125742 45 S211 M5 c4591001 interim ado adverse events

Pfizer Documents (PHMPT/FDA)

Pfizer Bla Submission

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Document text

16.2.7.1 Adverse Events Legend Page 
Category Abbreviation Text 
  
Action - Stud y Vaccine Dose NA Not applicable 
  P Investigational product withdrawn 
Action - Sub ject TC Concomitant dru g treatment given 
  TCN Concomitant non-dru g treatment given 
  W Withdrawn from stud y 
Cause of AE CD Concomitant dru g treatment 
  CND Concomitant non-dru g treatment 
  O Other 
Outcome F Fatal 
  N Not recovered/not resolve d 
  R Recovered/resolve d 
  RS Recovered/resolved with sequelae 
  RG Recoverin g/resolving 
  UNK Unknown 
Toxicity Grade 1 Mild 
  2 Moderate 
  3 Severe 
  4 Life-threatenin g 
System Organ Class BLOOD Blood and l ymphatic s ystem disorders 
  CARD Cardiac disorders 
  CONG Congenital, familial and genetic disorders 
  EAR Ear and lab yrinth disorders 
  ENDO Endocrine disorders 
  EYE Eye disorders 
  GASTR Gastrointestinal disorders 
  GENRL General disorders and administration site conditions 
  HEPAT Hepatobiliar y disorders 
090177e196ac915e\Final\Final On: 31-Mar-2021 13:05 (GMT) 
Page 1
FDA-CBER-2022-5812-0220992
16.2.7.1 Adverse Events Legend Page 
Category Abbreviation Text 
  
  IMMUN Immune s ystem disorders 
  INFEC Infections and infestations 
  INJ&P Injury poisoning and procedural complications 
  INV Investigations 
  METAB Metabolism and nutrition disorders 
  MUSC Musculoskeletal and connective tissue disorders 
  NEOPL Neoplasms beni gn, malignant and unspecified (incl c ysts and pol yps) 
  NERV Nervous system disorders 
  PREG Pregnancy, puerperium and perinatal conditions 
  PSYCH Psychiatric disorders 
  RENAL Renal and urinar y disorders 
  REPRO Reproductive s ystem and breast disorders 
  RESP Respirator y, thoracic and mediastinal disorders 
  SKIN Skin and subcutaneous tissue disorders 
  SOCCI Social circumstances 
  SURG Surgical and medical procedures 
  VASC Vascular disorders 
  
PFIZER CONFIDENTIAL SDTM Creation: 25MAR2021 (20:15) Source Data: adae Table Generation: 27MAR2021 (01:37) 
(Cutoff Date: 13MAR2021, Snapshot Date: 25MAR2021) Output File: ./nda2 unblinded/C4591001 BLA/aelegend  
 
090177e196ac915e\Final\Final On: 31-Mar-2021 13:05 (GMT) 
Page 2
FDA-CBER-2022-5812-0220993
16.2.7.2.1.1 Listing of Severe and Grade 4 Local Reactions – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Local Reactionb1 2 3 4 5 6 7 Stop Datec Dur 
(Days)d 
  
12-15 C4591001 1009 
10091288 1 04DEC2020 Pain at the 
injection siteMild Sev Mild N N N N 06DEC2020 3 
  C4591001 1009 
10091396 2 26JAN2021 Pain at the 
injection siteMild Sev Mild N N N N 28JAN2021 3 
  C4591001 1013 
10131845 1 03DEC2020 Pain at the 
injection siteSev Mod   N       04DEC2020 2 
  C4591001 1057 
10571438 1 04JAN2021 Pain at the 
injection siteN Sev Mild Mild N N N 07JAN2021 3 
  C4591001 1066 
10661408 1 08DEC2020 Pain at the 
injection siteMod Sev Mild Mild N N N 11DEC2020 4 
  C4591001 1091 
10911406 2 28DEC2020 Pain at the 
injection siteSev Mod Mild N N N N 30DEC2020 3 
  C4591001 1091 
10911428 1 16DEC2020 Pain at the 
injection siteMod Sev Mild Mild   N N 19DEC2020 4 
  C4591001 1140 
11401359 1 23DEC2020 Pain at the 
injection siteN Sev N N N N N 24DEC2020 1 
  C4591001 1140 
11401376 1 29DEC2020 Pain at the 
injection siteMild Sev Mild Mild N N N 01JAN2021 4 
    2 20JAN2021 Pain at the 
injection siteMild Sev Mod Mild N N N 23JAN2021 4 
  C4591001 1142 
11421340 2 28DEC2020 Pain at the 
injection siteMod Sev Mild N N N N 30DEC2020 3 
  C4591001 1142 
11421369 2 15JAN2021 Pain at the 
injection siteMod Sev N N N N N 16JAN2021 2 
  C4591001 1147 
11471320 2 27JAN2021 Pain at the 
injection siteMod Sev Mod     Mild Mild 06FEB2021 11 
  C4591001 1150 
11501124 2 10NOV2020 Pain at the 
injection siteMod Sev Mod Mild N N   13NOV2020 4 
090177e196ac915f\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 3
FDA-CBER-2022-5812-0220994
16.2.7.2.1.1 Listing of Severe and Grade 4 Local Reactions – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Local Reactionb1 2 3 4 5 6 7 Stop Datec Dur 
(Days)d 
  
  C4591001 1150 
11501250 1 29DEC2020 Pain at the 
injection siteMod Sev Mild N N N N 31DEC2020 3 
  C4591001 1152 
11521697 1 18DEC2020 Pain at the 
injection siteMod Sev Mild Mild N N N 21DEC2020 4 
  C4591001 1156 
11561249 1 16OCT2020 Redness (cu)   21           17OCT2020 1 
      Redness (svt) N Sev   N N N N
  C4591001 1156 
11561310 1 01DEC2020 Pain at the 
injection siteN Sev Mild Mild   N   04DEC2020 3 
  C4591001 1235 
12351253 1 08JAN2021 Pain at the 
injection siteMild Sev Mild N N N N 10JAN2021 3 
16-25 C4591001 1008 
10081782 2 30DEC2020 Redness (cu)     21 21       02JAN2021 2 
      Redness (svt) N N Sev Sev N N
  C4591001 1057 
10571368 1 23NOV2020 Pain at the 
injection siteMild Sev N N N N N 24NOV2020 2 
  C4591001 1090 
10901043 2 24AUG2020 Pain at the 
injection siteSev Sev Mild N   N Mild 01NOV2020 70 
  C4591001 1120 
11201130 2 03SEP2020 Pain at the 
injection siteSev Mod Mild Mild Mild   N 07SEP2020 5 
  C4591001 1125 
11251243 1 08DEC2020 Pain at the 
injection siteMild Sev Sev Mild N N   11DEC2020 4 
  C4591001 1142 
11421316 1 24NOV2020 Pain at the 
injection siteMild Sev N N N N N 25NOV2020 2 
  C4591001 1150 
11501152 2 23DEC2020 Pain at the 
injection siteSev Mod Mild       N 25DEC2020 3 
  C4591001 1162 
11621019 1 03AUG2020 Pain at the 
injection siteN Sev N N N   N 04AUG2020 1 
090177e196ac915f\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 4
FDA-CBER-2022-5812-0220995
16.2.7.2.1.1 Listing of Severe and Grade 4 Local Reactions – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Local Reactionb1 2 3 4 5 6 7 Stop Datec Dur 
(Days)d 
  
  C4591001 1194 
11941069 1 20OCT2020 Pain at the 
injection siteSev Mod Mild N N N N 22OCT2020 3 
  C4591001 1194 
11941091 1 22OCT2020 Pain at the 
injection siteMod Sev Mild Mild Mild N   26OCT2020 5 
  C4591001 1205 
12051079 1 11NOV2020 Pain at the 
injection siteSev Mod Mild N N N N 13NOV2020 3 
    2 02DEC2020 Pain at the 
injection siteMod Sev Mod Mild Mild Mild Mild 09DEC2020 8 
  C4591001 1212 
12121007 2 17NOV2020 Pain at the 
injection siteMod Sev Mild Mild N N N 20NOV2020 4 
  C4591001 1217 
12171012 1 23OCT2020 Pain at the 
injection siteMild Sev Mild N N N N 25OCT2020 3 
  C4591001 1226 
12261096 1 11AUG2020 Pain at the 
injection siteMild Sev Mild N N Mild N 16AUG2020 6 
  C4591001 1230 
12301018 1 24SEP2020 Pain at the 
injection siteSev Sev Mild N N N N 26SEP2020 3 
  C4591001 1230 
12301133 1 05OCT2020 Redness (cu)   2 21         07OCT2020 1 
      Redness (svt) N Sev N N N N
  C4591001 1231 
12311018 2 27AUG2020 Pain at the 
injection siteN Sev Mild Mild Mild N N 31AUG2020 4 
  C4591001 1231 
12311055 1 11AUG2020 Pain at the 
injection siteMild Sev Mod Mild Mild Mild Mild 17AUG2020 7 
  C4591001 1231 
12311162 1 13AUG2020 Pain at the 
injection siteMild Sev Mild N N N N 15AUG2020 3 
  C4591001 1247 
12471033 2 15OCT2020 Pain at the 
injection siteN     Sev Sev N N 19OCT2020 2 
090177e196ac915f\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 5
FDA-CBER-2022-5812-0220996
16.2.7.2.1.1 Listing of Severe and Grade 4 Local Reactions – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Local Reactionb1 2 3 4 5 6 7 Stop Datec Dur 
(Days)d 
  
  C4591001 1247 
12471199 1 06OCT2020 Redness (cu) 21 21           07OCT2020 2 
      Redness (svt) Sev Sev   N N
      Swellin g (cu) 21   06OCT2020 1
        Swelling (svt) Sev N   N     N  
Abbreviations: cu = caliper units ; Dur = duration; Mod = modera te; N = none; Sev = se vere; svt = severity. 
a.     Relative day (Rel Day) = date of reaction - date of last vaccination + 1. 
b.     The maximum measurable s ize for redness and swelling in the electronic diary (e-diary) was 21 caliper units. Redness an d swelling exceeding 21 
caliper units are reported as > 21. Study sites recorded injecti on site redness or swelling in centimeters. These were converte d to caliper units (1 caliper 
unit = 0.5 centimeters). 
c.     Stop date is the date the  reaction was last reported. 
d.     Duration (days)  was calculated as the difference from th e start of the first reported re action to resolution of the las t reported reaction, inclusive. If the 
reaction continued beyond Day 7 , the calculation includes all d ays from the last e-diary day until the date of resolution coll ected on the case report form. If 
the reaction was ongoing at the  time of the subsequent vaccinat ion, the end date/day for the reaction is the date/day that the  next vaccine was administered, 
which was used for the duration calculation. 
PFIZER CONFIDENTIAL SDTM Creation: 25MAR2021 (19:22) Source Dat a: adfacevd Table Generation: 27MAR2021 (01:55)  
(Cutoff Date: 13MAR2021, Snapshot Date: 25MAR2021) Output File:  ./nda2 _unblinded/C4591001 _BLA/adce _l004_sevlr _ped
 
090177e196ac915f\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 6
FDA-CBER-2022-5812-0220997
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
12-15 C4591001 1005 
10051317 2 12NOV2020 Oral temperature 
(°C)36.7 39.1 37.5 37.1 36.6 36.8 36.6 13NOV2020 1 
  C4591001 1005 
10051328 2 11NOV2020 Headache N Sev N N N N N 12NOV2020 1 
  C4591001 1006 
10061189 1 01DEC2020 Oral temperature 
(°C)37.1 39.9 36.8 36.9 35.8 37.1 37.4 02DEC2020 1 
    2 22DEC2020 Oral temperature 
(°C)37.3 39.3 37.3   37.1   36.9 23DEC2020 1 
  C4591001 1006 
10061220 2 28DEC2020 Headache N Sev Mild N N   N 30DEC2020 2 
  C4591001 1006 
10061297 1 29DEC2020 Oral temperature 
(°C)36.7 39.4 37.1 37.1 36.8 37.1 36.8 30DEC2020 1 
      Fatigue N Sev N N N N N 30DEC2020 1
  C4591001 1007 
10071544 2 30DEC2020 Fatigue N Sev N N N N N 31DEC2020 1 
  C4591001 1007 
10071546 2 30DEC2020 Chills Sev N N N N N N 30DEC2020 1 
  C4591001 1007 
10071620 2 20JAN2021 Fatigue N Sev Mod Mod Mod Mod Mod
      Headache N Sev Mod Sev MildModMod
      Chills N Sev N Mod N N Mod27JAN2021 7
        New or worsened 
muscle painN Sev Mod Sev Mod Mod Mod
        New or worsened 
joint painN Sev Mod Sev Mod Mod Mod
  C4591001 1007 
10071626 2 20JAN2021 Oral temperature 
(°C)36.8 39.1 36.7 36.6   36.7 36.9 21JAN2021 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 7
FDA-CBER-2022-5812-0220998
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1007 
10071639 2 25JAN2021 Fatigue Mild Sev Mild N N N N 27JAN2021 3 
  C4591001 1007 
10071642 1 04JAN2021 Fatigue N Sev N N N Mild Mild 01FEB2021 28 
  C4591001 1007 
10071659 2 27JAN2021 Fatigue N Sev Mild N N N N 29JAN2021 2 
  C4591001 1008 
10081802 1 17DEC2020 Oral temperature 
(°C)36.6 39.1 36.3 36.4 35.7 36.9 35.8 18DEC2020 1 
  C4591001 1008 
10081809 1 18DEC2020 Headache Sev     N N   N 18DEC2020 1 
  C4591001 1008 
10081827 1 21DEC2020 Fatigue N Sev N N N N N 22DEC2020 1 
      Headache N Sev N N N N N 22DEC2020 1
  C4591001 1008 
10081846 2 11JAN2021 Oral temperature 
(°C)37.3 39.3 36.4 36.2 36.1   36.2 12JAN2021 1 
  C4591001 1008 
10081908 2 27JAN2021 Oral temperature 
(°C)36.8 39.7 37.3 37.1 36.9 37 37.1 28JAN2021 1 
  C4591001 1009 
10091220 1 19OCT2020 Fatigue Mod   Sev N   Mod N 24OCT2020 6 
  C4591001 1009 
10091221 1 19OCT2020 New or worsened 
joint painSev N   N N     19OCT2020 1 
  C4591001 1009 
10091288 2 23DEC2020 Chills N Sev N N N N N 24DEC2020 1 
  C4591001 1009 
10091310 2 29DEC2020 Headache Mild Sev   N N N   30DEC2020 2 
  C4591001 1009 
10091317 1 10DEC2020 Oral temperature 
(°C)37.3 39 36.6 37.4 36.9 36.8 36.9 11DEC2020 1 
      Headache N Sev N N N N N 11DEC2020 1
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 8
FDA-CBER-2022-5812-0220999
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1009 
10091318 2 29DEC2020 Oral temperature 
(°C)36.6 39 37.1 37 36.6 36.3 36.9 30DEC2020 1 
  C4591001 1009 
10091321 2 30DEC2020 Fatigue N Sev Mild N N N N 01JAN2021 2 
      Chills N Sev N N N N N 31DEC2020 1
  C4591001 1009 
10091326 1 11DEC2020 Headache N Sev N N N N N 12DEC2020 1 
  C4591001 1009 
10091328 2 30DEC2020 Headache N Sev N Mild N N N 02JAN2021 3 
  C4591001 1009 
10091355 2 08JAN2021 Headache   Sev N N N   N 09JAN2021 1 
  C4591001 1009 
10091358 1 17DEC2020 Headache N N N N N N Sev 23DEC2020 1 
  C4591001 1009 
10091361 1 17DEC2020 Fatigue Mod Mod Sev Mild N N N 20DEC2020 4 
      Headache MildSev Mod MildMildMildN 22DEC2020 6
  C4591001 1009 
10091362 1 17DEC2020 Chills Sev Mod N N   Mod Mild 24DEC2020 8 
  C4591001 1013 
10131841 1 02DEC2020 Fatigue   Sev     N     03DEC2020 1 
      Headache Sev   N 03DEC2020 1
  C4591001 1013 
10131859 1 09DEC2020 Fatigue N Sev N N N N N 10DEC2020 1 
      Headache N Sev N N N N N 10DEC2020 1
  C4591001 1013 
10131866 2 06JAN2021 Fatigue N Sev N N N N   07JAN2021 1 
      Chills N Sev N N N N 07JAN2021 1
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 9
FDA-CBER-2022-5812-0221000
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1013 
10131871 1 21DEC2020 Oral temperature 
(°C)36.8 39 36.7 36.7 38.9   37.2 25DEC2020 4 
      Fatigue MildSev N N N N 22DEC2020 2
  C4591001 1016 
10161307 1 15OCT2020 Fatigue Mod Sev Mild Mod Mild N Mild 22OCT2020 8 
  C4591001 1016 
10161326 2 10NOV2020 New or worsened 
joint painN Sev N N   N N 11NOV2020 1 
  C4591001 1016 
10161330 1 20OCT2020 Headache N N N N N N Sev 27OCT2020 2 
  C4591001 1016 
10161373 2 27JAN2021 Headache N Sev N N N N N 28JAN2021 1 
      Chills N Sev N N N MildN 01FEB2021 5
  C4591001 1039 
10391304 2 19JAN2021 Fatigue N Sev N N N N N 20JAN2021 1 
  C4591001 1039 
10391318 2 29JAN2021 Fatigue Mod   Sev Mild Mild   Mild 04FEB2021 7 
  C4591001 1044 
10441266 1 08DEC2020 Fatigue Mod Sev N Mild N N N 11DEC2020 4 
    2 28DEC2020 Chills Sev N N N N N 29DEC2020 1
  C4591001 1044 
10441291 2 06JAN2021 Oral temperature 
(°C)36.1 39.6 37.2 36.1 36.9 36.4 36.6 07JAN2021 1 
  C4591001 1044 
10441300 2 18JAN2021 Fatigue   Sev N N N N   19JAN2021 1 
  C4591001 1044 
10441316 1 04JAN2021 Chills N Sev N N N N N 05JAN2021 1 
  C4591001 1044 
10441322 2 27JAN2021 Headache N Sev N N N N N 28JAN2021 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 10
FDA-CBER-2022-5812-0221001
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1044 
10441331 2 27JAN2021 Fatigue N Sev N N N N N 28JAN2021 1 
  C4591001 1044 
10441343 2 29JAN2021 Oral temperature 
(°C)37.3 39.5 37.7 37.5 36.2 36.6 36.5 30JAN2021 1 
      Fatigue ModSev Mod ModModModMod
      Chills N Sev Mod N N N N 31JAN2021 2
  C4591001 1044 
10441355 2 29JAN2021 Headache N Sev Mild Mild N Mild N 03FEB2021 5 
  C4591001 1044 
10441379 2 04FEB2021 Fatigue Mild Sev N N N N N 05FEB2021 2 
  C4591001 1057 
10571382 1 08DEC2020 Oral temperature 
(°C)35.9 39.1 36.9 36.8 37.4 37.1 36.5 09DEC2020 1 
      Fatigue N Sev N N N N N 09DEC2020 1
  C4591001 1057 
10571411 2 06JAN2021 Fatigue N Sev Mod Mild N N N 09JAN2021 3 
  C4591001 1057 
10571424 1 24DEC2020 Chills N Mod Sev   Mod Mod Mild 01JAN2021 8 
  C4591001 1057 
10571428 1 24DEC2020 Fatigue N   N N N Sev Sev 31DEC2020 3 
      Headache N N N N ModSev 31DEC2020 3
      Chills N N N ModSev N 29DEC2020 2
  C4591001 1057 
10571438 2 25JAN2021 Oral temperature 
(°C)36.8 39.2 36.6 36.7   36.9 37.1 26JAN2021 1 
  C4591001 1057 
10571451 1 12JAN2021 Oral temperature 
(°C)36.5 39.2 38.1 37.1 37.3 36.3 36.6 14JAN2021 2 
  C4591001 1066 
10661408 2 28DEC2020 Headache Mild Sev Mild     N N 30DEC2020 3 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 11
FDA-CBER-2022-5812-0221002
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1077 
10771280 2 04JAN2021 Fatigue Sev Sev N N   N   05JAN2021 2 
        New or worsened 
muscle painSev Sev Mild N   N   06JAN2021 3 
  C4591001 1084 
10841546 1 18DEC2020 Fatigue Mild Sev Mild Mild N N N 21DEC2020 4 
      Headache MildSev Mild MildN N Mild24DEC2020 7
  C4591001 1084 
10841571 1 30DEC2020 Fatigue   Mild   Mild   Sev   05JAN2021 6 
  C4591001 1084 
10841580 1 06JAN2021 Oral temperature 
(°C)37.5 39.9 37.7 36.4 36.8 36.8 37 07JAN2021 1 
  C4591001 1084 
10841593 2 29JAN2021 Headache N Sev Mild   N N N 31JAN2021 2 
  C4591001 1091 
10911457 1 29DEC2020 Fatigue Sev Mod Mod Sev Mod N Mod 05JAN2021 8 
    2 18JAN2021 Fatigue Sev Mod ModMildN N 22JAN2021 4
      Headache Sev Mod MildN N N 21JAN2021 3
  C4591001 1123 
11231440 2 28DEC2020 Headache N Sev N N   N N 29DEC2020 1 
  C4591001 1123 
11231442 1 09DEC2020 Oral temperature 
(°C)39.7 33.4   33.4 34.6 34.1 34.1 09DEC2020 1 
  C4591001 1123 
11231461 2 05JAN2021 Oral temperature 
(°C)37.8 39.3 37.6 37.1   36.4 36.7 06JAN2021 1 
  C4591001 1123 
11231475 2 11JAN2021 Oral temperature 
(°C)36.8 39.4 36.8   36.8 37.5 37.1 12JAN2021 1 
  C4591001 1123 
11231481 2 12JAN2021 Headache N Sev Mild N N   N 14JAN2021 2 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 12
FDA-CBER-2022-5812-0221003
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1123 
11231484 2 12JAN2021 Oral temperature 
(°C)  39.4 37.5 37.1 36.6   36.3 13JAN2021 1 
      Headache Sev Mild ModMod N 16JAN2021 4
  C4591001 1123 
11231495 2 13JAN2021 Fatigue Mod Sev N   N N N 14JAN2021 2 
  C4591001 1123 
11231513 1 30DEC2020 Headache N N N N Sev Mild N 04JAN2021 2 
  C4591001 1124 
11241251 2 08JAN2021 Oral temperature 
(°C)37.6 39 36.9 36.7     36.7 09JAN2021 1 
  C4591001 1125 
11251248 1 11DEC2020 Fatigue Mod Sev Mod Mod Mild Mild Mild 17DEC2020 7 
  C4591001 1125 
11251252 1 16DEC2020 Fatigue   Sev N         17DEC2020 1 
  C4591001 1126 
11261263 1 04DEC2020 Chills N Sev N N N N   05DEC2020 1 
  C4591001 1126 
11261273 2 06JAN2021 Headache N Sev Mild Mild N N N 09JAN2021 3 
  C4591001 1126 
11261281 1 16DEC2020 Headache N Mild Sev N N N N 18DEC2020 2 
  C4591001 1126 
11261286 1 16DEC2020 Oral temperature 
(°C)37.2 39 36.8 36.9 36.6 36.8 36.4 17DEC2020 1 
  C4591001 1126 
11261299 2 12JAN2021 New or worsened 
muscle painN N Sev N N N N 14JAN2021 1 
  C4591001 1126 
11261307 1 04JAN2021 Chills N Sev N N N N N 05JAN2021 1 
  C4591001 1126 
11261309 1 04JAN2021 New or worsened 
muscle painN Sev N N N   N 05JAN2021 1 
    2 25JAN2021 Fatigue MildSev N N N N N 26JAN2021 2
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 13
FDA-CBER-2022-5812-0221004
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
      Chills MildSev N N N N N 26JAN2021 2
  C4591001 1126 
11261310 2 26JAN2021 Headache N Sev N   N N N 27JAN2021 1 
  C4591001 1126 
11261315 1 06JAN2021 Oral temperature 
(°C)36.9 39.3 36.3 36.8 36.6 36.9 36.8 07JAN2021 1 
  C4591001 1126 
11261324 2 28JAN2021 Oral temperature 
(°C)36.4 39.2 36.6 36.2 36.5 36.3 35.8 29JAN2021 1 
  C4591001 1131 
11311290 2 20JAN2021 Fatigue Mod Sev   N N N N 21JAN2021 2 
      Headache N Sev   N N N N 21JAN2021 1
  C4591001 1131 
11311302 2 01FEB2021 Oral temperature 
(°C)36.2 39.6 36.5 36.4 36.3   36.3 02FEB2021 1 
  C4591001 1139 
11391155 2 28DEC2020 Fatigue N Sev Mild N N N N 30DEC2020 2 
  C4591001 1139 
11391238 1 07JAN2021 Headache Mild Sev Mod Mild Mild N Mild 14JAN2021 8 
  C4591001 1140 
11401328 2 05JAN2021 Oral temperature 
(°C)36.7 39.5 37.1 37 37.1 37 37 06JAN2021 1 
  C4591001 1140 
11401329 2 05JAN2021 Oral temperature 
(°C)36.8 40 36.9 36.5 36.6 36.7 36.7 06JAN2021 1 
  C4591001 1140 
11401343 1 21DEC2020 Headache N N Sev N N N N 23DEC2020 1 
      Vomitin g N N Sev N N N N 23DEC2020 1
  C4591001 1140 
11401345 2 11JAN2021 Oral temperature 
(°C)36.2 38.9 36.4 35.7     36.8 12JAN2021 1 
  C4591001 1140 
11401352 2 13JAN2021 Headache Mild Sev N N N N Mild 17FEB2021 36 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 14
FDA-CBER-2022-5812-0221005
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1140 
11401359 1 23DEC2020 Fatigue N Sev N N N N N 24DEC2020 1 
  C4591001 1140 
11401378 2 20JAN2021 Fatigue Mod Sev   N   N N 21JAN2021 2 
  C4591001 1140 
11401380 2 19JAN2021 Chills   Sev N N N N N 20JAN2021 1 
  C4591001 1140 
11401391 2 28JAN2021 Headache     Sev N Mod N N 01FEB2021 3 
  C4591001 1140 
11401400 1 08JAN2021 Headache   N N N Mod N Sev 20JAN2021 9 
  C4591001 1142 
11421340 1 07DEC2020 Fatigue N Sev N N N N N 08DEC2020 1 
      Headache N Sev N N N N N 08DEC2020 1
    2 28DEC2020 Headache ModSev N N N N N 29DEC2020 2
  C4591001 1142 
11421369 2 15JAN2021 Fatigue Mod Sev Mild N N N N 17JAN2021 3 
      Chills MildSev Mild N N N N 17JAN2021 3
        New or worsened 
muscle painN Sev N N N N N 16JAN2021 1 
        New or worsened 
joint painN Sev N N N N N 16JAN2021 1 
  C4591001 1142 
11421375 1 22DEC2020 Fatigue Sev N   N N N N 22DEC2020 1 
  C4591001 1142 
11421392 2 29JAN2021 Chills   Sev N N N N N 30JAN2021 1 
  C4591001 1147 
11471277 2 28DEC2020 New or worsened 
muscle pain  N N N N Sev Sev 07JAN2021 6 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 15
FDA-CBER-2022-5812-0221006
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1147 
11471285 2 04JAN2021 Fatigue           Sev N 09JAN2021 1 
  C4591001 1147 
11471301 1 19DEC2020 Fatigue N Sev Mild N N   N 21DEC2020 2 
  C4591001 1147 
11471312 2 09JAN2021 Fatigue Mild N N N N Sev N 14JAN2021 6 
  C4591001 1147 
11471327 1 05JAN2021 Oral temperature 
(°C)35.6 40.4 38 35.8 35.9   36.4 07JAN2021 2 
  C4591001 1147 
11471334 2 27JAN2021 Chills Sev Mild N N N N N 28JAN2021 2 
  C4591001 1147 
11471337 2 27JAN2021 Chills N Sev N N N N N 28JAN2021 1 
        New or worsened 
muscle painN Sev N N N N N 28JAN2021 1 
  C4591001 1147 
11471347 2 28JAN2021 Chills N Sev Mild N N N   30JAN2021 2 
  C4591001 1150 
11501198 2 30DEC2020 Fatigue N Sev           31DEC2020 1 
  C4591001 1150 
11501245 1 28DEC2020 Headache N Sev   N N N N 29DEC2020 1 
    2 19JAN2021 Headache N Sev N N N N N 20JAN2021 1
  C4591001 1150 
11501260 2 20JAN2021 Oral temperature 
(°C)37.2 39.1 37.2 36.7 37.1 37 36.4 21JAN2021 1 
  C4591001 1150 
11501274 2 25JAN2021 New or worsened 
muscle pain  Sev N         26JAN2021 1 
        New or worsened 
joint pain  Sev N         26JAN2021 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 16
FDA-CBER-2022-5812-0221007
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1150 
11501297 1 11JAN2021 Oral temperature 
(°C)37.2 39.1 37.4 37.1 36.9 36.9 37.1 12JAN2021 1 
    2 02FEB2021 Oral temperature 
(°C)36.8 39.7 38.4 36.8   37.1   04FEB2021 2 
      Fatigue N Sev Mod N N 04FEB2021 2
      Chills N Sev N N N 03FEB2021 1
  C4591001 1150 
11501299 1 12JAN2021 Chills N Sev Mild N N N N 14JAN2021 2 
    2 01FEB2021 Chills N Sev Mild N N N 03FEB2021 2
  C4591001 1152 
11521619 2 22DEC2020 Oral temperature 
(°C)36.7 39.3 37.9 37.2 36.9 37 36.8 23DEC2020 1 
  C4591001 1152 
11521670 2 30DEC2020 Chills N Sev N N N N N 31DEC2020 1 
  C4591001 1152 
11521706 1 21DEC2020 Fatigue Mod Mod Mild N   Sev Mild 27DEC2020 7 
      Headache N N N N Sev Mod27DEC2020 2
  C4591001 1156 
11561340 2 19JAN2021 Fatigue Sev Mod   N N N   20JAN2021 2 
  C4591001 1156 
11561342 2 19JAN2021 Oral temperature 
(°C)36.8 39.9 37.1 37 37 37 37 20JAN2021 1 
  C4591001 1156 
11561349 2 26JAN2021 Chills N Sev N N N N N 27JAN2021 1 
  C4591001 1156 
11561356 1 07JAN2021 Fatigue Mild Sev Mod Mild N N N 10JAN2021 4 
        New or worsened 
muscle painN Sev N N N N N 08JAN2021 1 
  C4591001 1156 
11561358 2 29JAN2021 Fatigue N Sev Mild N N N N 31JAN2021 2 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 17
FDA-CBER-2022-5812-0221008
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1223 
12231280 2 28JAN2021 Oral temperature 
(°C)  39.2 38.4         30JAN2021 2 
  C4591001 1235 
12351236 2 22DEC2020 New or worsened 
muscle painMod Sev N N N   N 23DEC2020 2 
  C4591001 1235 
12351249 1 15DEC2020 Headache Sev Mod Mod   Sev Mod Mild 04JAN2021 21 
    2 04JAN2021 Headache Sev Sev Sev Sev Sev 09JAN2021 6
  C4591001 1235 
12351254 2 28JAN2021 Fatigue   Sev Mild N N N N 30JAN2021 2 
      Chills Sev N N N N N 29JAN2021 1
  C4591001 1270 
12701191 2 23DEC2020 Fatigue N Sev Mild N N N N 25DEC2020 2 
  C4591001 1270 
12701207 2 05JAN2021 Oral temperature 
(°C)37.4 39.5 37.4 37.1 37.2 36.8 37.4 06JAN2021 1 
      Fatigue N Sev Mod Mod N Mod N 10JAN2021 5
  C4591001 1270 
12701220 2 08JAN2021 Oral temperature 
(°C)37.2 39.1 37.4 37.1 36.2 36.4   09JAN2021 1 
  C4591001 1270 
12701239 2 28JAN2021 Oral temperature 
(°C)36.2 39 36.1 36.1 36.3 36.1 36.2 29JAN2021 1 
16-25 C4591001 1001 
10011125 1 04AUG2020 Fatigue Mod Mod Sev Mild     N 07AUG2020 4 
      Headache ModMod Sev Mod N 07AUG2020 4
        New or worsened 
muscle painN N Sev N     N 06AUG2020 1 
        New or worsened 
joint painN Mild Sev N     N 06AUG2020 2 
  C4591001 1005 
10051024 2 31AUG2020 Fatigue   Sev N N N   N 01SEP2020 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 18
FDA-CBER-2022-5812-0221009
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1005 
10051434 2 12JAN2021 Chills N Sev N   N N   13JAN2021 1 
  C4591001 1005 
10051442 1 22DEC2020 Fatigue N Sev Mild Mild N Mild N 27DEC2020 5 
  C4591001 1006 
10061185 2 21DEC2020 Chills N Sev N N N N N 22DEC2020 1 
  C4591001 1006 
10061192 2 22DEC2020 Headache N Sev N Mild N N N 25DEC2020 3 
  C4591001 1006 
10061210 2 23DEC2020 Headache N Sev N N N N N 24DEC2020 1 
  C4591001 1006 
10061246 1 10DEC2020 Fatigue N N Sev N N N N 12DEC2020 1 
  C4591001 1007 
10071487 1 01DEC2020 Headache N Sev Mild   N N   03DEC2020 2 
  C4591001 1007 
10071503 1 03DEC2020 New or worsened 
muscle painSev Mod   N     N 04DEC2020 2 
  C4591001 1009 
10091028 2 31AUG2020 New or worsened 
muscle painN Sev N N N N N 01SEP2020 1 
  C4591001 1013 
10131005 1 28JUL2020 Headache N N N N Sev   N 01AUG2020 1 
  C4591001 1013 
10131059 2 25AUG2020 Fatigue N Sev Mild N N N N 27AUG2020 2 
  C4591001 1015 
10151035 2 04SEP2020 Fatigue   Sev N N N N N 05SEP2020 1 
        New or worsened 
muscle pain  Sev N N N N N 05SEP2020 1 
        New or worsened 
joint pain  Sev N N N N N 05SEP2020 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 19
FDA-CBER-2022-5812-0221010
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1016 
10161349 2 25NOV2020 Headache Mod Sev Mild N N N N 27NOV2020 3 
  C4591001 1044 
10441244 2 14DEC2020 Fatigue N Sev Mild Mild Mild Mild N 19DEC2020 5 
        New or worsened 
muscle painN Sev Mild N N N N 16DEC2020 2 
  C4591001 1044 
10441245 2 14DEC2020 Fatigue   Sev Mild N N   N 16DEC2020 2 
  C4591001 1044 
10441287 1 11DEC2020 Fatigue Mod Sev Mild Mild N Mild Mild
  C4591001 1071 
10711039 2 04SEP2020 Headache N N Mod Sev   Mild Mild 21SEP2020 16 
  C4591001 1073 
10731064 2 01SEP2020 Fatigue Mod Mod Mod Sev N N N 04SEP2020 4 
      Headache N Mod N Sev N N N 04SEP2020 3
  C4591001 1073 
10731083 2 02SEP2020 Fatigue Mod Sev N N N   N 03SEP2020 2 
      Chills N Sev N N N N 03SEP2020 1
  C4591001 1080 
10801009 2 03SEP2020 Headache   Sev Mod N     N 05SEP2020 2 
  C4591001 1082 
10821036 1 04AUG2020 Headache Mod N Mild N N N Sev 11AUG2020 8 
    2 25AUG2020 Headache N Sev Sev N N N Mod31AUG2020 6
  C4591001 1090 
10901043 2 24AUG2020 Headache Mild Sev N N   N Mild 30AUG2020 7 
      Chills N Sev N N N N 25AUG2020 1
  C4591001 1107 
11071010 2 18AUG2020 Headache Mod N   Mod Sev Mod   23AUG2020 6 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 20
FDA-CBER-2022-5812-0221011
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1107 
11071055 2 27AUG2020 Headache N Sev N N N N N 28AUG2020 1 
  C4591001 1109 
11091020 2 18AUG2020 Headache Mod Sev N N   N N 19AUG2020 2 
  C4591001 1112 
11121045 1 03AUG2020 Oral temperature 
(°C)36.9 39 37 37.1 36.9 36.8 36.6 04AUG2020 1 
  C4591001 1120 
11201172 1 13AUG2020 Fatigue N Sev Mild N N N N 15AUG2020 2 
  C4591001 1120 
11201250 2 11SEP2020 Headache N Sev N N N N N 12SEP2020 1 
        New or worsened 
joint painN Sev N N N Mod Mild
  C4591001 1125 
11251243 1 08DEC2020 Fatigue N Mod Sev N N N   10DEC2020 2 
      Headache N Sev Sev N N N 10DEC2020 2
  C4591001 1126 
11261208 2 04DEC2020 Headache N Sev N N N N N 05DEC2020 1 
  C4591001 1129 
11291261 2 14DEC2020 Headache Sev Sev N N N N N 15DEC2020 2 
  C4591001 1129 
11291262 2 14DEC2020 Fatigue Sev Mild Mild N N N N 16DEC2020 3 
  C4591001 1135 
11351088 2 28AUG2020 Fatigue Mild Sev N N N N N 29AUG2020 2 
  C4591001 1139 
11391160 2 29DEC2020 Oral temperature 
(°C)36.3 38.9 36.2     36.8   30DEC2020 1 
  C4591001 1140 
11401316 2 14DEC2020 Headache Mild Sev N N N N N 15DEC2020 2 
      Chills N Sev N N N N N 15DEC2020 1
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 21
FDA-CBER-2022-5812-0221012
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1140 
11401320 2 23DEC2020 Fatigue Mild Sev N N N N N 24DEC2020 2 
  C4591001 1140 
11401321 1 04DEC2020 Fatigue Mod Sev Mod N N N N 06DEC2020 3 
  C4591001 1140 
11401322 2 23DEC2020 Fatigue Mod Sev Mod Mild N     26DEC2020 4 
      Headache ModSev Mild N N 25DEC2020 3
  C4591001 1141 
11411081 1 14AUG2020 Fatigue N Sev N N N N N 15AUG2020 1 
  C4591001 1142 
11421336 2 23DEC2020 Headache   N N N N Sev N 28DEC2020 1 
  C4591001 1147 
11471255 2 05DEC2020 Oral temperature 
(°C)37.1 39.5 37.1 37.1 37.2 37.1 37 06DEC2020 1 
      Chills N Sev N N N N N 06DEC2020 1
  C4591001 1152 
11521072 2 01SEP2020 Diarrhea N N Sev Mild   N N 04SEP2020 2 
  C4591001 1152 
11521600 2 15DEC2020 Oral temperature 
(°C)36.8 37.3 39 36.7 36.6 36.8 36.9 17DEC2020 1 
  C4591001 1152 
11521630 2 28DEC2020 Headache N Sev N N N N N 29DEC2020 1 
  C4591001 1152 
11521632 1 07DEC2020 Chills Mod Sev Mild N     N 09DEC2020 3 
    2 28DEC2020 Fatigue N Sev Mild N N N 30DEC2020 2
      Headache N Sev Mild N N N 30DEC2020 2
  C4591001 1156 
11561299 1 11NOV2020 Fatigue N Mild Mod N N Sev N 16NOV2020 5 
  C4591001 1156 
11561300 1 17NOV2020 Oral temperature 
(°C)36.9 38.9 35.4 36.5 37.1   36.4 18NOV2020 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 22
FDA-CBER-2022-5812-0221013
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1162 
11621044 1 06AUG2020 Oral temperature 
(°C)    36.1     40 37.6 11AUG2020 1 
      Fatigue N Sev Sev 13AUG2020 3
      Headache N Sev Sev 13AUG2020 3
      Chills Mild Sev Mod13AUG2020 6
        New or worsened 
muscle pain    N     Sev N 11AUG2020 1 
  C4591001 1162 
11621080 2 02SEP2020 Headache N Sev Mod N N N   04SEP2020 2 
      Chills N Sev Mod N N N 04SEP2020 2
  C4591001 1162 
11621110 2 02SEP2020 Fatigue   Sev N N N N N 03SEP2020 1 
  C4591001 1171 
11711027 1 14AUG2020 Chills N Sev N N N N N 15AUG2020 1 
  C4591001 1194 
11941062 2 11NOV2020 Fatigue Mod Sev Mild Mild N N N 14NOV2020 4 
  C4591001 1194 
11941069 2 11NOV2020 Fatigue Sev Sev Mild N N N N 13NOV2020 3 
  C4591001 1195 
11951100 1 18OCT2020 Vomiting Sev N N   N N N 18OCT2020 1 
  C4591001 1205 
12051079 1 11NOV2020 Headache Mild Sev N N Mild N Mod 18NOV2020 8 
    2 02DEC2020 Headache ModSev N N N N N 03DEC2020 2
      Chills MildSev N N N N N 03DEC2020 2
        New or worsened 
muscle painN Sev N N N N N 03DEC2020 1 
        New or worsened 
joint painN Sev N N N N N 03DEC2020 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 23
FDA-CBER-2022-5812-0221014
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1208 
12081051 2 01DEC2020 Fatigue Mod Sev Mod N   N N 03DEC2020 3 
  C4591001 1212 
12121007 2 17NOV2020 Oral temperature 
(°C)36.9 39.5 37.5 36.9 36.8 36.6 37 18NOV2020 1 
      Fatigue ModSev Mod N N N N 19NOV2020 3
        New or worsened 
muscle painN Sev Mod N N N N 19NOV2020 2 
  C4591001 1214 
12141053 2 02DEC2020 Headache N N N N N N Sev 08DEC2020 1 
  C4591001 1217 
12171053 1 06NOV2020 Fatigue N Sev   N N N N 07NOV2020 1 
    2 26NOV2020 Fatigue N Sev N N N N 27NOV2020 1
  C4591001 1223 
12231057 1 01SEP2020 Headache N Sev Mild N N N N 03SEP2020 2 
  C4591001 1224 
12241168 2 10DEC2020 Chills Mod Sev N N N N N 11DEC2020 2 
  C4591001 1224 
12241171 1 23NOV2020 Fatigue N Sev N N N N N 24NOV2020 1 
      Headache N Sev N N N N N 24NOV2020 1
  C4591001 1224 
12241173 2 21DEC2020 New or worsened 
muscle painN Sev   N N   N 22DEC2020 1 
  C4591001 1224 
12241176 1 30NOV2020 Chills N Sev N N N N N 01DEC2020 1 
  C4591001 1224 
12241178 1 30NOV2020 Fatigue Mild Sev N N N N N 01DEC2020 2 
      Chills N Sev N N N N N 01DEC2020 1
    2 29DEC2020 Chills MildSev Mild N N N N 31DEC2020 3
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 24
FDA-CBER-2022-5812-0221015
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1226 
12261001 2 25AUG2020 New or worsened 
muscle painMod Sev   N N N   26AUG2020 2 
  C4591001 1226 
12261096 1 11AUG2020 Fatigue N Sev Mod N N N N 13AUG2020 2 
      Headache N Sev Mod N N N N 13AUG2020 2
        New or worsened 
muscle painN Sev Mild N N N N 13AUG2020 2 
        New or worsened 
joint painN Sev Mild Mild N N N 14AUG2020 3 
    2 01SEP2020 Fatigue N Sev N N N N N 02SEP2020 1
  C4591001 1226 
12261124 2 04SEP2020 Fatigue N Sev N N N N   05SEP2020 1 
  C4591001 1229 
12291065 1 30SEP2020 Chills Mod Mild Mild Mod Sev N N 04OCT2020 5 
    2 21OCT2020 Fatigue MildN Mod N N Sev N 26OCT2020 6
        New or worsened 
muscle painN Mild N N N Sev Mod 27OCT2020 6 
  C4591001 1230 
12301018 1 24SEP2020 New or worsened 
muscle painMod Sev N N N N N 25SEP2020 2 
        New or worsened 
joint painN Sev N N N N N 25SEP2020 1 
  C4591001 1230 
12301094 1 01OCT2020 Headache N Sev Sev N N N N 03OCT2020 2 
  C4591001 1230 
12301102 2 23OCT2020 Headache N Mod N Mod N Sev N 28OCT2020 5 
  C4591001 1231 
12311018 2 27AUG2020 Headache N Sev N N N N N 28AUG2020 1 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 25
FDA-CBER-2022-5812-0221016
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1231 
12311055 2 01SEP2020 Oral temperature 
(°C)36.7 39 37.2 36.7   36.5 36.6 02SEP2020 1 
      Fatigue N Sev N N Mod N 06SEP2020 5
      Chills N Sev N N N N 02SEP2020 1
  C4591001 1231 
12311164 2 02SEP2020 Fatigue N Sev Mild Mild N Mild Mild 09SEP2020 7 
      Chills N Sev N N N N N 03SEP2020 1
  C4591001 1231 
12311266 2 02SEP2020 Oral temperature 
(°C)37.4 39.1 37.9 36.2 36.4 36.3 36.2 03SEP2020 1 
  C4591001 1231 
12311281 2 04SEP2020 New or worsened 
muscle painMild Sev N N N N N 05SEP2020 2 
  C4591001 1231 
12311306 1 15AUG2020 Headache N Mod N Sev N N N 18AUG2020 3 
  C4591001 1231 
12311368 2 04SEP2020 Oral temperature 
(°C)36 39.1 39.2 35.8 35.9 36.6 35.9 06SEP2020 2 
  C4591001 1231 
12311432 1 15AUG2020 Headache N Sev Mild Mild Mild N N 19AUG2020 4 
  C4591001 1231 
12311454 2 03SEP2020 Fatigue Mild Sev N N N N N 04SEP2020 2 
  C4591001 1231 
12311463 1 15AUG2020 Fatigue Mild Mod Mild N N Sev Mild 23AUG2020 9 
  C4591001 1235 
12351237 2 28DEC2020 New or worsened 
joint painN Sev N N N N N 29DEC2020 1 
  C4591001 1235 
12351241 2 28DEC2020 Headache Mild Sev Mild Mild Mild N N 01JAN2021 5 
  C4591001 1246 
12461038 2 20OCT2020 Diarrhea N Sev Mild     N N 22OCT2020 2 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 26
FDA-CBER-2022-5812-0221017
16.2.7.3.1.1 Listing of Severe and Grade 4 Systemic Events – Su bjects 12 Through 25 Years of  Age (Reactogenicity 
Subset) 
  Rel Daya   
Age 
Group 
(Years) Subject Dose 
No. Dose Date Systemic Event 1 2 3 4 5 6 7 Stop Dateb Dur 
(Days)c 
  
  C4591001 1247 
12471010 1 23SEP2020 Headache Mild Mild Mod N Mod Mild Sev 29SEP2020 7 
  C4591001 1247 
12471033 2 15OCT2020 New or worsened 
muscle painN     Sev Sev N N 19OCT2020 2 
  C4591001 1247 
12471121 1 30SEP2020 Oral temperature 
(°C)39.2 39.8 39.1 39.2 39 38.8 38.9 06OCT2020 7 
      Fatigue ModMod Mod Sev ModModMod06OCT2020 7
      Headache ModSev Mod ModModMildMod06OCT2020 7
    2 21OCT2020 Oral temperature 
(°C)38.9 40 39.6 39.3 38.2 38.9 38.8
      Fatigue ModMod Mod ModModModSev
  C4591001 1247 
12471145 2 22OCT2020 Headache   Mild N   Sev N N 26OCT2020 4 
  C4591001 1270 
12701165 1 23NOV2020 Fatigue N Sev N N N N N 24NOV2020 1 
Abbreviations: Dur = duration; Mod = moderate; N = none; Sev = severe. 
Note: Subject C4591001 1077 10771278 (13 years of age) experienc ed systemic events, including a t emperature of 40.4°C, on the d ay of Dose 2. Since 
these events were recorded as ad verse events and not in the ele ctronic diary (e-diary), they do not appear in this listing. 
a.     Relative day (Rel Day) = date of event - date of last va ccination + 1. 
b.     Stop date is the date the event was last reported. 
c.     Duration (days) was calcula ted as the difference from the start of the first reported ev ent to resolution of the last reported event, inclusive. If the event 
continued beyond Day 7, the calculation includes all days from the last e-diary day until the date of resolution collected on the case report form. If the 
event is ongoing at the time of the subsequent vaccination, the  end date/day for the event is t he date/day that the next vacci ne was administered, which was 
used for the duration calculation. 
PFIZER CONFIDENTIAL SDTM Creation: 25MAR2021 (19:22) Source Data: adfacevd Table Generation: 27MAR2021 (01:55)  
(Cutoff Date: 13MAR2021, Snapshot Date: 25MAR2021) Output File:  ./nda2 _unblinded/C4591001 _BLA/adce _l004_sevse _ped
 
090177e196ac9160\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 27
FDA-CBER-2022-5812-0221018
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
12-15 C4591001 
1005 
10051317 GENRL Chills/ 
CHILLS 1 21OCT2020 2/2 2 Yes   NA/TC R  
(22OCT2020)N/N 
  C4591001 
1005 
10051328 GASTR Nausea/ 
NAUSEA 2 12NOV2020 2/2 2 Yes   NA R  
(13NOV2020)N/N 
  C4591001 
1005 
10051424 GASTR Nausea/ 
NAUSEA 2 08JAN2021 1/4 1 Yes   NA/TC R  
(11JAN2021)N/N 
    GENRL Fatigue/ 
FATIGUE2 08JAN2021 1/4 2 Yes   NA R  
(11JAN2021)N/N 
      Injection site pain/ 
INJECTION SITE PAIN2 08JAN2021 1/4 2 Yes   NA R  
(11JAN2021)N/N 
    MUSC Myalgia/ 
GENERALIZED 
MYALGIA2 08JAN2021 1/4 2 Yes   NA R  
(11JAN2021)N/N 
    NERV Headache/ 
HEADACHE2 08JAN2021 1/4 2 Yes   NA/TC R  
(11JAN2021)N/N 
  C4591001 
1006 
10061203 GASTR Nausea/ 
Nausea 1 04DEC2020 2/1 1 Yes   NA R  
(04DEC2020)N/N 
    GENRL Fatigue/ 
Fatigue1 04DEC2020 2/1 1 Yes   NA R  
(04DEC2020)N/N 
      Injection site pain/ 
Injection site pain1 04DEC2020 2/5 1 Yes   NA R  
(08DEC2020)N/N 
    NERV Headache/ 
Headache1 04DEC2020 2/2 1 Yes   NA R  
(05DEC2020)N/N 
    GENRL Fatigue/ 
Fatigue2 22DEC2020 1/3 1 Yes   NA R  
(24DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 28
FDA-CBER-2022-5812-0221019
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Injection site pain/ 
Injection Site Pain2 22DEC2020 1/3 2 Yes   NA R  
(24DEC2020)N/N 
    NERV Headache/ 
Headache2 22DEC2020 1/3 2 Yes   NA/TC R  
(24DEC2020)N/N 
  C4591001 
1006 
10061209 NERV Syncope/ 
Syncope Vasovagal 
response2 12MAR2021 80/1 1 No O NA/TCN R  
(12MAR2021)N/N 
  C4591001 
1006 
10061245 SKIN Urticaria/ 
Hives face 1 12DEC2020 3/20 1 Yes   NA/TC R  
(31DEC2020)N/N 
      Urticaria/ 
Hives trun k1 12DEC2020 3/4 1 Yes   NA/TC R  
(15DEC2020)N/N 
  C4591001 
1006 
10061266# GENRL Chills/ 
CHILLS 3 24FEB2021 1/3 2 Yes   NA/TC R  
(26FEB2021)N/N 
  C4591001 
1006 
10061272 PSYCH Anxiety/ 
Worsening of anxiety 1 23DEC2020 8/27 3 No O P/TC/TCN R  
(18JAN2021)Y/N 
      Depression/ 
Worsenin g of Depression1 23DEC2020 8/27 3 No O P/TC/TCN R  
(18JAN2021)Y/N 
    INJ&P Contusion/ 
Contusion left elbow1 05FEB2021 52/C 1 No O NA RG N/N 
  C4591001 
1006 
10061286 GENRL Fatigue/ 
FATIGUE 2 16JAN2021 6/4 2 Yes   NA R  
(19JAN2021)N/N 
  C4591001 
1006 
10061290 INJ&P Concussion/ 
Concussion 1 12JAN2021 22/C 2 No O NA/TC RG N/N 
  C4591001 
1006 
10061292 EAR Cerumen impaction/ 
Earwax Impaction Left Ear2 24JAN2021 13/5 2 No O NA/TCN R  
(28JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 29
FDA-CBER-2022-5812-0221020
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1007 
10071476 NERV Syncope/ 
Vasovagal syncope without 
collapse*30NOV2020 1/1 1 No O NA/TC/TCN R  
(30NOV2020)N/N 
    NERV Dizziness/ 
lightheadness after 
vaccination2 21DEC2020 1/1 1 No O NA R  
(21DEC2020)N/Y 
  C4591001 
1007 
10071497 BLOOD Lymphadenopathy/ 
swollen lymph node left 
axilla2 25DEC2020 4/C 1 Yes   NA RG N/N 
  C4591001 
1007 
10071500 PSYCH Sleep terror/ 
Night Terror 2 23DEC2020 2/1 1 No O NA R  
(23DEC2020)N/N 
  C4591001 
1007 
10071524 INFEC Candida infection/ 
thrush 2 01FEB2021 35/2 2 No CD NA R  
(02FEB2021)N/N 
  C4591001 
1007 
10071533 MUSC Myalgia/ 
abdominal muscle pain 2 06JAN2021 8/2 1 No O NA/TC R  
(07JAN2021)N/N 
  C4591001 
1007 
10071563 NERV Dizziness/ 
lightheadness 1 14DEC2020 1/1 1 Yes   NA/TCN R  
(14DEC2020)N/Y 
  C4591001 
1007 
10071568 GENRL Injection site pain/ 
injection site soreness 1 15DEC2020 1/1 1 Yes   NA R  
(15DEC2020)N/Y 
    SKIN Rash maculo-papular/ 
maculopapular rash2 05JAN2021 1/29 1 Yes   NA R  
(02FEB2021)N/Y 
  C4591001 
1007 
10071575 MUSC Mobility decreased/ 
Altered Mobility of Left 
upper extremit y1 03JAN2021 19/C 2 No O NA/TC RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 30
FDA-CBER-2022-5812-0221021
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1007 
10071581 INFEC Appendicitis/ 
Appendicitis 2 11MAR2021 64/C 3 No O NA/TC RG Y/N 
  C4591001 
1007 
10071584 GENRL Injection site pain/ 
Soreness at injection site 2 07JAN2021 1/4 1 Yes   NA R  
(10JAN2021)N/Y 
  C4591001 
1007 
10071585 SKIN Urticaria/ 
hives; trunk, abdomen, back2 16JAN2021 10/C 2 Yes   NA/TC RG N/N 
  C4591001 
1007 
10071593 INJ&P Ligament sprain/ 
left Ankle sprain 1 30DEC2020 3/17 2 No O NA/TCN R  
(15JAN2021)N/N 
  C4591001 
1007 
10071613 GENRL Injection site pain/ 
Pain at injection site 1 29DEC2020 1/1 1 Yes   NA R  
(29DEC2020)N/N 
  C4591001 
1007 
10071615 BLOOD Lymphadenopathy/ 
left axillary lymph node 
swellin g2 20JAN2021 2/4 1 Yes   NA R  
(23JAN2021)N/N 
  C4591001 
1007 
10071618 GENRL Injection site pain/ 
Pain at injection nsite 1 29DEC2020 1/2 1 Yes   NA R  
(30DEC2020)N/Y 
  C4591001 
1007 
10071620 GASTR Abdominal pain/ 
Abdominal pain 2 21JAN2021 2/20 2 Yes   NA/TC R  
(09FEB2021)N/N 
    NERV Neuralgia/ 
generalized Functional 
neurolo gic pain2 21JAN2021 2/C 2 No O NA/TC RG Y/N 
    INFEC Vulval abscess/ 
Vulvar boil2 24JAN2021 5/3 1 No O NA/TC R  
(26JAN2021)N/N 
    GASTR Gastritis/ 
Gastritis2 30JAN2021 11/C 2 No CD NA/TC RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 31
FDA-CBER-2022-5812-0221022
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    SKIN Dermatitis contact/ 
contact dermatitis bilateral 
arms2 12FEB2021 24/C 1 No O NA/TC RG N/N 
    GASTR Abdominal pain/ 
Functional Abdominal Pain2 28FEB2021 40/C 3 No O NA/TC N Y/N 
      Constipation/ 
Constipation2 28FEB2021 40/C 3 No O NA/TC N Y/N 
  C4591001 
1007 
10071623 GASTR Toothache/ 
teeth pain 2 27JAN2021 7/2 2 No CND NA/TC R  
(28JAN2021)N/N 
  C4591001 
1007 
10071632 GENRL Injection site pain/ 
tenderness at injection site1 30DEC2020 1/2 1 Yes   NA R  
(31DEC2020)N/Y 
      Vessel puncture site pain/
pain at blood draw site1 30DEC2020 1/2 1 No O NA R  
(31DEC2020)N/Y 
    NERV Headache/ 
headache1 30DEC2020 1/1 1 Yes   NA R  
(30DEC2020)N/Y 
    SKIN Rash/ 
rash to chest and bac k2 22JAN2021 2/5 2 Yes   NA R  
(26JAN2021)N/N 
  C4591001 
1007 
10071634 RESP Rhinorrhoea/ 
Rhinorrhea 2 18FEB2021 25/C 1 No O NA RG N/N 
    NERV Presyncope/ 
vasova gal response2 22FEB2021 29/1 1 No O NA R  
(22FEB2021)N/N 
  C4591001 
1007 
10071648 GENRL Injection site pain/ 
Injection site pain 2 26JAN2021 1/2 1 Yes   NA R  
(27JAN2021)N/Y 
  C4591001 
1007 
10071651 BLOOD Lymphadenopathy/ 
Left deep cervical chain 
lymph node swellin g1 12JAN2021 8/29 1 Yes   NA R  
(09FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 32
FDA-CBER-2022-5812-0221023
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    BLOOD Lymphadenopathy/ 
left Cervical 
lymphadenopath y2 23FEB2021 29/C 1 No O NA RG N/N 
  C4591001 
1008 
10081928 SKIN Urticaria/ 
urticaria multiple sites 1 10JAN2021 3/13 1 Yes   NA/TC R  
(22JAN2021)N/N 
  C4591001 
1009 
10091220 INJ&P Procedural pain/ 
POST SURGICAL PAIN, 
ORAL2 20NOV2020 14/11 2 No O NA/TC R  
(30NOV2020)N/N 
  C4591001 
1009 
10091221 MUSC Arthralgia/ 
worsening right ankle pain1 19OCT2020 1/1 3 No O NA/TCN R  
(19OCT2020)N/N 
  C4591001 
1009 
10091231 BLOOD Lymphadenopathy/ 
left swollen axillary lymph 
node2 10NOV2020 2/1 1 Yes   NA R  
(10NOV2020)N/N 
  C4591001 
1009 
10091267 RESP Rhinorrhoea/ 
RUNNY NOSE 2 27DEC2020 6/6 1 No O NA/TC R  
(01JAN2021)N/N 
  C4591001 
1009 
10091294 MUSC Arthralgia/ 
bilateral shoulder pain 1 22DEC2020 16/3 1 No O NA R  
(24DEC2020)N/N 
  C4591001 
1009 
10091319 NERV Headache/ 
headache 2 22JAN2021 25/1 2 No O NA R  
(22JAN2021)N/N 
  C4591001 
1009 
10091323 GASTR Nausea/ 
nausea 2 08JAN2021 10/1 1 No O NA R  
(08JAN2021)N/N 
    GENRL Fatigue/ 
fatigue2 08JAN2021 10/1 1 No O NA R  
(08JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 33
FDA-CBER-2022-5812-0221024
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1009 
10091334 RESP Rhinorrhoea/ 
runny nose 2 11JAN2021 12/1 1 No O NA R  
(11JAN2021)N/N 
  C4591001 
1009 
10091342 BLOOD Lymphadenopathy/ 
swollen cervical lymph 
nodes bilateral2 31JAN2021 28/3 1 No O NA R  
(02FEB2021)N/N 
  C4591001 
1009 
10091361 INJ&P Ligament sprain/ 
sprained right thumb 1 02JAN2021 17/30 2 No O NA R  
(31JAN2021)N/N 
  C4591001 
1009 
10091363 NERV Presyncope/ 
Vasovagal Reaction 1 09FEB2021 55/1 1 No O NA R  
(09FEB2021)N/N 
  C4591001 
1009 
10091366 GENRL Injection site pain/ 
Mild Injection Site Pain 2 26FEB2021 1/2 1 Yes   NA R  
(27FEB2021)N/N 
  C4591001 
1009 
10091370 NERV Headache/ 
headache 1 06JAN2021 20/1 3 No O NA/TC R  
(06JAN2021)N/N 
  C4591001 
1009 
10091379 INJ&P Fall/ 
GROUND LEVEL FALL2 26FEB2021 44/1 2 No O NA R  
(26FEB2021)N/N 
  C4591001 
1009 
10091380 INJ&P Clavicle fracture/ 
Right Clavicle Fracture 1 18JAN2021 21/C 2 No O NA/TC N N/N 
    INJ&P Procedural pain/ 
pain after wisdom teeth 
removal2 11FEB2021 24/5 1 No O NA/TC R  
(15FEB2021)N/N 
  C4591001 
1009 
10091382 MUSC Arthralgia/ 
RIGHT KNEE PAIN 1 10JAN2021 7/16 2 No O NA R  
(25JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 34
FDA-CBER-2022-5812-0221025
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1009 
10091399 INJ&P Foot fracture/ 
Left Fifth Metatarsal 
Fracture2 23FEB2021 26/C 2 No O NA/TC RG N/N 
  C4591001 
1009 
10091403 RESP Rhinorrhoea/ 
runny nose 1 10JAN2021 3/4 1 Yes   NA R  
(13JAN2021)N/N 
  C4591001 
1009 
10091406 MUSC Joint swelling/ 
Swilling in bilateral knees1 25JAN2021 18/C 1 No O NA/TC N N/N 
  C4591001 
1009 
10091410 GENRL Fatigue/ 
FATIGUE 2 01FEB2021 1/3 2 Yes   NA R  
(03FEB2021)N/N 
      Injection site pain/ 
INJECTION SITE PAIN2 01FEB2021 1/3 2 Yes   NA R  
(03FEB2021)N/N 
  C4591001 
1013 
10131824 GENRL Peripheral swelling/ 
SWELLING LEFT ARM 1 05DEC2020 5/2 1 Yes   NA R  
(06DEC2020)N/N 
  C4591001 
1013 
10131839 INJ&P Concussion/ 
CONCUSSION 2 01MAR2021 69/C 2 No O NA RG N/N 
  C4591001 
1016 
10161316# GENRL Chills/ 
chills 3 26FEB2021 2/1 2 Yes   NA R  
(26FEB2021)N/N 
    MUSC Myalgia/ 
muscle pain3 26FEB2021 2/1 2 Yes   NA/TC R  
(26FEB2021)N/N 
  C4591001 
1016 
10161344 BLOOD Lymphadenopathy/ 
enlarged lymph nodes, right 
anterior cervical nodes2 25NOV2020 15/43 1 No O NA R  
(06JAN2021)N/N 
    INFEC Infectious mononucleosis/
infectious mononuclesosis2 25NOV2020 15/43 1 No O NA R  
(06JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 35
FDA-CBER-2022-5812-0221026
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1039 
10391246# GENRL Fatigue/ 
fatigue 3 27FEB2021 2/3 2 Yes   NA R  
(01MAR2021)N/N 
      Pain/ 
generalized achiness3 27FEB2021 2/4 2 Yes   NA R  
(02MAR2021)N/N 
      Pyrexia/ 
fever3 27FEB2021 2/2 1 Yes   NA R  
(28FEB2021)N/N 
    NERV Headache/ 
headache3 27FEB2021 2/3 1 Yes   NA R  
(01MAR2021)N/N 
  C4591001 
1039 
10391250 PSYCH Tic/ 
exacerbation of tic disorder2 09JAN2021 13/C 1 No O NA RG N/N 
  C4591001 
1039 
10391314 NEOPL Fibroadenoma of breast/
Exacerbation of 
fibroadenoma of ri ght breas t2 06FEB2021 10/C 1 No O NA RG N/N 
  C4591001 
1039 
10391326 PSYCH Depression/ 
Depression Exacerbation 1 26JAN2021 16/5 3 No O NA/TC/TCN R  
(30JAN2021)Y/N 
  C4591001 
1039 
10391337 SKIN Urticaria/ 
urticaria, both hands 2 04FEB2021 2/3 1 Yes   NA R  
(06FEB2021)N/N 
  C4591001 
1044 
10441275 MUSC Myalgia/ 
myalgia 2 04JAN2021 7/1 1 Yes   NA/TC R  
(04JAN2021)N/N 
  C4591001 
1044 
10441292 GENRL Oedema peripheral/ 
Edema Toes (Bilateral) 1 17DEC2020 1/3 1 No O NA/TC R  
(19DEC2020)N/N 
  C4591001 
1044 
10441304 SKIN Rash/ 
rash 2 25FEB2021 38/3 1 No O NA/TC R  
(27FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 36
FDA-CBER-2022-5812-0221027
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1044 
10441335 SKIN Acne/ 
Worsening of acne 2 27FEB2021 30/C 1 No O NA/TC RG N/N 
  C4591001 
1044 
10441337 INJ&P Humerus fracture/ 
Broken humerus (right arm)1 10JAN2021 3/C 2 No O NA/TC RG N/N 
  C4591001 
1044 
10441338 NEOPL Skin papilloma/ 
Wart on second toe (left) 2 01FEB2021 4/7 1 No O NA/TC R  
(07FEB2021)N/N 
  C4591001 
1044 
10441351 INJ&P Muscle strain/ 
Left hip flexor strain 2 11FEB2021 11/17 2 No O NA/TC R  
(27FEB2021)N/N 
  C4591001 
1044 
10441361 INJ&P Concussion/ 
Concussion 1 23JAN2021 13/22 1 No O NA R  
(13FEB2021)N/N 
  C4591001 
1044 
10441373 SKIN Urticaria/ 
hives forehead 1 12JAN2021 1/1 1 Yes   NA R  
(12JAN2021)N/N 
    PSYCH Anxiety/ 
Worsenin g of Anxiet y2 05MAR2021 30/C 2 No O NA/TC RG N/N 
  C4591001 
1057 
10571451 INFEC Vulvovaginal mycotic 
infection/ 
VAGINAL YEAST 
INFECTION1 13JAN2021 2/C 2 No O NA/TC N N/N 
  C4591001 
1066 
10661422 SKIN Rash/ 
rash on torso 1 24DEC2020 3/C 1 No O NA N N/N 
  C4591001 
1077 
10771278 GASTR Diarrhoea/ 
DIARRHEA 2 23DEC2020 1/2 2 Yes   NA R  
(24DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 37
FDA-CBER-2022-5812-0221028
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Vomiting/ 
VOMITING2 23DEC2020 1/1 1 Yes   NA R  
(23DEC2020)N/N 
    GENRL Fatigue/ 
FATIGUE2 23DEC2020 1/2 2 Yes   NA R  
(24DEC2020)N/N 
      Injection site pain/ 
RIGHT ARM INJECTION 
SITE PAIN2 23DEC2020 1/2 1 Yes   NA R  
(24DEC2020)N/N 
      Injection site swelling/ 
INJECTION SITE 
SWELLING2 23DEC2020 1/2 2 Yes   NA R  
(24DEC2020)N/N 
      Pyrexia/ 
FEVER2 23DEC2020 1/2 3 Yes   NA/TC R  
(24DEC2020)N/N 
    PSYCH Disorientation/ 
DISORIENTATION2 23DEC2020 1/1 2 Yes   NA R  
(23DEC2020)N/N 
  C4591001 
1077 
10771279 GASTR Oral mucosal blistering/
ORAL/BUCCAL 
BLISTERS2 07JAN2021 4/4 2 Yes   NA R  
(10JAN2021)N/N 
  C4591001 
1084 
10841556 INFEC Ear infection/ 
L Ear infection 2 28JAN2021 11/9 2 No O NA/TC R  
(05FEB2021)N/N 
  C4591001 
1084 
10841558 INJ&P Ligament sprain/ 
left sprained ankle 2 27JAN2021 10/2 2 No O NA/TC R  
(28JAN2021)N/N 
  C4591001 
1091 
10911422 INFEC Ear infection/ 
left ear infection 1 23DEC2020 10/8 1 No O NA/TC R  
(30DEC2020)N/N 
      Otitis externa/ 
outer ear infection left ea r1 23DEC2020 10/8 1 No O NA/TC R  
(30DEC2020)N/N 
      Otitis media/ 
middle ear infection left ea r1 23DEC2020 10/8 1 No O NA/TC R  
(30DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 38
FDA-CBER-2022-5812-0221029
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1091 
10911433 SKIN Rash/ 
intermittent rash on wrist 1 19DEC2020 3/C 1 No O NA N N/N 
  C4591001 
1123 
11231442 PSYCH Depression/ 
Depression 1 23DEC2020 15/C 2 No O NA/TC N N/N 
  C4591001 
1123 
11231448 GASTR Diarrhoea/ 
Diarrhea 1 16DEC2020 6/3 1 Yes   NA R  
(18DEC2020)N/N 
  C4591001 
1123 
11231472 INFEC Tinea capitis/ 
Tinea capitis 1 01JAN2021 12/43 1 No O NA/TC R  
(12FEB2021)N/N 
    SKIN Acne/ 
worsenin g of acne vul garis1 07JAN2021 18/C 1 No O NA/TC N N/N 
  C4591001 
1123 
11231507 PSYCH Depression/ 
Worsening of Depression 2 19JAN2021 2/5 2 No O NA/TC R  
(23JAN2021)Y/N 
  C4591001 
1123 
11231520 INFEC Conjunctivitis/ 
Bilateral conjunctivitis 1 12JAN2021 14/6 1 No O NA/TC R  
(17JAN2021)N/N 
  C4591001 
1123 
11231523 EYE Retinal haemorrhage/ 
INTRA RETINAL 
HEMORRHAGE OD2 16FEB2021 22/C 2 No O NA RG N/N 
  C4591001 
1124 
11241251 GENRL Pyrexia/ 
Fever (102.2 degrees F) 2 09JAN2021 2/1 3 Yes   NA/TC R  
(09JAN2021)N/N 
  C4591001 
1125 
11251248 GENRL Fatigue/ 
Fatigue 2 05JAN2021 7/4 1 Yes   NA/TC R  
(08JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 39
FDA-CBER-2022-5812-0221030
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1126 
11261246 MUSC Pain in extremity/ 
Right leg pain 2 31DEC2020 9/C 1 No O NA N N/N 
    GASTR Aphthous ulcer/ 
Canker sore under ton gue2 12JAN2021 21/4 1 No O NA R  
(15JAN2021)N/N 
    GENRL Nodule/ 
Red bump on right index 
finger at cuticle2 13JAN2021 22/C 1 No O NA N N/N 
  C4591001 
1126 
11261254 IMMUN Food allergy/ 
Allergic reaction, nuts 1 09DEC2020 7/1 2 No O NA/TC R  
(09DEC2020)N/N 
  C4591001 
1126 
11261262# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 10FEB2021 1/3 1 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1126 
11261263 BLOOD Lymphadenopathy/ 
LEFT AXILLA LYMPH 
NODE SWELLING1 10DEC2020 7/4 1 Yes   NA R  
(13DEC2020)N/N 
    INJ&P Fall/ 
Mechanical Fall1 20DEC2020 17/1 2 No O NA R  
(20DEC2020)N/N 
      Radius fracture/ 
RIGHT DISTAL RADIUS 
TORUS FRACTURE1 20DEC2020 17/32 2 No O NA/TC R  
(20JAN2021)N/N 
  C4591001 
1126 
11261268 SKIN Urticaria/ 
Facial Urticaria, worsening1 18DEC2020 5/14 1 No O NA R  
(31DEC2020)N/N 
    MUSC Osteochondrosis/ 
Juvenile Osteochondrosis o f 
bilateral fifth metatarsals1 28DEC2020 15/C 2 No O NA/TC/TCN RG N/N 
  C4591001 
1126 
11261275# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 08FEB2021 1/3 1 Yes   NA/TC R  
(10FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 40
FDA-CBER-2022-5812-0221031
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    GENRL Chills/ 
Chills3 09FEB2021 2/1 2 Yes   NA/TC R  
(09FEB2021)N/N 
    NERV Headache/ 
Headache3 09FEB2021 2/1 2 Yes   NA/TC R  
(09FEB2021)N/N 
  C4591001 
1126 
11261276# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 08FEB2021 1/3 2 Yes   NA/TC R  
(10FEB2021)N/N 
    GENRL Pyrexia/ 
Feve r3 09FEB2021 2/1 1 Yes   NA/TC R  
(09FEB2021)N/N 
    NERV Headache/ 
Headache3 09FEB2021 2/1 2 Yes   NA/TC R  
(09FEB2021)N/N 
  C4591001 
1126 
11261290 SKIN Pityriasis rosea/ 
Worsening Pityriasis Rosea1 23DEC2020 7/28 2 No O NA/TC R  
(19JAN2021)N/N 
  C4591001 
1126 
11261296 INJ&P Accident/ 
Dirt bike nontraffic accident2 24JAN2021 17/1 2 No O NA/TC/TCN R  
(24JAN2021)N/N 
      Contusion/ 
Left elbow contusion2 24JAN2021 17/8 1 No O NA/TCN R  
(31JAN2021)N/N 
      Lip injury/ 
Lower lip laceration2 24JAN2021 17/13 1 No O NA/TC/TCN R  
(05FEB2021)N/N 
      Tooth fracture/ 
Three teeth fractures2 24JAN2021 17/1 2 No O NA/TC/TCN R  
(24JAN2021)N/N 
  C4591001 
1126 
11261301 GASTR Nausea/ 
Nausea 1 24DEC2020 3/2 2 Yes   NA R  
(25DEC2020)N/N 
  C4591001 
1126 
11261305# GENRL Injection site pain/ 
Left Upper Arm Injection 
Site Pain3 24FEB2021 1/2 2 Yes   NA R  
(25FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 41
FDA-CBER-2022-5812-0221032
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1126 
11261307 NERV Migraine/ 
Migraine headache, 
worsenin g1 24JAN2021 21/C 2 No O NA/TC RG N/N 
  C4591001 
1126 
11261309 GASTR Lip swelling/ 
Swollen lips 2 26JAN2021 2/2 1 Yes   NA R  
(27JAN2021)N/N 
      Mouth swelling/ 
Swollen mouth2 26JAN2021 2/2 1 Yes   NA R  
(27JAN2021)N/N 
  C4591001 
1126 
11261312 NERV Headache/ 
Headache 1 17JAN2021 13/5 2 No O NA R  
(21JAN2021)N/N 
  C4591001 
1126 
11261314 SKIN Rash/ 
Skin rash L side of neck to 
L scapula2 01FEB2021 4/3 1 Yes   NA/TC R  
(03FEB2021)N/N 
  C4591001 
1131 
11311280 NERV Presyncope/ 
vasovagal reaction 
secondar y to vaccine1 17DEC2020 1/1 2 Yes   NA R  
(17DEC2020)N/N 
  C4591001 
1131 
11311283 INFEC Pilonidal cyst/ 
pilonidal cyst 1 29DEC2020 8/52 2 No O NA/TC R  
(18FEB2021)N/N 
  C4591001 
1131 
11311287 RESP Rhinorrhoea/ 
rhinorrhea 1 17JAN2021 20/18 1 No O NA R  
(03FEB2021)N/N 
    BLOOD Lymphadenopathy/ 
enlarge lymph nods-
neck(bilateral)2 27JAN2021 10/8 1 Yes   NA R  
(03FEB2021)N/N 
  C4591001 
1131 
11311301 MUSC Arthralgia/ 
sacroiliac joint pain 1 15JAN2021 5/C 2 No O NA N N/N 
    INJ&P Accident/ 
skiin g acciden t2 18FEB2021 14/C 2 No O NA/TC/TCN RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 42
FDA-CBER-2022-5812-0221033
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    INJ&P Clavicle fracture/ 
broken collar bone2 19FEB2021 15/C 1 No O NA/TC RG N/N 
      Clavicle fracture/ 
right clavicle fracture2 19FEB2021 15/C 2 No O NA/TC/TCN RG N/N 
  C4591001 
1139 
11391225 INJ&P Concussion/ 
concussion 2 01FEB2021 5/9 2 No O NA/TC R  
(09FEB2021)N/N 
  C4591001 
1139 
11391246 MUSC Arthralgia/ 
Bilateral knee pain 1 11JAN2021 4/C 2 No O NA/TC RG N/N 
  C4591001 
1139 
11391248 INJ&P Muscle strain/ 
Muscle Strain 2 10MAR2021 41/C 1 No O NA RG N/N 
  C4591001 
1140 
11401343 NERV Migraine/ 
complex migraine 1 23DEC2020 3/1 3 Yes   NA/TC/TCN R  
(23DEC2020)N/N 
  C4591001 
1140 
11401353 MUSC Neck pain/ 
neck pain 2 03FEB2021 23/3 2 No O NA/TC R  
(05FEB2021)N/N 
  C4591001 
1140 
11401357 GENRL Chills/ 
Mild Chills 2 11JAN2021 1/2 1 Yes   NA R  
(12JAN2021)N/Y 
      Fatigue/ 
Mild Fati gue2 11JAN2021 1/2 1 Yes   NA R  
(12JAN2021)N/Y 
      Injection site pain/ 
mild in jection site pain2 11JAN2021 1/2 1 Yes   NA R  
(12JAN2021)N/Y 
  C4591001 
1142 
11421352 INJ&P Patella fracture/ 
Fracture of left patella 2 31JAN2021 28/C 3 No O NA RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 43
FDA-CBER-2022-5812-0221034
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1142 
11421385 BLOOD Lymphadenopathy/ 
left supraclavicular lymph 
node swellin g1 07JAN2021 8/C 1 Yes   NA RG N/N 
  C4591001 
1142 
11421394 NERV Paraesthesia/ 
transient feeling of pins and 
needles to torso1 18JAN2021 8/C 1 No O NA RG N/N 
  C4591001 
1147 
11471262 PSYCH Generalised anxiety 
disorder/ 
Generalized anxiety 
disorder (worsenin g)2 25JAN2021 22/C 1 No O NA/TC N N/N 
  C4591001 
1147 
11471263 MUSC Limb mass/ 
Arm mass 1 2020 1/C 1 No O NA/TC N N/N 
  C4591001 
1147 
11471270# INV Body temperature 
increased/ 
Increased bod y temperature3 25FEB2021 2/2 1 Yes   NA R  
(26FEB2021)N/N 
    MUSC Myalgia/ 
Myalgia3 25FEB2021 2/2 1 Yes   NA R  
(26FEB2021)N/N 
    NERV Headache/ 
Headache3 25FEB2021 2/2 1 Yes   NA R  
(26FEB2021)N/N 
  C4591001 
1147 
11471281 INFEC Appendicitis/ 
Acute appendicitis 2 22JAN2021 19/2 4 No O NA/TC/TCN R  
(23JAN2021)Y/N 
      Focal peritonitis/ 
localized peritonitis, 
without perforation or 
gangrene2 22JAN2021 19/2 4 No O NA/TC/TCN R  
(23JAN2021)Y/N 
  C4591001 
1147 
11471292 SKIN Acne/ 
Acne vulgaris (new 
diagnosis)2 25JAN2021 17/C 1 No O NA/TC N N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 44
FDA-CBER-2022-5812-0221035
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1147 
11471310 RESP Nasal congestion/ 
Nasal congestion 1 02JAN2021 13/8 1 No O NA/TC R  
(09JAN2021)N/N 
    EAR Ear pain/ 
Left ear pain2 JAN2021 1/C 1 No O NA/TC RG N/N 
  C4591001 
1147 
11471322 EAR Ear pain/ 
Right ear pain 1 25JAN2021 21/7 1 No O NA/TC R  
(31JAN2021)N/N 
    INFEC Conjunctivitis/ 
Acute con junctivitis, lef t2 25FEB2021 30/C 1 No O NA/TC RG N/N 
  C4591001 
1147 
11471323 SKIN Dermatitis contact/ 
Allergic reaction to surgical 
dressin gs.2 09FEB2021 14/C 2 No O NA/TC RG N/N 
  C4591001 
1147 
11471327 GENRL Pyrexia/ 
Fever (104.7) 1 06JAN2021 2/3 4 Yes   P/TC R  
(08JAN2021)N/N 
  C4591001 
1147 
11471331 INJ&P Hand fracture/ 
Fracture of mi ddle phalanx 
of left index fin ger2 24FEB2021 28/C 1 No O NA RG N/N 
  C4591001 
1150 
11501127 GENRL Fatigue/ 
Fatigue 2 12NOV2020 2/1 1 Yes   NA R  
(12NOV2020)N/N 
  C4591001 
1150 
11501129 INJ&P Concussion/ 
Concussion 2 11JAN2021 63/60 2 No O NA R  
(11MAR2021)N/N 
  C4591001 
1150 
11501130 GASTR Nausea/ 
Nausea 2 09NOV2020 1/3 2 Yes   NA R  
(11NOV2020)N/N 
    NERV Dizziness/ 
Dizziness2 09NOV2020 1/3 1 Yes   NA R  
(11NOV2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 45
FDA-CBER-2022-5812-0221036
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1150 
11501131# GENRL Fatigue/ 
Fatigue 3 23FEB2021 1/3 2 Yes   NA R  
(25FEB2021)N/N 
      Injection site pain/ 
Pain at in jection site3 23FEB2021 1/3 2 Yes   NA R  
(25FEB2021)N/N 
      Pain/ 
Generalized Bod y Aches3 23FEB2021 1/3 2 Yes   NA R  
(25FEB2021)N/N 
    NERV Headache/ 
Headache3 23FEB2021 1/3 2 Yes   NA R  
(25FEB2021)N/N 
  C4591001 
1150 
11501132 GASTR Diarrhoea/ 
Diarrhea 2 09NOV2020 1/2 2 Yes   NA R  
(10NOV2020)N/N 
  C4591001 
1150 
11501182# GENRL Injection site pain/ 
Injection Site Pain 3 25FEB2021 1/2 1 Yes   NA R  
(26FEB2021)N/N 
  C4591001 
1150 
11501193 PSYCH Attention deficit 
hyperactivity disorder/ 
ADHD1 DEC2020 1/C 1 No O NA RG N/N 
  C4591001 
1150 
11501287 GENRL Injection site pain/ 
Injection Site Pain 1 08JAN2021 2/1 1 Yes   NA/TC R  
(08JAN2021)N/N 
  C4591001 
1152 
11521615 SKIN Rash/ 
generalized rash upper body1 03DEC2020 1/8 1 No O NA R  
(10DEC2020)N/N 
  C4591001 
1152 
11521640 INFEC Ear infection/ 
right ear infection, NFI 1 20DEC2020 14/7 2 No O NA/TC R  
(26DEC2020)N/N 
  C4591001 
1152 
11521641 EYE Eyelid rash/ 
rash right eyelid 1 07DEC2020 1/2 1 Yes   NA R  
(08DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 46
FDA-CBER-2022-5812-0221037
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    SKIN Rash/ 
rash bilateral extremities1 08DEC2020 2/1 1 Yes   NA R  
(08DEC2020)N/N 
  C4591001 
1152 
11521654 PSYCH Depression/ 
Worsened Depression 1 26DEC2020 18/C 2 No O NA/TC N N/N 
  C4591001 
1152 
11521683 BLOOD Lymphadenopathy/ 
Swollen Lymph Node (Left 
Clavicle)1 26DEC2020 12/C 1 No O NA N N/N 
  C4591001 
1152 
11521704 BLOOD Lymphadenopathy/ 
swollen lymph node left 
axilla1 26DEC2020 6/10 2 Yes   NA R  
(04JAN2021)N/N 
  C4591001 
1152 
11521706 GENRL Fatigue/ 
Fatigue 1 21DEC2020 1/7 3 Yes   NA/TC R  
(27DEC2020)N/N 
    NERV Headache/ 
HEADACHE1 26DEC2020 6/2 3 Yes   NA/TC R  
(27DEC2020)N/N 
  C4591001 
1152 
11521740 INJ&P Tooth fracture/ 
Chipped baby tooth 2 17FEB2021 22/1 1 No O NA R  
(17FEB2021)N/N 
  C4591001 
1152 
11521749 GASTR Abdominal pain/ 
ABDOMINAL CRAMPS 1 09JAN2021 2/1 1 Yes   NA R  
(09JAN2021)N/N 
  C4591001 
1152 
11521756 GASTR Diarrhoea/ 
Diarrhea 2 06FEB2021 6/3 1 No O NA R  
(08FEB2021)N/N 
  C4591001 
1156 
11561310 INFEC Body tinea/ 
TINEA CORPORIS 1 08DEC2020 8/18 1 No O NA R  
(25DEC2020)N/N 
  C4591001 
1223 
12231267 GENRL Fatigue/ 
fatigue 2 27JAN2021 1/3 2 Yes   NA R  
(29JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 47
FDA-CBER-2022-5812-0221038
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Pyrexia/ 
fever1 27JAN2021 21/3 1 Yes   NA/TC R  
(29JAN2021)N/N 
    MUSC Myalgia/ 
generalized muscle aches2 27JAN2021 1/3 1 Yes   NA R  
(29JAN2021)N/N 
  C4591001 
1223 
12231271 GENRL Injection site pain/ 
injection site pain 1 29JAN2021 22/4 1 Yes   NA R  
(01FEB2021)N/N 
  C4591001 
1223 
12231281 GENRL Pyrexia/ 
fever 2 03FEB2021 2/2 1 Yes   NA R  
(04FEB2021)N/N 
    MUSC Myalgia/ 
muscle ache generalize d2 03FEB2021 2/3 1 Yes   NA R  
(05FEB2021)N/N 
    NERV Headache/ 
headache2 03FEB2021 2/3 1 Yes   NA/TC R  
(05FEB2021)N/N 
  C4591001 
1223 
12231286 NERV Headache/ 
headache 2 05FEB2021 3/3 1 Yes   NA/TC R  
(07FEB2021)N/N 
  C4591001 
1270 
12701205 INFEC Subcutaneous abscess/ 
Subcutaneous Tissue 
Abcess Ri ght Earlobe1 19DEC2020 5/17 1 No O NA/TCN R  
(04JAN2021)N/N 
  C4591001 
1270 
12701222 PSYCH Suicidal ideation/ 
SUICIDAL IDEATION 2 16FEB2021 40/C 3 No O NA/TCN N Y/N 
  C4591001 
1270 
12701233 GASTR Rectal prolapse/ 
Rectal Prolapse 2 22FEB2021 28/C 1 No O NA/TC RG N/N 
  C4591001 
1270 
12701236 PSYCH Anxiety/ 
Anxiety 1 11JAN2021 6/C 1 No O NA RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 48
FDA-CBER-2022-5812-0221039
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1270 
12701237 MUSC Musculoskeletal chest pain/
Rib pain on right side 1 10FEB2021 35/29 1 No O NA R  
(10MAR2021)N/N 
16-25 C4591001 
1001 
10011125 NERV Dizziness/ 
dizziness* 04AUG2020 1/1 1 Yes   NA R  
(04AUG2020)N/N 
    NERV Migraine/ 
migraine headache1 05AUG2020 2/5 3 Yes   NA R  
(09AUG2020)N/N 
    MUSC Myalgia/ 
diffuse m yalgias1 06AUG2020 3/2 3 Yes   NA R  
(07AUG2020)N/N 
    PSYCH Disorientation/ 
disorientation1 08AUG2020 5/2 1 No O NA R  
(09AUG2020)N/N 
  C4591001 
1003 
10031111 MUSC Psoriatic arthropathy/ 
psoriatic arthritis 2 26SEP2020 38/C 2 Yes   NA/TC N Y/N 
  C4591001 
1005 
10051024 METAB Decreased appetite/ 
DECREASED APPETITE2 01SEP2020 2/1 2 Yes   NA R  
(01SEP2020)N/N 
  C4591001 
1005 
10051071# GENRL Chills/ 
CHILLS 4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021)N/N 
      Fatigue/ 
FATIGUE4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021)N/N 
    MUSC Myalgia/ 
GENERALIZED 
MYALGIA4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021)N/N 
    NERV Headache/ 
HEADACHE4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1005 
10051411 GASTR Abdominal pain/ 
ABDOMINAL PAIN 2 29JAN2021 2/4 3 No O NA/TC R  
(01FEB2021)Y/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 49
FDA-CBER-2022-5812-0221040
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1005 
10051442 GENRL Fatigue/ 
FATIGUE 2 14JAN2021 2/3 2 Yes   NA R  
(16JAN2021)N/N 
      Injection site pain/ 
INJECTION SITE PAIN2 14JAN2021 2/4 1 Yes   NA R  
(17JAN2021)N/N 
      Injection site swelling/ 
INJECTION SITE 
SWELLING (1 INCH)2 14JAN2021 2/4 1 Yes   NA R  
(17JAN2021)N/N 
    MUSC Arthralgia/ 
GENERALIZED 
ARTHRALGIA2 14JAN2021 2/3 1 Yes   NA R  
(16JAN2021)N/N 
      Myalgia/ 
GENERALIZED 
MYALGIA2 14JAN2021 2/3 2 Yes   NA R  
(16JAN2021)N/N 
    NERV Headache/ 
WORSENING OF 
HEADACHE2 14JAN2021 2/3 2 Yes   NA/TC R  
(16JAN2021)N/N 
  C4591001 
1006 
10061031 INFEC Oral fungal infection/ 
ORAL YEAST 
INFECTION1 16AUG2020 4/11 2 No O NA/TC R  
(26AUG2020)N/N 
  C4591001 
1006 
10061194 INFEC Otitis externa/ 
Otitis Externa Left 2 15JAN2021 24/13 3 No O NA/TC/TCN R  
(27JAN2021)N/N 
  C4591001 
1006 
10061194# INJ&P Mouth injury/ 
Oral laceration 2 15FEB2021 55/10 1 No O NA/TC/TCN R  
(24FEB2021)N/N 
  C4591001 
1006 
10061202 NERV Headache/ 
Headache 2 22DEC2020 1/2 1 Yes   NA R  
(23DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 50
FDA-CBER-2022-5812-0221041
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1006 
10061204 GENRL Injection site bruising/ 
1 MM BRUISING AT 
INJECTION SITE LEFT 
DELTOID2 22DEC2020 1/25 1 Yes   NA R  
(15JAN2021)N/Y 
  C4591001 
1006 
10061205 INJ&P Foot fracture/ 
Left Great Toe Fracture 2 29JAN2021 37/C 2 No O NA/TC RG N/N 
  C4591001 
1006 
10061208 GENRL Pain/ 
Body Aches 2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020)N/N 
    NERV Headache/ 
Headache2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020)N/N 
    RESP Oropharyngeal pain/ 
Sore Throa t2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020)N/N 
  C4591001 
1006 
10061215 INJ&P Ligament sprain/ 
Knee sprain Right 1 10DEC2020 7/3 1 No O NA/TC R  
(12DEC2020)N/N 
    MUSC Arthralgia/ 
right shoulder pain2 23JAN2021 2/C 3 No O NA/TC/TCN RG N/N 
  C4591001 
1006 
10061216# GENRL Chills/ 
Chills 3 13FEB2021 2/1 1 Yes   NA R  
(13FEB2021)N/N 
  C4591001 
1006 
10061240 GENRL Injection site pain/ 
Injection site pain 2 05JAN2021 1/1 1 Yes   NA/TC R  
(05JAN2021)N/N 
      Pyrexia/ 
Feve r2 05JAN2021 1/1 1 Yes   NA/TC R  
(05JAN2021)N/N 
  C4591001 
1006 
10061246# GENRL Chills/ 
Chills 3 18FEB2021 2/3 2 Yes   NA/TC R  
(20FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 51
FDA-CBER-2022-5812-0221042
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    NERV Headache/ 
Headache3 18FEB2021 2/3 2 Yes   NA/TC R  
(20FEB2021)N/N 
  C4591001 
1007 
10071154# GENRL Injection site pain/ 
Injection Site Arm Soreness3 14JAN2021 1/2 1 Yes   NA R  
(15JAN2021)N/N 
    GENRL Chills/ 
chills4 02FEB2021 1/2 2 Yes   NA R  
(03FEB2021)N/N 
      Pyrexia/ 
fever4 02FEB2021 1/2 2 Yes   NA/TC R  
(03FEB2021)N/N 
  C4591001 
1007 
10071463# EYE Lacrimation increased/ 
Watery Eyes 3 03MAR2021 3/3 1 No O NA R  
(05MAR2021)N/N 
  C4591001 
1007 
10071464 GASTR Nausea/ 
nausea 1 19NOV2020 2/2 1 Yes   NA R  
(20NOV2020)N/N 
  C4591001 
1007 
10071470# GENRL Injection site pain/ 
Injection site pain 3 24FEB2021 2/1 1 Yes   NA R  
(24FEB2021)N/N 
    NERV Headache/ 
Headache3 24FEB2021 2/1 1 Yes   NA R  
(24FEB2021)N/N 
  C4591001 
1007 
10071493# GENRL Injection site pain/ 
Injection site pain 2 22FEB2021 63/3 1 Yes   NA R  
(24FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 23FEB2021 2/8 1 No O NA R  
(02MAR2021)N/N 
    NERV Headache/ 
Headache3 23FEB2021 2/2 1 Yes   NA R  
(24FEB2021)N/N 
  C4591001 
1007 
10071502 GENRL Injection site discomfort/
Weighted feeling in 
injection site ar m1 03DEC2020 1/3 1 Yes   NA R  
(05DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 52
FDA-CBER-2022-5812-0221043
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    INFEC Cellulitis/ 
Right axillar y cellulitis2 01JAN2021 11/8 2 No O NA/TC R  
(08JAN2021)N/N 
      Folliculitis/ 
Right axillar y folliculitis2 01JAN2021 11/8 2 No O NA R  
(08JAN2021)N/N 
  C4591001 
1007 
10071510# GENRL Injection site pain/ 
Injection Site Pain 3 22FEB2021 1/2 1 Yes   NA/TC/TCN R  
(23FEB2021)N/N 
  C4591001 
1007 
10071538# GENRL Fatigue/ 
Fatigue 3 19FEB2021 2/1 1 Yes   NA R  
(19FEB2021)N/N 
  C4591001 
1007 
10071548# NERV Presyncope/ 
Vasovagal response with 
venipuncture2 11MAR2021 72/1 2 No O NA R  
(11MAR2021)N/N 
  C4591001 
1007 
10071553 GENRL Injection site pain/ 
injection site pain 1 10DEC2020 1/3 1 Yes   NA R  
(12DEC2020)N/Y 
    NERV Dizziness/ 
Lightheaded*10DEC2020 1/1 1 No O NA R  
(10DEC2020)N/N 
  C4591001 
1007 
10071553# GENRL Chills/ 
Chills 3 18FEB2021 2/2 1 Yes   NA R  
(19FEB2021)N/N 
      Injection site pain/ 
Injection site pain3 18FEB2021 2/3 1 Yes   NA R  
(20FEB2021)N/N 
      Pain/ 
Body aches3 18FEB2021 2/2 1 Yes   NA R  
(19FEB2021)N/N 
    NERV Headache/ 
Headache3 18FEB2021 2/2 2 Yes   NA/TC R  
(19FEB2021)N/N 
  C4591001 
1008 
10081776# GENRL Pain/ 
body aches 3 27FEB2021 2/3 2 Yes   NA/TC R  
(01MAR2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 53
FDA-CBER-2022-5812-0221044
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Pyrexia/ 
Feve r3 27FEB2021 2/3 2 Yes   NA/TC R  
(01MAR2021)N/N 
    NERV Headache/ 
Headache3 27FEB2021 2/C 2 Yes   NA/TC RG N/N 
  C4591001 
1009 
10091261 INJ&P Skin laceration/ 
left index finger laceration2 10FEB2021 71/C 2 No O NA/TC/TCN RG N/N 
  C4591001 
1009 
10091278 EAR Ear pain/ 
ear ache 2 21JAN2021 31/8 1 No O NA R  
(28JAN2021)N/N 
  C4591001 
1009 
10091285 GENRL Injection site pain/ 
pain at injection site 2 22DEC2020 1/2 1 Yes   NA R  
(23DEC2020)N/N 
    INFEC Impetigo/ 
impeti go on face2 12JAN2021 22/9 1 No O NA/TC R  
(20JAN2021)N/N 
  C4591001 
1009 
10091286# GENRL Chills/ 
chills 3 06JAN2021 2/4 1 Yes   NA R  
(09JAN2021)N/N 
      Pain/ 
body aches3 06JAN2021 2/4 1 Yes   NA R  
(09JAN2021)N/N 
    NERV Headache/ 
Headache3 06JAN2021 2/4 1 Yes   NA R  
(09JAN2021)N/N 
  C4591001 
1013 
10131005 MUSC Arthropathy/ 
CYST, WRIST, LEFT 2 SEP2020 14/ 1 No O NA/TCN R N/N 
  C4591001 
1013 
10131059 GENRL Fatigue/ 
FATIGUE 2 26AUG2020 2/1 3 Yes   NA R  
(26AUG2020)N/N 
    MUSC Myalgia/ 
MUSCLE PAIN2 26AUG2020 2/1 2 Yes   NA R  
(26AUG2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 54
FDA-CBER-2022-5812-0221045
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1015 
10151006# GENRL Chills/ 
Chills 3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
      Fatigue/ 
Fatigue3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
      Injection site pain/ 
Injection site pain3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
    INV Body temperature 
increased/ 
Increased body temperature 
99F3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
    NERV Headache/ 
Headache3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
      Injection site pain/ 
Injection site pain4 17FEB2021 2/3 1 Yes   NA R  
(19FEB2021)N/N 
    MUSC Myalgia/ 
Myalgias4 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1015 
10151029# GENRL Injection site pain/ 
Injection site pain 3 22DEC2020 1/2 1 Yes   NA R  
(23DEC2020)N/Y 
    GENRL Injection site pain/ 
Injection site pain4 11JAN2021 1/2 1 Yes   NA R  
(12JAN2021)N/Y 
  C4591001 
1015 
10151035 BLOOD Lymphadenopathy/ 
Swollen lymph node - left 
armpit axillar y2 04SEP2020 1/5 1 Yes   NA R  
(08SEP2020)N/N 
  C4591001 
1016 
10161003# GASTR Nausea/ 
nausea 3 03FEB2021 1/3 1 Yes   NA R  
(05FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 55
FDA-CBER-2022-5812-0221046
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    GENRL Chills/ 
chills3 03FEB2021 1/3 1 Yes   NA R  
(05FEB2021)N/N 
      Pain/ 
generalized bod y aches3 03FEB2021 1/3 2 Yes   NA/TC R  
(05FEB2021)N/N 
      Pyrexia/ 
subjective feve r3 03FEB2021 1/3 1 Yes   NA/TC R  
(05FEB2021)N/N 
  C4591001 
1016 
10161028 SKIN Dermatitis contact/ 
Contact dermatitis 1 08AUG2020 6/8 2 No O NA/TC R  
(15AUG2020)N/N 
  C4591001 
1016 
10161349 SKIN Rash erythematous/ 
rash, top ten toes(red rash)1 09NOV2020 4/C 1 No O NA N N/N 
  C4591001 
1018 
10181133 SURG Wisdom teeth removal/ 
Wisdom tooth extraction 1 20AUG2020 9/1 1 No O NA/TC R  
(20AUG2020)N/N 
  C4591001 
1039 
10391243# GENRL Injection site pain/ 
Injection Arm Soreness 3 26JAN2021 1/1 1 Yes   NA R  
(26JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 24FEB2021 2/1 1 Yes   NA R  
(24FEB2021)N/N 
  C4591001 
1039 
10391254# GENRL Injection site pain/ 
injection site pain 3 27JAN2021 1/2 1 Yes   NA R  
(28JAN2021)N/N 
  C4591001 
1044 
10441234 RESP Reflux laryngitis/ 
Laryngopharyngeal Reflux2 DEC2020 1/C 1 No O NA/TC RG N/N 
  C4591001 
1044 
10441237# GENRL Injection site pain/ 
injection site pain 3 25FEB2021 1/3 1 Yes   NA R  
(27FEB2021)N/N 
    NERV Headache/ 
headache3 25FEB2021 1/4 1 Yes   NA/TC R  
(28FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 56
FDA-CBER-2022-5812-0221047
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1044 
10441240 GASTR Nausea/ 
nausea 1 09DEC2020 17/1 1 No O NA/TC R  
(09DEC2020)N/N 
  C4591001 
1044 
10441242 NERV Dizziness/ 
dizziness 1 24NOV2020 1/1 1 Yes   NA R  
(24NOV2020)N/N 
  C4591001 
1044 
10441242# SKIN Eczema/ 
Worsening of eczema (face)2 26FEB2021 74/3 1 No O NA/TC R  
(28FEB2021)N/N 
  C4591001 
1044 
10441244 GENRL Injection site pain/ 
injection site pain 1 24NOV2020 1/4 1 Yes   NA R  
(27NOV2020)N/N 
  C4591001 
1044 
10441246 INFEC Otitis media/ 
otitis media (Left ear) 1 02JAN2021 6/6 1 No O NA/TC R  
(07JAN2021)N/N 
  C4591001 
1054 
10541012 GASTR Diarrhoea/ 
diarrhea - 1 episode 2 17SEP2020 7/1 1 Yes   NA R  
(17SEP2020)N/N 
  C4591001 
1057 
10571373# GENRL Injection site pain/ 
INJECTION SITE PAIN 
ON LEFT ARM3 26JAN2021 1/3 2 Yes   NA R  
(28JAN2021)N/N 
  C4591001 
1066 
10661396# GENRL Injection site pain/ 
pain at injection site 3 22DEC2020 1/3 1 Yes   NA R  
(24DEC2020)N/N 
    GENRL Fatigue/ 
fatigue3 23DEC2020 2/2 1 Yes   NA R  
(24DEC2020)N/N 
    MUSC Myalgia/ 
muscle pain3 23DEC2020 2/2 1 Yes   NA R  
(24DEC2020)N/N 
    NERV Headache/ 
headache3 23DEC2020 2/2 1 Yes   NA R  
(24DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 57
FDA-CBER-2022-5812-0221048
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1071 
10711039 GENRL Fatigue/ 
FATIGUE 2 09SEP2020 6/13 2 Yes   NA R  
(21SEP2020)N/N 
    NERV Headache/ 
HEADACHE2 09SEP2020 6/13 1 Yes   NA R  
(21SEP2020)N/N 
  C4591001 
1081 
10811012# GENRL Injection site pain/ 
pain at site of injection (left 
deltoid)3 01MAR2021 1/2 1 Yes   NA R  
(02MAR2021)N/N 
    GASTR Diarrhoea/ 
diarrhea (one episode)3 02MAR2021 2/1 1 Yes   NA R  
(02MAR2021)N/N 
    GENRL Chills/ 
chills3 02MAR2021 2/1 1 Yes   NA R  
(02MAR2021)N/N 
      Pyrexia/ 
fever (101.9)3 02MAR2021 2/2 1 Yes   NA/TC R  
(03MAR2021)N/N 
  C4591001 
1083 
10831001 INJ&P Fall/ 
Fall 2 26AUG2020 6/1 2 No O NA R  
(26AUG2020)N/N 
      Fibula fracture/ 
Fibula fracture2 26AUG2020 6/C 2 No O NA/TC RG N/N 
  C4591001 
1083 
10831084 INJ&P Meniscus injury/ 
Torn Meniscus-Right 1 17AUG2020 7/C 1 No O NA/TC/TCN RG N/N 
  C4591001 
1087 
10871064 INFEC Tooth infection/ 
Wisdom Teeth Infection - 
Right lower quadran t2 15JAN2021 136/15 2 No O NA/TC R  
(29JAN2021)N/N 
  C4591001 
1087 
10871078 RESP Rhinitis allergic/ 
Worsening of Allergic 
Rhinitis2 02FEB2021 156/C 1 No O NA/TC N N/N 
  C4591001 
1087 
10871078# EYE Blepharitis/ 
Blepharitis - Right Eye 2 19FEB2021 173/C 1 No O NA/TC N N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 58
FDA-CBER-2022-5812-0221049
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1089 
10891015 INFEC Tonsillitis/ 
Tonsillitis 2 14SEP2020 28/1 2 No O NA/TCN R  
(14SEP2020)N/N 
    PSYCH Depression/ 
worsenin g depression2 02NOV2020 77/30 2 No O NA/TC R  
(01DEC2020)N/N 
  C4591001 
1090 
10901038 RESP Oropharyngeal pain/ 
sore throat 1 20AUG2020 17/4 2 No O NA R  
(23AUG2020)N/N 
  C4591001 
1090 
10901044# GENRL Fatigue/ 
Fatigue 3 17FEB2021 2/2 2 Yes   NA R  
(18FEB2021)N/N 
      Injection site pain/ 
Injection site pain-ri ght arm3 17FEB2021 2/2 2 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1090 
10901201# GENRL Chills/ 
Chills 3 03MAR2021 1/3 2 Yes   NA R  
(05MAR2021)N/N 
    MUSC Myalgia/ 
Myalgia3 03MAR2021 1/3 2 Yes   NA/TC R  
(05MAR2021)N/N 
  C4591001 
1091 
10911067# GENRL Injection site pain/ 
injection pain 3 12JAN2021 1/1 1 Yes   NA R  
(12JAN2021)N/Y 
    GENRL Chills/ 
chills4 03FEB2021 2/1 1 Yes   NA R  
(03FEB2021)N/N 
      Fatigue/ 
fatigue4 03FEB2021 2/1 1 Yes   NA R  
(03FEB2021)N/N 
    MUSC Arthralgia/ 
generalized arthral gia4 03FEB2021 2/1 2 Yes   NA R  
(03FEB2021)N/N 
      Myalgia/ 
Myalgia4 03FEB2021 2/1 1 Yes   NA R  
(03FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 59
FDA-CBER-2022-5812-0221050
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1091 
10911088 GASTR Crohn's disease/ 
Crohn's Disease 2 NOV2020 62/C 2 No O NA/TC RG N/N 
  C4591001 
1091 
10911095# MUSC Myalgia/ 
myalgia 4 03FEB2021 2/2 1 Yes   NA R  
(04FEB2021)N/N 
  C4591001 
1091 
10911392 GENRL Oedema peripheral/ 
left foot edema 1 01DEC2020 2/37 2 No O NA/TC R  
(06JAN2021)N/N 
    MUSC Arthralgia/ 
right knee joint pain2 24DEC2020 3/14 2 No O NA/TC R  
(06JAN2021)N/N 
  C4591001 
1091 
10911398 RESP Asthma/ 
asthma attack 1 14DEC2020 12/1 1 No O NA R  
(14DEC2020)N/N 
  C4591001 
1092 
10921223 GENRL Injection site pain/ 
Injection Site pain 1 12OCT2020 1/2 1 Yes   NA R  
(13OCT2020)N/N 
    NERV Headache/ 
Headache1 13OCT2020 2/1 2 Yes   NA R  
(13OCT2020)N/N 
  C4591001 
1095 
10951055 REPRO Cervical dysplasia/ 
ASCUS of cervix 1 10AUG2020 7/18 1 No O NA/TC R  
(27AUG2020)N/N 
  C4591001 
1095 
10951106 MUSC Arthralgia/ 
polyarthralgia 2 03SEP2020 7/2 1 No O NA R  
(04SEP2020)N/N 
  C4591001 
1095 
10951308 PSYCH Depression/ 
worsening of depression 2 DEC2020 1/C 1 No O NA/TC N N/N 
  C4591001 
1095 
10951310 PSYCH Attention deficit 
hyperactivity disorder/ 2 25JAN2021 42/C 1 No O NA/TC N N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 60
FDA-CBER-2022-5812-0221051
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
ADHD diagnosed by 
Psychiatris t
  C4591001 
1095 
10951317 GENRL Fatigue/ 
Fatigue 2 15DEC2020 1/1 1 Yes   NA R  
(15DEC2020)N/Y 
  C4591001 
1095 
10951319 INJ&P Joint dislocation/ 
L Patellar Dislocation 2 02JAN2021 6/C 1 No O NA/TC RG N/N 
  C4591001 
1096 
10961031 INJ&P Exposure during pregnancy/
EXPOSURE DURING 
PREGNANCY1 14AUG2020 1/40 No O P R  
(22SEP2020)N/N 
    RESP Oropharyngeal pain/ 
Sore throa t1 05OCT2020 53/3 1 No O NA R  
(07OCT2020)N/N 
    INFEC Urinary tract infection/ 
urinar y tract infection1 22JAN2021 162/C 1 No O NA/TC N N/N 
  C4591001 
1107 
11071010 INFEC Vulvovaginal mycotic 
infection/ 
YEAST INFECTION 
VAGINAL1 11AUG2020 13/7 1 No O NA/TC R  
(17AUG2020)N/N 
  C4591001 
1107 
11071010# GENRL Pain/ 
BODYACHES 3 18FEB2021 1/2 1 Yes   NA R  
(19FEB2021)N/N 
      Pyrexia/ 
FEVER3 18FEB2021 1/2 1 Yes   NA/TC R  
(19FEB2021)N/N 
    NERV Dizziness/ 
DIZZINESS3 18FEB2021 1/1 1 Yes   NA R  
(18FEB2021)N/Y 
      Headache/ 
HEADACHE3 18FEB2021 1/2 1 Yes   NA R  
(19FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 61
FDA-CBER-2022-5812-0221052
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1109 
11091030 GENRL Injection site erythema/ 
Injection Site Redness 1 30JUL2020 1/2 1 Yes   NA R  
(31JUL2020)N/N 
  C4591001 
1109 
11091242# GENRL Fatigue/ 
FATIGUE 4 14FEB2021 2/C 1 Yes   NA N N/N 
    NERV Headache/ 
HEADACHE4 14FEB2021 2/2 1 Yes   NA R  
(15FEB2021)N/N 
  C4591001 
1110 
11101057# GENRL Injection site pain/ 
Pain at the site of injection.3 29DEC2020 1/2 1 Yes   NA R  
(30DEC2020)N/N 
  C4591001 
1110 
11101379 GENRL Fatigue/ 
Fatigue 1 14NOV2020 2/1 2 Yes   NA R  
(14NOV2020)N/N 
    MUSC Arthralgia/ 
Joint Pain (Generalized)1 14NOV2020 2/1 1 Yes   NA R  
(14NOV2020)N/N 
  C4591001 
1112 
11121078 INFEC Pharyngitis streptococcal/
Strep Throat 1 24AUG2020 20/12 1 No O NA/TC R  
(04SEP2020)N/N 
  C4591001 
1112 
11121125 INFEC Tinea infection/ 
Ringworm 1 19AUG2020 3/31 2 No O NA/TC R  
(18SEP2020)N/N 
  C4591001 
1112 
11121125# MUSC Myalgia/ 
Muscle Aches 3 26JAN2021 1/3 2 Yes   NA/TC R  
(28JAN2021)N/N 
  C4591001 
1114 
11141008# GENRL Chills/ 
CHILLS 3 30JAN2021 1/2 1 Yes   NA R  
(31JAN2021)N/N 
      Injection site pain/ 
ARM PAIN AT 
INJECTION SITE3 30JAN2021 1/2 1 Yes   NA R  
(31JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 62
FDA-CBER-2022-5812-0221053
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1114 
11141009# GENRL Fatigue/ 
FATIGUE 3 01FEB2021 1/3 1 Yes   NA R  
(03FEB2021)N/N 
      Injection site pain/ 
Injection site pain3 01FEB2021 1/3 1 Yes   NA R  
(03FEB2021)N/N 
  C4591001 
1120 
11201250 SKIN Rash/ 
Rash torso and legs 1 27AUG2020 7/16 1 No O NA/TC R  
(11SEP2020)N/N 
    NERV Burning sensation/ 
Burning sensation in palm 
of left han d2 16SEP2020 6/1 2 No O NA R  
(16SEP2020)N/N 
  C4591001 
1125 
11251243 GENRL Injection site pain/ 
Grade 3 Pain at Injection 
site1 09DEC2020 2/1 3 Yes   P R  
(09DEC2020)N/N 
    NERV Headache/ 
Grade 3 Headache1 09DEC2020 2/1 3 Yes   P/TC R  
(09DEC2020)N/N 
  C4591001 
1126 
11261205 METAB Decreased appetite/ 
Decreased appetite 1 23NOV2020 13/C 1 No O NA RG N/N 
    PSYCH Depressed mood/ 
Depressed moo d1 23NOV2020 13/C 1 No O NA RG N/N 
  C4591001 
1126 
11261206# GENRL Injection site pain/ 
Pain, injection site 3 04FEB2021 2/2 1 Yes   NA R  
(05FEB2021)N/N 
  C4591001 
1126 
11261207# GENRL Injection site pain/ 
Pain Injection Site 3 19FEB2021 1/3 1 Yes   NA R  
(21FEB2021)N/N 
  C4591001 
1126 
11261210# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 24FEB2021 1/2 1 Yes   NA R  
(25FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 63
FDA-CBER-2022-5812-0221054
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1126 
11261211# GENRL Chills/ 
Chills 3 08FEB2021 1/2 1 Yes   NA R  
(09FEB2021)N/N 
      Injection site pain/ 
Injection site pain3 08FEB2021 1/2 2 Yes   NA R  
(09FEB2021)N/N 
    NERV Headache/ 
Headache3 08FEB2021 1/2 1 Yes   NA R  
(09FEB2021)N/N 
  C4591001 
1126 
11261214# GENRL Chills/ 
Chills 3 09FEB2021 1/2 1 Yes   NA/TC R  
(10FEB2021)N/N 
      Injection site pain/ 
Injection site pain3 09FEB2021 1/2 1 Yes   NA/TC R  
(10FEB2021)N/N 
      Malaise/ 
Malaise3 09FEB2021 1/2 1 Yes   NA/TC R  
(10FEB2021)N/N 
  C4591001 
1126 
11261215# GENRL Injection site pain/ 
Left arm injection site pain3 05FEB2021 1/3 1 Yes   NA R  
(07FEB2021)N/N 
  C4591001 
1126 
11261220# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 17FEB2021 1/4 2 Yes   NA/TC R  
(20FEB2021)N/N 
    NERV Headache/ 
Headache3 17FEB2021 1/2 1 Yes   NA/TC R  
(18FEB2021)N/N 
    GENRL Chills/ 
Chills3 18FEB2021 2/1 2 Yes   NA R  
(18FEB2021)N/N 
      Pyrexia/ 
Feve r3 18FEB2021 2/1 1 Yes   NA/TC R  
(18FEB2021)N/N 
  C4591001 
1126 
11261223# GENRL Injection site pain/ 
Injection site pain 3 12FEB2021 2/1 1 Yes   NA R  
(12FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 64
FDA-CBER-2022-5812-0221055
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1126 
11261224# GENRL Malaise/ 
Malaise 3 12FEB2021 2/2 2 Yes   NA R  
(13FEB2021)N/N 
  C4591001 
1126 
11261228# GENRL Injection site pain/ 
Injection Site Pain 3 12FEB2021 1/3 1 Yes   NA R  
(14FEB2021)N/N 
    NERV Headache/ 
Headache3 12FEB2021 1/3 2 Yes   NA/TC R  
(14FEB2021)N/N 
  C4591001 
1126 
11261236# GENRL Fatigue/ 
Fatigue 3 05FEB2021 1/4 2 Yes   NA R  
(08FEB2021)N/N 
      Injection site pain/ 
Pain, in jection site3 05FEB2021 1/3 2 Yes   NA R  
(07FEB2021)N/N 
  C4591001 
1126 
11261237# GENRL Injection site pain/ 
Injection Site Pain 3 11FEB2021 2/3 1 Yes   NA R  
(13FEB2021)N/N 
  C4591001 
1126 
11261238# GENRL Injection site pain/ 
Injection site pain 3 10FEB2021 1/3 1 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1126 
11261244# BLOOD Lymphadenopathy/ 
Lymph node swelling left 
armpi t3 24FEB2021 1/2 1 Yes   NA R  
(25FEB2021)N/N 
    GENRL Injection site pain/ 
Left upper arm injection site 
pain3 24FEB2021 1/3 1 Yes   NA R  
(26FEB2021)N/N 
    GENRL Chills/ 
Chills3 25FEB2021 2/1 2 Yes   NA R  
(25FEB2021)N/N 
      Pyrexia/ 
Feve r3 25FEB2021 2/1 1 Yes   NA R  
(25FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 65
FDA-CBER-2022-5812-0221056
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1126 
11261247# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 11FEB2021 1/3 2 Yes   NA/TC R  
(13FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 12FEB2021 2/1 1 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1126 
11261248# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 11FEB2021 1/3 1 Yes   NA/TC R  
(13FEB2021)N/N 
    MUSC Myalgia/ 
Muscle aches, generalize d3 12FEB2021 2/2 2 Yes   NA/TC R  
(13FEB2021)N/N 
    GENRL Pyrexia/ 
Feve r3 13FEB2021 3/1 2 Yes   NA/TC R  
(13FEB2021)N/N 
  C4591001 
1126 
11261259# GASTR Irritable bowel syndrome/
Worsening irritable bowel 
syndrome2 14FEB2021 55/C 2 No O NA/TC/TCN N N/N 
  C4591001 
1126 
11261260# GENRL Chills/ 
Chills 3 12FEB2021 2/1 2 Yes   NA R  
(12FEB2021)N/N 
      Fatigue/ 
Fatigue3 12FEB2021 2/2 2 Yes   NA R  
(13FEB2021)N/N 
    MUSC Myalgia/ 
Muscle aches, generalize d3 12FEB2021 2/2 1 Yes   NA/TC R  
(13FEB2021)N/N 
    INFEC Vulvitis/ 
Vulvitis3 16FEB2021 6/7 2 No O NA/TC R  
(22FEB2021)N/N 
    RENAL Dysuria/ 
Dysuria3 17FEB2021 7/6 2 No O NA R  
(22FEB2021)N/N 
  C4591001 
1126 
11261261# GENRL Injection site pain/ 
Left upper arm injection site 
pain3 10FEB2021 1/2 2 Yes   NA R  
(11FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 66
FDA-CBER-2022-5812-0221057
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1128 
11281057 INFEC Tonsillitis/ 
tonsillitis 2 19SEP2020 25/C 1 No O NA N N/N 
  C4591001 
1128 
11281098 SKIN Macule/ 
Erythematous, Macule 
upper anterior thi gh2 13SEP2020 10/27 2 No O NA/TC R  
(09OCT2020)N/N 
    MUSC Musculoskeletal chest pain/
chest wall pain2 08OCT2020 35/5 1 No O NA R  
(12OCT2020)N/N 
  C4591001 
1128 
11281098# GENRL Chills/ 
Chills 3 22JAN2021 1/2 1 Yes   NA R  
(23JAN2021)N/N 
      Injection site pain/ 
Injection Site Soreness, Left 
Arm3 22JAN2021 1/3 1 Yes   NA R  
(24JAN2021)N/N 
  C4591001 
1129 
11291097 INFEC Urinary tract infection/ 
urinary tract infection 2 19DEC2020 110/3 2 No O NA/TC R  
(21DEC2020)N/N 
  C4591001 
1129 
11291256# EYE Eye pain/ 
eye pain 3 16FEB2021 1/2 1 Yes   NA R  
(17FEB2021)N/N 
    GENRL Chills/ 
chills3 16FEB2021 1/2 1 Yes   NA R  
(17FEB2021)N/N 
    NERV Headache/ 
headache3 16FEB2021 1/3 1 Yes   NA/TC R  
(18FEB2021)N/N 
    MUSC Back pain/ 
back pain muscula r3 17FEB2021 2/1 1 Yes   NA R  
(17FEB2021)N/N 
    GENRL Chills/ 
Chills4 10MAR2021 2/2 1 Yes   NA R  
(11MAR2021)N/N 
  C4591001 
1129 
11291260# IMMUN Anaphylactoid reaction/
Anaphylactoid Reaction 3 27JAN2021 3/1 4 Yes   P/TC R  
(27JAN2021)Y/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 67
FDA-CBER-2022-5812-0221058
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1129 
11291262 GASTR Lip swelling/ 
lip swelling 1 23NOV2020 1/12 1 No O NA/TC R  
(04DEC2020)N/N 
    GASTR Aphthous ulcer/ 
worsening canker sore 
episode of lips1 27NOV2020 5/8 2 Yes   NA/TC R  
(04DEC2020)N/N 
  C4591001 
1129 
11291263# GENRL Injection site pain/ 
left deltoid injection site 
soreness3 27JAN2021 1/2 1 Yes   NA R  
(28JAN2021)N/N 
  C4591001 
1131 
11311279 GENRL Fatigue/ 
fatigue 2 12JAN2021 2/4 1 Yes   NA R  
(15JAN2021)N/N 
      Injection site pain/ 
injection site pain2 12JAN2021 2/3 1 Yes   NA R  
(14JAN2021)N/N 
  C4591001 
1139 
11391089 MUSC Musculoskeletal discomfort /
Left Shoulder discomfort 1 26AUG2020 15/12 1 Yes   NA R  
(06SEP2020)N/N 
  C4591001 
1139 
11391138 INFEC Sinusitis/ 
sinusitis 2 08JAN2021 23/18 2 No O NA/TC R  
(25JAN2021)N/N 
  C4591001 
1140 
11401321# GENRL Injection site pain/ 
Pain at injection site 3 17FEB2021 1/2 1 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1141 
11411006 MUSC Back pain/ 
Back Pain 1 31JUL2020 1/10 3 Yes   NA/TC R  
(09AUG2020)N/N 
    INFEC Gingivitis/ 
Gum Infection2 01DEC2020 103/72 1 No O NA/TC R  
(10FEB2021)N/N 
  C4591001 
1141 
11411010 PSYCH Anxiety/ 
Anxiousness 2 14SEP2020 14/93 2 No O NA/TCN R  
(15DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 68
FDA-CBER-2022-5812-0221059
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Depressed mood/ 
Low Moo d2 14SEP2020 14/93 2 No O NA/TCN R  
(15DEC2020)N/N 
  C4591001 
1141 
11411016# GENRL Injection site pain/ 
injection site pain 3 01FEB2021 1/4 1 Yes   NA R  
(04FEB2021)N/N 
    GASTR Nausea/ 
Nausea4 22FEB2021 1/2 1 Yes   NA R  
(23FEB2021)N/N 
    INV Body temperature 
increased/ 
Elevated Body Temperature 
T. Max 100.1 F4 22FEB2021 1/2 1 Yes   NA R  
(23FEB2021)N/N 
    MUSC Myalgia/ 
Diffuse Myalgia in 
vaccinated ar m4 22FEB2021 1/2 1 Yes   NA/TC R  
(23FEB2021)N/N 
  C4591001 
1141 
11411021 GENRL Injection site pain/ 
muscle soreness injection 
area2 25AUG2020 1/2 1 Yes   NA R  
(26AUG2020)N/N 
  C4591001 
1141 
11411029 MUSC Arthralgia/ 
Arthralgias 2 17SEP2020 23/12 2 Yes   NA/TC/TCN R  
(28SEP2020)N/N 
    PSYCH Anxiety/ 
Anxiet y Flare up2 18SEP2020 24/C 1 Yes   NA/TC/TCN N N/N 
  C4591001 
1141 
11411032# GENRL Fatigue/ 
Fatigue 3 07JAN2021 1/4 2 Yes   NA R  
(10JAN2021)N/N 
      Injection site pain/ 
Injection site pain left 
deltoi d3 07JAN2021 1/4 2 Yes   NA R  
(10JAN2021)N/N 
  C4591001 
1141 
11411053 PSYCH Anxiety/ 
Worsening Anxiety 2 02DEC2020 99/62 2 No O NA/TC/TCN R  
(01FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 69
FDA-CBER-2022-5812-0221060
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Depression/ 
Worsenin g depression2 02DEC2020 99/62 2 No O NA/TC/TCN R  
(01FEB2021)N/N 
  C4591001 
1141 
11411056 GENRL Injection site 
hyperaesthesia/ 
Hyperethesia left deltoid 
region on in jection site2 02SEP2020 1/1 1 Yes   NA R  
(02SEP2020)N/Y 
  C4591001 
1141 
11411067 MUSC Plantar fasciitis/ 
worsening of plantar 
fasciitis left foo t2 14SEP2020 13/C 2 No O NA/TC RG N/N 
  C4591001 
1141 
11411067# GENRL Fatigue/ 
fatigue 3 21DEC2020 1/3 1 Yes   NA R  
(23DEC2020)N/N 
      Injection site pain/ 
injection site pain3 21DEC2020 1/6 1 Yes   NA R  
(26DEC2020)N/N 
    GENRL Fatigue/ 
Fatigue4 13JAN2021 1/4 2 Yes   NA R  
(16JAN2021)N/N 
    NERV Headache/ 
Headache (worse than 
typical)4 13JAN2021 1/2 2 Yes   NA/TC R  
(14JAN2021)N/N 
    GASTR Nausea/ 
Nausea4 14JAN2021 2/2 1 Yes   NA R  
(15JAN2021)N/N 
    GENRL Pyrexia/ 
Feve r4 14JAN2021 2/2 1 Yes   NA/TC R  
(15JAN2021)N/N 
    MUSC Myalgia/ 
Generalized M yalgia4 14JAN2021 2/2 2 Yes   NA R  
(15JAN2021)N/N 
    GENRL Injection site pain/ 
Arm Pain (in jection)4 16JAN2021 4/2 1 Yes   NA R  
(17JAN2021)N/N 
  C4591001 
1141 
11411070# GENRL Chills/ 
chills 3 23DEC2020 1/2 1 Yes   NA R  
(24DEC2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 70
FDA-CBER-2022-5812-0221061
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Fatigue/ 
fatigue3 23DEC2020 1/2 1 Yes   NA R  
(24DEC2020)N/N 
      Injection site pain/ 
injection site pain3 23DEC2020 1/2 2 Yes   NA/TC R  
(24DEC2020)N/N 
    GENRL Pyrexia/ 
Feve r4 15JAN2021 2/1 1 Yes   NA/TC R  
(15JAN2021)N/N 
  C4591001 
1141 
11411074# GASTR Abdominal discomfort/ 
Stomach discomfort 4 25FEB2021 2/1 2 Yes   NA R  
(25FEB2021)N/N 
    GENRL Chills/ 
chills4 25FEB2021 2/1 2 Yes   NA R  
(25FEB2021)N/N 
      Malaise/ 
Malaise4 25FEB2021 2/1 2 Yes   NA R  
(25FEB2021)N/N 
      Pyrexia/ 
Fever (101 F)4 25FEB2021 2/1 2 Yes   NA/TC R  
(25FEB2021)N/N 
    MUSC Myalgia/ 
myalgia4 25FEB2021 2/1 3 Yes   NA/TC R  
(25FEB2021)N/N 
    NERV Headache/ 
Headache4 25FEB2021 2/1 2 Yes   NA/TC R  
(25FEB2021)N/N 
  C4591001 
1142 
11421045# GENRL Injection site pain/ 
injection site pain 3 26FEB2021 1/2 2 Yes   NA R  
(27FEB2021)N/N 
    SKIN Ecchymosis/ 
ecchymosis at left 
antecubital fossa3 27FEB2021 2/C 1 No O NA RG N/N 
  C4591001 
1142 
11421059# GENRL Injection site pain/ 
injection site pain 3 29DEC2020 1/2 2 Yes   NA R  
(30DEC2020)N/N 
    GENRL Fatigue/ 
fatigue4 22JAN2021 2/2 1 Yes   NA R  
(23JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 71
FDA-CBER-2022-5812-0221062
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Injection site pain/ 
injection site pain4 22JAN2021 2/2 1 Yes   NA R  
(23JAN2021)N/N 
      Pain/ 
body aches4 22JAN2021 2/2 1 Yes   NA R  
(23JAN2021)N/N 
  C4591001 
1142 
11421078# GENRL Injection site pain/ 
injection site pain 3 07JAN2021 2/2 1 Yes   NA R  
(08JAN2021)N/N 
  C4591001 
1147 
11471258# GENRL Injection site pain/ 
Pain at injection site 3 26FEB2021 1/3 1 Yes   NA R  
(28FEB2021)N/N 
  C4591001 
1147 
11471259 EYE Eye pain/ 
Ocular pain, bilateral 2 05JAN2021 25/C 1 No O NA/TC N N/N 
      Ocular hyperaemia/ 
Ocular redness, bilateral2 05JAN2021 25/C 1 No O NA/TC N N/N 
  C4591001 
1147 
11471272 INJ&P Ligament sprain/ 
Sprained Ankle 2 14JAN2021 18/C 1 No O NA/TC N N/N 
  C4591001 
1149 
11491335† GENRL Injection site pain/ 
mild pain at site of injection 
(right arm)1 27OCT2020 2/2 1 Yes   NA/TC R  
(28OCT2020)N/N 
  C4591001 
1150 
11501148# GENRL Injection site pain/ 
Pain at injection site 3 18FEB2021 1/3 1 Yes   NA R  
(20FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 19FEB2021 2/2 1 Yes   NA R  
(20FEB2021)N/N 
      Pain/ 
Generalized Bod y Aches3 19FEB2021 2/2 1 Yes   NA R  
(20FEB2021)N/N 
    NERV Dizziness/ 
Dizziness3 19FEB2021 2/2 1 Yes   NA R  
(20FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 72
FDA-CBER-2022-5812-0221063
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1150 
11501149# GENRL Injection site pain/ 
Pain at injection site 3 16FEB2021 1/3 2 Yes   NA R  
(18FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
      Pain/ 
Generalized Bod y Aches3 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
    NERV Headache/ 
Headache3 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1150 
11501151# GENRL Injection site pain/ 
Pain at injection site 3 23FEB2021 1/3 2 Yes   NA R  
(25FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 24FEB2021 2/1 1 Yes   NA R  
(24FEB2021)N/N 
  C4591001 
1150 
11501153# GENRL Injection site pain/ 
Pain at injection site 3 24FEB2021 1/3 1 Yes   NA R  
(26FEB2021)N/N 
    PSYCH Depression/ 
Worsening Depression- no 
prior hospitalizations for 
depression3 02MAR2021 7/C 4 No O NA RG Y/N 
  C4591001 
1150 
11501155# GENRL Injection site pain/ 
Pain at injection site 3 12FEB2021 2/1 1 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1150 
11501158# GENRL Injection site pain/ 
Pain at injection site 3 18FEB2021 1/3 2 Yes   NA R  
(20FEB2021)N/N 
  C4591001 
1150 
11501159# GENRL Injection site pain/ 
Pain at injection site 3 18FEB2021 1/3 2 Yes   NA R  
(20FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 73
FDA-CBER-2022-5812-0221064
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1150 
11501169# GENRL Injection site pain/ 
Injection Site Pain 3 18FEB2021 2/2 1 Yes   NA R  
(19FEB2021)N/N 
  C4591001 
1150 
11501170# GENRL Injection site pain/ 
Injection Site Pain 3 17FEB2021 2/3 1 Yes   NA R  
(19FEB2021)N/N 
  C4591001 
1152 
11521024# INJ&P Upper limb fracture/ 
broken right arm 2 15JAN2021 136/C 2 No O NA/TC/TCN N N/N 
  C4591001 
1152 
11521591# NERV Headache/ 
Headache 3 12MAR2021 2/1 2 Yes   NA/TC R  
(12MAR2021)N/N 
  C4591001 
1152 
11521643 ENDO Autoimmune thyroiditis/
Hashimoto's disease 2 12FEB2021 47/C 2 No O NA N N/N 
  C4591001 
1156 
11561300 GENRL Pyrexia/ 
FEVER 1 18NOV2020 2/2 3 Yes   NA R  
(19NOV2020)N/N 
  C4591001 
1156 
11561329 NERV Headache/ 
HEADACHE 2 07JAN2021 2/42 1 Yes   NA/TC R  
(17FEB2021)N/N 
  C4591001 
1161 
11611016 INJ&P Exposure during pregnancy/
Exposure during Pregnancy2 17JAN2021 60/C 1 No O NA UNK N/N 
  C4591001 
1162 
11621019 INFEC Sinusitis/ 
sinus infection 2 06OCT2020 42/C 1 No O NA/TC N N/N 
  C4591001 
1162 
11621583 NERV Headache/ 
headache 1 28OCT2020 1/2 1 Yes   NA R  
(29OCT2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 74
FDA-CBER-2022-5812-0221065
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1170 
11701022 GENRL Pain/ 
Exercise Induced Body 
Soreness1 06SEP2020 21/2 1 No O NA/TC R  
(07SEP2020)N/N 
    NERV Headache/ 
Headache2 09SEP2020 2/2 1 Yes   NA R  
(10SEP2020)N/N 
  C4591001 
1171 
11711027 INJ&P Muscle strain/ 
Lower back strain 2 18SEP2020 15/11 2 No O NA/TC R  
(28SEP2020)N/N 
  C4591001 
1185 
11851060# GENRL Fatigue/ 
Fatigue 4 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
    NERV Somnolence/ 
Drowsiness4 17FEB2021 2/2 1 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1194 
11941045# GENRL Injection site pain/ 
Pain at injection site 3 18JAN2021 1/3 1 Yes   NA R  
(20JAN2021)N/N 
  C4591001 
1194 
11941047# GENRL Injection site pain/ 
Pain at injection site 3 26JAN2021 2/4 2 Yes   NA R  
(29JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 15FEB2021 1/4 1 Yes   NA R  
(18FEB2021)N/N 
      Injection site pain/ 
Pain at in jection site4 15FEB2021 1/5 2 Yes   NA R  
(19FEB2021)N/N 
  C4591001 
1194 
11941067# GENRL Fatigue/ 
Fatigue 3 15JAN2021 1/6 3 Yes   NA R  
(20JAN2021)N/N 
      Injection site pain/ 
Pain at in jection site3 15JAN2021 1/6 2 Yes   NA R  
(20JAN2021)N/N 
      Injection site swelling/ 
Swellin g at in jection pain3 15JAN2021 1/2 1 Yes   NA R  
(16JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 75
FDA-CBER-2022-5812-0221066
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    NERV Headache/ 
Headache3 16JAN2021 2/3 2 Yes   NA R  
(18JAN2021)N/N 
    GENRL Injection site pain/ 
Pain at in jection site4 05FEB2021 1/7 2 Yes   NA R  
(11FEB2021)N/N 
  C4591001 
1194 
11941086# GENRL Injection site pain/ 
Pain at injection site 3 28JAN2021 1/3 2 Yes   NA R  
(30JAN2021)N/N 
    NERV Headache/ 
Headache3 29JAN2021 2/2 2 Yes   NA R  
(30JAN2021)N/N 
    NERV Headache/ 
Headache4 19FEB2021 2/3 2 Yes   NA R  
(21FEB2021)N/N 
  C4591001 
1194 
11941092# GENRL Injection site pain/ 
Pain at the injection site 3 27JAN2021 2/3 2 Yes   NA R  
(29JAN2021)N/N 
  C4591001 
1194 
11941103# GENRL Injection site pain/ 
Pain at injection site 3 13JAN2021 2/4 1 Yes   NA R  
(16JAN2021)N/N 
  C4591001 
1195 
11951066# GENRL Chills/ 
Chills 3 20JAN2021 2/1 1 Yes   NA R  
(20JAN2021)N/N 
  C4591001 
1195 
11951100 GASTR Vomiting/ 
Emesis 1 18OCT2020 1/1 1 No O NA R  
(18OCT2020)N/N 
  C4591001 
1195 
11951148 MUSC Spinal disorder/ 
cervical spine syndrome 1 02NOV2020 14/45 1 No O NA/TC R  
(16DEC2020)N/N 
  C4591001 
1195 
11951148# GENRL Injection site pain/ 
pain injection site 3 09FEB2021 2/7 2 Yes   NA R  
(15FEB2021)N/N 
    GASTR Nausea/ 
Nausea3 24FEB2021 17/2 1 Yes   NA/TC R  
(25FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 76
FDA-CBER-2022-5812-0221067
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1197 
11971031 MUSC Tenosynovitis/ 
Tenosynovitis right forearm2 15JAN2021 71/C 2 No O NA/TC N N/N 
  C4591001 
1197 
11971031# NERV Headache/ 
headache 4 24FEB2021 1/2 1 Yes   NA R  
(25FEB2021)N/N 
  C4591001 
1203 
12031026 NERV Headache/ 
headache 1 07NOV2020 19/1 2 No O NA/TC R  
(07NOV2020)N/N 
    GASTR Inguinal hernia/ 
inguinal hernia lef t1 09NOV2020 21/103 2 No O NA/TC/TCN R  
(19FEB2021)Y/N 
  C4591001 
1203 
12031026# NERV Headache/ 
systemic vaccination 
reaction headache3 01MAR2021 1/1 2 Yes   NA/TC R  
(01MAR2021)N/N 
  C4591001 
1203 
12031047# GENRL Injection site pain/ 
tenderness at injection site3 10FEB2021 1/2 1 Yes   NA R  
(11FEB2021)N/N 
    GENRL Malaise/ 
Malaise4 03MAR2021 1/3 2 Yes   NA R  
(05MAR2021)N/N 
    MUSC Arthralgia/ 
Arthral gia4 03MAR2021 1/3 2 Yes   NA R  
(05MAR2021)N/N 
    GENRL Pyrexia/ 
Feve r4 04MAR2021 2/2 1 Yes   NA/TC R  
(05MAR2021)N/N 
  C4591001 
1213 
12131003# GENRL Injection site pain/ 
PAIN AT INJECTION 
SITE3 08JAN2021 1/2 2 Yes   NA R  
(09JAN2021)N/N 
    MUSC Myalgia/ 
MUSCLE PAIN3 08JAN2021 1/2 2 Yes   NA R  
(09JAN2021)N/N 
    GENRL Injection site pain/ 
PAIN AT INJECTION 
SITE4 29JAN2021 1/2 2 Yes   NA/TC R  
(30JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 77
FDA-CBER-2022-5812-0221068
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    NERV Headache/ 
HEADACHE4 29JAN2021 1/2 2 Yes   NA/TC R  
(30JAN2021)N/N 
    SKIN Hyperhidrosis/ 
SWEATING4 29JAN2021 1/2 2 Yes   NA/TC R  
(30JAN2021)N/N 
  C4591001 
1213 
12131018# GENRL Injection site pain/ 
PAIN AT INJECTION 
SITE3 12JAN2021 1/2 2 Yes   NA R  
(13JAN2021)N/N 
    NERV Headache/ 
HEADACHE3 12JAN2021 1/2 2 Yes   NA R  
(13JAN2021)N/N 
    GENRL Injection site pain/ 
PAIN AT INJECTION 
SITE4 01FEB2021 1/3 2 Yes   NA R  
(03FEB2021)N/N 
    NERV Headache/ 
HEADACHE4 01FEB2021 1/3 3 Yes   NA R  
(03FEB2021)N/N 
  C4591001 
1214 
12141012# GENRL Injection site pain/ 
Pain at injection site 3 02FEB2021 1/2 2 Yes   NA R  
(03FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 03FEB2021 2/2 2 Yes   NA R  
(04FEB2021)N/N 
    NERV Headache/ 
Headache3 03FEB2021 2/2 2 Yes   NA R  
(04FEB2021)N/N 
    GENRL Injection site pain/ 
pain at in jection site4 24FEB2021 1/4 2 Yes   NA R  
(27FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue4 25FEB2021 2/2 2 Yes   NA R  
(26FEB2021)N/N 
    NERV Headache/ 
Headache4 25FEB2021 2/2 2 Yes   NA R  
(26FEB2021)N/N 
  C4591001 
1214 
12141022# GENRL Injection site pain/ 
pain at injection site 3 01FEB2021 1/3 2 Yes   NA R  
(03FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 78
FDA-CBER-2022-5812-0221069
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    GENRL Injection site pain/ 
pain at in jection site4 22FEB2021 1/4 2 Yes   NA R  
(25FEB2021)N/N 
    GENRL Fatigue/ 
fatigue4 23FEB2021 2/2 2 Yes   NA R  
(24FEB2021)N/N 
  C4591001 
1214 
12141027# GENRL Injection site pain/ 
pain at injection site 3 01FEB2021 1/2 3 Yes   NA R  
(02FEB2021)N/N 
    GENRL Fatigue/ 
fatigue4 23FEB2021 1/2 2 Yes   NA/TC R  
(24FEB2021)N/N 
    MUSC Pain in extremity/ 
arm pain4 23FEB2021 1/2 2 Yes   NA/TC R  
(24FEB2021)N/N 
  C4591001 
1214 
12141053# MUSC Pain in extremity/ 
Arm Pain 3 07JAN2021 1/2 1 Yes   NA R  
(08JAN2021)N/N 
    MUSC Pain in extremity/ 
Arm Pain4 26JAN2021 1/2 1 Yes   NA R  
(27JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 27JAN2021 2/2 1 Yes   NA R  
(28JAN2021)N/N 
  C4591001 
1217 
12171032# GENRL Injection site pain/ 
Injection pain (Arm pain) 3 07JAN2021 1/3 1 Yes   NA R  
(09JAN2021)N/N 
    GENRL Fatigue/ 
Lassitude4 28JAN2021 1/2 1 Yes   NA R  
(29JAN2021)N/N 
      Injection site pain/ 
Injection pain(arm pain)4 28JAN2021 1/2 1 Yes   NA R  
(29JAN2021)N/N 
  C4591001 
1217 
12171041# GENRL Injection site pain/ 
arm pain (injection pain) 3 20JAN2021 1/3 1 Yes   NA R  
(22JAN2021)N/N 
    GENRL Pyrexia/ 
38 C Feve r4 12FEB2021 1/2 1 Yes   NA R  
(13FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 79
FDA-CBER-2022-5812-0221070
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1223 
12231005# GENRL Injection site pain/ 
injection site pain 3 11FEB2021 1/3 1 Yes   NA R  
(13FEB2021)N/N 
  C4591001 
1223 
12231008# GENRL Fatigue/ 
fatigue 4 15JAN2021 2/1 1 Yes   NA R  
(15JAN2021)N/N 
    MUSC Back pain/ 
back pain4 15JAN2021 2/1 1 Yes   NA R  
(15JAN2021)N/N 
  C4591001 
1223 
12231025# GENRL Injection site pain/ 
injection site pain 3 17FEB2021 1/2 1 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1223 
12231036# GENRL Fatigue/ 
fatigue 3 22FEB2021 1/2 1 Yes   NA R  
(23FEB2021)N/N 
  C4591001 
1223 
12231057 GENRL Fatigue/ 
Fatigue 2 22SEP2020 1/2 1 Yes   NA/TC R  
(23SEP2020)N/N 
      Pyrexia/ 
Feve r2 22SEP2020 1/2 1 Yes   NA/TC R  
(23SEP2020)N/N 
    MUSC Myalgia/ 
Myalgia2 22SEP2020 1/2 1 Yes   NA/TC R  
(23SEP2020)N/N 
    NERV Headache/ 
Headache2 22SEP2020 1/2 1 Yes   NA/TC R  
(23SEP2020)N/N 
  C4591001 
1223 
12231073 GASTR Nausea/ 
nausea 2 04OCT2020 13/2 2 No O NA R  
(05OCT2020)N/N 
    NERV Dizziness/ 
Dizziness2 04OCT2020 13/2 2 No O NA R  
(05OCT2020)N/N 
  C4591001 
1223 
12231073# GENRL Chills/ 
chills 3 10FEB2021 1/2 1 Yes   NA R  
(11FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 80
FDA-CBER-2022-5812-0221071
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    NERV Headache/ 
headache3 10FEB2021 1/2 1 Yes   NA R  
(11FEB2021)N/N 
  C4591001 
1224 
12241168 GENRL Pyrexia/ 
Fever - 101.0F 2 18DEC2020 9/1 1 Yes   NA/TC R  
(18DEC2020)N/N 
    SKIN Rash/ 
Rash - bilateral upper arms2 18DEC2020 9/1 1 Yes   NA/TC R  
(18DEC2020)N/N 
  C4591001 
1226 
12261049 GENRL Pyrexia/ 
fever (38 C) 2 04SEP2020 1/2 1 Yes   NA R  
(05SEP2020)N/N 
    NERV Headache/ 
Headache2 04SEP2020 1/2 1 Yes   NA R  
(05SEP2020)N/N 
  C4591001 
1226 
12261082 GASTR Nausea/ 
nausea 1 19AUG2020 9/1 1 No O NA/TC R  
(19AUG2020)N/N 
    MUSC Torticollis/ 
torticollis1 24AUG2020 14/1 1 No O NA/TC R  
(24AUG2020)N/N 
  C4591001 
1226 
12261100# GENRL Fatigue/ 
Fatigue 3 22JAN2021 1/3 2 Yes   NA/TC R  
(24JAN2021)N/N 
      Injection site pain/ 
Pain at in jection site3 22JAN2021 1/3 2 Yes   NA/TC R  
(24JAN2021)N/N 
    GENRL Pyrexia/ 
Fever 39 C4 11FEB2021 2/3 2 Yes   NA/TC R  
(13FEB2021)N/N 
  C4591001 
1226 
12261124 MUSC Pain in extremity/ 
Pain in legs 1 19AUG2020 8/3 2 No O NA/TC R  
(21AUG2020)N/N 
  C4591001 
1226 
12261126 MUSC Back pain/ 
acute low back pain 1 20AUG2020 9/C 2 No O NA/TC RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 81
FDA-CBER-2022-5812-0221072
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1226 
12261126# GENRL Fatigue/ 
tiredness 3 02FEB2021 2/3 2 Yes   NA R  
(04FEB2021)N/N 
      Injection site pain/ 
pain at the in jection site3 02FEB2021 2/3 2 Yes   NA/TC R  
(04FEB2021)N/N 
    MUSC Myalgia/ 
muscle pain3 02FEB2021 2/3 2 Yes   NA/TC R  
(04FEB2021)N/N 
    GENRL Injection site pain/ 
Pain at the in jection site4 22FEB2021 1/4 2 Yes   NA/TC R  
(25FEB2021)N/N 
      Injection site swelling/ 
Swellin g at the in jection site4 22FEB2021 1/4 2 Yes   NA/TC R  
(25FEB2021)N/N 
    GENRL Chills/ 
Chills4 23FEB2021 2/3 2 Yes   NA/TC R  
(25FEB2021)N/N 
    INV Body temperature 
increased/ 
Increased body temperature 
37.6 C4 23FEB2021 2/3 2 Yes   NA/TC R  
(25FEB2021)N/N 
    MUSC Arthralgia/ 
Joint pain4 23FEB2021 2/3 2 Yes   NA/TC R  
(25FEB2021)N/N 
  C4591001 
1226 
12261144 NERV Headache/ 
Headache 1 27AUG2020 16/1 1 No O NA R  
(27AUG2020)N/N 
    NERV Headache/ 
Headache2 09SEP2020 2/3 1 Yes   NA R  
(11SEP2020)N/N 
  C4591001 
1226 
12261158# GENRL Chills/ 
Chills 3 01FEB2021 1/2 2 Yes   NA/TC R  
(02FEB2021)N/N 
      Injection site pain/ 
Pain at the in jection site3 01FEB2021 1/2 2 Yes   NA/TC R  
(02FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 82
FDA-CBER-2022-5812-0221073
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    MUSC Myalgia/ 
Myalgia3 01FEB2021 1/2 2 Yes   NA/TC R  
(02FEB2021)N/N 
    NERV Headache/ 
Headache3 01FEB2021 1/2 2 Yes   NA/TC R  
(02FEB2021)N/N 
    GENRL Chills/ 
chills4 22FEB2021 1/2 1 Yes   NA/TC R  
(23FEB2021)N/N 
      Pain/ 
body pain4 22FEB2021 1/2 1 Yes   NA/TC R  
(23FEB2021)N/N 
  C4591001 
1226 
12261172# GENRL Chills/ 
chills 3 30JAN2021 1/2 1 Yes   NA/TC R  
(31JAN2021)N/N 
    NERV Headache/ 
headache3 30JAN2021 1/2 1 Yes   NA/TC R  
(31JAN2021)N/N 
  C4591001 
1226 
12261207# GENRL Pyrexia/ 
Fever 38 C 4 20FEB2021 1/3 1 Yes   NA/TC R  
(22FEB2021)N/N 
  C4591001 
1226 
12261230# GENRL Pain/ 
body pain 3 06FEB2021 2/4 1 Yes   NA/TC R  
(09FEB2021)N/N 
  C4591001 
1226 
12261238# GENRL Injection site pain/ 
pain at the injection site 4 21FEB2021 2/1 1 Yes   NA R  
(21FEB2021)N/N 
  C4591001 
1226 
12261251# GASTR Nausea/ 
Nausea 3 22JAN2021 1/2 1 Yes   NA R  
(23JAN2021)N/N 
    GENRL Injection site pain/ 
Pain at in jection site3 22JAN2021 1/2 1 Yes   NA/TC R  
(23JAN2021)N/N 
    GENRL Injection site pain/ 
pain at the in jection site4 10FEB2021 1/3 1 Yes   NA/TC R  
(12FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 83
FDA-CBER-2022-5812-0221074
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    GASTR Nausea/ 
Nausea4 11FEB2021 2/2 1 Yes   NA/TC R  
(12FEB2021)N/N 
  C4591001 
1230 
12301057# MUSC Myalgia/ 
New onset of muscle pain.3 29JAN2021 2/4 3 Yes   NA/TC R  
(01FEB2021)N/N 
    GENRL Injection site pain/ 
Pain at in jection site.3 07FEB2021 11/14 2 Yes   NA R  
(20FEB2021)N/N 
    GENRL Peripheral swelling/ 
Swellin g left upper arm.4 17FEB2021 2/4 2 Yes   NA R  
(20FEB2021)N/N 
    MUSC Myalgia/ 
New onset of muscle pain.4 17FEB2021 2/4 2 Yes   NA R  
(20FEB2021)N/N 
    MUSC Arthralgia/ 
New onset of joint pain left 
upper wris t4 19FEB2021 4/15 3 Yes   NA/TC R  
(05MAR2021)N/N 
  C4591001 
1230 
12301114# GENRL Chills/ 
Chills 3 18FEB2021 2/1 2 Yes   NA R  
(18FEB2021)N/N 
    MUSC Myalgia/ 
Muscle pain in upper arms 
and le gs.3 18FEB2021 2/1 2 Yes   NA R  
(18FEB2021)N/N 
  C4591001 
1231 
12311141 INFEC Genital herpes/ 
exacerbated genital herpes2 27SEP2020 26/9 1 No O NA/TC/TCN R  
(05OCT2020)N/N 
  C4591001 
1231 
12311164 GASTR Abdominal pain/ 
Abdominal pain 2 02SEP2020 1/2 3 No O NA/TC/TCN R  
(03SEP2020)N/N 
  C4591001 
1231 
12311191 INFEC Cystitis/ 
Cystitis 1 09OCT2020 57/3 1 No O NA/TC R  
(11OCT2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 84
FDA-CBER-2022-5812-0221075
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1231 
12311199 INFEC Genital herpes simplex/ 
Genital herpes simplex type 
22 16SEP2020 14/13 1 No O NA/TC R  
(28SEP2020)N/N 
  C4591001 
1231 
12311229 CARD Tachycardia/ 
tachycardia 2 06OCT2020 33/39 2 No O NA R  
(13NOV2020)N/N 
  C4591001 
1231 
12311281 INFEC Appendicitis/ 
acute appendicitis 2 18SEP2020 15/19 3 No O NA/TC/TCN R  
(06OCT2020)Y/N 
    INV Electrocardiogram QT 
prolonged/ 
QT interval prolon gation2 18SEP2020 15/1 1 No O NA R  
(18SEP2020)N/N 
  C4591001 
1231 
12311306 GENRL Chest pain/ 
Self-limited oppressive 
chest pain1 02SEP2020 19/1 1 No O NA R  
(02SEP2020)N/N 
  C4591001 
1231 
12311387 INJ&P Exposure during pregnancy/
Drug Exposed Pregnancy 2 07NOV2020 65/C No O NA UNK N/N 
    INFEC Urinary tract infection/ 
Complicated Urinary Tract 
Infection2 04JAN2021 123/15 3 No O NA/TC R  
(18JAN2021)Y/N 
  C4591001 
1231 
12311388 NERV Headache/ 
headache 1 16AUG2020 2/8 1 No O NA R  
(23AUG2020)N/N 
    MUSC Myalgia/ 
GENERALIZED 
MYALGIA1 18AUG2020 4/7 1 Yes   NA R  
(24AUG2020)N/N 
    MUSC Arthralgia/ 
ARTHRALGIA1 21AUG2020 7/4 1 No O NA R  
(24AUG2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 85
FDA-CBER-2022-5812-0221076
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
    SURG Tooth extraction/ 
Programmed extraction of 
the ri ght third mola r2 26SEP2020 24/1 1 No CND NA/TC/TCN R  
(26SEP2020)N/N 
  C4591001 
1231 
12311436 GASTR Diarrhoea/ 
diarrhea 2 30SEP2020 28/2 1 No O NA/TCN R  
(01OCT2020)N/N 
  C4591001 
1232 
12321213 INJ&P Exposure during pregnancy/
Exposure during pregnancy1 01OCT2020 23/C  
No O P UNK N/N 
  C4591001 
1241 
12411010 GENRL Injection site erythema/ 
Injection site erythema 1 07AUG2020 1/1 1 Yes   NA R  
(07AUG2020)N/Y 
  C4591001 
1241 
12411011 MUSC Myalgia/ 
Myalgia 2 27AUG2020 2/3 1 Yes   NA R  
(29AUG2020)N/N 
  C4591001 
1241 
12411028# GENRL Injection site pain/ 
Injection site pain 3 25JAN2021 1/3 1 Yes   NA R  
(27JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 15FEB2021 1/2 1 Yes   NA R  
(16FEB2021)N/N 
      Injection site pain/ 
Injection site pain4 15FEB2021 1/2 1 Yes   NA R  
(16FEB2021)N/N 
    GENRL Pyrexia/ 
Feve r4 16FEB2021 2/1 1 Yes   NA R  
(16FEB2021)N/N 
  C4591001 
1241 
12411034 SURG Sclerotherapy/ 
Sclerotherapy 2 23SEP2020 22/1 1 No O NA R  
(23SEP2020)N/N 
  C4591001 
1241 
12411127# GENRL Injection site pain/ 
Injection site pain 3 01FEB2021 1/2 2 Yes   NA/TC R  
(02FEB2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 86
FDA-CBER-2022-5812-0221077
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Pyrexia/ 
Feve r3 01FEB2021 1/2 1 Yes   NA/TC R  
(02FEB2021)N/N 
    NERV Headache/ 
Headache3 01FEB2021 1/2 1 Yes   NA/TC R  
(02FEB2021)N/N 
    GENRL Injection site pain/ 
Injection site pain4 23FEB2021 2/4 1 Yes   NA/TC R  
(26FEB2021)N/N 
      Pyrexia/ 
Feve r4 23FEB2021 2/4 1 Yes   NA/TC R  
(26FEB2021)N/N 
    NERV Headache/ 
Headache4 23FEB2021 2/4 1 Yes   NA/TC R  
(26FEB2021)N/N 
  C4591001 
1241 
12411157# GENRL Injection site pain/ 
Injection site pain 3 26JAN2021 1/2 1 Yes   NA R  
(27JAN2021)N/N 
  C4591001 
1241 
12411171# MUSC Myalgia/ 
Myalgia 3 04FEB2021 1/3 2 Yes   NA/TC R  
(06FEB2021)N/N 
  C4591001 
1241 
12411178# GENRL Injection site pain/ 
Injection site pain 3 29JAN2021 2/2 1 Yes   NA R  
(30JAN2021)N/N 
    GENRL Fatigue/ 
Fatigue4 19FEB2021 2/3 1 Yes   NA R  
(21FEB2021)N/N 
      Injection site pain/ 
Injection site pain4 19FEB2021 2/3 1 Yes   NA R  
(21FEB2021)N/N 
  C4591001 
1241 
12411205# GENRL Injection site pain/ 
Injection site pain 4 19FEB2021 1/3 1 Yes   NA R  
(21FEB2021)N/N 
  C4591001 
1241 
12411220# GENRL Injection site pain/ 
Injection site pain 3 29JAN2021 2/3 1 Yes   NA R  
(31JAN2021)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 87
FDA-CBER-2022-5812-0221078
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Injection site swelling/ 
Injection site swellin g3 29JAN2021 2/3 1 Yes   NA R  
(31JAN2021)N/N 
    MUSC Myalgia/ 
Myalgia4 19FEB2021 2/2 1 Yes   NA R  
(20FEB2021)N/N 
  C4591001 
1246 
12461026 INFEC Sinusitis/ 
Sinusitis 2 27OCT2020 9/15 2 No O NA/TC R  
(10NOV2020)N/N 
  C4591001 
1246 
12461028# MUSC Pain in extremity/ 
Painful Left arm 3 24FEB2021 1/3 1 Yes   NA/TC R  
(26FEB2021)N/N 
  C4591001 
1246 
12461070 INFEC Urinary tract infection/ 
Urine tract Infection-
pathogen unknown2 15NOV2020 23/4 2 No O NA/TC R  
(18NOV2020)N/N 
    PSYCH Depression/ 
Worsenin g of depression2 25DEC2020 63/22 3 No O NA/TC/TCN R  
(15JAN2021)Y/N 
  C4591001 
1246 
12461082# GENRL Injection site pain/ 
Painful Left Arm injection 
area3 11FEB2021 1/2 1 Yes   NA R  
(12FEB2021)N/N 
  C4591001 
1246 
12461084# GENRL Injection site pain/ 
Painful left arm injection 
site.3 12FEB2021 1/3 1 Yes   NA/TC R  
(14FEB2021)N/N 
  C4591001 
1246 
12461092# GENRL Injection site pain/ 
Painful left arm injection 
site3 12FEB2021 1/3 1 Yes   NA/TC R  
(14FEB2021)N/N 
  C4591001 
1246 
12461094# GENRL Injection site pain/ 
Painful left arm at injection 
side3 12FEB2021 1/4 2 Yes   NA/TC R  
(15FEB2021)N/N 
  C4591001 
1247 
12471121 INJ&P Flail chest/ 
Flail Chest 2 30OCT2020 10/C 3 No O NA/TC/TCN N Y/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 88
FDA-CBER-2022-5812-0221079
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Road traffic accident/ 
Motorc yle acciden t2 30OCT2020 10/1 2 No O NA R  
(30OCT2020)N/N 
  C4591001 
1247 
12471185 GENRL Fatigue/ 
Fatigue 1 06OCT2020 1/9 1 Yes   NA R  
(14OCT2020)N/N 
    MUSC Myalgia/ 
Muscle pain1 06OCT2020 1/2 1 Yes   NA R  
(07OCT2020)N/N 
    NERV Headache/ 
Headache1 06OCT2020 1/5 1 Yes   NA R  
(10OCT2020)N/N 
    GENRL Chills/ 
Chills1 07OCT2020 2/2 2 Yes   NA R  
(08OCT2020)N/N 
      Injection site pain/ 
Injection site pain1 07OCT2020 2/2 2 Yes   NA R  
(08OCT2020)N/N 
    MUSC Myalgia/ 
Muscle Pain1 07OCT2020 2/2 2 Yes   NA R  
(08OCT2020)N/N 
    GENRL Injection site pain/ 
Injection pain1 08OCT2020 3/2 1 Yes   NA R  
(09OCT2020)N/N 
    GENRL Pyrexia/ 
Feve r2 27OCT2020 1/3 2 Yes   NA R  
(29OCT2020)N/N 
  C4591001 
1247 
12471197 GENRL Fatigue/ 
Fatigue 1 07OCT2020 2/7 2 Yes   NA R  
(13OCT2020)N/N 
    NERV Headache/ 
Headache1 07OCT2020 2/2 2 Yes   NA R  
(08OCT2020)N/N 
  C4591001 
1247 
12471199 GENRL Fatigue/ 
Fatigue 1 06OCT2020 1/1 2 Yes   NA R  
(06OCT2020)N/N 
      Injection site erythema/ 
Injection site redness1 06OCT2020 1/2 3 Yes   NA R  
(07OCT2020)N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 89
FDA-CBER-2022-5812-0221080
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
      Injection site pain/ 
Injection site pain1 06OCT2020 1/2 2 Yes   NA R  
(07OCT2020)N/N 
      Injection site swelling/ 
Injection site swellin g1 06OCT2020 1/1 3 Yes   NA R  
(06OCT2020)N/N 
  C4591001 
1248 
12481001 GENRL Chills/ 
Chills 2 18SEP2020 2/1 2 Yes   NA/TC R  
(18SEP2020)N/N 
      Pyrexia/ 
Feve r2 18SEP2020 2/1 2 Yes   NA/TC R  
(18SEP2020)N/N 
  C4591001 
1248 
12481004# GENRL Fatigue/ 
fatigue 3 14JAN2021 2/2 1 Yes   NA R  
(15JAN2021)N/N 
      Pain/ 
body aches3 14JAN2021 2/2 1 Yes   NA R  
(15JAN2021)N/N 
      Pyrexia/ 
mild feve r3 14JAN2021 2/2 1 Yes   NA R  
(15JAN2021)N/N 
  C4591001 
1270 
12701152# GENRL Chills/ 
Chills 3 03FEB2021 1/1 1 Yes   NA R  
(03FEB2021)N/N 
      Fatigue/ 
Fatigue3 03FEB2021 1/7 1 Yes   NA R  
(09FEB2021)N/N 
      Injection site pain/ 
Injection Site Pain3 03FEB2021 1/3 1 Yes   NA R  
(05FEB2021)N/N 
    GASTR Nausea/ 
Nausea3 06FEB2021 4/1 1 Yes   NA R  
(06FEB2021)N/N 
    GENRL Injection site pain/ 
Injetion Site Pain4 24FEB2021 1/2 1 Yes   NA R  
(25FEB2021)N/N 
  C4591001 
1270 
12701154 PSYCH Generalised anxiety 
disorder/ 2 14JAN2021 39/C 1 No O NA/TCN N N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
Page 90
FDA-CBER-2022-5812-0221081
16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
Generalized Anxiety 
Disorde r
    MUSC Back pain/ 
Chronic Low back pain2 19JAN2021 44/C 1 No O NA/TCN N N/N 
  C4591001 
1270 
12701155# GENRL Chills/ 
Chills 3 06FEB2021 2/2 1 Yes   NA R  
(07FEB2021)N/N 
      Injection site pain/ 
Injection Site Pain3 06FEB2021 2/2 2 Yes   NA R  
(07FEB2021)N/N 
    MUSC Myalgia/ 
Muscle pain, generalize d3 06FEB2021 2/2 1 Yes   NA R  
(07FEB2021)N/N 
  C4591001 
1270 
12701164# MUSC Pain in extremity/ 
Right antecubital pain 2 02FEB2021 51/1 1 No O NA/TCN R  
(02FEB2021)N/N 
    NERV Headache/ 
Headache3 03FEB2021 2/2 1 Yes   NA R  
(04FEB2021)N/N 
  C4591001 
1270 
12701175 GENRL Injection site pain/ 
Left Arm Injection Site Pain1 01DEC2020 1/7 2 Yes   NA R  
(07DEC2020)N/N 
  C4591001 
1270 
12701178 SKIN Seborrhoeic dermatitis/ 
Seborrheic Dermatitis of 
Scalp2 10JAN2021 20/C 1 No O NA/TC N N/N 
  C4591001 
1270 
12701178# GENRL Injection site pain/ 
Injection Site Pain 3 03FEB2021 1/2 1 Yes   NA/TC R  
(04FEB2021)N/N 
  C4591001 
1270 
12701186 SKIN Rash/ 
Rash to trunk 2 21JAN2021 31/C 1 No O NA RG N/N 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
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16.2.7.4.1.1 Listing of Adverse Events – Subjects 12 Through 25  Years of Age (Reactogenicity Subset) 
Age  
Group 
(Years) Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose
No.Onset 
Date Rel
Daya/
Dur
(Days)bToxicity
Grade Vax
RelcCause
of
AE Action: 
Investigational
Vaccine Dose/
Subject Outcome 
(End Date) SAE/Imm
AE 
(Yes/No)
  
  C4591001 
1270 
12701190# GENRL Injection site pain/ 
Injection site pain 3 08FEB2021 1/3 1 Yes   NA R  
(10FEB2021)N/N 
    GENRL Fatigue/ 
Fatigue3 09FEB2021 2/2 1 Yes   NA R  
(10FEB2021)N/N 
Abbreviations: C = continuing; Du r = duration; Imm = immediate.  Refer to the AE legend page (Li sting 16.2.7.1) for additional definitions. 
Note: MedDRA (v23.1) coding dictionary applied. 
Note: * = Prevaccination AE, # = AE occurring on or after subjec t unblinding date, † = human immunodeficiency virus (HIV)-positive subject. 
a.     Relative day (Rel Day) = da te of AE - date of last vacci nation + 1. For an AE that occurred before the date of the firs t study vaccination, + 1 was not 
added to compute relative day. 
b.     Duration (days)  was calculated as the difference from th e start of the first reported ev ent to resolution of the last r eported event, inclusive. 
c.     Vaccine related (Vax Rel) : relationship to investigation al vaccine as assessed by the investigator. 
PFIZER CONFIDENTIAL SDTM Creation: 25MAR2021 (20:15) Source Dat a: adae Table Generation: 27MAR2021 (01:37)  
(Cutoff Date: 13MAR2021, Snapshot Date: 25MAR2021) Output File:  ./nda2 unblinded/C4591001 BLA/adae l002 ped
 
090177e196ac9161\Final\Final On: 31-Mar-2021 13:06 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1001 
10011083 INFEC Urinary tract infection/ 
urinary tract infection 2 14SEP2020 27/7 1 No O NA R  
(20SEP2020) N/N 
16-55/ 
C4591001 
1001 
10011089 INJ&P Fall/ 
Fall from mountainbike 2 04SEP2020 18/C 2 No O NA/TCN N N/N 
    Ligament sprain/ 
Sprained shoulde r 2 04SEP2020 18/C 2 No O NA N N/N 
16-55/ 
C4591001 
1001 
10011092 GENRL Chest discomfort/ 
intermittent chest discomfort 2 14SEP2020 27/15 1 No O NA R  
(28SEP2020) N/N 
  INJ&P Ligament rupture/ 
right ACL rupture# 2 15JAN2021 150/33 2 No O NA/TC R  
(16FEB2021) N/N 
  GENRL Feeling hot/ 
Feeling Warm# 4 10FEB2021 2/2 1 Yes   NA/TC R  
(11FEB2021) N/N 
  MUSC Myalgia/ 
Muscle aches# 4 10FEB2021 2/2 1 Yes   NA/TC R  
(11FEB2021) N/N 
  NERV Headache/ 
Headache# 4 10FEB2021 2/2 1 Yes   NA/TC R  
(11FEB2021) N/N 
16-55/ 
C4591001 
1001 
10011106 MUSC Back pain/ 
Lower Back Pain 1 02AUG2020 3/2 2 Yes   NA R  
(03AUG2020) N/N 
16-55/ 
C4591001 
1001 
10011113 NERV Migraine/ 
worsening migraine 1 07AUG2020 5/9 2 No O NA R  
(15AUG2020) N/N 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1001 
10011125 NERV Dizziness/ 
dizziness*  
04AUG2020 1/1 1 Yes   NA R  
(04AUG2020) N/N 
  NERV Migraine/ 
migraine headache 1 05AUG2020 2/5 3 Yes   NA R  
(09AUG2020) N/N 
  MUSC Myalgia/ 
diffuse m yalgias 1 06AUG2020 3/2 3 Yes   NA R  
(07AUG2020) N/N 
  PSYCH Disorientation/ 
disorientation 1 08AUG2020 5/2 1 No O NA R  
(09AUG2020) N/N 
16-55/ 
C4591001 
1001 
10011130 INJ&P Arthropod bite/ 
Insect bites, left ankle 1 07AUG2020 3/3 1 No O NA/TC R  
(09AUG2020) N/N 
16-55/ 
C4591001 
1001 
10011132 RESP Allergic respiratory disease/ 
Allergy upper respiratory 2 01SEP2020 7/3 1 No O NA R  
(03SEP2020) N/N 
16-55/ 
C4591001 
1001 
10011135 BLOOD Lymphadenopathy/ 
Left axilla lymphadenopathy# 3 15JAN2021 2/12 2 Yes   NA R  
(26JAN2021) N/N 
  GENRL Injection site pain/ 
Left arm pain at in jection site# 3 15JAN2021 2/33 2 Yes   NA/TC R  
(16FEB2021) N/N 
16-55/ 
C4591001 
1001 
10011138 MUSC Arthralgia/ 
exacerbation of history of left 
shoulder pain 2 15SEP2020 20/C 1 No O NA N N/N 
16-55/ 
C4591001 MUSC Pain in extremity/ 
right arm pain 2 11SEP2020 16/3 1 No O NA R  
(13SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1001 
10011143 
16-55/ 
C4591001 
1001 
10011145 GASTR Gastrooesophageal reflux disease/ 
exacerbation of gastroesophageal 
reflux disease 2 03SEP2020 7/2 1 No O NA R  
(04SEP2020) N/N 
  INV Body temperature increased/ 
elevated temperature 2 03SEP2020 7/1 1 Yes   NA R  
(03SEP2020) N/N 
16-55/ 
C4591001 
1001 
10011149 GENRL Malaise/ 
Malaise 1 14AUG2020 8/5 1 No O NA R  
(18AUG2020) N/N 
  NERV Sciatica/ 
Back pain, subjectively described as 
sciatica 1 18AUG2020 12/C 1 No O NA/TC N N/N 
  INJ&P Muscle strain/ 
muscle strain 2 23SEP2020 27/3 1 No O NA R  
(25SEP2020) N/N 
16-55/ 
C4591001 
1003 
10031101 SKIN Dermatitis contact/ 
Poison Ivy on both legs, both arms, 
and both wrists. 2 09SEP2020 23/15 2 No O NA/TC R  
(23SEP2020) N/N 
  VASC Hypertension/ 
Hypertension 2 16SEP2020 30/C 1 No O NA/TC N N/N 
16-55/ 
C4591001 
1003 
10031111 MUSC Psoriatic arthropathy/ 
psoriatic arthritis 2 26SEP2020 38/C 2 Yes   NA/TC N Y/N 
16-55/ 
C4591001 METAB Obesity/ 
obesity 2 03SEP2020 14/C 3 No O NA/TC/TCN RG N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1003 
10031125 
16-55/ 
C4591001 
1003 
10031147 VASC Hypertension/ 
worsening hypertension 2 SEP2020 7/C 1 No O NA/TC N N/N 
  REPRO Endometriosis/ 
endometriosis# 3 29JAN2021 19/C 2 No O NA/TC N N/N 
16-55/ 
C4591001 
1003 
10031155 GENRL Fatigue/ 
Mild Fatigue 1 11AUG2020 6/2 1 No O NA R  
(12AUG2020) N/N 
16-55/ 
C4591001 
1003 
10031156 GENRL Pyrexia/ 
fever 102# 3 30JAN2021 2/2 2 Yes   NA R  
(31JAN2021) N/N 
  SKIN Rash/ 
rash on torso# 3 31JAN2021 3/3 2 Yes   NA R  
(02FEB2021) N/N 
16-55/ 
C4591001 
1003 
10031160 INJ&P Contusion/ 
traumatic bruise left knee 1 10AUG2020 5/6 2 No O NA/TC R  
(15AUG2020) N/N 
    Fall/ 
fall from bic ycle 1 10AUG2020 5/6 2 No O NA/TC R  
(15AUG2020) N/N 
  PSYCH Anxiety/ 
Anxiety 2 NOV2020 67/C 2 No O NA/TC N N/N 
16-55/ 
C4591001 
1003 
10031166 GASTR Diverticulum/ 
R/O worsening of diverticular 
disease# 2 04FEB2021 161/21 2 No O NA R  
(24FEB2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1003 
10031186 INJ&P Exposure during pregnancy/ 
Exposure During partner Pregnancy 2 17SEP2020 15/C  
No O NA UNK N/N 
16-55/ 
C4591001 
1003 
10031197 CONG Congenital ureteropelvic junction 
obstruction/ 
Congenital right ureteropelvic 
junction obstruction 2 01DEC2020 90/58 3 No O NA/TC/TCN R  
(27JAN2021) Y/N 
16-55/ 
C4591001 
1003 
10031201 IMMUN Hypersensitivity/ 
Allergy Attack 2 20SEP2020 18/1 1 No O NA/TC R  
(20SEP2020) N/N 
  INFEC Sinusitis/ 
Sinus Infection 2 22SEP2020 20/4 1 No O NA/TC R  
(25SEP2020) N/N 
16-55/ 
C4591001 
1003 
10031205 EYE Uveitis/ 
bilateral Uveitis 2 DEC2020 89/C 2 No O NA/TC N N/N 
  INV Biopsy breast normal/ 
Left breast lesion biops y benign 2 11JAN2021 130/1 1 No O NA R  
(11JAN2021) N/N 
16-55/ 
C4591001 
1003 
10031206 GASTR Colitis ulcerative/ 
ulcerative colitis 2 24OCT2020 51/16 3 No O NA R  
(08NOV2020) N/N 
16-55/ 
C4591001 
1003 
10031207 VASC Deep vein thrombosis/ 
bilateral lower extremity DVT 2 27DEC2020 115/48 3 No O NA/TC R  
(12FEB2021) Y/N 
  CONG Protein S deficiency/ 
S protein deficienc y 2 28DEC2020 116/C 2 No O NA/TC N N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  RESP Pulmonary embolism/ 
pulmonary embolism 2 28DEC2020 116/15 3 No O NA/TC R  
(11JAN2021) Y/N 
16-55/ 
C4591001 
1005 
10051003 MUSC Back pain/ 
BACK PAIN 2 30SEP2020 32/9 2 No O NA/TC R  
(08OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051024 METAB Decreased appetite/ 
DECREASED APPETITE 2 01SEP2020 2/1 2 Yes   NA R  
(01SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051026 EAR Vertigo positional/ 
INTERMITTENT POSITIONAL 
VERTIGO 1 13AUG2020 3/5 1 Yes   NA R  
(17AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051028 MUSC Myalgia/ 
generalized myalgia# 3 23FEB2021 1/C 2 Yes   NA/TC N N/N 
16-55/ 
C4591001 
1005 
10051054 GENRL Non-cardiac chest pain/ 
INTERMITTENT NON CARDIAC 
CHEST PAIN 2 09SEP2020 6/9 2 No O NA R  
(17SEP2020) Y/N 
16-55/ 
C4591001 
1005 
10051055 GENRL Fatigue/ 
FATIGUE 1 19AUG2020 7/2 1 Yes   NA R  
(20AUG2020) N/N 
  MUSC Myalgia/ 
MUSCLE PAIN 1 19AUG2020 7/2 1 Yes   NA R  
(20AUG2020) N/N 
16-55/ 
C4591001 GENRL Chills/ 
CHILLS 2 03SEP2020 2/1 2 Yes   NA R  
(03SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051066 
16-55/ 
C4591001 
1005 
10051071 GENRL Chills/ 
CHILLS# 4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021) N/N 
    Fatigue/ 
FATIGUE# 4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021) N/N 
  NERV Headache/ 
HEADACHE# 4 11FEB2021 2/2 2 Yes   NA R  
(12FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051075 GENRL Fatigue/ 
FATIGUE 2 06SEP2020 3/9 1 Yes   NA R  
(14SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051076 GENRL Chills/ 
CHILLS 2 09SEP2020 1/3 1 Yes   NA R  
(11SEP2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 09SEP2020 1/3 1 Yes   NA R  
(11SEP2020) N/N 
    Malaise/ 
MALAISE 2 09SEP2020 1/3 1 Yes   NA R  
(11SEP2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 09SEP2020 1/2 2 Yes   NA/TC R  
(10SEP2020) N/N 
  GENRL Pyrexia/ 
FEVER 100.9 2 10SEP2020 2/1 1 Yes   NA R  
(10SEP2020) N/N 
16-55/ 
C4591001 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 17AUG2020 1/2 1 Yes   NA R  
(18AUG2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051077 
  MUSC Myalgia/ 
MYALGIA 1 17AUG2020 1/2 1 Yes   NA R  
(18AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051081 GENRL Injection site pain/ 
SORENESS AT INJECTION SITE 1 19AUG2020 1/4 1 Yes   NA R  
(22AUG2020) N/Y 
    Injection site warmth/ 
CALOR AT INJECTION SITE 1 19AUG2020 1/1 1 Yes   NA R  
(19AUG2020) N/Y 
  GASTR Diarrhoea/ 
DIARRHEA 1 20AUG2020 2/2 1 Yes   NA R  
(21AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051082 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 20AUG2020 2/2 1 Yes   NA R  
(21AUG2020) N/N 
  NERV Depressed level of consciousness/ 
CLOUDING OF CONCIOUSNESS 1 05SEP2020 18/8 1 No O NA R  
(12SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051084 EYE Conjunctival oedema/ 
RIGHT EYE CONJUNCTIVA 
SWELLING 2 09SEP2020 1/2 2 Yes   NA R  
(10SEP2020) N/N 
    Eye irritation/ 
RIGHT EYE IRRITATION 2 09SEP2020 1/2 2 Yes   NA/TC R  
(10SEP2020) N/N 
    Ocular hyperaemia/ 
RIGHT EYE ERYTHEMA 2 09SEP2020 1/2 2 Yes   NA R  
(10SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE# 4 13JAN2021 2/1 2 Yes   NA R  
(13JAN2021) N/N 
    Pyrexia/ 
FEVER (101.9F)# 4 13JAN2021 2/1 2 Yes   NA/TC R  
(13JAN2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 4 13JAN2021 2/1 2 Yes   NA R  
(13JAN2021) N/N 
16-55/ 
C4591001 
1005 
10051093 NERV Dizziness/ 
DIZZINESS 2 21SEP2020 12/4 1 No O NA R  
(24SEP2020) N/N 
    Dizziness/ 
LIGHT HEADED 2 21SEP2020 12/4 1 No O NA R  
(24SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051094 GENRL Injection site pain/ 
PAIN AT INJECTION SITE# 3 18DEC2020 2/1 1 Yes   NA R  
(18DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051100 GENRL Injection site pain/ 
SORE INJECTION SITE ARM 
RADIATING TO NECK 1 21AUG2020 2/2 1 Yes   NA R  
(22AUG2020) N/N 
  GENRL Chills/ 
CHILLS 2 09SEP2020 1/2 1 Yes   NA R  
(10SEP2020) N/N 
    Pyrexia/ 
FEVER 2 09SEP2020 1/2 1 Yes   NA R  
(10SEP2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 09SEP2020 1/2 1 Yes   NA R  
(10SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051105 GENRL Injection site pain/ 
PAIN AT INJECTION SITE# 3 22DEC2020 2/3 1 Yes   NA R  
(24DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051107 GENRL Malaise/ 
MALAISE 1 22AUG2020 2/1 1 Yes   NA R  
(22AUG2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Myalgia/ 
GENERALIZED MYALGIA 1 22AUG2020 2/1 1 Yes   NA R  
(22AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051119 GENRL Injection site pain/ 
PAIN AT INJECTION SITE*  
24AUG2020 1/4 1 Yes   NA R  
(27AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051123 MUSC Myalgia/ 
Muscle Aches 2 15SEP2020 2/2 1 Yes   NA R  
(16SEP2020) N/N 
  INFEC Urinary tract infection/ 
URINATRY TRACT INFECTION 2 14OCT2020 31/15 2 No O NA/TC R  
(28OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051125 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 25AUG2020 2/5 1 Yes   NA R  
(29AUG2020) N/N 
  GENRL Chills/ 
CHILLS 2 17SEP2020 2/1 1 Yes   NA R  
(17SEP2020) N/N 
    Fatigue/ 
FATIGUE 2 17SEP2020 2/1 1 Yes   NA R  
(17SEP2020) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA 2 17SEP2020 2/1 1 Yes   NA R  
(17SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051129 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 24AUG2020 1/5 1 Yes   NA R  
(28AUG2020) N/N 
  GENRL Asthenia/ 
ASTHENIA 1 26AUG2020 3/1 1 Yes   NA/TC R  
(26AUG2020) N/N 
16-55/ 
C4591001 MUSC Arthralgia/ 
LEFT SHOULDER PAIN 1 05SEP2020 13/18 2 No O NA/TC R  
(22SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051134 
16-55/ 
C4591001 
1005 
10051135 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 24AUG2020 1/1 1 Yes   NA R  
(24AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051145 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 26AUG2020 2/2 1 Yes   NA R  
(27AUG2020) N/N 
  GASTR Diarrhoea/ 
DIARRHEA 1 28AUG2020 4/1 1 Yes   NA R  
(28AUG2020) N/N 
  RESP Oropharyngeal pain/ 
SORE THROAT 1 28AUG2020 4/1 1 Yes   NA R  
(28AUG2020) N/N 
  GASTR Diarrhoea/ 
INTERMITTENT DIARRHEA 1 02SEP2020 9/13 1 Yes   NA R  
(14SEP2020) N/N 
  GENRL Injection site pain/ 
INJECTION SITE PAIN 2 14SEP2020 1/2 1 Yes   NA R  
(15SEP2020) N/N 
  MUSC Pain in extremity/ 
RIGHT LEG PAIN 2 14SEP2020 1/2 1 Yes   NA R  
(15SEP2020) N/N 
  RESP Oropharyngeal pain/ 
SORE THROAT 2 14SEP2020 1/1 1 Yes   NA R  
(14SEP2020) N/N 
  RESP Oropharyngeal pain/ 
SORE THROAT 2 19SEP2020 6/1 1 No O NA R  
(19SEP2020) N/N 
  GASTR Diarrhoea/ 
DIARRHEA 2 20SEP2020 7/1 1 No O NA R  
(20SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051146 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 25AUG2020 1/2 1 Yes   NA/TC R  
(26AUG2020) N/Y 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 103
FDA-CBER-2022-5812-0221094
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Myalgia/ 
GENERALIZED MYALGIA 1 26AUG2020 2/2 1 Yes   NA R  
(27AUG2020) N/N 
  GASTR Nausea/ 
NAUSEA 2 15SEP2020 2/2 2 Yes   NA R  
(16SEP2020) N/N 
  GENRL Asthenia/ 
WEAKNESS 2 15SEP2020 2/2 2 Yes   NA R  
(16SEP2020) N/N 
    Pyrexia/ 
FEVER 2 15SEP2020 2/2 1 Yes   NA/TC R  
(16SEP2020) N/N 
  MUSC Arthralgia/ 
GENERALIZED ARTHRALGIA 2 15SEP2020 2/2 2 Yes   NA R  
(16SEP2020) N/N 
    Myalgia/ 
GENERALIZED MYALGIA 2 15SEP2020 2/2 2 Yes   NA R  
(16SEP2020) N/N 
  GENRL Chills/ 
CHILLS 2 16SEP2020 3/1 2 Yes   NA R  
(16SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051150 NERV Nerve compression/ 
PINCHED NERVE IN NECK 2 15SEP2020 2/72 2 Yes   NA/TC R  
(25NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051151 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 27AUG2020 2/3 1 Yes   NA R  
(29AUG2020) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA 1 27AUG2020 2/3 1 Yes   NA R  
(29AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051161 GENRL Chills/ 
CHILLS 2 17SEP2020 1/2 2 Yes   NA R  
(18SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 18SEP2020 2/1 1 Yes   NA R  
(18SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 104
FDA-CBER-2022-5812-0221095
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Myalgia/ 
GENERALIZED MYALGIA 2 18SEP2020 2/1 1 Yes   NA R  
(18SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051165 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 27AUG2020 2/1 1 Yes   NA R  
(27AUG2020) N/N 
  GASTR Diarrhoea/ 
DIARRHEA 1 14SEP2020 20/2 1 No O NA R  
(15SEP2020) N/N 
  GENRL Chills/ 
CHILLS 2 18SEP2020 2/1 1 Yes   NA R  
(18SEP2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 18SEP2020 2/1 1 Yes   NA R  
(18SEP2020) N/N 
    Pyrexia/ 
FEVER 100.5 2 18SEP2020 2/1 1 Yes   NA R  
(18SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051166 INFEC Helicobacter gastritis/ 
H Pylori gastroenteritis# 3 09JAN2021 19/11 1 No O NA/TC R  
(19JAN2021) N/N 
  GENRL Chills/ 
CHILLS# 4 12JAN2021 1/2 2 Yes   NA R  
(13JAN2021) N/N 
    Pyrexia/ 
FEVER# 4 12JAN2021 1/2 1 Yes   NA R  
(13JAN2021) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 4 12JAN2021 1/2 2 Yes   NA R  
(13JAN2021) N/N 
  NERV Headache/ 
HEADACHE# 4 12JAN2021 1/3 2 Yes   NA R  
(14JAN2021) N/N 
  GENRL Chills/ 
CHILLS# 4 13JAN2021 2/2 1 Yes   NA R  
(14JAN2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 105
FDA-CBER-2022-5812-0221096
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
    Pyrexia/ 
FEVER 101.0# 4 13JAN2021 2/2 2 Yes   NA R  
(14JAN2021) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALIGA# 4 13JAN2021 2/2 1 Yes   NA R  
(14JAN2021) N/N 
16-55/ 
C4591001 
1005 
10051168 MUSC Costochondritis/ 
LEFT CHOSTOCHONDRITIS 1 16SEP2020 21/4 1 No O NA/TC R  
(19SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051169 METAB Decreased appetite/ 
LACK OF APPETITE 1 27AUG2020 1/2 1 Yes   NA R  
(28AUG2020) N/N 
  MUSC Musculoskeletal stiffness/ 
LEFT SHOULDER STIFFNESS 1 27AUG2020 1/3 1 Yes   NA R  
(29AUG2020) N/N 
    Musculoskeletal stiffness/ 
STIFFNESS ON LEFT SIDE OF 
NECK 1 27AUG2020 1/3 1 Yes   NA R  
(29AUG2020) N/N 
  NERV Dizziness/ 
LIGHT HEADED 1 27AUG2020 1/2 1 Yes   NA R  
(28AUG2020) N/N 
    Headache/ 
HEADACHE 1 27AUG2020 1/2 1 Yes   NA/TC R  
(28AUG2020) N/N 
  NERV Lethargy/ 
LETHARGY 1 29AUG2020 3/3 2 Yes   NA R  
(31AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051170 GENRL Injection site pain/ 
injection site pain# 4 05FEB2021 1/C 2 Yes   NA N N/N 
16-55/ 
C4591001 GASTR Dyspepsia/ 
HEARTBURN 2 16SEP2020 2/2 2 Yes   NA R  
(17SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 106
FDA-CBER-2022-5812-0221097
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051171 
    Nausea/ 
NAUSEA 2 16SEP2020 2/2 1 Yes   NA R  
(17SEP2020) N/N 
  NERV Migraine/ 
WORSENING OF MIGRINES 2 16SEP2020 2/2 2 Yes   NA/TC R  
(17SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051175 GENRL Chills/ 
CHILLS# 4 28JAN2021 1/2 2 Yes   NA R  
(29JAN2021) N/N 
    Pyrexia/ 
FEVER (102.6)# 4 28JAN2021 1/2 2 Yes   NA R  
(29JAN2021) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 4 28JAN2021 1/2 2 Yes   NA R  
(29JAN2021) N/N 
16-55/ 
C4591001 
1005 
10051178 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 29AUG2020 2/2 1 Yes   NA R  
(30AUG2020) N/N 
  IMMUN Allergy to arthropod sting/ 
BEE STING REACTION 1 11SEP2020 15/5 1 No O NA/TC R  
(15SEP2020) N/N 
  GENRL Chills/ 
CHILLS 2 19SEP2020 2/1 1 Yes   NA R  
(19SEP2020) N/N 
    Fatigue/ 
FATIGUE 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
    Pyrexia/ 
FEVER 100.4 2 19SEP2020 2/1 1 Yes   NA/TC R  
(19SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 107
FDA-CBER-2022-5812-0221098
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Arthralgia/ 
GENERALIZED ARTHRALGIA 2 19SEP2020 2/2 2 Yes   NA/TC R  
(20SEP2020) N/N 
    Myalgia/ 
GENERALIZED MYALGIA 2 19SEP2020 2/2 2 Yes   NA/TC R  
(20SEP2020) N/N 
  GASTR Vomiting/ 
EMESIS 2 01OCT2020 14/1 2 No O NA R  
(01OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051179 EYE Eye pain/ 
STINGING IN EYES 1 28AUG2020 1/1 1 Yes   NA R  
(28AUG2020) N/N 
  RESP Cough/ 
COUGH 1 28AUG2020 1/1 1 Yes   NA R  
(28AUG2020) N/Y 
    Throat irritation/ 
TICKLE IN THROAT 1 28AUG2020 1/1 1 Yes   NA R  
(28AUG2020) N/Y 
    Upper-airway cough syndrome/ 
POST NASAL DRIP 1 28AUG2020 1/1 1 Yes   NA R  
(28AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051181 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 29AUG2020 2/2 1 Yes   NA R  
(30AUG2020) N/N 
  GENRL Injection site pain/ 
INJECTION SITE PAIN 2 19SEP2020 2/2 2 Yes   NA R  
(20SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051182 GENRL Fatigue/ 
EXTREME FATIGUE 1 29AUG2020 2/1 2 Yes   NA R  
(29AUG2020) N/N 
16-55/ 
C4591001 
1005 
10051183 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 31AUG2020 1/7 1 Yes   NA R  
(06SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 108
FDA-CBER-2022-5812-0221099
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  GENRL Pain/ 
BODY ACHES 1 01SEP2020 2/3 1 Yes   NA/TC R  
(03SEP2020) N/N 
  RESP Cough/ 
COUGH 1 01SEP2020 2/3 1 Yes   NA/TC R  
(03SEP2020) N/N 
    Nasal congestion/ 
NASAL CONGESTION 1 01SEP2020 2/3 1 Yes   NA/TC R  
(03SEP2020) N/N 
  GENRL Injection site pain/ 
INJECTION SITE PAIN 1 23SEP2020 24/6 1 Yes   NA R  
(28SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051187 NERV Headache/ 
HEADACHE 2 21SEP2020 1/2 2 Yes   NA R  
(22SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 22SEP2020 2/2 2 Yes   NA R  
(23SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051188 GENRL Fatigue/ 
FATIGUE 1 01SEP2020 1/3 2 Yes   NA R  
(03SEP2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 1 01SEP2020 1/8 1 Yes   NA R  
(08SEP2020) N/N 
  MUSC Myalgia/ 
MUSCLE ACHES 1 01SEP2020 1/3 1 Yes   NA R  
(03SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 24SEP2020 1/3 2 Yes   NA R  
(26SEP2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 24SEP2020 1/8 2 Yes   NA R  
(01OCT2020) N/N 
  MUSC Myalgia/ 
MUSCLE ACHES 2 24SEP2020 1/3 1 Yes   NA/TC R  
(26SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 109
FDA-CBER-2022-5812-0221100
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1005 
10051189 GENRL Injection site pain/ 
injection site pain# 3 24FEB2021 1/2 1 Yes   NA R  
(25FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051192 GENRL Injection site pain/ 
INJECTION SITE PAIN 2 23SEP2020 1/3 2 Yes   NA/TC R  
(25SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 24SEP2020 2/2 2 Yes   NA R  
(25SEP2020) N/N 
    Pain/ 
BODY ACHES 2 24SEP2020 2/2 2 Yes   NA R  
(25SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051198 GENRL Chills/ 
chills# 4 12MAR2021 1/2 2 Yes   NA R  
(13MAR2021)N/N 
    Pyrexia/ 
fever 102F# 4 12MAR2021 1/2 2 Yes   NA/TC R  
(13MAR2021)N/N 
  MUSC Myalgia/ 
generalized m yalgia# 4 12MAR2021 1/2 2 Yes   NA/TC R  
(13MAR2021)N/N 
16-55/ 
C4591001 
1005 
10051199 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 03SEP2020 1/3 2 Yes   NA/TC R  
(05SEP2020) N/N 
  GENRL Injection site pain/ 
PAIN AT INJECTION SITE 2 24SEP2020 1/3 2 Yes   NA/TC R  
(26SEP2020) N/N 
  GENRL Chills/ 
BODY CHILLS 2 25SEP2020 2/2 2 Yes   NA R  
(26SEP2020) N/N 
16-55/ 
C4591001 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 03SEP2020 1/3 1 Yes   NA R  
(05SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 110
FDA-CBER-2022-5812-0221101
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051200 
16-55/ 
C4591001 
1005 
10051203 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 03SEP2020 1/4 1 Yes   NA R  
(06SEP2020) N/N 
  GASTR Diarrhoea/ 
LOOSE STOOL 1 04SEP2020 2/3 1 Yes   NA R  
(06SEP2020) N/N 
  GENRL Chills/ 
CHILLS 1 04SEP2020 2/3 1 Yes   NA R  
(06SEP2020) N/N 
    Pyrexia/ 
FEVER 1 04SEP2020 2/3 1 Yes   NA R  
(06SEP2020) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA 1 04SEP2020 2/3 1 Yes   NA/TC R  
(06SEP2020) N/N 
  INFEC Gastroenteritis/ 
GASTROENTERITIS 1 19SEP2020 17/1 2 No O NA R  
(19SEP2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 23SEP2020 2/4 1 Yes   NA R  
(26SEP2020) N/N 
    Pain/ 
BODY ACHES 2 23SEP2020 2/4 1 Yes   NA R  
(26SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051210 GENRL Fatigue/ 
FATIGUE 2 23SEP2020 2/2 1 Yes   NA R  
(24SEP2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 23SEP2020 2/2 1 Yes   NA/TC R  
(24SEP2020) N/N 
  NERV Headache/ 
HEADACHE 2 23SEP2020 2/2 1 Yes   NA/TC R  
(24SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 111
FDA-CBER-2022-5812-0221102
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1005 
10051216 GASTR Diarrhoea/ 
DIARRHEA 2 27SEP2020 4/3 1 Yes   NA/TC R  
(29SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051217 GENRL Feeling hot/ 
overall body CALOR - no fever 1 04SEP2020 2/1 1 Yes   NA R  
(04SEP2020) N/N 
    Injection site pain/ 
PAIN AT INJECTION SITE 1 04SEP2020 2/3 2 Yes   NA R  
(06SEP2020) N/N 
  RESP Oropharyngeal pain/ 
SORE THROAT 1 05SEP2020 3/1 1 Yes   NA R  
(05SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051219 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 04SEP2020 2/2 1 Yes   NA R  
(05SEP2020) N/N 
  RENAL Pollakiuria/ 
INCREASED FREQUENCY OF 
URINATION 1 04SEP2020 2/4 1 Yes   NA R  
(07SEP2020) N/N 
16-55/ 
C4591001 
1005 
10051220 GENRL Fatigue/ 
fatigue# 4 09FEB2021 2/1 2 Yes   NA R  
(09FEB2021) N/N 
  MUSC Myalgia/ 
generalized m yalgia# 4 09FEB2021 2/1 2 Yes   NA R  
(09FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051221 GENRL Chills/ 
chills# 4 17FEB2021 1/2 2 Yes   NA R  
(18FEB2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 112
FDA-CBER-2022-5812-0221103
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
    Pyrexia/ 
fever# 4 17FEB2021 1/2 2 Yes   NA R  
(18FEB2021) N/N 
  MUSC Myalgia/ 
generalized m yalgia# 4 17FEB2021 1/2 2 Yes   NA R  
(18FEB2021) N/N 
  NERV Headache/ 
headache# 4 17FEB2021 1/2 2 Yes   NA R  
(18FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051223 GENRL Injection site pain/ 
injection site pain 1 13OCT2020 2/4 2 Yes   NA/TC R  
(16OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051224 MUSC Myalgia/ 
GENERALIZED MYALGIAS# 4 29JAN2021 3/1 1 Yes   NA R  
(29JAN2021) N/N 
  NERV Headache/ 
HEADACHE# 4 29JAN2021 3/1 1 Yes   NA R  
(29JAN2021) N/N 
16-55/ 
C4591001 
1005 
10051232 INFEC Ear infection/ 
LEFT EAR INFECTION 1 23OCT2020 12/6 2 No O NA/TC R  
(28OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051236 GENRL Chills/ 
CHILLS 2 04NOV2020 2/1 1 Yes   NA R  
(04NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051241 GENRL Fatigue/ 
FATIGUE 1 14OCT2020 2/3 1 Yes   NA R  
(16OCT2020) N/N 
    Injection site pain/ 
PAIN AT INJECTION SITE 1 14OCT2020 2/5 1 Yes   NA R  
(18OCT2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 113
FDA-CBER-2022-5812-0221104
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Myalgia/ 
MYALGIA 1 14OCT2020 2/3 1 Yes   NA R  
(16OCT2020) N/N 
  GENRL Fatigue/ 
FATIGUE 2 03NOV2020 1/3 2 Yes   NA R  
(05NOV2020) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 03NOV2020 1/4 2 Yes   NA/TC R  
(06NOV2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 03NOV2020 1/3 2 Yes   NA R  
(05NOV2020) N/N 
  NERV Headache/ 
HEADACHE 2 03NOV2020 1/3 2 Yes   NA R  
(05NOV2020) N/N 
  GENRL Pyrexia/ 
FEVER 2 04NOV2020 2/2 1 Yes   NA/TC R  
(05NOV2020) N/N 
  MUSC Arthralgia/ 
GENERALIZED ARTHRALGIA 2 05NOV2020 3/8 1 Yes   NA R  
(12NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051244 NERV Migraine/ 
WORSENING OF MIGRAINES 2 07NOV2020 6/1 2 No O NA/TC R  
(07NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051246 GENRL Injection site pain/ 
INJECTION SITE PAIN 2 02NOV2020 1/2 1 Yes   NA R  
(03NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051259 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 15OCT2020 2/2 1 Yes   NA/TC R  
(16OCT2020) N/N 
    Malaise/ 
MALAISE 1 15OCT2020 2/2 1 Yes   NA R  
(16OCT2020) N/N 
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FDA-CBER-2022-5812-0221105
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  MUSC Arthralgia/ 
SHOULDER ACHING NOT 
INJECTION ARM 1 15OCT2020 2/2 1 Yes   NA R  
(16OCT2020) N/N 
    Myalgia/ 
MYALGIA 1 15OCT2020 2/2 1 Yes   NA R  
(16OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051264 GENRL Chills/ 
CHILLS# 3 16DEC2020 1/2 2 Yes   NA R  
(17DEC2020) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 3 16DEC2020 1/4 2 Yes   NA/TC R  
(19DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051270 GENRL Fatigue/ 
FATIGUE 1 15OCT2020 1/1 2 Yes   NA R  
(15OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051283 GENRL Injection site pain/ 
INJECTION SITE ARM PAIN 1 17OCT2020 2/4 1 Yes   NA R  
(20OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051285 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 16OCT2020 1/5 2 Yes   NA R  
(20OCT2020) N/Y 
  GENRL Injection site pain/ 
PAIN AT INJECTION SITE 2 05NOV2020 1/2 1 Yes   NA R  
(06NOV2020) N/Y 
  MUSC Myalgia/ 
GENERALIZED MYALGIA 2 06NOV2020 2/1 1 Yes   NA/TC R  
(06NOV2020) N/N 
16-55/ 
C4591001 INFEC Tooth abscess/ 
RIGHT TOOTH ABSCESS 1 20OCT2020 5/17 2 No O NA/TC R  
(05NOV2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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FDA-CBER-2022-5812-0221106
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1005 
10051288 
16-55/ 
C4591001 
1005 
10051290 GENRL Injection site pain/ 
INJECTION SITE PAIN 2 05NOV2020 2/31 1 Yes   NA R  
(05DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051301 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 20OCT2020 2/3 1 Yes   NA R  
(22OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051302 GENRL Injection site pain/ 
MILD ARM PAIN AT INJECTION 
SITE 1 19OCT2020 1/2 1 Yes   NA R  
(20OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051318 GENRL Pain/ 
BODY ACHES 1 21OCT2020 2/3 1 Yes   NA R  
(23OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051332 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 20OCT2020 1/4 1 Yes   NA R  
(23OCT2020) N/N 
  GENRL Chills/ 
CHILLS 2 11NOV2020 2/1 1 Yes   NA R  
(11NOV2020) N/N 
    Pyrexia/ 
FEVER (101.5) 2 11NOV2020 2/1 2 Yes   NA R  
(11NOV2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 11NOV2020 2/2 1 Yes   NA R  
(12NOV2020) N/N 
  NERV Headache/ 
HEADACHE 2 11NOV2020 2/2 1 Yes   NA R  
(12NOV2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 116
FDA-CBER-2022-5812-0221107
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1005 
10051335 GENRL Injection site pain/ 
TENDERNESS AT INJECTION 
SITE 1 22OCT2020 2/2 1 Yes   NA R  
(23OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051340 GASTR Nausea/ 
NAUSEA 1 21OCT2020 1/2 1 Yes   NA R  
(22OCT2020) N/N 
  GENRL Injection site pain/ 
TENDERNESS AT INJECTION 
SITE 1 21OCT2020 1/2 1 Yes   NA R  
(22OCT2020) N/N 
  GENRL Fatigue/ 
FATIGUE 1 22OCT2020 2/1 1 Yes   NA R  
(22OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051341 INFEC Groin abscess/ 
LEFT GROIN ABSCESS 1 12DEC2020 53/20 2 No O NA/TC R  
(31DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051346 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 21OCT2020 1/4 1 Yes   NA R  
(24OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051349 GENRL Fatigue/ 
FATIGUE 1 22OCT2020 1/2 1 Yes   NA R  
(23OCT2020) N/N 
    Injection site pain/ 
PAIN AT INJECTION SITE 1 22OCT2020 1/3 1 Yes   NA R  
(24OCT2020) N/Y 
  GENRL Fatigue/ 
FATIGUE# 4 09FEB2021 2/2 2 Yes   NA R  
(10FEB2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 117
FDA-CBER-2022-5812-0221108
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
    Pyrexia/ 
FEVER (102.0)# 4 09FEB2021 2/2 2 Yes   NA R  
(10FEB2021) N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 4 09FEB2021 2/2 2 Yes   NA R  
(10FEB2021) N/N 
  NERV Headache/ 
HEADACHE# 4 09FEB2021 2/2 2 Yes   NA R  
(10FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051350 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 22OCT2020 1/3 1 Yes   NA R  
(24OCT2020) N/N 
16-55/ 
C4591001 
1005 
10051358 GENRL Injection site pain/ 
INJECTION SITE PAIN# 3 08FEB2021 1/C 1 Yes   NA N N/N 
  MUSC Myalgia/ 
GENERALIZED MYALGIA# 3 08FEB2021 1/2 1 Yes   NA R  
(09FEB2021) N/N 
16-55/ 
C4591001 
1005 
10051361 GENRL Chills/ 
CHILLS 2 12NOV2020 2/2 2 Yes   NA R  
(13NOV2020) N/N 
    Fatigue/ 
FATIGUE 2 12NOV2020 2/2 2 Yes   NA R  
(13NOV2020) N/N 
  NERV Headache/ 
HEADACHE 2 12NOV2020 2/2 2 Yes   NA R  
(13NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051363 GASTR Nausea/ 
NAUSEA 2 13NOV2020 1/2 1 Yes   NA R  
(14NOV2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 13NOV2020 1/2 1 Yes   NA R  
(14NOV2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 118
FDA-CBER-2022-5812-0221109
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  VASC Hot flush/ 
HOT FLASHES 2 13NOV2020 1/2 1 Yes   NA R  
(14NOV2020) N/N 
  MUSC Arthralgia/ 
GENERALIZED JOINT ACHES 2 01DEC2020 19/9 1 No O NA R  
(09DEC2020) N/N 
16-55/ 
C4591001 
1005 
10051365 GENRL Injection site pain/ 
BURNING SENSATION AT 
INJECTION SITE 1 23OCT2020 1/2 1 Yes   NA R  
(24OCT2020) N/N 
  GENRL Injection site pain/ 
INJECTION SITE PAIN 2 11NOV2020 1/3 1 Yes   NA R  
(13NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051366 GENRL Fatigue/ 
FATIGUE 2 13NOV2020 1/2 1 Yes   NA R  
(14NOV2020) N/N 
    Malaise/ 
MALAISE 2 13NOV2020 1/2 1 Yes   NA R  
(14NOV2020) N/N 
  MUSC Myalgia/ 
MUSCLE ACHES 2 13NOV2020 1/2 1 Yes   NA/TC R  
(14NOV2020) N/N 
  NERV Headache/ 
HEADACHES 2 13NOV2020 1/2 1 Yes   NA/TC R  
(14NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051368 MUSC Back pain/ 
WORSENING OF LOWER BACK 
PAIN 1 04NOV2020 13/22 2 No O NA/TC R  
(25NOV2020) N/N 
  NERV Dizziness/ 
LIGHTHEADED 1 09NOV2020 18/2 2 No O NA R  
(10NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051369 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 26OCT2020 1/3 1 Yes   NA R  
(28OCT2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 119
FDA-CBER-2022-5812-0221110
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  GENRL Injection site pain/ 
PAIN AT INJECTION SITE 2 18NOV2020 1/2 1 Yes   NA R  
(19NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051378 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 28OCT2020 2/2 1 Yes   NA R  
(29OCT2020) N/N 
  NERV Dizziness/ 
LIGHT HEADED 1 28OCT2020 2/2 1 Yes   NA R  
(29OCT2020) N/N 
  NERV Headache/ 
HEADACHE 2 18NOV2020 2/2 1 Yes   NA R  
(19NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051380 GENRL Injection site pain/ 
INJECTION SITE PAIN# 4 06JAN2021 1/3 2 Yes   NA R  
(08JAN2021) N/N 
  NERV Headache/ 
HEADACHE# 4 06JAN2021 1/5 2 Yes   NA R  
(10JAN2021) N/N 
16-55/ 
C4591001 
1005 
10051385 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 28OCT2020 1/3 1 Yes   NA R  
(30OCT2020) N/N 
  GENRL Pyrexia/ 
FEVER 101.4 2 17NOV2020 2/2 2 Yes   NA R  
(18NOV2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 17NOV2020 2/2 2 Yes   NA R  
(18NOV2020) N/N 
  NERV Headache/ 
WORSENING OF HEADACHE 2 17NOV2020 2/2 2 Yes   NA R  
(18NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051386 GENRL Injection site pain/ 
PAIN AT INJECTION SITE 1 29OCT2020 2/3 1 Yes   NA R  
(31OCT2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
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FDA-CBER-2022-5812-0221111
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  GENRL Malaise/ 
MALIASE 2 18NOV2020 2/2 1 Yes   NA R  
(19NOV2020) N/N 
  NERV Headache/ 
HEADACHE 2 18NOV2020 2/2 1 Yes   NA R  
(19NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051390 GENRL Fatigue/ 
FATIGUE 1 31OCT2020 2/7 1 Yes   NA R  
(06NOV2020) N/N 
  MUSC Myalgia/ 
MYALGIA 1 31OCT2020 2/7 1 Yes   NA R  
(06NOV2020) N/N 
  NERV Headache/ 
HEADACHE 1 31OCT2020 2/7 1 Yes   NA R  
(06NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051393 GENRL Injection site pain/ 
INJECTION SITE PAIN 1 30OCT2020 1/4 1 Yes   NA R  
(02NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051396 GENRL Injection site pain/ 
INJECTION SITE PAIN 2 23NOV2020 1/34 1 Yes   NA R  
(26DEC2020) N/N 
  MUSC Myalgia/ 
MYALGIA 2 24NOV2020 2/1 2 Yes   NA/TC R  
(24NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051398 GENRL Pyrexia/ 
fever post injection# 3 18FEB2021 1/1 1 Yes   NA R  
(18FEB2021) N/N 
  GENRL Injection site pain/ 
injection site reaction - arm pain# 3 19FEB2021 2/1 1 Yes   NA R  
(19FEB2021) N/N 
  GENRL Pyrexia/ 
fever 101F# 4 12MAR2021 2/1 2 Yes   NA/TC R  
(12MAR2021)N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 121
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16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  NERV Headache/ 
headache# 4 12MAR2021 2/1 2 Yes   NA/TC R  
(12MAR2021)N/N 
16-55/ 
C4591001 
1005 
10051400 GENRL Injection site swelling/ 
INJECTION SITE SWELLING 2 23NOV2020 1/2 1 Yes   NA R  
(24NOV2020) N/N 
16-55/ 
C4591001 
1005 
10051411 GASTR Abdominal pain/ 
ABDOMINAL PAIN 2 29JAN2021 2/4 3 No O NA/TC R  
(01FEB2021) Y/N 
16-55/ 
C4591001 
1005 
10051442 GENRL Fatigue/ 
FATIGUE 2 14JAN2021 2/3 2 Yes   NA R  
(16JAN2021) N/N 
    Injection site pain/ 
INJECTION SITE PAIN 2 14JAN2021 2/4 1 Yes   NA R  
(17JAN2021) N/N 
    Injection site swelling/ 
INJECTION SITE SWELLING (1 
INCH) 2 14JAN2021 2/4 1 Yes   NA R  
(17JAN2021) N/N 
  MUSC Arthralgia/ 
GENERALIZED ARTHRALGIA 2 14JAN2021 2/3 1 Yes   NA R  
(16JAN2021) N/N 
    Myalgia/ 
GENERALIZED MYALGIA 2 14JAN2021 2/3 2 Yes   NA R  
(16JAN2021) N/N 
  NERV Headache/ 
WORSENING OF HEADACHE 2 14JAN2021 2/3 2 Yes   NA/TC R  
(16JAN2021) N/N 
16-55/ 
C4591001 
1006 
10061023 INJ&P Bone contusion/ 
RIGHT HIP BONE CONTUSION 1 28AUG2020 17/8 2 No O NA/TC R  
(04SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 122
FDA-CBER-2022-5812-0221113
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
  GENRL Fatigue/ 
Fatigue# 4 05FEB2021 2/1 2 Yes   NA R  
(05FEB2021) N/N 
16-55/ 
C4591001 
1006 
10061031 INFEC Oral fungal infection/ 
ORAL YEAST INFECTION 1 16AUG2020 4/11 2 No O NA/TC R  
(26AUG2020) N/N 
16-55/ 
C4591001 
1006 
10061032 GENRL Chills/ 
generalized chills 2 05SEP2020 2/2 1 Yes   NA R  
(06SEP2020) N/N 
  MUSC Myalgia/ 
generalized muscle aches 2 05SEP2020 2/2 1 Yes   NA R  
(06SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061040 INFEC Pharyngitis streptococcal/ 
Strep throat 2 08SEP2020 5/11 2 No O NA/TC R  
(18SEP2020) N/N 
  INFEC Clostridium difficile infection/ 
Clostridium Difficile Infection 2 30SEP2020 27/152 2 No O NA/TC R  
(28FEB2021) N/N 
  GENRL Injection site pain/ 
Injection Site Pain# 3 18DEC2020 1/3 1 Yes   NA R  
(20DEC2020) N/N 
  INJ&P Procedural pain/ 
Post Surgical Pain# 3 28DEC2020 11/16 3 No O NA/TC R  
(12JAN2021) N/N 
  INJ&P Exposure during pregnancy/ 
Exposure Durin g Pregnancy# 4 08FEB2021 32/C  
No O NA UNK N/N 
16-55/ 
C4591001 
1006 
10061052 INJ&P Exposure during pregnancy/ 
Exposure During Partner Pregnancy 2 01JAN2021 116/C  
No O NA UNK N/N 
16-55/ 
C4591001 NERV Dizziness/ 
Lightheadedness 1 18AUG2020 1/9 2 Yes   NA R  
(26AUG2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 123
FDA-CBER-2022-5812-0221114
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1006 
10061053 
16-55/ 
C4591001 
1006 
10061056 GASTR Nausea/ 
Intermittent Nausea# 4 26JAN2021 2/3 1 Yes   NA R  
(28JAN2021) N/N 
  MUSC Myalgia/ 
Generalized Muscle Aches# 4 26JAN2021 2/3 1 Yes   NA R  
(28JAN2021) N/N 
16-55/ 
C4591001 
1006 
10061067 GENRL Injection site pain/ 
Injection site tenderness# 3 23FEB2021 1/2 1 Yes   NA R  
(24FEB2021) N/N 
  IMMUN Seasonal allergy/ 
Worsenin g of seasonal aller gies# 3 01MAR2021 7/C 2 No O NA/TC RG N/N 
16-55/ 
C4591001 
1006 
10061070 NERV Migraine/ 
Migraines - Intermittent 1 31AUG2020 13/C 3 No O NA N N/N 
16-55/ 
C4591001 
1006 
10061074 INJ&P Skin laceration/ 
Left Index Finger Laceration# 2 02MAR2021 174/C 3 No O NA/TC/TCN N N/N 
16-55/ 
C4591001 
1006 
10061079 GENRL Chills/ 
CHILLS 2 16SEP2020 1/2 1 Yes   NA R  
(17SEP2020) N/N 
    Pyrexia/ 
FEVER 2 16SEP2020 1/2 2 Yes   NA R  
(17SEP2020) N/N 
  GENRL Pain/ 
BODY ACHES-GENERALIZED 2 17SEP2020 2/3 2 Yes   NA R  
(19SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 124
FDA-CBER-2022-5812-0221115
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1006 
10061088 MUSC Myalgia/ 
Generalized Muscle Aches# 3 05FEB2021 1/2 3 Yes   NA/TC R  
(06FEB2021) N/N 
  NERV Headache/ 
Headache# 3 05FEB2021 1/2 3 Yes   NA/TC R  
(06FEB2021) N/N 
16-55/ 
C4591001 
1006 
10061089 CARD Tachycardia/ 
Tachycardia 2 10SEP2020 1/2 2 Yes   NA R  
(11SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061090 MUSC Back pain/ 
BACK ACHE 2 11SEP2020 1/1 1 Yes   NA R  
(11SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061093 NERV Paraesthesia/ 
FACIAL TINGLING 1 24AUG2020 1/1 1 Yes   NA R  
(24AUG2020) N/N 
  SKIN Rash/ 
CHEST RASH (8 cm) 1 24AUG2020 1/1 1 Yes   NA R  
(24AUG2020) N/N 
  GENRL Injection site pain/ 
INJECTION SITE PAIN 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
    Pain/ 
GENERALIZED ACHES 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
    Pyrexia/ 
FEVER 2 19SEP2020 2/2 2 Yes   NA/TC R  
(20SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061094 GENRL Injection site pain/ 
INJECTION SITE PAIN 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 125
FDA-CBER-2022-5812-0221116
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
    Pain/ 
GENERALIZED ACHES 2 19SEP2020 2/2 1 Yes   NA R  
(20SEP2020) N/N 
    Pyrexia/ 
FEVER 2 19SEP2020 2/2 2 Yes   NA/TC R  
(20SEP2020) N/N 
  INJ&P Exposure during pregnancy/ 
Exposure Durin g Pregnancy 2 15NOV2020 59/C  
No O NA UNK N/N 
16-55/ 
C4591001 
1006 
10061095 GASTR Vomiting/ 
Vomiting# 3 21JAN2021 2/1 2 Yes   NA/TC R  
(21JAN2021) N/N 
16-55/ 
C4591001 
1006 
10061099 INFEC Urinary tract infection/ 
Urinary Tract Infection# 3 23FEB2021 8/8 1 No O NA/TC R  
(02MAR2021)N/N 
16-55/ 
C4591001 
1006 
10061112 GENRL Chills/ 
Chills 2 16SEP2020 1/2 2 Yes   NA/TC R  
(17SEP2020) N/N 
  MUSC Myalgia/ 
mUSCLE aCHES 2 16SEP2020 1/2 2 Yes   NA/TC R  
(17SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061134 SKIN Dermatitis/ 
DERMATITIS-FACIAL 2 01OCT2020 10/62 2 No O NA/TC R  
(01DEC2020) N/N 
16-55/ 
C4591001 
1006 
10061137 GASTR Nausea/ 
Nausea 1 02SEP2020 2/1 1 Yes   NA R  
(02SEP2020) N/N 
  GENRL Pain/ 
Body aches 1 02SEP2020 2/1 3 Yes   NA/TC R  
(02SEP2020) N/N 
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Page 126
FDA-CBER-2022-5812-0221117
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1006 
10061144 NERV Headache/ 
Headache 1 22SEP2020 20/2 1 No O NA/TC R  
(23SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061151 NERV Headache/ 
Headache 2 05NOV2020 23/1 2 No O NA/TC R  
(05NOV2020) N/N 
16-55/ 
C4591001 
1006 
10061153 PSYCH Attention deficit hyperactivity 
disorder/ 
Attention Deficit Hyperactive 
Disorder 2 02NOV2020 22/C 2 No O NA N N/N 
16-55/ 
C4591001 
1006 
10061160 GASTR Diarrhoea/ 
DIARRHEA 1 27SEP2020 3/3 2 Yes   NA/TC R  
(29SEP2020) N/N 
    Vomiting/ 
VOMITING 1 27SEP2020 3/3 2 Yes   NA/TC R  
(29SEP2020) N/N 
  NERV Headache/ 
HEADACHE 1 27SEP2020 3/3 2 Yes   NA R  
(29SEP2020) N/N 
16-55/ 
C4591001 
1006 
10061161 INJ&P Maternal exposure before 
pregnancy/ 
Maternal Exposure before 
Pregnancy 2 28DEC2020 73/C  
No O NA UNK N/N 
16-55/ 
C4591001 
1006 
10061163 SKIN Urticaria/ 
hives left forearm 2 15NOV2020 32/6 1 No O NA R  
(20NOV2020) N/N 
  INFEC Urinary tract infection/ 
URINARY TRACT INFECTION 2 26JAN2021 104/4 2 No O NA/TC R  
(29JAN2021) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 127
FDA-CBER-2022-5812-0221118
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
16-55/ 
C4591001 
1006 
10061165 GENRL Pain/ 
Generalized Body Aches 2 16OCT2020 2/2 2 Yes   NA R  
(17OCT2020) N/N 
    Pyrexia/ 
Fever 2 16OCT2020 2/2 2 Yes   NA R  
(17OCT2020) N/N 
16-55/ 
C4591001 
1006 
10061166 GENRL Chills/ 
CHILLS 1 27SEP2020 3/2 2 Yes   NA R  
(28SEP2020) N/N 
  GENRL Pain/ 
Body Aches 2 16OCT2020 2/3 2 Yes   NA R  
(18OCT2020) N/N 
16-55/ 
C4591001 
1006 
10061170 MUSC Arthralgia/ 
Bilateral Ankle Joint Pain 2 28OCT2020 1/5 2 Yes   NA/TC R  
(01NOV2020) N/N 
    Neck pain/ 
Pain at base of nec k 2 28OCT2020 1/5 2 Yes   NA/TC R  
(01NOV2020) N/N 
16-55/ 
C4591001 
1006 
10061176 RESP Asthma/ 
Acute Asthma Exacerbation# 2 03FEB2021 77/8 3 No O NA/TC R  
(10FEB2021) Y/N 
16-55/ 
C4591001 
1006 
10061194 INFEC Otitis externa/ 
Otitis Externa Left 2 15JAN2021 24/13 3 No O NA/TC/TCN R  
(27JAN2021) N/N 
  INJ&P Mouth injury/ 
Oral laceration# 2 15FEB2021 55/10 1 No O NA/TC/TCN R  
(24FEB2021) N/N 
16-55/ 
C4591001 NERV Headache/ 
Headache 2 22DEC2020 1/2 1 Yes   NA R  
(23DEC2020) N/N 
090177e196ac917a\Final\Final On: 31-Mar-2021 13:07 (GMT) 
Page 128
FDA-CBER-2022-5812-0221119
16.2.7.4.1.2 Listing of Adverse Events – Phase 2/3 Subjects 16-55 Years of Age 
Age Group 
(Years)/  
Subject System 
Organ 
Class Preferred Term/ 
AE Investigator 
Text Dose 
No. Onset 
Date Rel 
Daya/ 
Dur 
(Days)bToxicity
Grade Vax 
RelcCause 
of 
AE Action: 
Investigational 
Vaccine Dose/ 
Subject Outcome 
(End Date) SAE/Imm 
AE 
(Yes/No) 
  
1006 
10061202 
16-55/ 
C4591001 
1006 
10061204 GENRL Injection site bruising/ 
1 MM BRUISING AT INJECTION 
SITE LEFT DELTOID 2 22DEC2020 1/25 1 Yes   NA R  
(15JAN2021) N/Y 
16-55/ 
C4591001 
1006 
10061205 INJ&P Foot fracture/ 
Left Great Toe Fracture 2 29JAN2021 37/C 2 No O NA/TC RG N/N 
16-55/ 
C4591001 
1006 
10061208 GENRL Pain/ 
Body Aches 2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020) N/N 
  NERV Headache/ 
Headache 2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020) N/N 
  RESP Oropharyngeal pain/ 
Sore Throa t 2 24DEC2020 2/1 1 Yes   NA/TC R  
(24DEC2020) N/N 
16-55/ 
C4591001 
1006 

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