125742 S1 M5 5351 c4591001 fa interim compliance

Pfizer Documents (PHMPT/FDA)

Pfizer Bla Submission

Pfizer 16 Plus Documents

49

Document text

16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
BNT162b1  18-55 10 μg  C4591001 
1001 
10011006  1 22 SKIN  PAPULES ON RIGHT BASE OF THUMB AND WRIST TO 
FOREARM, AND DERMATITIS ON THE RIGHT HAND.  
      C4591001 
1001 
10011006  2 7 SKIN  BILATERAL ANTERIOR ARM / WRITSTS FAIRLY 
ERYTHEMATOUS RASH, SCALY NOW, NON PRURITIC, 
IMPROVED FROM PREVIOUS VISIT STILL ONGOING SINCE 
16MAY2020  
      C4591001 
1001 
10011008  1 2 MUSCULOSKELETAL  MINIMAL TENDERNESS AT INJECTION SITE  
      C4591001 
1001 
10011 008 2 13 ABDOMEN  LEFT LOWER QUADRANT TENDERNESS  
      C4591001 
1001 
10011009  1 2 MUSCULOSKELETAL  MILD TENDERNESS AT VACCINATION SITE  
      C4591001 
1001 
10011009  2 14 EYES  L LATERAL ASPECT OF EYE - SLIGHT SWELLING AND 
PROMINENT VESSELS  
      C4591001 
1002 
10021009  2 7 EXTREMITIES  MINIMAL ECCHYMOSIS AT LEFT UPPER EXTREMITY 
INJECTION SITE  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 1
FDA-CBER-2021-5683-0019398
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1002 
10021013  2 7 EXTREMITIES  MILD TENDERNESS AT INJECTION SITE. LEFT ARM  
    20 μg  C4591001 
1001 
10011067  1 22 THROAT  MILD POSTERIOR PHARYNGEAL ERYTHEMA WITH 
COBBLESTONING  
      C4591001 
1001 
10011070   
-8 EXTREMITIES  LEFT LEG SWOLLEN COMPARED TO RIGHT WITHOUT 
PITTING  
      C4591001 
1001 
10011076  1 21 SKIN  LIGHT DESQUAMATION  
      C4591001 
1002 
10021081  1 2 MUSCULOSKELETAL  MILD TENDERNESS TO PALPATION  
      C4591001 
1002 
10021081  1 2 SKIN  NO ERYTHEMA OR SWELLING AT LEFT ARM INJECTION 
SITE  
    30 μg  C4591001 
1001 
10011011  1 2 EXTREMITIES  LUE TENDERNESS, SWELLING, HYPERSENSITIVITY  
      C4591001 
1001 
10011011  1 2 SKIN  LEFT UPPER ARM MILDLY HYPERSENSITIVE AND MILD 
SOFT, TENDER SWELLING: 3CM AREA AROUND INJECTION 
SITE; NO REDNESS; IT IS TENDER  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 2
FDA-CBER-2021-5683-0019399
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1001 
10011011  2 8 MUSCULOSKELETAL  .5CM ECHYMOSIS AT THE INJECTION SITE IN LEFT 
DELTOID  
      C4591001 
1001 
10011015  1 2 HEART  TACHYCARDIC  
      C4591001 
1001 
10011015  1 2 MUSCULOSKELETAL  5CM INDURATION AT SITE OF INJECTION (LUE - DELTOID 
AREA)  
      C4591001 
1001 
10011020  1 2 SKIN  SKIN: NO RASH NOTED. REDNESS MEASURING 18 UNITS ON 
THE MEASURING DEVICE, WITH ERYTHEMA AT INJECTION 
SITE IN LEFT DELTOID, MILD TENDERNESS TO PALPATION 
OF INJECTION SITE. (PLEASE SEE AE NOTE)  
      C4591001 
1002 
10021014  1 2 EXTREMITIES  RIGHT ARM WITH TEND ERNESS AT SITE OF INJECTION. NO 
ERYTHEMA OR SWELLING. FULL RANGE OF MOTION 
RIGHT SHOULDER  
      C4591001 
1002 
10021014  2 7 EXTREMITIES  5MM (0.5CM) RESOLVING ECCHYMOSIS RIGHT DELTOID  
      C4591001 
1002 
10021017  1 2 EXTREMITIES  LEFT SHOULDER WITH MILD DECREASED RANGE OF 
MOTION. NO ERYTHEMA/SWELLING  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 3
FDA-CBER-2021-5683-0019400
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1002 
10021017  2 7 EXTREMITIES  1CM ECCHYMOSIS ARM AT LEFT DELTOID. NO 
TENDERNESS OR REDNESS  
      C4591001 
1002 
10021020  1 2 EXTREMITIES  TENDERNESS AT INJECTION SITE UP PER LEFT ARM. FULL 
RANGE OF MOTION LEFT SHOULDER. NO ERYTHEMA OR 
SWELLING  
      C4591001 
1002 
10021020  1 21 LYMPH NODES  SHOTTY ANTERIOR CERVICAL LYMPHADENOPATHY  
Placebo  18-55 Placebo  C4591001 
1002 
10021022  2 7 SKIN  BRUISING LEFT ARM AT INJECTION SITE  
      C4591001 
1002 
10021083  1 8 EXTREMITIES  NO SWELLING  
      C4591001 
1002 
10021083  1 8 SKIN  FAINT BRUISES, NON TENDER, NO NODULARY EDEMA  
BNT162b1  65-85 10 μg  C4591001 
1001 
10011037  1 2 EXTREMITIES  MILD TENDERNESS TO PALPITATION OVER INJECTION SITE  
      C4591001 
1001 
10011039   
-6 SKIN  PAPULES ON BACK  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 4
FDA-CBER-2021-5683-0019401
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1001 
10011039  1 1 SKIN  RASH  
      C4591001 
1001 
10011040  2 8 MUSCULOSKELETAL  LEFT WRIST EXCORIATION FROM WEARING GLOVES AND 
WORKING  
      C4591001 
1001 
10011044  1 2 HEART  IRREGULAR HR PART OF HIS MEDICAL HX  
      C4591001 
1001 
10011045   
-6 MUSCULOSKELETAL  ABLE TO LIFT ARMS AT SHOULDERS TO SLIGHTLY 
BEYOND 90 DEGREES UNABLE TO BRING ARMS BEHIND 
BACK, SLIGHT DEFORMITY OF RIGHT 2ND FINGER, MILDLY 
ENLARGED FINGER JOINTS  
      C4591001 
1001 
10011045   
-6 SKIN  RAISED, RED, NON -BLANCHING, NON -SCALING PATCH 
APPROXIM ATELY 2 CM IN DIAMETER BEHIND LEFT EAR 
ON SCALP, NO OTHER RASHES  
      C4591001 
1001 
10011045  1 1 MUSCULOSKELETAL  LIMITED ROM IN UPPER SHOULDER  
      C4591001 
1001 
10011045  2 15 MUSCULOSKELETAL  1 CM ECCHYMOSIS TO LEFT DELTOID  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 5
FDA-CBER-2021-5683-0019402
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1002 
10021043  1 8 EXTREMITIES  RIGHT THUMB BANDAGED/ STITCHES NO EDEMA  
      C4591001 
1002 
10021045  1 2 EXTREMITIES  SMALL BRUISE AT INJECTION SITE LEFT ARM  
    20 μg  C4591001 
1001 
10011050  1 2 EXTREMITIES  MILD TENDERNESS WITH   
      C4591001 
1001 
10011055   
-5 EXTREMITIES  R 4TH MCP WITH SOME LIMITATION OF ROM  
      C4591001 
1001 
10011055  1 2 MUSCULOSKELETAL  TENDERNESS AT INJECTION SITE, GUARDED ROM LUE  
      C4591001 
1001 
10011059  1 2 MUSCULOSKELETAL  TENDERNESS PRESENT, MILD TENDERNESS TO 
PALPATION, GUARDED ROM OF LUE  
      C4591001 
1001 
10011059  1 22 EXTREMITIES  RIGHT LOWER LEG BELOW KNEE MILDLY SWOLLEN 
COMPARED TO LEFT WITHOUT PITTING EDEMA, MILD 
INDURATION OVER RIGHT UPPER LATERAL PORTION OF 
THE LOWER LEG. ALL RELATED TO FRACTURE AS NOTED 
IN AE  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 6
FDA-CBER-2021-5683-0019403
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1002 
10021054  1 2 MUSCULOSKELETAL  LEFT UPPER EXTREMI TY- TENDONS PALPATION  
      C4591001 
1002 
10021060  1 2 MUSCULOSKELETAL  TENDER LEFT UPPER ARM TO PALPATION NO EDEMA NO 
ERYTHEMA  
      C4591001 
1002 
10021060  1 8 SKIN  RESOLVED DERMATOMAL RASH  
      C4591001 
1002 
10021068  2 9 EXTREMITIES  RIGHT INJECTION SITE TENDERNESS TO PALPATION  
      C4591001 
1002 
10021071  1 2 EXTREMITIES  TENDERNESS TO PALPATION LEFT ARM AT VACCINATION 
SITE  
    30 μg  C4591001 
1001 
10011046   
-13 HEART  MILD BRADYCARDIA  
      C4591001 
1001 
10011046   
-13 MUSCULOSKELETAL  OCCASIONAL PAIN IN RIGHT KNEE  
      C4591001 
1001 
10011046  2 15 EXTREMITIES  RIGHT ELBOW WITH LARGE ERYTHEMA, EXCORIATION 
COVERED WITH DRESSING, B/L PALMS WITH RESOLVING 
EXCORIATIONS, R KNEE BRUISE AND R THIGH EDEMA  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 7
FDA-CBER-2021-5683-0019404
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1001 
10011046  2 15 SKIN  RIGHT ELBOW WITH LARGE ERYTHEMA, EXCORIATION 
COVERED WITH DRESSING, B/L PALMS  WITH RESOLVING 
EXCORIATIONS, R KNEE BRUISE AND R THIGH EDEMA  
      C4591001 
1001 
10011048  1 2 MUSCULOSKELETAL  MILD TENDERNESS  
      C4591001 
1001 
10011048  1 8 MUSCULOSKELETAL  MILD BRUISING OF DELTOID, MILD DISCOLORATION, 1 CM 
IN DIAMETER, CIRCULAR, NONTENDER  
      C4591001 
1001 
10011048  1 8 SKIN  FAINT OUTLINE OF BANDAID VISIBLE  
      C4591001 
1001 
10011058  1 1 SKIN  ECHYMOSIS IN IN MEDIAL LEFT ANTECUBITAL FOSSA  
      C4591001 
1001 
10011063  1 20 LYMPH NODES  LEFT AXILLARY SUBCENTIMETER LYMPH NODE  
      C4591001 
1001 
10011063  2 7 EXTREMITIES  LEFT ARM EXAM - SMALL SWELLING, NO ERYTHEMA, 
MILD TENDERNESS ON PALPATION, 4X2CM, NO BLISTERS, 
ABLE TO USE ARM WITHOUT ANY LIMITATIO N OF 
MOVEMENT  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 8
FDA-CBER-2021-5683-0019405
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1002 
10021062  2 9 SKIN  FAINT ERYTHEMA NO SWELLING  
      C4591001 
1002 
10021074  1 2 EXTREMITIES  MILD TENDERNESS AT INJECTION SITE, LEFT ARM  
      C4591001 
1002 
10021075  1 2 EXTREMITIES  MILD INJECTION SITE TENDERNESS LEFT ARM  
      C4591001 
1002 
10021077  1 2 MUSCULOSKELETAL  PAIN RAISING LEFT ARM  
Placebo  65-85 Placebo  C4591001 
1001 
10011042  1 2 SKIN  LIGHT RED, NON -SCALY, NON -EXCORIATED RASH 
AROUND THE EDGE OF THE BANDAGE SITE  
      C4591001 
1001 
10011053   
-5 EXTREMITIES  RIGHT HAND 5TH DIP (DISTAL INTERPHALANGEAL JOINT) 
ABNORMAL RANGE OF MOTION  
      C4591001 
1001 
10011053  1 2 SKIN  3MM VESICULAR LESION ON LEFT LOWER LIP WITH NO 
ASSOCIATED CELLULITIS  
      C4591001 
1001 
10011053  1 8 SKIN  LEFT LOWER LIP WITH TWO LESIONS, CRUSTED CENTER 
VESICLE WITH SURROUNDING ERYTHEMATOUS BASE 
2MM IN SIZE, NON TENDER  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 9
FDA-CBER-2021-5683-0019406
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1001 
10011057   
-5 EARS  TINNITUS  
      C4591001 
1001 
10011057   
-5 MUSCULOSKELETAL  MINIMAL CREPITUS AT FULL ROM L KNEE  
      C4591001 
1001 
10011064   
-2 HEART  BRADYCARDIA  
BNT162b2  18-55 10 μg  C4591001 
1003 
10031019  1 2 EXTREMITIES  10MM INDIRATION AT INJECTION SITE NO REDNESS  
      C4591001 
1003 
10031021  1 2 EXTREMITIES  LEFT ARM SLIGHTLY WARM NO REDNESS  
      C4591001 
1007 
10071019  2 8 NOSE  BILATERAL NASAL MUCOSAL ERYTHEMA; BILATERAL 
CLEAR NASAL DRAINAGE  
      C4591001 
1007 
10071019  2 8 THROAT  MILD ERYTHEMA; CLEAR DRAINAGE NOTED POSTERIOR 
PHARYNX  
    20 μg  C4591001 
1003 
10031028   
-11 EXTREMITIES  BRUISE ON LEFT LEG  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 10
FDA-CBER-2021-5683-0019407
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1003 
10031028   
-11 SKIN  RESOLVING SUNBURN  
      C4591001 
1003 
10031028  2 8 SKIN  HAS A LARGE FLAT RED RASH ON RIGHT 
SUPRACLAVICULA ALSO ON UPPER BACK.  
      C4591001 
1007 
10071026  2 8 SKIN  SCATTERED, MILDLY ERYTHEMATOUS PAPULAR RASH 
OVER THE RIGHT UPPER CHEST, APPROXIMATELY 3 -4 CM 
IN DIAMETER. SIMILAR, PATCHY, MILDLY 
ERYTHEMATOUS PAPULAR RASH TO THE RIGHT SIDE OF 
HER FOREHEAD, TEMPLE  
      C4591001 
1007 
10071027  1 2 EXTREMITIES  INJECTION SI TE WITH MODERATE TENDERNESS  
    30 μg  C4591001 
1003 
10031061  1 2 SKIN  SWEATY  
      C4591001 
1003 
10031072   
-5 EYES  CONGENITAL NYSTAGMUS  
      C4591001 
1003 
10031072   
-5 NEUROLOGICAL  CONGENITAL NYSTAGMUS  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 11
FDA-CBER-2021-5683-0019408
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
      C4591001 
1003 
10031072  1 2 EXTREMITIES  FAINT AREA 5CM OF REDDNESS OVER VACCINE SITE  
      C4591001 
1007 
10071050  2 4 LYMPH NODES  HAS 1X2 CM NON -TENDER, MOBILE NODE IN RIGHT 
AXILLAE  
      C4591001 
1007 
10071064   
-9 SKIN  MILD ROSACEA BILATERAL CHEEKS  
Placebo 18-55 Placebo  C4591001 
1007 
10071020   
-7 EXTREMITIES  RIGHT ANKLE WITH PAIN ON INVERSION STARTED 
02JUN2020 AFTER NEW YOGA ROUTINE; MILD TINGLING IN 
RIGHT GREAT TOE; RESOLVING TODAY; EXAM NORMAL.  
      C4591001 
1007 
10071025  1 22 SKIN  RIGHT LOWER VERMILION BORDER WITH A 4MM AND 
6MM NONERYTHEMATOUS, ROUND LESI ON WITH CLEAR 
BORDER AND THIN CRUST  
      C4591001 
1007 
10071065   
-9 SKIN  2 BY 2 INCH PATCH OF POISON IVY LEFT UPPER INNER 
ARM.  
      C4591001 
1007 
10071065  1 1 SKIN  3CM AREA ON LEFT MEDIAL THIGH WITH LIGHT GREENISH 
ECCHYMOSIS AND SCATTERED ERYTHEMATOUS PAPULES 
WITHIN A 6CM AREA  
BNT162b2  65-85 10 μg  C4591001 
1003 
10031076  2 8 LYMPH NODES  SINGLE LEFT AXILLARY NODE - NOT TENDER  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 12
FDA-CBER-2021-5683-0019409
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
    20 μg  C4591001 
1003 
10031035  2 15 LYMPH NODES  LEFT AUXILIARY NODE 1 CM - NOT TENDER  
      C4591001 
1003 
10031063  1 3 EXTREMITIES  BRUISES ON LEFT ARM FROM WORKING ON LAWN MOWER  
      C4591001 
1007 
10071052  1 2 MUSCULOSKELETAL  RUQ MILD ABDOMINAL TENDERNESS  
    30 μg  C4591001 
1003 
10031058  1 1 THROAT  LEFT LOWER GUM MILD SWELLING  
      C4591001 
1007 
10071043  1 22 MUSCULOSKELETAL  PAIN IN LEFT HIP WITH STANDING AND TRUNCAL 
ROTATION  
      C4591001 
1007 
10071043  1 22 EXTREMITIES  PAIN RADIATING DOWN LEFT LATERAL THIGH  
Placebo  65-85 Placebo  C4591001 
1003 
10031036  1 22 LYMPH NODES  VERY SMALL LEFT AXILLARY NODE NOT TENDER  
      C4591001 
1003 
10031083  1 7 MUSCULOSKELETAL  TENDER AT THE ANTERIOR OUTER RIGHT MID THORACIC 
RIBS  
  
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 13
FDA-CBER-2021-5683-0019410
16.2.5.2.1 Listing of Physical Examination With Abnormal Finding – Phase 1, 2 Doses, 21 Days Apar t 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
System  Descriptio n 
  
a.      Relative Day (Rel Day) = date of physical examination - date of last vaccination + 1. For a physical examination that occurred before the date of the 
first study vaccination, + 1 was not added  to compute relative day.  
PFIZER CONFIDENTIAL SDTM Creation: 28AUG2020 (16:33) Source Data: adpe Table Generation: 02SEP2020 (12:06)  
(Cutoff Date: 24AUG2020, Snapshot Date: 28AUG2020) Output File: (CDISC)/C4591001_IA_P1/adpe_l001_abn_p1   
 
 
090177e194d78553\Final\Final On: 07-Sep-2020 03:52 (GMT) 
Page 14
FDA-CBER-2021-5683-0019411
16.2.5.2.1.1 Listing of Physical Examination With Abnormal Finding Before Dose 2 – Phase 1 – BNT162b1 (100 μg ) 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
Syste m Description  
  
BNT162b1  18-55 100 μg  C4591001 
1001 
10011028  1 38 SKIN  MACULAR RASH ON EXPOSED BILATERAL ARMS, UPPER 
CHEST  
      C4591001 
1001 
10011030  1 2 MUSCULOSKELETAL  MILD TENDERNESS TO PALPATION  
      C4591001 
1001 
10011032  1 2 EXTREMITIES  L ARM: 3X5CM TENDER SWELLING  
      C4591001 
1001 
10011034  1 2 MUSCULOSKELETAL  TENDERNESS IS PRESENT WITH PALPITATION OF 
INJECTION SITE IN LEFT DELTOID. NO REDNESS OR 
SWELLING. THIS IS ABNORMAL AND NOT CLINICALLY 
SIGN IFICANT  
      C4591001 
1002 
10021023  1 1 EXTREMITIES  LEFT UPPER ARM HEMANGIOMA  
      C4591001 
1002 
10021023  1 2 EXTREMITIES  TENDERNESS TO DIRECT PALPATION AT INJECTION SITE  
      C4591001 
1002 
10021024  1 2 EXTREMITIES  TENDERNESS TO LEFT ARM WITH PALPATION  
090177e194fbc503\Final\Final On: 22-Sep-2020 14:25 (GMT) 
Page 15
FDA-CBER-2021-5683-0019412
16.2.5.2.1.1 Listing of Physical Examination With Abnormal Finding Before Dose 2 – Phase 1 – BNT162b1 (100 μg ) 
Vaccine  
Candidate  Age 
Group  
(Years)  Vaccine  
Group  
(as 
Randomized)  Subject  Dose 
No. Rel 
Daya Body  
Syste m Description  
  
      C4591001 
1002 
10021027  1 2 EXTREMITIES  TENDERNESS UPON PALPATION AT LEFT ARM  
      C4591001 
1002 
10021034  1 2 EXTREMITIES  SORENESS/TENDERNESS AT INJECTION SITE LEFT ARM  
      C4591001 
1002 
10021035  1 2 EXTREMITIES  TENDERNESS TO PALPATION AT LEFT ARM  
      C4591001 
1002 
10021036  1 2 EXTREMITIES  TENDER TO PALPATION AT LEFT ARM  
      C4591001 
1002 
10021036  1 28 HEAD  TENDERNESS OVER MAXILLARY SINUS  
Placebo  18-55 Placebo  C4591001 
1001 
10011013   
-13 SKIN  POSITIVE FOR RASHES  
  
a.      Relative Day (Rel Day) = date of physical examination - date of last vaccination + 1. For a physical examination that occurred before the date of the 
first study vaccination, + 1 was not added to compute relative day.  
PFIZER CONFIDENTIAL SDTM Creation: 28A UG2020 (16:33) Source Data: adpe Table Generation: 18SEP2020 (19:42)  
(Cutoff Date: 24AUG2020, Snapshot Date: 28AUG2020) Output File: ./nda3/C4591001 IA P1 100/adpe l001 abn 100 p1   
 
 
090177e194fbc503\Final\Final On: 22-Sep-2020 14:25 (GMT) 
Page 16
FDA-CBER-2021-5683-0019413
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
16-55 C4591001 
1012 
10121103  2 22SEP2020  Product 
administration 
error  DOSE NOT 
CHANGED  N N 22SEP2020  Y N 
  C4591001 
1024 
10241002  1 12AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
    2 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1024 
10241004  1 12AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
    2 02SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1024 
10241006  1 12AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
    2 02SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1024 
10241009  1 13AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 13AUG2020  N N 
  C4591001 
1024 
10241014  1 13AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 13AUG2020  N N 
    2 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1024 
10241015  1 13AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 13AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 17
FDA-CBER-2021-5683-0019414
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1024 
10241021  1 14AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 14AUG2020  N N 
  C4591001 
1024 
10241023  1 14AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 14AUG2020  N N 
    2 02SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1024 
10241032  1 17AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 17AUG2020  N N 
  C4591001 
1024 
10241033  1 18AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1024 
10241039  1 18AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1024 
10241040  1 18AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1024 
10241042  1 19AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1024 
10241044  1 19AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1024 
10241046  1 19AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 18
FDA-CBER-2021-5683-0019415
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1024 
10241054  1 20AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1024 
10241055  1 20AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1024 
10241061  1 21AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1024 
10241066  1 24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1024 
10241067  1 24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1024 
10241071  1 24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1024 
10241072  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1024 
10241074  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1024 
10241078  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1024 
10241084  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 19
FDA-CBER-2021-5683-0019416
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1024 
10241085  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1024 
10241091  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1024 
10241094  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1024 
10241100  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1024 
10241102  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1024 
10241104  1 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1024 
10241108  1 02SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1044 
10441001  2 02SEP2020  Product 
temperature 
excursion issue  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1044 
10441015  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1044 
10441028   
24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 20
FDA-CBER-2021-5683-0019417
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1044 
10441029  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1044 
10441031  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1044 
10441034  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1044 
10441037  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1044 
10441045  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1044 
10441048   
27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1044 
10441050  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1044 
10441052  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1044 
10441054  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1044 
10441060  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 21
FDA-CBER-2021-5683-0019418
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1044 
10441063  1 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1044 
10441068  1 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1044 
10441071  1 02SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1044 
10441076  1 03SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1044 
10441079  1 04SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 04SEP2020  N N 
  C4591001 
1044 
10441088  1 06SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 06SEP2020  N N 
  C4591001 
1044 
10441089  1 06SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 06SEP2020  N N 
  C4591001 
1068 
10681002  1 18AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1068 
10681003  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681006  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 22
FDA-CBER-2021-5683-0019419
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681010  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681011  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681012  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681013  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681016  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681017  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681018  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681021  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681024  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681025  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 23
FDA-CBER-2021-5683-0019420
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681026  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681027  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681028  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681031  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681034  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681035  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681036  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681037  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681038  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681042  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 24
FDA-CBER-2021-5683-0019421
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681046  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681047  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681052  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681053  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681058  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681060  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681061  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681064  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681066  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681071  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 25
FDA-CBER-2021-5683-0019422
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681072  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681073  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681074  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681076  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681077  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681080  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681081  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681083  1 01SEP2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1079 
10791130  1 17AUG2020  Wrong product 
administered  DRUG 
WITHDRAWN  N N 17AUG2020  N N 
  C4591001 
1088 
10881077  2 11SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 11SEP2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 26
FDA-CBER-2021-5683-0019423
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1090 
10901334  1 03SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1091 
10911005  1 30JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 30JUL2020  N N 
  C4591001 
1091 
10911008  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1091 
10911014  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1091 
10911015  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1116 
11161226  1 11SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 11SEP2020  N N 
  C4591001 
1126 
11261053  1 20AUG2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1141 
11411011  2 21AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1141 
11411014  1 03AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 03AUG2020  N N 
  C4591001 
1141 
11411023  2 25AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 27
FDA-CBER-2021-5683-0019424
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1141 
11411065  1 12AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
  C4591001 
1141 
11411068  1 12AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
  C4591001 
1141 
11411080  1 14AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 14AUG2020  N N 
  C4591001 
1141 
11411093  1 18AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1141 
11411139  1 27AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1146 
11461196  1 03SEP2020  Product 
administration 
error  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1161 
11611015  1 01AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 01AUG2020  N N 
  C4591001 
1163 
11631006  1 31JUL2020  Product 
administration 
error  DRUG 
WITHDRAWN  N N 31JUL2020  N N 
  C4591001 
1163 
11631039  1 06AUG2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 06AUG2020  N N 
  C4591001 
1163 
11631096  1 12AUG2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 28
FDA-CBER-2021-5683-0019425
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1163 
11631117  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631121  2 09SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
  C4591001 
1163 
11631124  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631127  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631136  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631142  2 09SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
  C4591001 
1163 
11631145  2 09SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
  C4591001 
1231 
12313428  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313429  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313449  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 29
FDA-CBER-2021-5683-0019426
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1231 
12313456  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313459  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313467  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313469  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313479  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313483  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313486  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313487  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313492  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313497  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 30
FDA-CBER-2021-5683-0019427
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1231 
12313498  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313501  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313505  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313506  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313508  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313509  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313512  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313514  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313515  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313517  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 31
FDA-CBER-2021-5683-0019428
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1231 
12313518  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313519  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313528  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313533  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313534  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313537  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313541  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313542  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313546  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313551  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 32
FDA-CBER-2021-5683-0019429
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1231 
12313553  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313554  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313556  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313564  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313567  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1254 
12541005  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1254 
12541008  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1254 
12541023  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541027  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1254 
12541029  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 33
FDA-CBER-2021-5683-0019430
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1254 
12541030  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1254 
12541033  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1254 
12541035  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1254 
12541038  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1254 
12541040  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1260 
12601002  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1260 
12601005  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1260 
12601006  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1260 
12601009  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1260 
12601013  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 34
FDA-CBER-2021-5683-0019431
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1260 
12601014  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1260 
12601016  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1260 
12601017  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1260 
12601029  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1260 
12601032  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1260 
12601036  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
>55 C4591001 
1003 
10031120  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1024 
10241003  1 12AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
    2 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1024 
10241010  1 13AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 13AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 35
FDA-CBER-2021-5683-0019432
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1024 
10241018  1 14AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 14AUG2020  N N 
  C4591001 
1024 
10241019  1 14AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 14AUG2020  N N 
  C4591001 
1024 
10241031  1 17AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 17AUG2020  N N 
  C4591001 
1024 
10241037  1 18AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1024 
10241041  1 18AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1024 
10241049  1 20AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1024 
10241057  1 21AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1024 
10241059  1 21AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1024 
10241065  1 24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1024 
10241068  1 24AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 36
FDA-CBER-2021-5683-0019433
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1024 
10241077  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1024 
10241081  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1024 
10241083  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1024 
10241087  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1024 
10241096  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1024 
10241097  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1037 
10371356  2 12NOV2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 12NOV2020  N N 
  C4591001 
1044 
10441002  2 02SEP2020  Product 
temperature 
excursion issue  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1044 
10441004  2 02SEP2020  Product 
temperature 
excursion issue  DOSE NOT 
CHANGED  N N 02SEP2020  N N 
  C4591001 
1044 
10441007  2 05SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 05SEP2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 37
FDA-CBER-2021-5683-0019434
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1044 
10441010  2 06SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 06SEP2020  N N 
  C4591001 
1044 
10441016  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1044 
10441018  1 20AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1044 
10441032  1 25AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 25AUG2020  N N 
  C4591001 
1044 
10441036  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1044 
10441041  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1044 
10441047  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1044 
10441049  1 27AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1044 
10441055  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1044 
10441062  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 38
FDA-CBER-2021-5683-0019435
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1044 
10441067  1 01SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1044 
10441073  1 03SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1044 
10441075  1 03SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1044 
10441080  1 04SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 04SEP2020  N N 
  C4591001 
1044 
10441083  1 04SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 04SEP2020  N N 
  C4591001 
1044 
10441085  1 05SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 05SEP2020  N N 
  C4591001 
1044 
10441090  1 06SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 06SEP2020  N N 
  C4591001 
1044 
10441092  1 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1044 
10441093  1 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1044 
10441094  1 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 39
FDA-CBER-2021-5683-0019436
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1054 
10541024  2 10OCT2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 10OCT2020  N N 
  C4591001 
1068 
10681001  1 18AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 18AUG2020  N N 
  C4591001 
1068 
10681004  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681005  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681007  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681008  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681009  1 19AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 19AUG2020  N N 
  C4591001 
1068 
10681014  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681015  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
  C4591001 
1068 
10681019  1 20AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 20AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 40
FDA-CBER-2021-5683-0019437
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681020  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681022  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681023  1 21AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 21AUG2020  N N 
  C4591001 
1068 
10681029  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681030  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681032  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681033  1 24AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 24AUG2020  N N 
  C4591001 
1068 
10681039  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681040  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681041  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 41
FDA-CBER-2021-5683-0019438
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681043  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681044  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681045  1 26AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1068 
10681050  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681051  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681054  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681055  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681056  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681057  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
  C4591001 
1068 
10681059  1 27AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 27AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 42
FDA-CBER-2021-5683-0019439
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1068 
10681062  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681063  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681065  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681068  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681069  1 28AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1068 
10681075  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681078  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681079  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681082  1 31AUG2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1068 
10681084  1 01SEP2020  Incorrect dosage 
administered  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 43
FDA-CBER-2021-5683-0019440
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1081 
10811053  2 09SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
  C4591001 
1091 
10911001  1 30JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 30JUL2020  N N 
  C4591001 
1091 
10911004  1 30JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 30JUL2020  N N 
  C4591001 
1091 
10911010  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1091 
10911012  1 31JUL2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1121 
11211071  1 03SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 03SEP2020  N N 
  C4591001 
1129 
11291091  2 01SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 01SEP2020  N N 
  C4591001 
1141 
11411066  1 12AUG2020  Incorrect dose 
administered  DOSE NOT 
CHANGED  N N 12AUG2020  N N 
  C4591001 
1163 
11631003  1 31JUL2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1163 
11631005  1 31JUL2020  Product 
administration 
error  DRUG 
WITHDRAWN  N N 31JUL2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 44
FDA-CBER-2021-5683-0019441
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1163 
11631007  1 31JUL2020  Expired product 
administered  DOSE NOT 
CHANGED  N N 31JUL2020  N N 
  C4591001 
1163 
11631008  1 31JUL2020  Product 
administration 
error  DRUG 
WITHDRAWN  N N 31JUL2020  N N 
  C4591001 
1163 
11631010  1 03AUG2020  Product 
administration 
error  DOSE NOT 
CHANGED  N N 03AUG2020  N N 
  C4591001 
1163 
11631011  1 03AUG2020  Product 
administration 
error  DOSE NOT 
CHANGED  N N 03AUG2020  N N 
  C4591001 
1163 
11631013  1 03AUG2020  Product 
administration 
error  DOSE NOT 
CHANGED  N N 03AUG2020  N N 
  C4591001 
1163 
11631126  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631131  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631132  2 08SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 08SEP2020  N N 
  C4591001 
1163 
11631133  2 10SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 10SEP2020  N N 
  C4591001 
1163 
11631144  2 09SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 45
FDA-CBER-2021-5683-0019442
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1163 
11631149  2 09SEP2020  Product storage 
error  DOSE NOT 
CHANGED  N N 09SEP2020  N N 
  C4591001 
1177 
11771089  2 09SEP2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 09SEP2020  N Y 
  C4591001 
1231 
12311057  1 11AUG2020  Product 
dispensing error  DOSE NOT 
CHANGED  N N 11AUG2020  N N 
  C4591001 
1231 
12313446  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313461  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313468  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313478  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313480  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313496  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313503  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 46
FDA-CBER-2021-5683-0019443
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1231 
12313511  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313524  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313530  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313536  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313538  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313549  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1231 
12313562  1 23AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 23AUG2020  N N 
  C4591001 
1254 
12541002  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1254 
12541004  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1254 
12541010  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 47
FDA-CBER-2021-5683-0019444
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1254 
12541011  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1254 
12541014  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541016  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541018  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541019  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541025  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541026  1 28AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 28AUG2020  N N 
  C4591001 
1254 
12541037  1 29AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 29AUG2020  N N 
  C4591001 
1260 
12601003  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
  C4591001 
1260 
12601008  1 26AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 26AUG2020  N N 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 48
FDA-CBER-2021-5683-0019445
16.2.5.4 Listing of Medication Errors – All Subject s 
Age 
Group  
(Years)  Subject  Dose  
No.a Start  
Date  Type of  
Medication 
Error  Action Taken  Was a  
Concomitant  
Medication 
Given  
(Yes/No)  Was the  
Non-Drug  
Treatment 
Given 
(Yes/No)  Stop  
Date  Discontinued  
From Study  
(Yes/No)  Medication Error  
Associated AE  
(Yes/No)  
  
  C4591001 
1260 
12601025  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1260 
12601026  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1260 
12601027  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1260 
12601033  1 31AUG2020  Product storage 
error  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  C4591001 
1265 
12651026  1 31AUG2020  Wrong product 
administered  DOSE NOT 
CHANGED  N N 31AUG2020  N N 
  
Note: Data for subjects randomized on or after 10OCT2020 are included to comprehensively show all data reported but are subje ct to change with 
additional follow -up. 
Note: † = HIV -positive subject.  
a.     Dose No. = the vaccination visit at which the medica tion error occurred.  
PFIZER CONFIDENTIAL SDTM Creation: 17NOV2020 (09:48) Source Data: adae Table Generation: 18NOV2020 (10:07)  
(Cutoff Date: 14NOV2020, Snapshot Date: 16NOV2020) Output File: ./nda2_unblinded/C4591001_IA_P3_2MPD2/adae_l002_me_all_p3   
 
 
090177e1959b0fdf\Final\Final On: 24-Nov-2020 13:48 (GMT) 
Page 49
FDA-CBER-2021-5683-0019446