125742 S1 M5 5351 c4591001 fa interim compliance sensitive
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16.2.5.1.2 Listing of Subjects Who Received Vaccine Not as Randomized – Phase 2 Vaccine Group (as Randomized) Age Group (Years) Subject Randomization Date Vaccination Date Dose No. Vaccine Received No subject meets the reporting criteria. PFIZER CONFIDENTIAL SDTM Creation: 05SEP2020 (14:18) Source Data: adsl Table Generation: 10SEP2020 (21:41) (Cutoff Date: 02SEP2020, Snapshot Date: 04SEP2020) Output File: ./nda2_unblinded/C4591001_IA _P2/adsl_l001_p2_rand_notvax 090177e194e7a45f\Final\Final On: 14-Sep-2020 01:45 (GMT) Page 1 FDA-CBER-2021-5683-0019395 16.2.5.1.4 Listing of Subjects Who Received Vaccine Not as Randomized – All Subject s Vaccine Group (as Randomized) Age Group (Years) Subject Randomization Date Vaccination Date Dose No. Vaccine Received BNT162b1 (100 μg) 18-55 C4591001 1001 10011026 18MAY2020 13AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1001 10011028 20MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1001 10011030 20MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1001 10011032 20MAY2020 13AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1001 10011034 20MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021023 18MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021024 18MAY2020 31AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021027 18MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021034 21MAY2020 17AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021035 21MAY2020 18AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021036 21MAY2020 18AUG2020 2 BNT162b1 (10 μg) 18-55 C4591001 1002 10021038 21MAY2020 17AUG2020 2 BNT162b1 (10 μg) BNT162b2 (30 μg) 16-55 C4591001 1012 10121103 01SEP2020 22SEP2020 2 Placebo 16-55 C4591001 1088 10881077 21AUG2020 11SEP2020 2 Placebo 16-55 C4591001 1116 11161226 11SEP2020 11SEP2020 1 Placebo 16-55 C4591001 1116 11161226 11SEP2020 02OCT2020 2 Placebo 16-55 C4591001 1135 11351480 22OCT2020 22OCT2020 1 16-55 C4591001 1163 11631006 31JUL2020 31JUL2020 1 16-55 C4591001 1204 12041111 16SEP2020 16SEP2020 1 16-55 C4591001 1208 12081004 23OCT2020 13NOV2020 2 >55 C4591001 1081 10811053 17AUG2020 09SEP2020 2 Placebo >55 C4591001 1121 11211071 22SEP2020 03SEP2020 1 Placebo >55 C4591001 1121 11211071 22SEP2020 22SEP2020 2 Placebo >55 C4591001 1163 11631005 31JUL2020 31JUL2020 1 >55 C4591001 1170 11701160 01SEP2020 22SEP2020 2 Placebo 16-55 C4591001 1042 10421266 20OCT2020 11NOV2020 2 090177e1959b0965\Final\Final On: 24-Nov-2020 13:48 (GMT) Page 2 FDA-CBER-2021-5683-0019396 16.2.5.1.4 Listing of Subjects Who Received Vaccine Not as Randomized – All Subject s Vaccine Group (as Randomized) Age Group (Years) Subject Randomization Date Vaccination Date Dose No. Vaccine Received 16-55 C4591001 1090 10901334 03SEP2020 03SEP2020 1 BNT162b2 (30 μg) 16-55 C4591001 1090 10901334 03SEP2020 24SEP2020 2 BNT162b2 (30 μg) 16-55 C4591001 1146 11461328 23OCT2020 13NOV2020 2 >55 C4591001 1054 10541024 21AUG2020 10OCT2020 2 BNT162b2 (30 μg) >55 C4591001 1163 11631008 31JUL2020 31JUL2020 1 >55 C4591001 1177 11771089 19AUG2020 09SEP2020 2 BNT162b2 (30 μg) >55 C4591001 1231 12311057 11AUG2020 11AUG2020 1 BNT162b2 (30 μg) >55 C4591001 1265 12651026 31AUG2020 31AUG2020 1 BNT162b2 (30 μg) >55 C4591001 1265 12651026 31AUG2020 21SEP2020 2 BNT162b2 (30 μg) Note: Data for subjects randomized on or after 10OCT2020 are included to comprehensively show all data reported but are subje ct to change with additional follow -up. PFIZER CONFIDENTIAL SDTM Creation: 17NOV2020 (10:49) Source Data: adsl Table Generation: 17 NOV2020 (22:37) (Cutoff Date: 14NOV2020, Snapshot Date: 16NOV2020) Output File: ./nda2 unblinded/C4591001 IA P3 2MPD2/adsl l001 p3 rand notva x 090177e1959b0965\Final\Final On: 24-Nov-2020 13:48 (GMT) Page 3 FDA-CBER-2021-5683-0019397