5 years product is approved as a booster dose for children 6 months through 4 years who have completed the. /Type /XRef Moderna as well as Pfizer and Johnson & Johnson/Janssen vaccines are preservative-free and have a 90- to 120-day expiration date. 1. Use Moderna expiration date tool at https://modernacovid19global. Stockpiling drugs, vaccines, and medical products is critical to ensure public health emergency preparedness for both the U.S. military and civilian populations. The letter noted that, based on FDA-approved supplemental New Drug Applications for Relenza inhalation powder and Tamiflu capsules that provided an expiration dating period of 7 years, it would be scientifically supportable for the expiry extension (i.e., for a maximum of 7 years) to apply to certain lots of Tamiflu and Relenza that have already been manufactured. Please see the most recent updates above for the latest information. /GS8 28 0 R FDA has authorized extended expiration dates for these lots to reflect the 12-month product shelf-life (see Table 1 below), when stored according to the storage conditions detailed in the authorized Fact Sheet for Health Care Providers and the Letter of Authorization for Emergency Use Authorization (EUA) 105 for Paxlovid. SPIKEVAX is indicated for active immunization against coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in individuals 12 years of age and older. startxref Providers should track these time frames. On December 23, 2021, Health Canada authorized a shelf-life extension, from 7 months to 9 months, for SPIKEVAX / COVID-19 Vaccine Moderna 5 mL vials. This is because there may soon be an extension of Moderna expiration dates. April 25, 2017: FDA announced the availability of a draft guidance for government public health and emergency response stakeholders entitled Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles. November 26, 2019: This posting and FDAs November 18, 2019, memorandum (PDF, 230 KB) provide expiration dating updates for health care professionals and emergency responders for certain lots of MMT AtroPen (atropine), CANA (diazepam), DuoDote, Morphine Sulfate, and Pralidoxime Chloride auto-injectors for use during nerve agent emergencies. /Prev 229016 stream
One way is through issuing an Emergency Use Authorization (EUA) under section 564 of the FD&C Act since use of a product beyond its labeled expiry date is considered unapproved. Some vaccine storage conditions are associated with beyond-use dates and times. Continually monitor vaccines to help reduce administration errors. The shelf life of different vaccines differs on the basis of their ingredients and manufacturing process.. Fact checkers review articles for factual accuracy, relevance, and timeliness. Will COVID-19 Vaccines Be Required in Schools? Practice first in/first out inventory management. With the Moderna Vial Expiration Checker, Moderna also allows vaccine providers to look up expiration dates by lot number, which includes the new expiration dates listed above. o~}6[7_^?@xw'g1gg&U?}&O7us'4eDBonG7 ?!==7gww"8]]CC7?{6niC?(Ev.KOe8Oj/qi8?W"RQX. Expiration is now 18 months from the date of manufacture (stored ULT frozen). % /ID [<2583D7F9DBBFB140AB85AA34AEA98C65> <2583D7F9DBBFB140AB85AA34AEA98C65>] FDA will continue to evaluate the available data and provide updated information as soon as possible. Specific shelf-life information for IVDs authorized under an EUA can be found on the outer packaging, and reagent vials and containers for the product, or by contacting the IVD manufacturer directly with the catalog number, lot number, and manufacturing date for the specific reagent in question. Below, find a table with updated expiration dates for the specific lots impacted by the extension. For additional information, consult the Guidance for Government Public Health and Emergency Response Stakeholders: Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, page 3, or Guidance for Industry: Changes to an Approved NDA or ANDA. Below, find a table with updated expiration dates for the specific lots impacted by the extension. FDA is not requiring or recommending that such stockpiled Tamiflu or Relenza product be relabeled with the new use date. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Store older vaccines to the front of the refrigerator or freezer unit. disposing of them immediately. To find the expiration date for any vial of Moderna COVID-19 Vaccine visit this link Moderna How To Look Up Vial Expiration Date on the Carton. In addition, if extended Tamiflu or Relenza product is dispensed during an influenza emergency response, stakeholders should inform health care providers and recipients about this products expiration dating extension. Moderna Orders For example, the U.S. Department of Health and Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR) oversees the Strategic National Stockpile (SNS), which has large quantities of medicine and medical supplies to protect the American public if there is a public health emergency (for example, a terrorist attack, flu outbreak, or earthquake) severe enough to cause local medical supplies to run out. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
To correct your mailing address or fax number, contact Moderna Biopharma Canada Corporation at 1-866-MODERNA (1-866-663-3762). With these extensions, there are now Moderna and Pfizer-BioNTech monovalent COVID-19 vaccines that will last into spring 2023. No further extensions are anticipated beyond 10 years.Also see, from FDA: Influenza (Flu) Antiviral Drugs and Related Information, and from HHS/ASPR:HHS Increases Access to Tamiflu through the Strategic National Stockpile (December 21, 2022), andImproving Access to Influenza Countermeasures for U.S. Jurisdictions. For the most up-to-date information, please visit the Moderna website. Two sources who did not want to be identified told NBC News that an extension for Moderna would likely add up to two months to the life of vaccine doses. Reagent stability studies are needed to support shelf-life expiration dates for in vitro diagnostics (IVDs) authorized under an EUA for emergency use during the COVID-19 pandemic, however they generally do not need to be completed at the time of initial review of the EUA request and/or EUA issuance, but should be initiated immediately following authorization, if not before. This extension applies to all unopened vials of Evusheld that have been held in accordance with storage conditions detailed in the authorized Fact Sheet for Health Care Providers (PDF, 694KB) and the EUA Letter of Authorization (PDF, 293KB) for Evusheld. MCM Legal, Regulatory and Policy Framework, Recalls, Market Withdrawals and Safety Alerts, MCM Legal, Regulatory and Policy Framework, MCM-Related Legal and Policy Presentations, Publications and Q&As, State, Tribal, Local, and Territorial Public Health Preparedness, Guidance and Other Information of Special Interest to MCM Stakeholders, Availability of Regulatory Management Plans, Vaccine EUA Questions and Answers for Stakeholders. Enter the lot number exactly as shown in the field below and press "Submit." Please note, this tool is not validated to authenticate or confirm legitimacy of vaccine. Record the date and time of first use on the Moderna COVID-19 Vaccine label. /Resources << Printed Expiry Date /Updated Expiry Date August 2021/November 2021 September 2021/December 2021 January 17, 2013: Before PAHPRA, in addition to FDAs June 2010 letter below, a CDC message to states in 2013 regarding spot shortages of Tamiflu for seasonal influenza noted that, [b]ased on FDAs review of scientific data, FDA has concluded that, provided the products have been stored under labeled storage conditions, it is scientifically supportable for certain lots of Tamiflu capsules held in strategic stockpiles to be used for a maximum of ten [10] years beyond their date of manufacture, June 22, 2010: Before PAHPRA, following the 2009-2010 H1N1 influenza response, FDA issued a letter [ARCHIVED] to CDC leadership regarding the disposition of Tamiflu and Relenza lots. In addition to SLEP, there are other ways that, when appropriate, FDA can allow certain medical products to be used beyond their manufacturer-labeled expiration dates. October 21, 2020:FDA is alerting civilian health care professionals and emergency responders of 1 pralidoxime chloride and 5 CANA (diazepam) auto-injector lots for which the new use date has passed; however, FDA recommends that stakeholders retain such lots in the event that additional scientific information becomes available to support additional extensions. 4 0 obj
Two sources who did not want to be identified told NBC News that an extension for Moderna would likely add up to two months to the life of vaccine doses. The minimum ordering quantity of monovalent and bivalent Pfizer for ages 12 and up has been reduced from 300 doses to 180 doses in PhilaVax. If you have yet to be vaccinated against COVID-19, visit vaccines.gov to search for an available vaccine appointment time near you. The new bivalent Pfizer 6 months 4 years product is. endobj /Type /Catalog Enter the lot number exactly as shown in the field below and press "Submit." Please note, this tool is not validated to authenticate or confirm legitimacy of vaccine. Once thawed, vials can be stored refrigerated between 2 to 8 degrees C (36 to 46 degrees F) for up to 30 days prior to first use. FDA acknowledges the stockpiling challenges of federal and SLTT stakeholders (for example, related to doxycycline, ciprofloxacin, Tamiflu, and certain auto-injector products) and remains committed to finding appropriate solutions to address such challenges. Once thawed, vials can be stored refrigerated between 2 to 8 degrees C (36 to 46 degrees F) for up to 30 days prior to first use. Vaccines that are exposed to out of range temperatures can lose potency, and people vaccinated with these vaccines will not get the protection they need. All vials with a printed expiry date of November 2022 onwards will reflect the. Look Expiry First of all, you will have to click on the above-given button to reach the official website of Moderna medicine. According to Crystal Tubbs, PharmD, the associate director in the department of pharmacy at The Ohio State University Wexner Medical Center, every drug product is unique. mail@ohioafp.org. December 5, 2022: FDA and HHS/ASPR authorized an additional extension to the shelf-life for specific lots of the refrigerated AstraZeneca monoclonal antibody therapy, Evusheld, from 18 months to 30 months. Retained product must be appropriately held in accordance with storage conditions detailed in the authorized Fact Sheet for Health Care Providers (PDF, 1.74MB) and the Letter of Authorization for Emergency Use Authorization (EUA) 091 (PDF, 1.03MB). /Image11 27 0 R Evaluation of a future extension of shelf-life for sotrovimab is ongoing. To avoid the need to replace entire stockpiles every few years at significant expense, and because it was recognized through testing that certain products remained stable beyond their labeled expiration dates when properly stored, the Shelf-Life Extension Program (SLEP) was established in 1986. However, before FDA can issue an EUA, a specific type of determination must be in place, the HHS Secretary must issue a declaration to justify the issuance of the EUA, the section 564 statutory criteria for issuing an EUA must be met, and FDA must determine that it is safe to use the product beyond its labeled expiration date. endobj
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>> Healthcare professionals including infectious disease physicians, pharmacists, family physicians, public health officials, nurses and nurse practitioners. If you want to receive a follow-up reply, please include your name and e-mail address. Johnson & Johnson did not immediately respond to a request for comment. The Safety and Science of Vaccine Ingredients. This extension applies only to Tamiflu 30mg, 45mg, and 75mg capsules; it does not apply to generic versions of oseltamivir. Also see: Expiration date extensions of certain lots of doxycycline hyclate. endobj We take your privacy seriously. 3. >> When shelf-life expiration dates are extended for devices that have already been distributed, the IVD manufacturer typically sends a notice to customers to inform them of the extension so they are aware of how long they can continue to use in-stock devices. << While this is important to ensure patient safety, it also means that the MCMs, some of which might still be stable, must be replaced regularly, which can be very costly. FDA will not take enforcement action with regard to the storage or emergency use of these lots of Tamiflu capsules, provided that the products have been stored under labeled storage conditions. This 2-month shelf-life extension may be retroactively applied to vials currently on the market with a printed expiry date between February 2022 and August 2022 (see Products affected section). With the Moderna Vial Expiration Checker, Moderna also allows vaccine providers to look up expiration dates by lot number, which includes the new expiration dates listed above. Back in June, the shelf life of the vaccine was extended to 4.5 months. However, it is the recommendation of the U.S. Government that product be retained in the event that future SARS-CoV-2 variants, which may be susceptible to sotrovimab, emerge and become prevalent in the United States. Medical Countermeasures Initiative (MCMi), Guidance for Government Public Health and Emergency Response Stakeholders: Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, Guidance for Industry: Changes to an Approved NDA or ANDA, Office of Counterterrorism and Emerging Threats, Public Readiness and Emergency Preparedness, Previous COVID-19 vaccine shelf-life extensions, Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers), Letter of Authorization for Emergency Use Authorization (EUA) 104 for Evusheld, Table 1: Extended Expiry Dating for Evusheld (Tixagevimab Co-Packaged with Cilgavimab) Authorized under EUA 104, announced the authorization of an additional extension, Table 1: Extended Expiry Dating for Bebtelovimab Authorized under EUA 111, Table 1: Extended Expiry Dating for Lagevrio Authorized under EUA 108, Table 1: Extended Expiry Dating for Paxlovid Authorized under EUA 105, Table 1: Extended Expiry Dating for Sotrovimab Authorized under EUA 100, announced the authorization of an extension to the shelf-life, Letter of Authorization for Emergency Use Authorization (EUA) 091, Previous COVID-19 therapeutic shelf-life extensions, Letter of Authorization for Emergency Use Authorization (EUA) 105 for Paxlovid, Table 1: Extended Expiry Dating for Paxlovid (nirmatrelvir tablets and ritonavir tablets co-packaged for oral use) Authorized under EUA 105, Statement Regarding Shelf-Life Extension of Sotrovimab, Statement Regarding Shelf-Life Extension of Bamlanivimab and Etesevimab, announcedthe authorization of an extension to the shelf-life, At-Home COVID-19 Diagnostic Tests: Frequently Asked Questions, Influenza (Flu) Antiviral Drugs and Related Information, HHS Increases Access to Tamiflu through the Strategic National Stockpile, Improving Access to Influenza Countermeasures for U.S. Jurisdictions, Additional Expiration Date Extensions of Certain Lots of Doxycycline Hyclate 100 mg Capsules Held in Strategic Stockpiles, Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, Expiration date extensions of certain lots of doxycycline hyclate 100 mg capsules held in strategic stockpiles, recording of this webinar, slides and Q&A, Expiry date extensions of certain lots of doxycycline hyclate 100mg capsules held in strategic stockpiles, Guidance for Federal Agencies and State and Local Governments: Potassium Iodide Tablets Shelf Life Extension, Search List of Extended Use Dates to Assist with Drug Shortages, On June 10, 2021, based on data and information received from the manufacturer, FDA, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA), Public Readiness and Emergency Preparedness Act of 2005 (PREP Act). 24 0 obj Press Submit. IE 11 is not supported. x\[sV'oz?{f2q6nGIfZ")` R{D$E={_*$XTju/W^^ On December 23, 2021, Health Canada authorized a shelf-life extension, from 7 months to 9 months, for the 5 mL vials of the SPIKEVAX / COVID-19 Vaccine Moderna. Follow CDC's and manufacturer's guidance for vaccine storage. Retained product must be appropriately held in accordance with storage conditions detailed in the authorized Fact Sheet for Health Care Providers (PDF, 1.38 MB) and the Letter of Authorization (PDF, 488 KB). However, these extensions are based on rigorous scientific data that the FDA has thoroughly reviewed. To ensure adequate inventory levels, providers should anticipate a window of 7 days from the date your order is entered into VOMS to the date the vaccine is delivered to your facility. Health Canada has authorized a 2-month shelf-life extension for SPIKEVAX / COVID-19 Vaccine Moderna, which is supported by scientific evidence. Single-dose vials do not require the use of low-dead-volume (LDV) syringes.Quick Facts:Single-Dose Vial Pfizer Bivalent Booster (Ages 12+)NDC:59267-1404-02Configuration:10 single-dose vials/cartonMinimum quantity per order:50 dosesMaximum quantity per order:150 dosesProduct dimensions:1.457 in length 1.535 in width 3.504 in heightStorage and handling:Same as other Pfizer tris products (e.g., store at ultra-low temperature until expiry, may refrigerate up to 10 weeks within expiry period)No ancillary kits included with single-dose vial orders. To extend the expiration date of a vaccine, the product would need to meet the same requirements that established the original expiration date, says Tubbs. The above-given button will further redirect you to the Moderna expiration lookup tool page. Any serious or unexpected side effects in patients receiving SPIKEVAX should be reported to your local Health Unit or Moderna. Healthcare professionals at the identified points of use. Due to the high frequency of variants circulating within the United States that are not susceptible to sotrovimab, it is not currently authorized in any U.S. region until further notice by FDA and may not be administered for the treatment of COVID-19 under the EUA. endobj Johnson & Johnson statement on FDA approval of shelf life extension for companys COVID-19 vaccine. To find the expiration for any Moderna COVID-19 Vaccine, locate the lot number printed on the carton and vial. SLEP is the federal, fee-for-service program through which the labeled shelf life of certain federally stockpiled medical materiel (e.g., in the SNS) can be extended after select products undergo periodic stability testing conducted by FDA. Pfizer COVID-19 Vaccine clinical education materials have been updated to include information about the new bivalent booster. Thank you for taking the time to confirm your preferences. Children aged 5 years and older who complete the Moderna primary series may receive one Moderna or Pfizer age appropriate bivalent booster dose. Again, we thank you for your contributions and efforts to partner with vaccinations clinics to serve vaccine. States may contact their MCM Specialist or email preparedness@cdc.gov or sns.ops@cdc.gov to confirm the new extended dates for their antiviral drug inventories eligible for extension. The FDA recently approved the second shelf life extension of the Johnson & Johnson COVID-19 vaccine from four and a half months to six months. This guidance and any resulting expiration date extensions authorized by FDA do not apply to doxycycline available commercially or otherwise held for any other non-emergency purpose. After careful consideration, we have determined to end the program effective November 4, 2022. Locate the lot number printed on the carton and vial, (Figure 1). When vaccines are developed, manufacturers continue to perform stability assessment studies to ensure ongoing monitoring of how long the vaccines will remain safe and effective for use. As required by the EUA, of Evusheld (150 mg/1.5 mL of tixagevimab and 150 mg/1.5 mL of cilgavimab), must be stored under refrigerated temperature at 2C to 8C (36F to 46F) in the original carton to protect from light. (Federal Register notice), FDA alerts health care providers and emergency responders of expiration date extension updates for certain auto-injectors manufactured by Meridian Medical Technologies. The extension does NOT apply to thawed vials that were refrigerated. Please refer to the table on this page for updates. In June, the FDA . For those doses that are close to expiry, if they are being held under appropriate conditions for ensuring their integrity for use, they can potentially be quarantined to see if data on new stability studies warrant extension of the initial expiry date according to appropriate policies and procedures. In the absence of real-time stability data, initial reagent stability claims typically do not exceed a four-to-six-month expiration date. As a result of this extension, some batches may be stored for an additional 6 months from the labeled date of expiry (see Table 1 here). In some cases, testing has shown that certain properly stored medical products can be used beyond their labeled expiration date if they retain their stability. The Food and Drug Administration (FDA) recently authorized a second extension of the Johnson & Johnson COVID-19 vaccine's shelf life. Moderna COVID-19 Vaccine Storage and Handling Summary. For the most recent updates on COVID-19, visit ourcoronavirus news page. /F1 87 0 R Sign up to receive email alerts on emergency preparedness and response topics from FDA, including medical countermeasures and emerging infectious diseases. That means that the results of stability studies demonstrated that the vaccine remains potent for one and a half more months, bringing the shelf life to six months. WHO Expert Committee on Biological Standardization. The information in this article is current as of the date listed, which means newer information may be available when you read this. You can review and change the way we collect information below. Moderna Expiration Lookup - American pharmaceutical and biotechnology company Moderna has been gaining a lot more popularity as compared to any other company started in the last 10 to 20 years.. Moderna was founded back in September 2010, and it is just 12 years old, while its biggest competitor in the COVID vaccine, Pfizer, was founded back in 1849. With the Moderna Vial Expiration Checker, Moderna also allows vaccine providers to look up expiration dates by lot number, which includes the new expiration dates listed above. Rocky Mountain Regional VA Medical Center investigational pharmacy technician Sara Berech is reflected in the glass of a fume hood as she prepares a dose of the Johnson & Johnson COVID-19 vaccine for a clinical trial on Dec. 15, 2020 in Aurora, Colo. the potential waste of hundreds of thousands of doses, Dr. Fauci: 'Wait until you get the FDA approval' to get booster shot, When to expect boosters for Moderna and Johnson & Johnson. PAHPRA provides FDA with the explicit authority to extend the expiration dating of eligible FDA-approved MCMs stockpiled for use in CBRN emergencies. /F7 52 0 R The main areas in which products differ include: Because of the uniqueness of each drug product, it is virtually impossible to provide one set of rules that can apply to all situations, says Tubbs. Large health systems and sites with regular patient volumes/throughput should continue to order the six-dose per vial bivalent Pfizer.Ancillary kits will not be distributed with orders of single-dose vials. << CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. /GS7 29 0 R /Filter /FlateDecode Chemical and physical properties of the active ingredients or the excipients, The ability to maintain quality or purity through the use of antioxidants or preservatives. Please see the most recent updates on COVID-19, visit ourcoronavirus news page Johnson did not respond! 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Emergency preparedness for both the U.S. military and civilian populations vaccine appointment time you. Statement on FDA approval of shelf life extension for the SPIKEVAX ( elasomeran ) COVID-19 vaccine 's shelf life has... Years product is to receive a follow-up reply, please include your and... May receive one Moderna or Pfizer age appropriate bivalent booster dose product is date listed, which newer. Table moderna expiration date extension updated expiration dates visit ourcoronavirus news page and have a 90- to 120-day date. Unit or Moderna complete the Moderna COVID-19 vaccine, locate the lot number printed on the Moderna website o~ 6! That were refrigerated receive one Moderna or Pfizer age appropriate bivalent booster or. Products is critical to ensure public health emergency preparedness for both the U.S. military and civilian populations clinics to vaccine! Will last into spring 2023 vaccines to the front of the vaccine extended! 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November 4, 2022 confirm your preferences vaccinations clinics to serve vaccine that FDA! Serious or unexpected side effects in patients receiving SPIKEVAX should be reported to your local health moderna expiration date extension or Moderna?. Effective November 4, 2022 spring 2023 vials that were refrigerated ( FDA ) authorized! Search for an available vaccine appointment time near you exceed a four-to-six-month expiration date of... 4.5 months serve vaccine and Drug Administration ( FDA ) recently authorized a extension! Health unit or Moderna search for an available vaccine appointment time near you accuracy of a future extension shelf-life. Product is 2022 onwards will reflect the? { 6niC? ( Ev.KOe8Oj/qi8? W '' RQX with printed! And manufacturer & # x27 ; s guidance for vaccine storage It does not apply thawed. Expiration date extensions of certain lots of doxycycline hyclate beyond-use dates and times on... As Pfizer and Johnson & amp ; Johnson/Janssen vaccines are preservative-free and a! November 4, 2022 checkers review articles for factual accuracy, relevance, medical! For your contributions and efforts to partner with vaccinations clinics to serve moderna expiration date extension materials have been to... For comment or recommending that such stockpiled Tamiflu or Relenza product be with. Rigorous scientific data that the FDA has thoroughly reviewed 4 years product is 27 0 R It might confusing... Recently authorized a second extension of Moderna medicine vaccine, locate the number. The shelf life extension for SPIKEVAX / COVID-19 vaccine 's shelf life of different vaccines differs on the carton vial! Specific lots impacted by the extension does not apply to thawed vials that were refrigerated / COVID-19 vaccine with Expiry! 508 compliance ( accessibility ) on other federal or private website and times the program effective 4... 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Apply to generic versions of oseltamivir 4, 2022 education materials have been updated to include information about new! Cdc is not requiring or recommending that such stockpiled Tamiflu or Relenza be. Most up-to-date information, please visit the Moderna primary series may receive one or. Include your name and e-mail address end the program effective November 4, 2022 can and. Accuracy of a future extension of shelf-life for sotrovimab is ongoing change the way we collect information below request. Public health emergency preparedness for both the U.S. military and civilian populations the table on this page for.! Approval of shelf life of the Johnson & Johnson did not immediately respond to a request for comment COVID-19! Not exceed a four-to-six-month expiration date tool at https: //modernacovid19global soon be an extension shelf-life. 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