The Saints, at 7-7 entering the game, were attempting to reach the playoffs for the first time since 2000. However, they needed to win both of their final two games to have a chance at qualifying for the postseason. While the Saints led early on in the game 3-0 after a John Carney field goal, the scoring had been mostly dominated by the Jaguars. With just seven seconds left at the end of regulation, the Jaguars had built a 20-13 lead on the Saints.
The Saints were on their own 25-yard line looking at second down and 10. Quarterback Aaron Brooks passed the ball to the right side of the field to receiver Donté Stallworth, who caught the pass at midfield. Stallworth then bounced off a tackle attempt by Jaguars cornerback Fernando Bryant and turned inside and broke two more tackles. The clock had already reached zero, and Stallworth pitched the ball to the 34-yard line to Michael Lewis who ran the ball to the 25-yard line of Jacksonville. He then turned and pitched the ball to Deuce McAllister, who ran to the Jaguars' 20-yard line. McAllister then pitched the ball to the right side of the field to Jerome Pathon, who caught the ball at the 24-yard line of Jacksonville. Brooks, who had hustled all the way downfield, then laid a block on the last Jaguars defender and Pathon dove into the end-zone.
There was a lengthy delay while the officials determined that all of the ball transfers (after the pass to Stallworth) were indeed legal laterals. All the Saints needed was a John Carney extra point to send the game into overtime.
Carney lined up to kick the extra point, hit a dead push, and the kick sailed wide right. The reaction of Saints play-by-play radio announcer Jim Henderson became legendary: "NOOOO!!! He missed the extra point wide right! Oh my God, how could he do that?" Due to the play, the Jaguars won the game 20-19.
Earlier in the season, Coach Haslett had stated to the media that he trusted Carney so much, that he'd even stake his life on him. When reminded later that day of those same comments, Haslett stated, "Then I'd probably be dead right now. He's one of the great all-time kickers. I never would have guessed this would happen."
With the loss, the Saints fell to 7-8 on the season and were eliminated from contention for the 2003 NFL playoffs. However even if the Saints had won in overtime, they would have been eliminated from the playoffs, as the Dallas Cowboys won their tenth game of the season that day (9 was the highest possible number of wins the Saints could have had if they won) and the Seahawks eventually won their tenth game to gain a wild card. The Saints would, however, finish their season on a high note the next week with a 13-7 home victory over the playoff bound Dallas Cowboys. For the Jaguars, the victory would lift them to a 5-10 record. They would go on to lose the next week, 21-14, to another NFC South team, the Atlanta Falcons.
The River City Relay later went on to win the 2004 Best Play ESPY Award.