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BioNTech SE 09/14/2021
An der Goldgrube 12
Mainz N/A
Germany 55131214-918-5262
COVID-19 Vaccine (BNT162, PF-07302048) 019736
Active immunization to prevent COVID-19 caused by 
SARS-CoV-2
BB-IND 013812, BB-IND 013278, BLA 125549
0 4 8 7
Informed Consent Documents for Study C4591007
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FDA-CBER-2021 5683-1072540
Özlem Türeci, MD, Chief Medical Officer, BioNTech SE
Özlem Türeci, MD, Chief Medical Officer, BioNTech SE 
Amit Patel, Director, Global Regulatory Affairs - Vaccines
214-918-5262 845-474-3500
235 East 42nd Street
New York NY
United States of America [email protected]
09/14/2021
United States of America
Amit PatelDigitally signed by Amit Patel 
Reason: I attest to the accuracy and 
integrity of this document 
Date: 20210914 09:51:02 -05'00'
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FDA-CBER-2021-5683-1072541
3
FDA-CBER-2021-5683-1072542