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Clinical Study Data Reviewer’s 
Guide  
 
BLA Analysis for Participants ≥16 Years of Age  
BioNTech SE and PFIZER INC.    
Study C4591001   
 
 
 
  
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This document is confidential  Page 2 of 86  Clinical  Data Reviewer ’s Guide Revision history  
Version  Summary of Major Change(s) and Impact  Version Date  
1.0 First approved version of Clinical Data Reviewer’s Guide  28-Apr-2021 
 
  
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This document is confidential  Page 3 of 86   
Clinical Study Data Reviewer’s Guide  
Contents  
Study C4591001  ................................ ................................ ................................ ................................ ...........  1 
Clinical Data Reviewer’s Guide Revision history  ................................ ................................ ........................  2 
1. Introduction  ................................ ................................ ................................ ................................ ..........  5 
1.1 Purpose  ................................ ................................ ................................ ................................ ..........  5 
1.2 Acronyms  ................................ ................................ ................................ ................................ ...... 5 
1.3 Study Data Standards and Dictionary Inventory  ................................ ................................ ...........  5 
2. Protocol Description  ................................ ................................ ................................ .............................  6 
2.1 Protocol Number and Title  ................................ ................................ ................................ ............  6 
2.2 Protocol Design  ................................ ................................ ................................ .............................  8 
2.2.1  Phase 1  ................................ ................................ ................................ ................................ .. 9 
2.2.2  Phase 2/3  ................................ ................................ ................................ .............................  10 
2.3 Trial Design Datasets  ................................ ................................ ................................ ..................  12 
2.3.1  TA - Trial Arms  ................................ ................................ ................................ ..................  12 
2.3.2  TE - Trial Elements  ................................ ................................ ................................ .............  13 
2.3.3  TI - Trial Inclusion/Exclusion Criteria  ................................ ................................ ................  13 
2.3.4  TS - Trial Summary  ................................ ................................ ................................ ............  13 
2.3.5  TV - Trial Visits  ................................ ................................ ................................ ..................  13 
3. Subject Data Description  ................................ ................................ ................................ ....................  16 
3.1 Overview  ................................ ................................ ................................ ................................ ..... 16 
3.2 Traceability Flow Diagram  ................................ ................................ ................................ .........  17 
3.3 Annotated CRFs  ................................ ................................ ................................ ..........................  17 
3.4 SDTM Subject Domains  ................................ ................................ ................................ .............  19 
3.4.1  AE - Adverse Events  ................................ ................................ ................................ ...........  20 
3.4.2  CE - Clinical Events  ................................ ................................ ................................ ............  21 
3.4.3  CM - Concomitant Medications  ................................ ................................ ..........................  22 
3.4.4  CO - Comments  ................................ ................................ ................................ ..................  23 
3.4.5  DD – Death Details  ................................ ................................ ................................ .............  23 
3.4.6  DI - Device Identifiers  ................................ ................................ ................................ ........  23 
3.4.7  DM - Demographics ................................ ................................ ................................ ............  23 
3.4.8  DS - Disposition  ................................ ................................ ................................ ..................  24 
3.4.9  DV - Protocol Deviations  ................................ ................................ ................................ .... 25 
3.4.10  EC - Exposure as Collected  ................................ ................................ ................................  25 
3.4.11  EX - Exposure  ................................ ................................ ................................ .....................  25 
3.4.12  FACE - Findings About Events or Interventions  ................................ ................................  26 
3.4.13  FAHO - Findings About Events or Interventions  ................................ ...............................  27 
3.4.14  HO - Healthcare Encounters  ................................ ................................ ...............................  27 
3.4.15  IE - Inclusion/Exclusion Criteria Not Met  ................................ ................................ ..........  27 
3.4.16  IS - Immunogenicity Specimen Assessment  ................................ ................................ ....... 27 
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This document is confidential  Page 4 of 86  3.4.17  LB - Laboratory Test Results  ................................ ................................ ..............................  27 
3.4.18  MB - Microbiology Specimen  ................................ ................................ ............................  28 
3.4.19  MH - Medical History  ................................ ................................ ................................ .........  28 
3.4.20  MO - Morphology  ................................ ................................ ................................ ...............  28 
3.4.21  PE - Physical Examination  ................................ ................................ ................................ .. 28 
3.4.22  PR – Procedures  ................................ ................................ ................................ ..................  29 
3.4.23  SE - Subject Elements  ................................ ................................ ................................ .........  29 
3.4.24  SV - Subject Visits  ................................ ................................ ................................ ..............  29 
3.4.25  VS - Vital Signs  ................................ ................................ ................................ ..................  29 
4. Data Conformance Summary  ................................ ................................ ................................ .............  31 
4.1 Conformance Inputs  ................................ ................................ ................................ ....................  31 
4.2 Issues Summary  ................................ ................................ ................................ ..........................  31 
4.3 Additional Conformance Details  ................................ ................................ ................................  74 
Appendix I: Inclusion/Exclusion Criteria  ................................ ................................ ................................ ... 75 
Appendix II: Data Cutoff Algorithm in Standard Domains ................................ ................................ ........  83 
Appendix III: FDA 2010.1 Issue Summary  ................................ ................................ ................................  86 
 
 
 
 
 
 
 
 
 
  
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This document is confidential  Page 5 of 86  1. Introduction  
1.1 Purpose  
This document provides context for tabulation datasets and terminolo gy that benefit from additional 
explanation beyond the Data Definitions document (define.xml).  In addition, this document provides 
a summar y of SDTM conformance findings.  
1.2 Acronyms  
Acronym  Translation  
AE Adverse Event 
BLA  Biologics License Application  
CBER  Center for Biologics Evaluation and Research  
COVID -19 Coronavirus Disease 2019  
cSDRG  Clinical Study Data Reviewer’s Guide  
MedDRA  Medical Dictionary for Regulatory Activities  
modRNA  Nucleoside -Modified Messenger Ribonucleic Acid 
NAAT  Nucleic Acid Amplification Test 
SARS -CoV -2 Severe Acute Respiratory Syndrome Coronavirus 2  
SDTM  Study Data Tabulation Model  
SoA Schedule of Activities  
TAUG  Therapeutic Area User Guide  
WOCBP  Woman/ Women of Childbearing Potential  
 
1.3 Study Data Standards and Dictionary Inventory  
Standard or Dictionary  Versions Used  
SDTM  •SDTM v1.4  
•SDTM -IG v3.2  
Controlled Terminology  CDISC SDTM Con trolled Terminology, 2020 -03-27 
Data Definitions  Define -XML  v2.0  
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This document is confidential  Page 6 of 86  Standard or Dictionary  Versions Used  
Medications Dictio nary WHODD GLOBALV3Mar20, WHO DDE v202003 , SNOMED 
2020 -09-01, UNII 2020 -08-18, NDF -RT 2020 -09-08 
Medical Events Dictionary  MedDRA v23.1 
 
 
2. Protocol Description  
2.1 Protocol Number and Title  
Protocol Number:  C4591001  
 
Protocol Short  Title: A Phase 1/2/3 Study to Evaluate the Safety, Tolerability, Immunogenicity, and  
Efficacy of RNA Vaccine Candidates Against COVID -19 in Healthy Individual s.  
 
Note : Protocol Amendment ’s 13, 14 and beyond mentioned elsewhere in the submission 
document ation are out of scope for this BLA  and have not been included in this cSDRG.  
 
Protocol Versions:  
 
Amendment  12: 2020 -01-08 
• Because of a formatting error in protocol amendment  11, exclusion criterion 4 was 
inadvertently added to exclusion criter ion 3 and the subsequent criteria renumbered. This 
amendment  corrects that error.  
 
Amendment  11: 2020 -01-04  
• Added a potential intensive surveillance period for nasal swabbing, for assessment via 
NAAT:  
o Corresponding SoA and procedures added  
 
Amendment  10: 2020 -12-01  
• Added the possibility of administering  BNT162b2 to participants who originally  received 
placebo, following any local or national recommendations.  
• Added the possibility of administering BNT162b2 to participants who originally received 
placebo, following completion of the active safety surveillance period.  
 
Amendment  9: 2020 -10-29  
• To better align with the natural history of SARS -CoV -2 infection, added Phase 2/3 
secondary efficacy objectives, estimands, and endpoints to include COVID -19 cases that 
occur from 14 days after the second dose; also modified the existing secondary efficacy 
objectives, estimands, and endpoints to include COVID -19 cases that occur from 14 days, as 
well as 7 days, after the second dose;  
o Made corresponding changes to the study design, study assessments and procedures, 
and statistical analysis sections.  
• Clarified that interim analyses will be conducted after accrual of at least 62, 92, and 120 
cases.  
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This document is confidential  Page 7 of 86  • Included any participants 16 through 17 years of age enrolled under this amendment  in the 
reactogenicity subset.  
• Clarified that serology data after a postbaseline positive SARS -CoV -2 test result will not be 
included in the analysis based on the evaluable immunogenicity populations.  
 
Amendment  8: 2020 -10-15  
• Clarified that for participants who are not in the reactogenicity subset, local reactions and 
systemic events following vaccination should be detected and reported as AEs.  
• Clarified that premenarchal females are not  WOCBP.  
 
Amendment  7: 2020 -10-06  
• Reduced the lower age range to include adolescents 12 to 15 years of age and added 
corresponding objectives .  
• Added that 2 periods of potential COVID -19 symptoms within 4 days will be considered as a 
single illness.  
 
Amendment  6: 2020 -09-08  
• Removed exclusion criterion 2 (ie, known infection with HIV, HCV, or HBV) for Phase 3 
and added criteria for HIV -positive participants.  
• Decreased the lower age limit and removed the upper age limit for inclusion in Phase 2/3 in 
order to evalua te BNT162b2 30 μg in older adolescents and those over 85 years of age; 
updated the title and other references to adults to align with this change.  
• Clarified that inclusion criterion 4 (ie, participants at higher risk for acquiring COVID -19) is 
applicable for Phase 2/3 only, and provided some examples  
 
Amendment  5: 2020 -07-24  
• Clarified that a single vaccine candidate, administered as 2 doses 21 days apart, will be 
studied in Phase 2/3.  
• Stated that the vaccine candidate selected for Phase 2/3 evaluation is  BNT162b2 at a dose of 
30 μg.  
• Renamed Stage 1 to Phase 1, removed Stage 2, and renamed Stage 3 to Phase 2/3.  
• Clarified which stopping rules apply to which phase of the study.  
• Moved the immunogenicity objectives in Phase 2/3 to become exploratory.  
• Modified  exclusion criterion 5, so that participants with a previous clinical or 
microbiological diagnosis of COVID -19 are excluded from all phases of the study.  
 
Amendment  4: 2020 -06-30  
• BNT162b3 candidate has been added to the protocol.  
• Further nonclinical data  are available to support the study of the BNT162b3 candidate in 
humans, and the candidate has been added to the protocol.  
• The 6 -month safety follow -up telephone contact has been changed to an in -person visit for 
Stage 3 participants, to allow collection o f an immunogenicity blood sample.  
 
Amendment  3: 2020 -06-10  
• 20-μg dose level is formally included for BNT162b1 and BNT162b2.  
• In order to increase flexibility enrolling participants, an extended screening window 
(increased from 14 to 28 days) for sentinel participants in Stage 1 has been added. This is 
considered acceptable since eligible participants are expected to be either he althy or have 
stable medical conditions.  
 
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This document is confidential  Page 8 of 86  Amendment  2: 2020 -05-27  
• Added a 50 -μg dose level for vaccine candidates based on the modRNA platform (ie, 
BNT162b1, BNT162b2, and BNT162b3).  
 
Amendment  1: 2020 -05-13  
• Decreased the dose levels for BNT162a1 and BN T162c2  
• Modified exclusion criteria and prohibited inhaled/nebulized corticosteroids for sentinel 
participants in Stage 1.  
 
Original Protocol 2020 -04-15 
   
2.2 Protocol Design  
The study consists of 2 parts. This cSDRG is for subjects  in all Phase s. Phase 1: to identify preferred 
vaccine candidate(s) and dose level(s); Phase 2/3: an expanded cohort and efficacy  part.  These parts, 
and the progression between them, are detailed in the schema.  
 
Phase 1  For each vaccine candidate  (4:1 randomization  active:placebo)  
   
Age: 18 -55 y  Age: 65 -85 y 
Low-dose-level 2 -dose group (n=15)    
IRC (safety)   IRC (safety  Low-dose-level 2 -dose group (n=15)  
  after Dose 1)   
High  Mid-dose-level 2 -dose group 
(n=15)     
  IRC (safety  Mid-dose-level 2 -dose group (n=15)  
  after Dose 1)   
  
 
IRC choice of group(s) for Phase 2/3  
(safety & immunogenicity after Doses 1 and 2)   
   
  
Phase 2/3  Single vaccine candidate  (1:1 randomization  active:placebo)  
Safety and immunogenicity analysis 
of Phase 2 data (first 360 participants)  
by unblinded team (these participants  
will also be included in Phase 3  
analyses)  Age: ≥12  
(Stratified 12 -15, 16 -55, or >55)   
 
BNT162b2 30 µg or placebo 2 doses  
(n~21,999 per group, total n~43.998)  
Abbreviation: IRC = internal review committee.  
   
 
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This document is confidential  Page 9 of 86  The study will evaluate the safety, tolerability, and immunogenicity of 2 different SARS -CoV -2 RNA 
vaccine candidates against COVID -19 and the efficacy of 1 candidate:  
• As a 2 -dose (separated by 21 days) schedule;  
• At various  different dose levels in Phase 1;  
• In 3 age groups : (Phase 1: 18 to 55 years of age, 65 to 85 years of age; Phase 2/3: ≥ 12 years 
of age [stratified as  12-15, 16-55, or >55 years of age]).  
Dependent upon safety and/or immunogenicity data generated during the course of this study, or 
the BioNTech study conducted in Germany (BNT162 -01), it is possible that groups in Phase 1 
may be started at the next highest dose, groups may not be started, groups may be ter minated 
early, and/or groups may be added with dose levels below the lowest stated dose or intermediate 
between the lowest and highest stated doses.  
The study is observer -blinded, as the physical appearance of the investigational vaccine 
candidates and the placebo may differ.  The participant, investigator, study coordinator, and other 
site staff will be blinded.  At the study site, only the dispenser(s)/administrator(s) are unblinded.  
To facilitate rapid review of data in real time, spons or staff will be unblinded to vaccine 
allocation for the participants in Phase 1.  
2.2.1 Phase 1  
Each group (vaccine candidate/dose level/age group) will comprise 15  participants; 
12 participants will be randomized to receive active vaccine and 3 to receive place bo. 
For each vaccine candidate/dose level/age group, the following apply:  
• Additional safety assessments (see protocol, Section 8.2)  
• Controlled enrollment (required only for the first candidate and/or dose level studied):  
• No more than 5 participants (4 acti ve, 1 placebo) can be vaccinated on the first day  
• The first 5 participants must be observed by blinded site staff for at least 4 hours after 
vaccination for any acute reactions  
• Vaccination of the remaining participants will commence no sooner than 24 hours  after 
the fifth participant received his or her vaccination  
• Application of stopping rules  
• IRC review of safety data to determine escalation to the next dose level in the 18 - to 55 -year 
age cohort:  
• Escalation between dose levels will be based on IRC review of at least 7 -day  
post–Dose 1 safety data in this study and/or the BioNTech study conducted in Germany 
(BNT162 -01) 
• Note that, since both candidates are based upon the same RNA platform, dose escal ation 
for the second candidate studied may be based upon the safety profile of the first 
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This document is confidential  Page 10 of 86  candidate studied being deemed acceptable at the same, or a higher, dose level by the 
IRC 
Groups of participants 65 to 85 years of age will not be started until safety  data for the RNA 
platform have been deemed acceptable at the same, or a higher, dose level in the 18 - to 55 -year 
age cohort by the IRC.  
In this phase, 13 groups will be studied, corresponding to a total of 195 participants.  
The IRC will select 1 vaccine c andidate that, in Phase 1, has an established dose level per age 
group based on induction of a post –Dose 2 immune response, including neutralizing antibodies, 
which is expected to be associated with protection against COVID -19, for progression into Phase 
2/3. 
Participants who originally received placebo and become eligible for receipt of BNT162b2 or 
another COVID -19 vaccine according to local or national recommendations (detailed separately, 
and available in the electronic study reference portal) will have the opportunity to receive 
BNT162b2 as part of the study. The investigator will ensure the participant meets at least 1 of the 
recommendation criteria. Any Phase 1 placebo recipient who has not already been offered the 
opportunity to receive BNT162b2 will be given this opportunity at the approximate time 
participants in Phase 2/3 reach Visit 4. Any participant who originally received placebo but then 
goes on to receive BNT162b2 will move to a new visit schedule (Section 1.3.3).  
 
2.2.2 Phase 2/3  
On the basis of safety and/or immunogenicity data generated during the course of this study, 
and/or the BioNTech study conducted in Germany (BNT162 -01), 1 vaccine candidate was 
selected to proceed into Phase 2/3. Participants in this phase will be ≥12 years of age, strati fied as 
follows: 12 to 15 years, 16 to 55 years, or >55 years. The 12 - to 15 -year stratum  will comprise up 
to approximately 2000 participants enrolled at selected investigational sites. It is intended that a 
minimum of 40% of participants will be in the >5 5-year stratum. Commencement of each age 
stratum will be based upon satisfactory post –Dose 2 safety and immunogenicity data from the 18 - 
to 55 -year and 65 - to 85 -year age groups in Phase 1, respectively. The vaccine candidate selected 
for Phase 2/3 evaluat ion is BNT162b2 at a dose of 30 μg.  
 
Phase 2/3 is event -driven. Under the assumption of a true VE rate of ≥60%, after the second dose 
of investigational product, a target of 164 primary -endpoint cases of confirmed COVID -19 due to 
SARS -CoV -2 occurring at l east 7 days following the second dose of the primary series of the 
candidate vaccine will be sufficient to provide 90% power to conclude true VE >30% with high 
probability. The total number of participants enrolled in Phase 2/3 may vary depending on the 
incidence of COVID -19 at the time of the enrollment, the true underlying VE, and a potential 
early stop for efficacy or futility.  
 
Assuming a COVID -19 attack rate of 1.3% per year in the placebo group, accrual of 164  first 
primary -endpoint cases within 6 mo nths, an estimated 20% non -evaluable rate, and 1:1 
randomization, the BNT162b2 vaccine candidate selected for Phase 2/3 is expected to comprise 
approximately 21,999 vaccine recipients. This is the number of participants initially targeted for 
Phase 2/3 and  may be adjusted based on advice from DMC analyses of case accumulation and the 
percentage of participants who are seropositive at baseline. Dependent upon the evolution of the 
pandemic, it is possible that the COVID -19 attack rate may be much higher, in w hich case accrual 
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This document is confidential  Page 11 of 86  would be expected to be more rapid, enabling the study’s primary endpoint to be evaluated much 
sooner.  
 
The first 360 participants enrolled (180 to active vaccine and 180 to placebo, stratified equally 
between 18 to 55 years and >55 to 8 5 years) will comprise the “Phase 2” portion. Safety data 
through 7 days after Dose 2 and immunogenicity data through 1 month after Dose 2 from these 
360 participants will be analyzed by the unblinded statistical team, reviewed by the DMC, and 
submitted to  appropriate regulatory authorities for review. Enrollment may continue during this 
period and these participants would be included in the efficacy evaluation in the “Phase 3” 
portion of the study.  
 
In Phase 3, up to approximately 2000 participants, enrol led at selected sites, are anticipated to be 
12 to 15 years of age. Noninferiority of immune response to prophylactic BNT162b2 in 
participants 12 to 15 years of age to response in participants 16 to 25 years of age will be assessed 
based on the GMR of SARS -CoV -2 neutralizing titers using a 1.5 -fold margin. A sample size of 
225 evaluable participants (or 2 80 vaccine recipients) per age group will provide a power of 
90.8% to declare the noninferiority in terms of GMR (lower limit of 95% CI for GMR >0.67). A 
random sample of 2 80 participants from each of the 2 age groups (12 to 15 years and 16 to 25 
years) will be selected as an immunogenicity subset for the noninferiority assessment.  
 
The initial BNT162b2 was manufactured using “Process 1”; however, “Process 2” was developed 
to support an increased scale of manufacture. In the study, each lot of “Process 2” -manufactured 
BNT162b2 will be administered to approximately 250 participants 16 to 55 years of age. The 
safety and immunogenicity of prophylactic BNT162b2 in individuals 16 to 55 years of age 
vaccinated with “Process 1” and each lot of “Process 2” study intervention will be described. A 
random sample of 250 participants from those vac cinated with study intervention produced by 
manufacturing “Process 1” will be selected for this descriptive analysis.  
 
Participants are expected to participate for up to a maximum of approximately 26 months. The 
duration of study follow -up may be shorter among participants enrolled in Phase 1 dosing arms 
that are not evaluated in Phase 2/3.  
The initial BNT162b2 was manufa ctured using “Process 1”; however, “Process 2” was developed 
to support an increased scale of manufacture. In the study, each lot of “Process 2” -manufactured 
BNT162b2 will be administered to approximately 250 participants 16 to 55 years of age. The 
safety and immunogenicity of prophylactic BNT162b2 in individuals 16 to 55 years of age 
vaccinated with “Process 1” and each lot of “Process 2” study intervention will be described. A 
random sample of 250 participants from those vaccinated with study intervention  produced by 
manufacturing “Process 1” will be selected for this descriptive analysis.  
 
Participants are expected to participate for up to a maximum of approximately 26 months. The 
duration of study follow -up may be shorter among participants enrolled in Phase 1 dosing arms 
that are not evaluated in Phase 2/3.  
 
Participants  ≥ 16 years of age who originally received placebo and become eligible for rec eipt of 
BNT162b2 or another COVID -19 vaccine according to local or national recommendations  
(detailed separa tely, and available in the electronic study reference portal) will have the 
opportunity to receive BNT162b2 as part of the study. The investigator will ensure the participant 
meets at least 1 of the recommendation criteria.  
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This document is confidential  Page 12 of 86   
Any Phase 2/3 placebo recipient  ≥16 years of age who has not already been offered the 
opportunity to receive BNT162b2 will be given this opportunity from 6 months after Vaccination 
2 (at the time of the originally planned Visit 4).  
 
Any Phase 2/3 placebo recipient ≥16 years of age who h as not already been offered the 
opportunity to receive BNT162b2 will be given this opportunity from 6 months after Vaccination 
2 (at the time of the originally planned Visit 4).  
 
Any participant who originally received placebo but then goes on to receive B NT162b2 will 
move to a new visit schedule (Section 1.3.3).  
 
An intensive period of surveillance to evaluate the efficacy of BNT162b2 against  asymptomatic 
SARS -CoV -2 infection may be conducted at selected sites among Phase 2/3  participants 
following approva l of protocol amendment  11. After an initial in -person visit   where a blood 
sample will be collected and a nasal (midturbinate) swab obtained, nasal   (midturbinate) swabs 
will be obtained from consented participants every 2 weeks until   Visit 4, or a suffi cient number 
of cases of SARS -CoV -2 infection have accrued to evaluate   this objective, whichever is sooner, 
per the SoA . The swabs will be tested at  a central laboratory using NAAT to detect SARS -CoV -2. 
Participants who originally   received placebo and be come eligible for receipt of BNT162b2 
according to local or national   recommendations and then receive BNT162b2 as part of the study 
will not participate in   surveillance for asymptomatic SARS -CoV -2 infection; if they become 
eligible during the   surveillance period, the swabbing every 2 weeks will cease.       
 
2.3 Trial Design Datasets  
Are Trial Design datasets included in the submission? - Yes  
  
Dataset   Dataset Label   
TA  Trial Arms  
TE  Trial Elements  
TI  Trial Inclusion/Exclusion Criteria  
TS  Trial Summary  
TV  Trial Visits  
  
2.3.1 TA - Trial Arms  
 
For Phase 1, s ubjects were  randomly assigned to receive either BNT162b1 , BNT162b2 , or placebo.   
For Phase 2 /3, subjects were  randomly assigned to receive either BNT162b2  or placebo.  
The detailed information for ARM and ARMCD was shown in the table below.   
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This document is confidential  Page 13 of 86  ARM  ARMCD  
BNT162b1 Phase 1 (10 mcg)  B1_10  
BNT162b1 Phase 1 (100/10 mcg)  B1_100  
BNT162b1 Phase 1 (20 mcg)  B1_20  
BNT162b1 Phase 1 (30 mcg)  B1_30  
BNT162b2 Phase 1 (10 mcg)  B2_10 
BNT162b2 Phase 1 (20 mcg)  B2_20 
BNT162b2 Phase 1 (30 mcg)  B2_30 
BNT162b2 Phase 2/3 (30 mcg)  B2_P23_30  
Placebo  PLACEBO  
  
2.3.2 TE - Trial Elements  
There were ten trial elements in this study  for Phase 1  including  one screening elemen t and eight 
vaccination  elements: BNT162b1 (10 mcg) , BNT162b1 (20 mcg) , BNT162b1 (30 mcg), BNT162b1 
(100 mcg), BNT162b2 (10 mcg), BNT162b2 (20 mcg), BNT162b2 (30 mcg), and  Placebo . There was 
also one follow -up element.  
 
There were 4 trial elements in this study for Phase 2/3  including o ne screening element  and 2 
vaccination  elements: BNT162b2 (30 mcg) and Placebo . There was also  one follow -up element.  
 
For Placebo subject from Phase 1 that qualified to receive BNT162b2 (30 mcg) , additional elements 
were included : Screening Open Label  & Follow -up Open Label . 
 
2.3.3 TI - Trial Inclusion/Exclusion Criteria  
See Appendix I: Inclusion/Exclusion Criteria  for the complete text of each inclusion or exclusion 
criteria.  
2.3.4 TS - Trial Summary  
The Trial Summary (TS) dataset details a summary of the trial in a structured format.  Each record in 
the Trial Summary dataset contains the value of a parameter, a characteristic of the trial. Trial 
Summary was used to record basic information about the s tudy such as trial phase, protocol title, and 
trial objectives, as well as, information about the planned and actual trial characteristics.  
In accordance with the FDA business rule, the values for PARAMCD  equal to  AGEMIN, 
PLANSUB, and NARMS has been combi ned in to one recor d. The minimum age for Phase 1 is 18 
years while Phase 2/3 is 12. The planned number of arms for  Phase 1 is 7 while Phase  2/3 is 2. The 
planned number of participants  for Phase 1 is 195 while Phase2/3 is 2 1,999.  
2.3.5 TV - Trial Visits  
The tr ial visits dataset describes the planned visits  of the trial and consists of 19 visits  for Phase 1  and 
11 visits for Phase 2/3 . Each  visit and visit description are shown in the table below.  
Visits V4_WEEK3_VAX2_S_R ; V5_WEEK1_POSTVAX2_S_R ; V6_WEEK2_POSTVAX2_S_R ; 
V6_WEEK2_POSTVAX2_S_R ; are for subjects who receive d 100mcg  during  vaccination  1 for 
Phase 1. Dose of  100 mcg was deemed t oo high and the dosing/visit was stopped for approximately  4 
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This document is confidential  Page 14 of 86  months.  After 4 months , the subject returned and received 10 mcg at vaccination 2  and completed  the 
rest of the visits . 
 
Visits  in the chart below  with the suffix of “_S” and “_L”  , excluding COVID visits,  are related to 
Phase 1 and Phase 2/3 respectively.  
 
VISITNUM  VISIT  VISITDY  Description  
1 COVID_A    COVID -19 illness onset  
200 COVID_A1    After the visit of COVID -19 illness onset  
2 COVID_B    COVID -19 illness onset  
201 COVID_B1    After the visit of COVID -19 illness onset  
3 COVID_C    COVID -19 illness onset  
202 COVID_C1    After the visit of COVID -19 illness onset  
4 COVID_D    COVID -19 illness onset  
203 COVID_D1    After the visit of COVID -19 illness onset  
5 COVID_E    COVID -19 illness onset  
204 COVID_E1    After the visit of COVID -19 illness onset  
6 COVID_F    COVID -19 illness onset  
205 COVID_F1    After the visit of COVID -19 illness onset  
7 COVID_G    COVID -19 illness onset  
206 COVID_G1    After the visit of COVID -19 illness onset  
8 COVID_H    COVID -19 illness onset  
207 COVID_H1    After the visit of COVID -19 illness onset  
9 COVID_I    COVID -19 illness onset  
208 COVID_I1    After the visit of COVID -19 illness onset  
10 COVID_J    COVID -19 illness onset  
209 COVID_J1    After the visit of COVID -19 illness onset  
11 COVID_K    COVID -19 illness onset  
210 COVID_K1    After the visit of COVID -19 illness onset  
12 COVID_L    COVID -19 illness onset  
211 COVID_L1    After the visit of COVID -19 illness onset  
13 COVID_M    COVID -19 illness onset  
212 COVID_M1    After the visit of COVID -19 illness onset  
14 COVID_N    COVID -19 illness onset  
213 COVID_N1    After the visit of COVID -19 illness onset  
15 COVID_O    COVID -19 illness onset  
214 COVID_O1    After the visit of COVID -19 illness onset  
16 COVID_P    COVID -19 illness onset  
215 COVID_P1    After the visit of COVID -19 illness onset  
17 COVID_Q    COVID -19 illness onset  
216 COVID_Q1    After the visit of COVID -19 illness onset  
18 COVID_R    COVID -19 illness onset  
217 COVID_R1    After the visit of COVID -19 illness onset  
19 COVID_S    COVID -19 illness onset  
218 COVID_S1    After the visit of COVID -19 illness onset  
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This document is confidential  Page 15 of 86  VISITNUM  VISIT  VISITDY  Description  
20 COVID_T    COVID -19 illness onset  
219 COVID_T1    After the visit of COVID -19 illness onset  
60776  End of Treatment    Start of end of treatment visit  
60777  Follow -Up   First day of follow -up visit  
60772  POT_COVID_CONVA    28 to 35 days after potential COVID -19 illness visit  
60771  POT_COVID_ILL    Optimally within 3 days after potential COVID -19 
illness onset  
51231792  REVAX_CONTACT    Start of contact  
60747  SCR    Informed consent  
20210  SSWAB_WEEK10    Surveillance swab sample collection at week 10  
20212  SSWAB_WEEK12    Surveillance swab sample collection at week 12  
20214  SSWAB_WEEK14    Surveillance swab sample collection at week 14  
20216  SSWAB_WEEK16    Surveillance swab sample collection at week 16  
20218  SSWAB_WEEK18    Surveillance swab sample collection at week 18  
20202  SSWAB_WEEK2    Surveillance swab sample collection at week 2  
20220  SSWAB_WEEK20    Surveillance swab sample collection at week 20  
20222  SSWAB_WEEK22    Surveillance swab sample collection at week 22  
20224  SSWAB_WEEK24    Surveillance swab sample collection at week 13  
20226  SSWAB_WEEK26    Surveillance swab sample collection at week 14  
20228  SSWAB_WEEK28    Surveillance swab sample collection at week 15  
20204  SSWAB_WEEK4    Surveillance swab sample collection at week 4  
20206  SSWAB_WEEK6    Surveillance swab sample collection at week 6  
20208  SSWAB_WEEK8    Surveillance swab sample collection at week 8  
60765  V1_DAY1_VAX1_L  1 Day 1  
60748  V1_DAY1_VAX1_S  1 Day 1  
60757  V10_MONTH24_S  749 714 to 742 days after visit 4  
51231793  V101_VAX3    Open label vaccination 1  
51231794  V102_VAX4    Open label vaccination 2  
51231795  V103_MONTH1    28 to 35 Days after visit 102  
51231796  V104_MONTH6    175 to 189 days after visit 102  
51231797  V105_MONTH18    532 to 560 days after visit 102  
60749  V2_DAY2_POSTVAX1_S  2 1 to 3 days after visit 1  
60766  V2_VAX2_L  21 19 to 23 days after visit 1 or 56 to 70 days after visit 1  
56985855  V201_SURVEIL_CONSENT    Infection Surveillance Consent  
60767  V3_MONTH1_POSTVAX2_L  51 28 to 35 days after visit 2  
60750  V3_WEEK1_POSTVAX1_S  7 6 to 8 days after visit 1  
60768  V4_MONTH6_L  173 154 to 168 days after visit 2  
60751  V4_WEEK3_VAX2_S  21 19 to 23 days after visit 1  
1165454  V4_WEEK3_VAX2_S_R    NA 
60769  V5_MONTH12_L  371 350 to 378 days after visit 2  
60752  V5_WEEK1_POSTVAX2_S  28 6 to 8 days after visit 4  
1165455  V5_WEEK1_POSTVAX2_S_R    6 to 8 days after visit 4_R  
60770  V6_MONTH24_L  733 714 to 742 days after visit 2  
60753  V6_WEEK2_POSTVAX2_S  35 12 to 16 days after visit 4  
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1165456  V6_WEEK2_POSTVAX2_S_R    12 to 16 days after visit 4_R  
60754  V7_MONTH1_S  52 28 to 35 days after visit 4  
1165457  V7_MONTH1_S_R    28 to 35 days after visit 4_R  
60755  V8_MONTH6_S  182 154 to 168 days after visit 4  
60756  V9_MONTH12_S  385 350 to 378 days after visit 4  
 
3. Subject Data Description  
3.1 Overview  
Are the submitted data taken from an ongoing study?  Yes 
      For analysis , a data cutoff of 13Mar2021 was applied on the SDTM data .  Furthermore , any data 
related to the booster portion of the Phase 1  subjects was also programm atically excluded from 
SDTM  data.   Details about the cutoff algorithm  applied to the SDTM data  can be found in 
Appendix II . 
Were the SDTM datasets used as sources for the analysis datasets?  Yes  
Do the submission datasets include screen failures? Yes  
       If yes, which datasets include screen failure data?  
Dataset  Dataset Label  
AE Adverse Events  
CE Clinical Events  
CM Concomitant Medications  
CO Comments  
DM Demographics  
DS Disposition  
DV Protocol Deviations  
FACE Findings About Events or Interventions  
HO Healthcare Encounters  
IE Inclusion/Exclusion Criteria Not Met  
IS Immunogenicity Specimen Assessments  
LB Laboratory Test Results  
MB Microbiology Specimen  
MH Medical History  
PE Physical Examination  
SE Subject Elements  
SUPPAE  Supplemental Qualifiers for AE  
SUPPCE  Supplemental Qualifiers for CE  
SUPPCM  Supplemental Qualifiers for CM  
SUPPDM  Supplemental Qualifiers for DM  
SUPPDS  Supplemental Qualifiers for DS  
SUPPDV  Supplemental Qualifiers for DV  
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This document is confidential  Page 17 of 86  Dataset  Dataset Label  
SUPPHO  Supplemental Qualifiers for HO  
SUPPIE  Supplemental Qualifiers for IE  
SUPPIS  Supplemental Qualifiers for IS  
SUPPLB  Supplemental Qualifiers for LB  
SUPPMB  Supplemental Qualifiers for MB  
SUPPMH  Supplemental Qualifiers for MH  
SUPPPE  Supplemental Qualifiers for PE  
SV Subject Visits  
VS Vital Signs  
 
Were any domains planned, but not submitted because no data were collected?   No  
 Are the submitted data a subset of collected data?  No         
Is adjudication data present? No  
 
3.2 Traceability Flow Diagram  
 
3.3 Annotated CRFs  
Collected fields and pages that have not been tabulated have been annotated as "Not Submitted". 
Pfizer collects certain data elements to facilitate operational processes including data cleaning and 
dynamically creating additional forms in the electronic data capture system.  All fields and pages that 
have been annotated as "Not Submitted" meet this criterion  and are described below . 
 
Explanation of data fields [Not Submitted]  
 
aCRF page 
Number(s)  Data Collection Field  Explanation of why [NOT SUBMITTED]  
24, 91, 93  1. Lowest Level Term,  
2. Lowest Level Term Code,  
3. High Level Term,  
4. High Level Term Code,  
5. High Level Group Term,  Coding is done after data extraction du ring 
SDTM mapping  
  
  
  
  
  
  
   
  
  
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Number(s)  Data Collection Field  Explanation of why [NOT SUBMITTED]  
6. High Level Group Term Code,  
7. Primary System Organ Class  
8. Primary System Organ Class 
Code  
14 Cohort Selection  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
35 Inform Enrollment  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
36 HIV Status  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
63 Casebook Signature Form  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
84 Further Vaccination Confirmation   Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
89 Inform Screening  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
95, 96, 97  Stratification  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
98 Subject Status  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
105 Unplanned assessments  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
12, 15, 16, 24,  
40, 41, 42, 70, 
72, 76, 77, 82, 
83, 91, 93, 106, 
108, 110  Comparison Term  Not needed for analysis.  
15, 16, 76, 110  Concomitant Medications Pre -
specified  Not needed for analysis.  
33 COVID -19 Surveillance Visit  Not needed for analysis.  
18, 19, 20 , 21 1. Follow -Up Contact Category  
2. Was contact made?  
3. If No, why?  
4. Comments  Not needed for analysis.  
30, 31 , 32, 33 , 
34 Erroneous Visit  Not needed for analysis.  
18, 19, 20, 21 , 
105 Contact Outcome  Not needed for analysis.  
36 Select appropriate response - What 
is the subject HIV status?  Not needed for analysis. The whole page is 
annotated as NOT SUBMITTED.  
40 1. Category of Clinical Event  
2. Was a diagnosis obtained for 
Potential COVID -19 Illness? (NO)  Not needed for analysis.  
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Number(s)  Data Collection Field  Explanation of why [NOT SUBMITTED]  
41, 42  Was a diagnosis obtained? (NO)  Not needed for analysis.  
64, 65  Lab Sub -Panel  Not needed for analysis.  
87, 90, 100  
Sample Collected?  Not needed for analysis.  
75, 87, 88, 90, 
100  
Sample ID  Not needed for analysis.  
81 CISR Category  Not needed for analysis.  
91, 93 Event Pre -specified  Not needed for analysis.  
102 1. Were fever or systemic symptoms 
present on the last day the Subject 
Diary was completed?  
2. Were injection site reactions 
present on the last day the Subject 
Diary was completed?  Not needed for analysis.  
108 Container Number  Not needed for analysis.  
 
 
3.4 SDTM Subject Domains  
 
Dataset - Dataset Label  Efficacy  Safety  Other  SUPP -- Related Using 
RELREC  
AE - Adverse Events   X  X DS, CE  
CE - Clinical Events   X  X AE, FACE, 
VS 
CM - Concomitant 
Medications   X  X  
CO - Comments    X   
DD – Death Details    X   
DI - Device Identifiers    X  MB, LB  
DM - Demographics    X X  
DS - Disposition    X X AE 
DV - Protocol Deviations    X X  
EC - Exposure as Collected    X X  
EX - Exposure    X X  
FACE - Findings About 
Events or Interventions   X  X CE 
FAHO - Findings About 
Events or Interventions   X   HO 
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This document is confidential  Page 20 of 86  Dataset - Dataset Label  Efficacy  Safety  Other  SUPP -- Related Using 
RELREC  
HO - Healthcare Encounters   X  X FAHO  
IE - Inclusion/Exclusion 
Criteria Not Met    X X  
IS - Immunogenicity 
Specimen Assessment  X   X  
LB - Laboratory Test Results   X  X DI 
MB - Microbiology Specimen    X X DI 
MH - Medical History    X X  
MO - Morphology    X X  
PE - Physical Examination     X X  
PR - Procedures    X X  
SE - Subject Elements    X   
SV - Subject Visits    X   
VS - Vital Signs   X  X CE 
 
3.4.1 AE - Adverse Events  
Adverse events dataset consists of one record per adverse event per subject .  
 
The entry of a “Y” for the serious adverse event variable, AESER, indicates the AE meets the criteria 
as serious per investigator report and the definition in the CRF guidance.  
 
Adverse events, medication error s, newly diagnosed chronic medical conditions and reactogenicity 
are included in the AE dataset and distinguished by AECAT. To implement  the CDISC Vaccines 
TAUG flat model, records of reactogenicity are added to AE domain from CE with AECAT = 
“REACTOGENICITY”,  when the duration of reactogenicity events go beyond the planned 
observation period. AECAT  = ”AEMERES ” represents AE as a result of a study medication error 
collected in SUPPAE.  
 
A relationship has been defined in RELREC between the dispo sition event where DSDECOD= 
ADVERSE EVENT or DEATH and the adverse event leading to discontinuation. The observations 
are related by AESEQ and DSSEQ. A relationship has also been defined between the adverse events 
and clinical event summary records and are  related by AELNKGRP and CELNKGRP.  
 
QNAM  Description  
AEAENO  Associated Adverse Event Identifier  
AECMGIV  Concomitant Medication Given  
AEMEFL  Medication Error Associated With 
AE 
AEMERES  Is AE a Result of a Medication 
Error  
AEMOD  Updated with unsolicited AE data  
AENDGIV  Was a Non -Drug Treatment given  
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This document is confidential  Page 21 of 86  QNAM  Description  
AERELTXT  Event Due to Other Specify  
AESUBJDC  Discontinued because of this AE  
DICTVER  Dictionary Name and Version  
 
3.4.2 CE - Clinical Events  
Clinical Events dataset consists of one record per event per subject .  
 
Clinical Events implement s Vaccines TAUG  flat model for reactogenicity records, where it 
summarizes each symptom event per vaccination per subject.   CECAT = “REACTOGENICITY”.  
The corresponding daily assessments from the e -diary are in FACE.  
 
Unplanned assessments occurring during the diary period will be utilized along with the e -diary data 
in creating the summary records in CE, even if the assessment was not required per protocol (no 
symptom  reported  or symptom was reported but not severe).   The worst reported severity will be 
mapped for each symptom in the summary record and stop date will reflect the latest symptom date 
from the e -diary or unplanned assessment , or from Symptom Resolv ed Dates form if continued past 
the diary period.  
 
Reactogeni city exclusions  are as follows : 
• If subject is not part of reactogenicity subset  but has unplanned reactogenicity assessments 
(unplanned temp or unplanned assessment of local reaction/systemic event ), or has 
unplanned assessments without any diary data, then these unplanned assessments were 
dropped  from FACE/VS and s ummary CE records w ere not generated.  
• If an unplanned assessment exists with an assessment date (CEDTC) falling after the stop 
date recorded on the Symptom Resolved Dates CRF, these records were dropped from FACE 
for that visit. Only data up through the stop date from Symptom R esolved Dates in the CRF 
were used to create the CE records.  
• If a subject ha s diary data and their symptom did not occur during the diary period but was 
on the unplanned assessment after diary period, then the unplanned assessment w as dropped 
(symptom must  begin during diary period to be  part of reactogenicity).  
• If there w ere unplanned assessment s after the diary period and the Symptom Resolved Dates 
form was present but d id not have  a stop date or 'ongoing' recorded for that symptom, then 
the unplanned assessment s were dropped.  
 
Potential COVID -19 illness from the ILLNESS DETAILS - POTENTIAL COVID -19 
ILLNESS CRF  is included with CECAT = “EFFICACY”.  The investigator’s diagnosis is in 
CETERM.   Subjects who progress to severe disease, as defined in the  protocol, will have data entered 
on the ILLNESS DETAILS - SEVERE COVID -19 ILLNESS CRF which is reported in the CE 
domain with CECAT =  ‘SEVERE COVID -19 ILLNESS’ and CESCAT (Subcategory) denoting 
whether  there was significant acute renal, hepatic, or neurologic dysfunction . 
As agreed with CBER , CE includes event records for “COVID -19 like illness” and  “COVID -19 
confirmed” in the CE domain for subjects who were assigned to a  vaccination  arm (DM.ARM is not 
“SCREEN FAILURE” or “NOT  ASSIGNED”)  as follows:  
 
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This document is confidential  Page 22 of 86  • The “COVID -19 confirmed” events are based on the “Clinical disease endpoint case flag” 
(CDECASE) in SUPPDM.   
• “COVID -19 like illness” is flagged “Y” when a subject has at least one pre -specified 
symptom.   Please  note that a subject may have more than one occurrence of “COVID -19 like  
illness” if symptoms presented during different illness visits, but only  has one record for 
“COVID -19 confir med” that ha s a visit associated  when the case was assessed to be positive.  
• When there is  confirmed COVID -19, the assessment of each pre -specified  symptom 
corresponding to that symptomatic period (i.e., corresponding  COVID Illness visit) will 
additionally be included in the CE domain, with CESCAT = “SIGNS AND SYMPTOMS OF 
DISEASE” . 
• As start and stop dates were not collected for each symptom individually, CESTDTC and 
CEENDTC was not populated for each symptom but the date first symptom started and date 
last s ymptom resolved was mapped to CESTDTC and CEENDTC in the “COVID -19 like 
illness” and “COVID -19 confirmed” records.  
• The individual symptoms ha ve VISIT and collection date (CEDTC) populated from the 
relevant COVID Illness visit.  
• Toxicity grade for a COVID -19 like illness is collected in the ILLNESS DETAILS - 
POTENTIAL COVID -19 ILLNESS CRF so CETOXGR is populated instead of CESEV in 
the “COVID -19 like illness” and “COVID -19 confirmed” records. It is not collected for each 
symptom i ndividually.  
• For COVID illness, CRF will collect toxicity grade as 0 for asymptomatic subjects. If an 
illness visit is performed for asymptomatic participant, toxicity grade will be reported as "0" 
while the participant is asymptomatic. If participant lat er experiences symptoms, the 
appropriate toxicity grade will be updated.  
 
 
A relationship has been defined in RELREC been defined between the adverse events and clinical 
event summary records and are related by AELNKGRP and CELNKGRP.   A relationship has al so 
been defined between clinical event summary records and findings about records. The observations 
are related by CELNKGRP and FALNKGRP.  A relationship has also been defined between clinical 
event summary records and temperature vital signs records using  CELNKGRP and VSLNKGRP.  
 
     
QNAM  Description  
CEDRVFL  Derived Flag  
CEEVAL  Evaluator  
DICTVER  Dictionary Name and Version  
ONGNXVIS  Reported Ongoing at Next Visit  
RCENDTC  Reported Clinical Event End Date  
 
QNAM = “CEDRVFL” is used to indicate that an entire record is derived.  
 
3.4.3 CM - Concomitant Medications  
Concomitant Medications dataset consists of one record per recorded medication occurrence or 
constant -dosing interval per subject .  
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QNAM  Description  
CMCLAS1  Medication Class 1  
CMCLAS2  Medication Class 2  
CMCLSCD1  Medication Class Code 1  
CMCLSCD2  Medication Class Code 2  
CMCODE  Standardized Medication Code  
DICTVER  Dictionary Name and Version  
 
3.4.4 CO - Comment s  
Comments dataset consists of o ne record per comment per subject . 
 
3.4.5 DD – Death Details  
Death details  dataset consists of one record per finding per subject , for primary and any secondary 
causes of death.  
 
3.4.6 DI - Device Identifiers   
Device identifiers dataset consists of one record per device identifier per device .  
 
A relationship has been defined in RELREC between the device identifier records and the 
corresponding laboratory and microbiology records. The observations are related by SPDEVID.  
 
3.4.7 DM - Demographics  
Demographics dataset consist s of one record per subject.  
Specify Other Race  and Ethnicity  have been submitted in SUPPDM.  
 
The following subject issues were ob served in this dataset ( analysis  rules  for th ese subject s are 
described in the Analysis Data Reviewers Guide ): 
 
• The following subjects were enrolled into the study more than once.  
Duplicated 
Subject #  SUBJID  at 1st Site SUBJID  at 2nd site 
1 10561101  11331382  
2 11101123  11331405  
3 11491117  12691090  
4 12691070  11351357  
5 11341006  10891112  
6 11231105  10711213  
. 
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This document is confidential  Page 24 of 86  • Subject s C4591001 1081 10811053, C4591001 1088 10881077, C4591001 1177 11771089 and 
C4591001 1231 12311057 received an additional dose at an unscheduled visit after receiving one 
dose of [BNT162b2 (30  mcg)] and one dose of placebo . 
• Subjects C4591001 1080  10801222 and C4591001 1149 11491108 have values of NOT 
ASSIGNED for randomized group due to the randomization number not entered on the CRF.  
Both subjects withdrew from the s tudy prior  to administration of study drug . 
 
 
 
Split Sites:  
Pfizer created multiple  virtual site ID’s and spread the enrollment across these virtual site ID’s despite it 
being a single physical site with a single office and a single investigator.  See example below.  The 
SITEID  will be the original SITEID  (1231) and the USUBJID wi ll reflect the new virtual site (e.g., 4444 , 
5555)  used for analysis.  
 
 
 
 
QNAM  Description  
CDECASE  Clinical disease endpoint case flag  
RACE1  Race1  
RACE2  Race2  
RACE3  Race3  
RACE4  Race4  
 
As agreed with CBER, CDECASE qualifier in SUPPDM is populated for each subject from the ADaM 
primary endpoint case flag for the first primary efficacy endpoint, as defined in the protocol.  This flag is 
derived based on ADSL and ADC19EF  ADaM datasets . 
 
3.4.8 DS - Disposition  
Disposi tion dataset consist s of one record per disposition status or protocol milestone per 
subject .  
 
If Participants terminated  early , the appropriate reason for discontinuation as per protocol  are 
recorded in the End of Treatment (EOT) and Follow -up (FUP) visi t Disposition pages. 
DSPHASE in SUPPDS  corresponds to the pages  and can be used to link the record s with 
multiple d isposition per EPOCH.  
 
A relationship has been defined in RELREC between the disposition event where DSDECOD= 
ADVERSE EVENT or DEATH and the adverse event leading to discontinuation. The observations 
are related by AESEQ and DSSEQ.  
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QNAM  Description  
DSPHASE  Disposition Phase  
DSRANGRP  Randomization Group  
 
3.4.9 DV - Protocol Deviations  
Protocol Deviations  dataset consists of o ne record per protocol deviation per subject   
 
QNAM  Description  
ACTSITE  Actual Site of Deviation Occurrence  
CAPE  Confirmed Analysis Population Exclusion  
DESGTOR  Visit Designator  
DVTERM1  Protocol Deviation Term 1  
SOURCE  Source of the data  
 
3.4.10  EC - Exposure as Collected  
Exposure as collected dataset consist s of one record per protocol -specified study treatment, 
collected -dosing interval, per subject, per mood.   
 
QNAM  Description  
ECADJ1  Reason for Dose Adjustment 1  
ECADJ2  Reason for Dose Adjustment 2  
ECCD  Standardized Medication Code  
ECDECOD  Standardized Medication Name  
ECDOSADJ  Dose Adjusted From Planned  
ECDOSAJO  Reason Dose Adjusted Other Specify  
ECOBSV  Observed Post Dose For Specified Time  
ECOBSVD  Details Of Subject Observation  
ECOBSVT  Timeframe Subject Was Observed  
ECTDV  Temporary Delay of Vaccination  
FDDTC  Date of First Delay  
 
3.4.11  EX - Exposure  
Exposure dataset consist s of one record per constant dosing interval per subject .  
 
• A third exposure record will exist in the domain for C4591001 1231 12311057 and C4591001 1177 
11771089  due to the  subjects receiv ing an  additional dose at an unscheduled visit . 
• Participants  ≥ 16 years of age who originally received placebo and bec ame eligible for receipt of 
BNT162b2 or another COVID -19 vaccine  will have additional vaccination records.  
• For subjects with temporary delay of vaccination without treatment information and vaccination 
date, data will not be used or retained in SDTM . 
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QNAM  Description  
EXADJ1  Reason for Dose Adjustment 1  
EXADJ2  Reason for Dose Adjustment 2  
EXCD  Standardized Medication Code  
EXDECOD  Standardized Medication Name  
EXDOSADJ  Dose Adjusted From Planned  
EXDOSAJO  Reason Dose Adjusted Other Specify  
EXOBSV  Observed Post Dose For Specified Time  
EXOBSVD  Details Of Subject Observation  
EXOBSVT  Timeframe Subject Was Observed  
EXTDV  Temporary Delay of Vaccination  
FDDTC  Date of First Delay  
 
 
3.4.12  FACE - Findings About Events or Interventions   
Findings About  dataset consist s of one record per finding per object per time point per time point 
reference per visit per subject .  
FACE implement s flat model for reactogenicity records, including e -diary and unplanned 
assessments of reactogenicity findings.   Unplanned assessments are under FACAT = 
“REACTOGENICITY - UNPLANNED ASSESSMENT ” while diary data has FACAT = 
“REACTOGENICITY”.   FASTAT = “NOT DONE” records are generated for any missed diary 
days and are flagged with FADRVFL = “Y”.  
Subjects not part of reactogenicity subset should not have any e -diary data, unplanned assessments or 
Symptom Resolved Dates form completed.   
a. Programming does not generate any ‘NOT DONE’ records for these subjects.  Any e -
diary and Symptom Resolved Dates CRF data that was completed is dropped  if subject is 
not part of reactogenicity subset .  
b. Unplanned assessments without an e -diary will be dropped from reactogenicity datasets 
and would be counted only as an adverse event  or COVID -19 symptom  in the relevant 
domain .  
Signs and symptoms of COVID -19 are included with FACAT = “EFFICACY”.  
A relation ship has been defined in RELREC between clinical event summary records and findings 
about records. The observations are related by CELNKGRP and FALNKGRP.  
 
QNAM  Description  
CLTYP  Collection Type  
FALANG  Language Version of Instrument  
 
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This document is confidential  Page 27 of 86  3.4.13  FAHO - Findings About Events or Interventions   
Findings A bout dataset consist s of one record per finding per object per time point per time point 
reference per visit per subject . 
A relationship has been defined in RELREC been defined between healthcare encounter events and 
the corresponding findings about event records. The observations are related by HOLNKID and 
FALNKID.  
 
3.4.14  HO - Healthcare Encounters  
Healthcare Encounters  dataset consists of o ne record per healthcare encounter per subject . 
A relationship has been defined in RELREC been defined between healthcare encounter events and 
the corresponding findings about event records. The observations are related by HOLNKID and 
FALNKID.  
 
QNAM  Description  
HCUHSP  Hospitalized due to COVID -19 illness?  
HCUICU  Been in ICU due to COVID -19 illness?  
HCUIDIS  Disease Name  
 
3.4.15  IE - Inclusion/Exclusion Criteria Not Met  
Inclusion/Exclusion Criteria Not Met dataset consist s of one record per inclusion/exclusion criterion 
not met per subject . 
 
QNAM  Description  
IEDESC  Details  
 
3.4.16  IS - Immunogenicity Specimen Assessment  
Immunogenicity Specimen Assessment  dataset consists of one record per test per visit per subject . 
 
QNAM  Description  
ETRKDOR  Data Origin  
 
3.4.17  LB - Laboratory Test Results  
Laboratory Test Results dataset consist s of one record per analyte per planned time point number per 
time point reference per visit per subject .  
 
A relationship has been defined in RELREC between the device identifier records and the 
corresponding laborat ory records. The observations are related by SPDEVID.  
 
QNAM  Description  
LBSCATYN  Lab Sub -Panel Collected  
LBSTTYPE  Standardized Unit  
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This document is confidential  Page 28 of 86  QNAM  Description  
LBTSTID  Laboratory Test Identifier  
LBUID  Lab ID  
LBUNEVFL  Not Evaluable Flag  
 
3.4.18  MB - Microbiology Specimen  
Microbiology Specimen  dataset consists of one record per microbiology specimen finding per time 
point per visit per subject .  
 
SARS -CoV -2 test results from local labs will have MBCAT = “CONFIRMATION OF 
INFECTION” (as collected in the CRF) and central labs have MBCAT = “VIROLOGY”.  
 
A relationship has been defined in RELREC between the device identifier records and the 
corresponding microbiology records. The observations are related by SPDEVID . 
 
 
QNAM  Description  
ETRKDOR  Data Origin  
MBSCATYN  Lab Sub-Panel Collected  
MBSTTYPE  Standardized Unit  
MBTSTID  Laboratory Test Identifier  
MBUID  Lab ID  
TRADEOTH  Other Trade Name  
 
3.4.19  MH - Medical History  
Medical History dataset consist s of one record per medical history event per subject .  
  
QNAM  Description  
DICTVER  Dictionary Name and Version  
 
3.4.20  MO - Morphology  
Morphology dataset consists of o ne record per Morphology finding per location per time point per 
visit per subject . 
 
QNAM  Description  
ASPECIFY  Overall Assessment Detail  
LOCOTH  Location of Assessment Detail  
METHOTH  Imaging Method Other Detail  
 
 
3.4.21  PE - Physical Examination  
Physical Examination dataset consists of one record per body system or abnormality, per visit, per 
subject.  
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QNAM  Description  
PECLSIG  Clinically Significant Findings  
 
3.4.22  PR – Procedures  
Subject Procedures  dataset consists of one record per recorded procedure per occurrence per subject . 
 
QNAM  Description  
DICTVER  Dictionary Name and Version  
PRBDSYCD  Body System or Organ Class Code  
PRBODSYS  Body System or Organ Class  
PRHLGT  High Level Group Term  
PRHLGTCD  High Level Group Term Code  
PRHLT  High Level Term  
PRHLTCD  High Level Term Code  
PRLLT  Lowest Level Term  
PRLLTCD  Lowest Level Term Code  
PRPTCD  Preferred Term Code  
PRSOC  Primary System Organ Class  
PRSOCCD  Primary System Organ Class Code  
 
3.4.23  SE - Subject Elements  
Subject Elements dataset  consists of one record per actual e lement per subject.  
 
3.4.24  SV - Subject Visits  
Subject Visits  dataset  consists of one record per actual visit per subject . 
 
3.4.25  VS - Vital Signs  
Vital Signs  dataset  consist s of one record per vital sign measurement per time point per visit per 
subject .   
To implement the CDISC Vaccines TAUG flat model, temperature records from e -diary are 
mapped to VS domain with VSCAT = “REACTOGENICITY” .   Any unplanned temperature 
assessments by the investigator post vaccination are included with VSCAT = 
“REACTOGENICITY - UNPLANNED TEMPERATURE ”.  VSSTAT = “NOT DONE” records 
are generated for any missed diary days and are flagged with VSDRVFL = “Y”.  
Non-reactogenicity vital signs have VSCAT = “GENERAL VITAL SIGNS”.  
A relationship has also been defined between clinical event summary records and temperature vital 
signs records using CELNKGRP and VSLNKGRP.  
 
QNAM  Description  
CLTYP  Collection Type  
VSCOLSRT  Collected Summary Result Type  
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  CLTYP in SUPPVS will be “DIARY CARD” for assessments  by the subject in the e -diary or 
“CRF” if recorded by the investigator.
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This document is confidential  Page 31 of 86  4. Data Conformance Summary  
4.1 Conformance Inputs  
Was a validator used to evaluate conformance?      Yes 
If yes, specify the version(s) of the validation rules:     Pinn acle 21 Enterprise version 4.1.4  
                                                                                                                                          Validation Engine version 1907. 2 
Were sponsor -defined validation rules used to evaluate conformance?   No 
Were the SDTM datasets evaluated in relation to define.xml?     Yes 
Was define.xml evaluated?         Yes 
 
Provide any additional compliance evaluation information :                                        
 
    Pinnacle  Validation  Engine FDA 2010.1 was also used to evaluate the  data. See Appendix III  for key issues  using v2010.1 .  
 
  
4.2 Issues Summary  
 
Check 
ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0080  AE start date is after the latest 
Disposition date  Error  AE 4558 
(11.54%)  At the time of data extraction, study is still 
ongoing and disposition status is collected at the 
completion or discontinuation of each stage of the 
study therefore may not have occurred at the time 
of this data snapshot.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0091  AEOUT is not 'FATAL', when 
AESDTH='Y'  Error  AE 3 (5.88%)  Subject C4591001 1135 11351033 - official death 
certificate and autopsy results are pending so the 
cause of death can be updated. Query is present to 
track the issue.  
Subject C4591001 1088 10881126 - Primary 
cause of death is already reported as Cardiac 
Arrest, th ere is a blank extra log line on the form 
that has already been queried to be deleted.  
SD1202  AESTDTC date is after 
RFPENDTC  Error  AE 367 
(1.32%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disp osition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1204  AEENDTC date is after 
RFPENDTC  Error  AE 477 
(1.85%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase wher e individual dates from that 
phase may already be reported.  
SD2010  Value for AEHLT not found in 
MedDRA dictionary  Error  AE 1 (< 0.1%)  Manual coding done on the day of snapshot due to 
a leading space in the Verbatim Term which 
prevented auto coding. Once t he update is done 
by site to the Verbatim Term this will be resolved.  
SD2012  Value for AEHLGT not found in 
MedDRA dictionary  Error  AE 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
TS0012  Analysis Required variable AESEV 
not found  Error  AE 1 
(100.00%)  AESEV not collected in the CRF for the study. 
AETOXGR (Toxicity Grade) variable used for 
severity.  
TS0053  Neither AESEV or AETOXGR is 
populated  Error  AE 2627 
(6.65%)  Reactogenicity ev ents that are present after the 
diary period were added to AE domain and 
severity or toxicity grades were not captured after 
end of diary period.  
SD1076  Model permissible variable added 
into standard domain  Notice  AE 5 
(18.52%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
AELNKGRP  
AELAT  
AETPTREF  
AERFTDTC  
AEELTM  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  AE 25248 
(63.92%)  New term was added to extensible codelist 
EPOCH ( C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD0021  Missing End Time -Point value  Warning  AE 3 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0022  Missing Start Time -Point value  Warning  AE 1 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD1021  Unexpected character value in 
AEHLGT variable  Warning  AE 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1097  No Treatment Emergent info for 
Adverse Event  Warning  AE 39501 
(100.00%)  In Vaccine studies Treatment Emergent flag is not 
required per communication from CBER/OVRR.  
SD1143  No Details info for AESMIE 
Adverse Event in SUPPAE domain  Warning  AE 199 
(100.00%)  Description of Other Medically Important Serious 
Adverse  Events are not collected on the CRF. 
Therefore, AESOSP information is not mapped to 
SUPPAE.  
SD1201  Duplicate records in AE domain  Warning  AE 5 (< 0.1%)  There are no exacted duplicate records. AESPID 
values for these records are unique that 
differentiates the records.  
SD1333  AEOUT = 
RECOVERED/RESOLVED, but 
an end date is not provided  Warning  AE 1 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database releas e. 
SD0005  Duplicate value for CESEQ 
variable  Error  CE 1 (< 0.1%)  This is a false positive by P21 and is part of a 
known issue for SD0005 -- rule logic is flagging 
falsely (per P21 support).  
The team confirmed that there is only one record 
with USUBJID='C4591001 1231 12315324' and 
CESEQ=460000000004 in CE domain.  
SD0041  Value for CEOCCUR is populated 
for unsolicited Intervention or 
Event  Error  CE 94560 
(97.38%)  At the request of CBER, records with 
CETERM=COVID -19 like illness and COVID -19 
have b een added for all subjects, with CEOCCUR 
= Y or N. These are considered derived records 
rather than spontaneous.  
(References: IND 19736.92).  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1082  Variable length is too long for 
actual data  Error  CE 1 (2.94%)  According to FDA technical conformance guide  
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for SUPPQUAL 
datasets. Pinnacle 21 provides false positive 
information sin ce it only checks the length of the 
variable within the data set.  
SD1202  CESTDTC date is after 
RFPENDTC  Error  CE 10 (< 
0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1203  CEDTC date is after RFPENDTC  Error  CE 11 (< 
0.1%)  At the t ime of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dat es from that 
phase may already be reported.  
SD1204  CEENDTC date is after 
RFPENDTC  Error  CE 113 
(0.25%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1331  CESTDTC is after CEDTC  Error  CE 10 (< 
0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD2012  Value for CEHLGT not found in 
MedDRA dictionary  Error  CE 1 (< 0.1%)  Manually coded as "Virus infectious disorders".  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1076  Model permissible variable added 
into standard domain  Notice  CE 22 
(56.41%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
• CERFTDTC  
• CEHLGTCD  
• CELLTCD  
• CELAT  
• CEEVINTX  
• CEDUR  
• CEBDSYCD  
• CESOCCD  
• CELNKGRP  
• VISITNU M 
• CEHLGT  
• CEHLTCD  
• CETOXGR  
• CEPTCD  
• CETPTNUM  
• CESOC  
• CEHLT  
• VISIT  
• CETPT  
• CELOC  
• CETPTREF  
• CELLT  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  CE 50541 
(13.33%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD0021  Missing End Time -Point value  Warning  CE 5155 
(1.36%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete dat a 
was not obtained at database release.  
SD0022  Missing Start Time -Point value  Warning  CE 5156 
(1.36%)  The CESTDTC is missing for 
CECAT='REACTOGENICITY' where when 
CEOCCUR='N' and is as per the CBER/OVRR 
flat model implementation.  
For CECAT='EFFICACY', CESTDTC is not 
collected on the CRF "Illness details " page.  
SD0031  Missing values for CESTDTC, 
CESTRF and CESTRTPT, when 
CEENDTC, CEENRF or 
CEENRTPT is provided  Warning  CE 1 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  CE 10 (< 
0.1%)  This rule fired for subjects who had missing visits 
in SV domain. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
SD1201  Duplicate records in CE domain  Warning  CE 100952 
(26.63%)  CETPTREF is different for all specified 
CETERMs either VACCINATION 1 or 
VACCINATION 2. Therefore, these records are 
not true duplicates.  
SD1339  Missing EPOCH value, when a 
start or observation date is provided  Warning  CE 11809 
(17.33%)  For events domains --STDTC is used to derive 
EPOCH. Since CESTDTC is missing for these 
records, EPOCH is n ot derived.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0035  Missing value for CMDOSU, when 
CMDOSE, CMDOSTXT or 
CMDOSTOT is provided  Error  CM 153 
(25.89%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
SD1202  CMSTDTC date is after 
RFPENDTC  Error  CM 34 
(0.59%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of t he current 
study phase where individual dates from that 
phase may already be reported.  
SD1204  CMENDTC date is after 
RFPENDTC  Error  CM 3 
(10.34%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1344  Value for CMDECOD not found in 
WHODrug dictio nary Error  CM 528 
(6.61%)  Pfizer internal dictionary version  (202003) was 
customized to add these terms from a newer 
dictionary, however these are not present in 
WHODRUG 202003.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  CM 4456 
(55.80%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD0021  Missing End Time -Point value  Warning  CM 7917 
(99.15%)  End date was not collected for SCR visit 
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0022  Missing Start Time -Point value  Warning  CM 4 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0077  Invalid referenced record  Error  CO 2 (< 0.1%)  For two records we have comments entered in 
CO, they are unrelated any specific domain.  
Subject C4591001 1170 11701321 test results 
were discarded by accident.  
Subject C4591001 1055 10551150 have no test 
results  
Therefore , we have records in CO bu t not present 
in MB domain.  
SD1082  Variable length is too long for 
actual data  Error  CO 3 
(30.00%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximu m length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1203  CODTC date is after RFPENDTC  Error  CO 9 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phas e where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1076  Model permissible variable added 
into standard domain  Notice  CO 2 (8.00%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
VISIT  
VISITNUM  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  CO 194 
(0.14%)  This rule fired for records coming from comments 
captured related to Immunogenicity data which 
was not used to derive SV.  
SD0002  NULL value in DDTESTCD 
variable marked as Required  Error  DD 2 (4.17%)  Subject C4591001 1135 11351033 - official death 
certificate and autopsy results are awaited so that 
cause of death can be updated. Query is present to 
track the issue.  
subject C4591001 1088 10881126 - Primary cause 
of death is a lready reported as Cardiac Arrest, 
there is a blank extra log line on the form that has 
already been queried to be deleted.  
SD0002  NULL value in DDTEST variable 
marked as Required  Error  DD 2 (4.17%)  Subject C4591001 1135 11351033 - official death 
certific ate and autopsy results are awaited so that 
cause of death can be updated. Query is present to 
track the issue.  
subject C4591001 1088 10881126 - Primary cause 
of death is already reported as Cardiac Arrest, 
there is a blank extra log line on the form that has 
already been queried to be deleted.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1203  DDDTC date is after RFPENDTC  Error  DD 23 
(47.92%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1076  Model permissible variable added 
into standard domain  Notice  DD 1 (1.43%)  Model permissib le variable was added to the 
domain DD for the study protocol needs:  
• DDCAT  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  DD 14 
(29.17%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
SD0047  Missing value for DDORRES, 
when DDSTAT or DDDRVFL is 
not populated  Warning  DD 2 
(100.00%)  Subject C4591001 1135 11351033 - official death 
certificate and autopsy results are pending so that 
cause of death can be upd ated. Query is present to 
track the issue.  
subject C4591001 1088 10881126 - Primary cause 
of death is already reported as Cardiac Arrest, 
there is a blank extra log line on the form that has 
already been queried to be deleted.  
SD1117  Duplicate records  Warning DD 1 (2.17%)  Not a true duplicate, subject C4591001 1094 
10941112 has two secondary causes of death 
"COVID -19 Infection" and "Pneumonia".  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1320  Missing value for DDSTRESC, 
when DDSTAT is null  Warning  DD 2 (4.17%)  Subject C4591001 1135 11351033 - official death 
certificate and autopsy results are pending so that 
cause of death can be updated. Query is present to 
track the issue.  
subject C4591001 1088 10881126 - Primary cause 
of death is already reported as Cardiac Arrest, 
there is a blan k extra log line on the form that has 
already been queried to be deleted.  
DD0050  Domain/SASDatasetName 
mismatch for split dataset  Error  DEFINE  1 
(100.00%)  Per SDTM IG v3.2, sponsors may choose to split 
a domain of topically related information into 
physic ally separate datasets. Currently our 
internal approach is to split FA by topic hence we 
have dataset with names FACE, SUPPFACE, 
FAHO.  
SD0002  NULL value in SPDEVID variable 
marked as Required  Error  DI 3 (3.80%)  This rule fired for 3 records in DI domain where 
SPDEVID was null. At the time of data extraction 
study is still ongoing and complete SPDEVID 
data was not obtained at the time of the snapshot.  
SD1234  Missing TYPE Parameter for 
Device  Error  DI 39 
(100.00%)  Device Type Parameter information i s not 
available for the Medical Device used in the 
study.  
SD2003  Invalid value for ACTARM  Error  DM 160 
(0.34%)  Screen failures have ACTARM='NOT 
ASSIGNED' instead of propcase 'Not Assigned'.  
TS0006  No Baseline (ALT) test results for 
Subject  Error  DM 46329 
(99.58%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
TS0007  No Baseline (ALP) test results for 
Subject  Error  DM 46329 
(99.58%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0008  No Baseline (AST) test results for 
Subject  Error  DM 46329 
(99.58%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0009  No Baseline (BILI) test results for 
Subject  Error  DM 46329 
(99.58%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to  set the baseline 
flag. 
TS0023  No (WEIGHT) results for subject  Error  DM 2 (< 0.1%)  This rule fired for 2 subjects who had no 
WEIGHT in VS dataset. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
USUBJID = C4591001 1161 11611005 and 
C4591001 1161 11611018  
TS0024  No (HEIGHT) results for subject  Error  DM 2 (< 0.1%)  This rule fired for 2 subjects who had no HEIGHT 
in VS dataset. At the time of data extraction study 
is still ongoing and compl ete data was not 
obtained at database release.  
USUBJID = C4591001 1161 11611005 and 
C4591001 1161 11611018  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
TS0039  No (ALT) test results  Error  DM 45949 
(98.76%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for CO VID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0040  No (ALP) test results  Error  DM 45950 
(98.77%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0041  No (AST) test results  Error  DM 45950 
(98.77%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVI D 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0042  No (BILI) test results  Error  DM 45948 
(98.76%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0047  No (SYSBP) test results for subject  Error  DM 45149 
(97.04%)  Per protocol blood pressure is not collected for 
Phase 2/3. Lab data could be colle cted for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
TS0048  No (DIABP) test results for subject  Error  DM 45149 
(97.04%)  Per protocol blood pressure is not collected for 
Phase 2/3. Lab data could  be collected for COVID 
illness visits, which would be during study 
conduct and will not be used to set the baseline 
flag. 
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
TS0049  No (HR) or (PULSE) test results 
for subject  Error  DM 45149 
(97.04%)  Per protocol heart rate or pulse are not collected 
for Phase 2/3. Lab data could be collected for 
COVID illness visits, which would be during 
study conduct and will not be used to set the 
baseline flag.  
TS0043  No (GGT) test results  Notice  DM 46524 
(100.00%)  Per protocol GGT(Gamma -Glutamyl Transf erase) 
is not collected.  
CT2002  RACE value not found in 'Race' 
extensible codelist  Warning  DM 1166 
(2.42%)  New terms were added to extensible codelist 
RACE (C74457) for the study protocol needs:  
• MULTIPLE  
Multiple RACE values collected for few subjects. 
Therefore, RACE value set as 'MULTIPLE' in 
DM and all the collected RACE values mapped to 
SUPPDM.  
SD0006  No baseline flag record in MB for 
subject  Warning  DM 107 
(0.23%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could  be collected for COVID 
illness visits, which are during study conduct and 
will not be used to set the baseline flag.  
SD0006  No baseline flag record in VS for 
subject  Warning  DM 2 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete  data was not obtained at 
database release.  
SD0006  No baseline flag record in LB for 
subject  Warning  DM 32928 
(70.78%)  Per protocol safety lab data is not collected for 
Phase 2/3. Lab data could be collected for COVID 
illness visits, which are during study conduct and 
will not be used to set the baseline flag.  
SD1032  No records for 'SCRNFAIL' subject 
are found in IE domain  Warning  DM 1 (< 0.1%)  Subject C4591001 1162 11621371 was a screen 
failure due to subject meeting delayed criteria, 
and not Inclusion/Exclusion related.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1258  RFSTDTC is populated for subject 
who did not receive treatment  Warning  DM 112 
(7.15%)  There were 112 subjects that were randomized but 
not treated. Therefore, RFSTDTC was populated 
for those records when ACTARM was 'Not 
Treated'. the actual dosing start date RFXSTDTC 
is not populated  
SD1334  RFICDTC is after RFSTDTC  Warning  DM 1 (< 0.1%)  Subject C4591001 1161 11611011 did not sign 
informed consent at visit1 (01AUG2020). Site 
had subject come in to sign consent on 
19AUG2020.  
SD1335  RFICDTC is after RFXSTDTC  Warning  DM 1 (< 0.1%)  Subject C4591001 1161 11611011 did not sign 
informed consent at visit1 (01AUG2020). Site 
had subject come in to sign consent on 
19AUG2020.  
SD2236  ACTARMCD does not equal 
ARMCD  Warning  DM 120 
(0.25%)  There were 120 subjects in the analysis with 
treatment errors: 112 subjects were not treated ; 8 
subjects received the wrong treatment instead of 
their randomized treatment  
SD2237  ACTARM does not equal ARM  Warning  DM 120 
(0.25%)  There were 120 subjects in the analysis with 
treatment errors: 112 subjects were not treated ; 8 
subjects received the wrong treatment instead of 
their randomized treatment.  
SD0002  NULL value in DSDECOD 
variable marked as Required  Error  DS 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release  
SD0002  NULL value in DSTERM variable 
marked as Required  Error  DS 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtai ned at 
database release  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1319  DSSTDTC is before RFICDTC  Error  DS 2 (< 0.1%)  Subject C4591001 1161 11611011 did not sign 
informed consent at visit1 (01AUG2020). Site 
had subject come in to sign consent on 
19AUG2020.  
SD1331  DSSTDTC is after DSDTC  Error  DS 520 
(0.38%)  There were labs that the site had to wait for to 
assess screen failure status, it is expected that the 
SF date would be after the SCR DOV.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  DS 66212 
(23.34%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
CT2005  DSDECOD value not found in 
'Completion/Reason for Non -
Completion' extensible codelist 
when DSCAT == 'DISPOSITION 
EVENT'  Warning  DS 210 
(0.17%)  New terms were added to extensible codelist 
Completion/Reason for Non -Completion 
(C66727) for the study protocol needs:  
• NO LONGER MEETS ELIGIBILITY 
CRITERIA  
• REFUSED FURTHER STUDY PROCEDURES  
• MEDICATION ERROR WITHOUT 
ASSOCIATED ADVERSE EVENT  
SD1201  Duplicate records in DS domain  Warning  DS 438 
(0.15%)  The values of DSPHASE in SUPPDS are 
generated from two different CRF pages 
("VACCINATION" "FOLLOW -UP"); However, 
these appear to be true duplicates in DS due to 
same information being entered on b oth CRFs.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1318  No records for subject are found in 
DV domain  Warning  DS 1 (0.27%)  Study was ongoing at the time of the data 
extraction therefore DV data is not complete and 
reconciled for all subjects at that time (record 
missing for subjects C4591001 1084 10841290). 
Dataset will be updated and reconciled for final 
deliverables at time of study completion.  
SD1202  DVSTDTC date is after 
RFPENDTC  Error  DV 185 
(0.66%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived a s the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1319  DVSTDTC is before RF ICDTC  Error  DV 4347 
(11.71%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  DV 22665 
(61.07%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD1201  Duplicate records in DV domain  Warning  DV 823 
(2.22%)  DVSPID values are unique for these records. 
Therefore, these are not true duplicates.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1082  Variable length is too long for 
actual data  Error  EC 1 (5.00%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1202  ECSTDTC date is after 
RFPENDTC  Error  EC 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where indiv idual dates from that 
phase may already be reported.  
SD1204  ECENDTC date is after 
RFPENDTC  Error  EC 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of de ath. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1282  ECTPTREF variable is present 
when ECELTM, ECTPTNUM, and 
ECTPT are missing  Error  EC 1 
(100.00%)  Based on CDISC TAUG, ECTPTREF can be 
populated  for Vaccine studies; ECELTM, 
ECTPTNUM, and ECTPT are not necessary . 
SD1076  Model permissible variable added 
into standard domain  Notice  EC 2 (9.09%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
VISIT  
VISITNUM  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  EC 92370 
(72.08%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
SD1082  Variable length is too long for 
actual data  Error  EX 1 (5.26%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the v ariable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1202  EXSTDTC date is after 
RFPENDTC  Error  EX 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individua l dates from that 
phase may already be reported.  
SD1204  EXENDTC date is after 
RFPENDTC  Error  EX 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death.  Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1282  EXTPTREF variable is present 
when EXELTM, EXTPTNUM, and 
EXTPT are missing  Error  EX 1 
(100.00%)  Based on CDISC TAUG, ECTPTREF can be 
populated  for Vaccine studies; ECELTM, 
ECTPTNUM, and ECTPT are not necessary.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1076  Model permissible variable added 
into standard domain  Notice  EX 2 (6.90%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
VISIT  
VISITNUM  
CT2002  EXDOSU value not found in 'Unit' 
extensible codelist  Warning  EX 127736 
(99.70%)  New terms were added to extensible codelist Unit 
(C71620) for the study protocol needs:  
• mcg  
CT2002  EPOCH value  not found in 'Epoch' 
extensible codelist  Warning  EX 92370 
(72.09%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
SD0082  Exposure end date is after the latest 
Disposition date  Warning  EX 8857 
(6.91%)  At the time of data extraction, study is still 
ongoing and disposition status is collected at the 
completion or discontinuation of each stage of the 
study therefore may not have occurred at the time 
of this data snapshot.  
SD1340  EX record is present, when subject 
is not treated  Warning  EX 3 (< 0.1%)  This check fired for 3 subjects, all randomized 
and not treated due to medication error without 
associated adverse event (2 active, 1 placebo).  
USUBJID in (C4591001 1163 11631005, 
C4591001 1163 11631006, C4591001 1163 
11631008)  
SD1203  FADTC date is after RFPENDTC  Error  FA 271 (< 
0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD2239  Inconsistent value for FATPT  Error  FA 3347 
(0.16%)  Values are populated correct ly as per Vaccine 
TAUG. P21 rule is expecting same 
TPT/TPTNUM used across subject/DTC. Since 
DTC differs, P21 check fired, however there is an 
inherent assumption in the rule that for different 
times on same date, the timepoint should be 
different (e.g. 1 HR and 3 HRS timepoints cannot 
have same date/time values), which does not 
apply here.  
SD1076  Model permissible variable added 
into standard domain  Notice  FA 12 
(22.64%)  Model permissible variables were added to the 
domain FA for the study protocol needs:  
• FATPTNUM  
• FADRVFL  
• FAEVLINT  
• FATPTREF  
• FAENRTPT  
• FALNKID  
• FAEVINTX  
• FARFTDTC  
• FALNKGRP  
• FAENTPT  
• FATPT  
• FAREFID  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  FA 2045291 
(95.49%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
CT2002  FASTRESU value not found in 
'Unit' extensible codelist  Warning  FA 3817 
(0.18%)  New term was added to extensible codelist Unit 
(C71620) for the study protocol needs:  
• VISITS/CONTACTS  
CT2002  FAORRESU value not found in 
'Unit' extensible codelist  Warning  FA 10814 
(0.50%)  New terms were added to extensible codelist Unit 
(C71620) for the study protocol needs:  
• CALIPER UNIT  
• VISITS/CONTACTS  
SD0016  Missing value for FASTRESC, 
when FADRVFL='Y'  Warning  FA 226050 
(95.35%)  As per CBER guidance, the records were derived 
for missed diary days and FADRVFL flag is used 
to indicate that data was not collected.  
SD0026  Missing value for FAORRESU, 
when FAORRES is provided  Warning  FA 1 (< 0.1%)  Result collected is a date which has no associated 
units.  
SD0029  Missing value for FASTRESU, 
when FASTRESC is provided  Warning  FA 1 (< 0.1%)  Result collected is a date which has no associa ted 
units.  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  FA 1 (< 0.1%)  This rule fired for subjects who had missing visits 
in SV domain. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
SD1021  Unexpected character value in 
FAOBJ variable  Warning  FA 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release. Query in place to update the 
data.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD111 7 Duplicate records  Warning  FA 19 (< 
0.1%)  The FAOBJ which appears to be duplicate for 
records, which are not pre -specified for collection 
on the CRF, however the verbatim term is unique 
for these records and are coded to same preferred 
term.  
SD1122  Missi ng value for FASTRESN  Warning  FA 1 (< 0.1%)  FASTRESC is a date and has no associated units.  
SD1124  Missing value for FAREASND, 
when FASTAT is 'NOT DONE'  Warning  FA 173 (< 
0.1%)  Reason for NOT DONE not collected on the CRF.  
TS0050  Missing PC dataset  Warning  GLOBAL  1 
(100.00%)  Not applicable for this study  
TS0051  Missing PP dataset  Warning  GLOBAL  1 
(100.00%)  Not applicable for this study  
SD1082  Variable length is too long for 
actual data  Error  HO 1 (5.56%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for SUPPQUAL  
datasets. Pinnacl e 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1202  HOSTDTC date is after 
RFPENDTC  Error  HO 1 (1.09%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1204  HOENDTC date is after 
RFPE NDTC  Error  HO 3 (3.57%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1076  Model permissible variable added 
into standard domain  Notice  HO 4 
(14.81%)  Model permissible variables were added to the 
domain CE for the study protocol needs:  
VISIT  
VISITNUM  
HOEVINTX  
HOLNKID  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  HO 27042 
(42.07%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD0021  Missing End Time -Point value  Warning  HO 3817 
(5.94%)  For 3331 records Start and End dates are missing 
as they are not collected on the HEALTHCARE 
UTILIZATION ASSESSMENT CRF.  
SD0022  Missing Start Time -Point value  Warning  HO 3817 
(5.94%)  HOSTDTC is missing as start date is not collected 
on the source CRF - HEALTHCARE 
UTILIZATION ASSESSMENT.  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  HO 5 (< 0.1%)  This rule fired for subjects who had missing visits 
in SV domai n. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1021  Unexpected character value in 
HOTERM variable  Warning  HO 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release. Query in place to update the data  
SD1201  Duplicate records in HO domain  Warning  HO 9661 
(15.03%)  There are no exact duplicate records. At least one 
variable value used in KEY variables: STUDYID 
USUBJID H OCAT HOTERM VISITNUM 
HOSTDTC differentiates the records.  
SD1274  HOTERM equals 'OTHER'  Warning  HO 10166 
(15.82%)  As per the CRF 'OTHER' is collected in the study.  
SD1339  Missing EPOCH value, when a 
start or observation date is provided  Warning  HO 144 
(0.22%)  For HO domain --DTC is used to derive EPOCH. 
Since HODTC is missing for these records, 
EPOCH is not derived.  
SD1082  Variable length is too long for 
actual data  Error  IE 1 (8.33%)  According to FDA technical conformance guide 
section 3.3.3: The allo tted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the le ngth of the 
variable within the data set.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  IE 15 
(1.00%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•REPEAT SCREENING 1  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1203  ISDTC date is after RFPENDTC  Error  IS 2 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of t he current 
study phase where individual dates from that 
phase may already be reported.  
SD1076  Model permissible variable added 
into standard domain  Notice  IS 1 (2.56%)  Model permissible variable was added to the 
domain IS for the study protocol needs:  
• ISTSTDTL  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  IS 4637 
(4.15%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
CT2002  ISORRESU value not found in 
'Unit' extensible codelist  Warning  IS 111616 
(100.00%)  New terms were added to extensible codelist Unit 
(C71620) for the study protocol needs:  
•NA 
•UML  
•NONE  
SD0029  Missing value for ISSTRESU, 
when ISSTRESC is provided  Warning  IS 5623 
(75.88%)  This rule fired for Immunogenicity tests for "N -
binding antibody", "SARS -CoV -2 serum 
neutralizing titer 50 ”, "SARS -CoV -2 serum 
neutralizing titer 90". Original units for these tests 
was "NA" hence there's no standard units 
populated.  
SD1117  Duplicate records  Warning  IS 356 
(0.32%)  Not true duplicates, repeat tests are indicated by 
ISTSTDTL variable in IS  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0005  Duplicate value for LBSEQ 
variable  Error  LB 30766 
(99.33%)  This is a false positive by P21 and is part of a 
known issue for SD0005 -- rule logic is flagging 
falsely (per P21 support).  
LBSEQ values are unique for each record within 
LB domain and within each Unique Subject 
Identifier (USUBJID), Sponsor Device Identifier 
(SPDEVID) variables value.  
SD0007  Inconsistent value for Standard 
Units  Error  LB 362 
(1.18%)  This check fired for several lab tests with 
inconsistencies in standard units.  
As a standard course of action, laboratory unit 
inconsistencies are reviewed by the clinical team. 
At the time of data extraction, study is still 
ongoing and dispositi on status is collected at the 
completion or discontinuation of each stage of the 
study therefore may not have occurred at the time 
of this data snapshot.  
SD1082  Variable length is too long for 
actual data  Error  LB 1 (3.85%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides fal se positive 
information since it only checks the length of the 
variable within the data set.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1203  LBDTC date is after RFPENDTC  Error  LB 201 
(0.37%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1076  Model permissible variable added 
into standar d domain  Notice  LB 1 (2.78%)  Model permissible variable was added to the 
domain MB for the study protocol needs:  
• SPDEVID  
CT2002  LBORRESU value not found in 
'Unit' extensible codelist  Warning  LB 12963 
(16.14%)  New terms were added to extensible codelist Unit 
(C71620) for the study protocol needs:  
• 10^3/uL  
• x10^6/uL  
• 10^3/uL  
• 10^3/mm3  
• /mL  
• /uL  
• 10^6/cu mm  
CT2002  LBTESTCD value not found in 
'Laboratory Test Code' extensible 
codelist  Warning  LB 1074 
(1.34%)  New term was added to extensible codelist 
Laboratory Test Code (C65047) for the study 
protocol needs:  
• HIVR_US  
• HYSLAW  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  LB 32460 
(40.41%)  New term was added to extensible codelist 
EPOCH (C99079) for the study  protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
CT2002  LBSTRESU value not found in 
'Unit' extensible codelist  Warning  LB 297 
(0.37%)  New terms were added to extensible codelist Unit 
(C71620) for the study protocol needs:  
• 10^3/uL  
• /mL  
• 10^3/mm3  
• /uL  
• 10^6/cu mm  
CT2002  LBTEST value not found in 
'Laboratory Test Name' extensible 
codelist  Warning  LB 1074 
(1.34%)  New term was added to extensible codelist 
Laboratory Test Name (C67154) for the study 
protocol needs:  
• HIV RNA  (Ultrasensitive)  
• Hys Law Criteria  
SD0026  Missing value for LBORRESU, 
when LBORRES is provided  Warning  LB 72 
(0.24%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0029  Missing value for LBSTRESU, 
when LBSTRESC is provided  Warning  LB 72 
(0.24%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0065  USUBJ ID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  LB 15 (< 
0.1%)  This rule fired for subjects who had missing visits 
in SV domain. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1124  Missing value for LBREASND, 
when LBSTAT is 'NOT DONE'  Warning  LB 12187 
(99.75%)  Reason for NOT DONE is not collected on the 
CRF Signs and Symptoms form or raw data for 
COVID illness visits.  
TS0057  LBSTRESN is populated but 
LBSTNRHI is not  populated  Warning  LB 303 
(1.00%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
is not obtained at database release; Some normal 
ranges have not been entered.  
SD0005  Duplicate value for MBSEQ 
variable  Error  MB 6686 
(98.82%)  This is a false positive by P21. It is not an issue 
with MBSEQ but is an issue with not hav ing a 
unique record for USUBJID and SPDEVID -- rule 
logic is flagging falsely (per P21 support). 
MBSEQ values are unique for each rec ord within 
MB domain and within each Unique Subject 
Identifier (USUBJID), Sponsor Device Identifier 
(SPDEVID) variables value.  
SD1082  Variable length is too long for 
actual data  Error  MB 2 (8.33%)  According to FDA technical conformance guide 
section 3.3.3 : The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only che cks the length of the 
variable within the data set.  
SD1203  MBDTC date is after RFPENDTC  Error  MB 100 
(0.11%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1076  Model permissible variable added 
into standard domain  Notice  MB 1 (2.50%)  Model pe rmissible variable was added to the 
domain MB for the study protocol needs:  
• SPDEVID  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  MB 59913 
(45.69%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol nee ds: 
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
CT2002  MBSPEC value not found in 
'Specimen Type' extensible codelist  Warning  MB 123851 
(94.44%)  New terms were added to extensible codelist 
Specimen Type (C78734) for the study protocol 
needs:  
• NASAL_SWAB  
• NASAL_SWAB_SELF  
• RESPIRATORY SECRETIONS  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  MB 13 (< 
0.1%)  This rule fired for subjects who had missing visits 
in SV domain. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
SD1023  VISIT/VISITNUM values do not 
match TV domain data  Warning  MB 73 (< 
0.1%)  These records having VISIT=COVID_A, 
COVID_AR1, COVID_B, COVID_BR1, 
COVID_C, COVID_D, 
POT_COVID_REPEAT_SWAB are illness visits 
and considered unplanned and not included in the 
TV domain.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1082  Variable length is too long for 
actual data  Error  MH 2 
(10.53%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for  each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1144  MHSTDTC date is after RFSTDTC  Error  MH 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
SD1204  MHENDTC date is after 
RFPENDTC  Error  MH 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1331  MHSTDTC is after MHDTC  Error  MH 3 (< 0.1%)  As per the protocol, AEs that occurred prior to 
dosing were collected on the Medical History 
CRF. Therefore, for some records MHSTDTC is 
greater than MHDTC.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1076  Model permissible variable added 
into standard domain  Notice  MH 12 
(28.57%)  Model permissible variables were added to the 
domain MH for the study protocol needs:  
• VISIT  
• MHSOCCD  
• MHSOC  
• MHBDSYCD  
• VISITNUM  
• MHLLTCD  
• MHHLT  
• MHHLGT  
• MHLLT  
• MHHLGTCD  
• MHPTCD  
• MHHLTCD  
SD0021  Missing End Time -Point value  Warning  MH 9 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0022  Missing Start Time -Point value  Warning  MH 29 (< 
0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD0031  Missing values for MHSTDTC, 
MHSTRF and MHSTRTPT, when 
MHENDTC, MHENRF or 
MHENRTPT is provided  Warning  MH 21 (< 
0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1201  Duplicate records in MH domai n Warning  MH 112 (< 
0.1%)  There are no exact duplicate records. At least one 
variable value used in KEY variables: STUDYID 
USUBJID MHCAT MHTERM MHDTC 
MHSPID MHENRTPT differentiates the records.  
SD1082  Variable length is too long for 
actual data  Error  MO 1 (6.67%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
SD1203  MODTC date is after RFPENDTC  Error  MO 4 (1.88%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is de rived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
CT2002  EPOCH value n ot found in 'Epoch' 
extensible codelist  Warning  MO 147 
(43.36%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
CT2002  MOMETHOD value not found in 
'Method' extensible codelist  Warning  MO 15 
(4.42%)  New term was added to extensible codelist 
Method (C85492) for the study protocol needs:  
• OTHER  
CT2002  MOLOC value not found in 
'Anatomical Location' extensible 
codelist  Warning  MO 50 
(14.75%)  New term was added to extensible codelist 
Anatomical L ocation (C74456) for the study 
protocol needs:  
• OTHER  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0065  USUBJID/VISIT/VISITNUM 
values do not match SV domain 
data Warning  MO 1 (0.31%)  This rule fired for subjects who had missing visits 
in SV domain. At the time of data extraction study 
is still ongoing and complete data was not 
obtained at database release.  
SD1117  Duplicate records  Warning  MO 6 (1.77%)  Not true duplicate. Domain is unique based on 
USUBJID, MOTESTCD, MOLOC, 
MOMETHOD, MODTC and values of 
SUPPMO.QNAM=METHOTH.  
SD1082  Variable  length is too long for 
actual data  Error  PE 1 (8.33%)  According to FDA technical conformance guide 
section 3.3.3: The allotted length for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all data sets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  PE 8680 
(51.67%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
SD1082  Variable length is too long for 
actual data  Error  PR 1 (6.25%)  According to FDA technical conformance guide 
section 3.3.3: The allotted len gth for each column 
containing character (text) data should be set to 
the maximum length of the variable used across 
all datasets in the study except for suppqual 
datasets. Pinnacle 21 provides false positive 
information since it only checks the length of the 
variable within the data set.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1204  PRENDTC date is after 
RFPENDTC  Error  PR 1 (5.56%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1331  PRSTDTC is after PRDTC  Error  PR 20 
(57.14%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD1076  Model permissible variable added 
into standard domain  Notice  PR 1 (3.85%)  Model permissible variable was added to the 
domain PR for the study pro tocol needs:  
•PRDTC  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  PR 18 
(31.03%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•REPEAT SCREENING 1  
SD0021  Missing End Time -Point value  Warning  PR 19 
(32.76%)  End date is not collected for the records with 
PRCAT=TRANSFUSION DETAILS, these are 
from the Transfusion CRF page where only the 
date of transfusion is collected.  
For other records with missing end date, data is 
reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD0072  Invalid RDOMAIN  Error  RELREC  3819 
(48.86%)  As per SDTM IG 3.2 section 4.1.1.7 Splitting 
Domains: "In RELREC, if a dataset level 
relationship is defined for a split Findings About 
domain, then RDOMAIN may contain the four -
character dataset name".  
P21 doesn't recognize FACE or FAHO as valid 
RDOMAINS.  
SD0013  SESTDTC is after SEENDTC  Error  SE 3 (< 0.1%)  Subject C4591001 1161 11611011 did not sign 
informed consent at visit1 (01AUG2020). The site 
had the subject come in to sign consent on 
19AUG2020.  
For subjects C4591001 1044 10441163,  
C4591001 1232 12321112 
SEENDTC=max(rfendtc,  rfpendtc), which is the 
last available dosing  date after cutoff of 13 -
March -2021, as a result SESTDTC is greater than 
SEENDTC.  
SD1202  SESTDTC date is after 
RFPENDTC  Error  SE 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1204  SEENDTC date is after 
RFPENDTC  Error  SE 2 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  SE 73526 
(39.31%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD1202  SVSTDTC date is after 
RFPENDTC  Error  SV 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD1204  SVENDTC date is after 
RFPENDTC  Error  SV 1 (< 0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported . 
SD1076  Model permissible variable added 
into standard domain  Notice  SV 1 (5.88%)  Model permissible variable was added to the 
domain SV for the study protocol needs:  
• SVREFID  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  SV 159295 
(59.86%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD1060  Duplicate VISITNUM  Warning  SV 3 (< 0.1%)  Subject C4591001 1013 10131294 had two 
records for VISIT=200 but with different visit 
date. This has been queried for data issue by data 
management.  
Subjects C4591001 1091 10911387 and 
C4591001 1241 12411482 appear to be 
duplicates, however SVREFID makes them 
unique.  
Data is reported as collect ed. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  TA 12 
(38.71%)  New term was added to extensible codelist 
EPOCH (C99079) f or the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD2243  Invalid TSVCDREF value for 
PCLAS  Error  TS 1 
(100.00%)  Due to the novel nature of the treatment, PCLAS 
is not available in NDF -RT. TSVAL is set to 
"Vaccines, Nucleic Acid" from CSP dictionary, 
CUI number "C0600412" is used in TSVALCD, 
and "CSP" is used in TSVCDREF.  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD2260  Invalid TSVAL value for TRT  Error  TS 2 
(100.00%)  Due to the novel nature of the treatment, there is 
no standard name for BNT162b1 /BNT162b2 from 
FDA substance registration system.  
SD2261  Invalid TSVALCD value for TRT  Error  TS 2 
(100.00%)  There is no corresponding code for 
BNT162b1/BNT162b2 from UNII  
SD2263  Invalid TSVAL value for PCLAS  Error  TS 1 
(100.00%)  Due to the novel nature of the treatment, NDF -RT 
TSVAL is set to "Vaccines, Nucleic Acid" from 
CSP dictionary. And CUI number "C0600412" is 
used in TSVALCD.  
SD2264  Invalid TSVALCD value for 
PCLAS  Error  TS 1 
(100.00%)  Due to the novel nature of the treatment, PCLAS 
is not available in NDF -RT. TSVAL is set to 
"Vaccines, Nucleic Acid" from CSP dictionary. 
And CUI number "C0600412" is used in 
TSVALCD.  
SD2265  TSVAL/TSVALCD value 
mismatch for PCLAS  Error  TS 1 
(100.00%)  Due to the novel nature of the treatment, 
TSPARMCD=PCLAS is not available in NDF -
RT. TSVAL is set to "Vaccines, Nucleic Acid" 
from CSP dictionary. And CUI number 
"C0600412" is used in TSVALCD.  
SD1076  Model permissible variable added 
into standard domain  Notice  TS 1 
(10.00%)  Model permissible vari able was added to the 
domain TS to accommodate the character length 
greater than 200:  
• TSVAL1  
CT2005  TSVAL value not found in 'Trial 
Blinding Schema Response' 
extensible codelist when 
TSPARMCD == 'TBLIND'  Warning  TS 1 
(100.00%)  New term was added to extensible codelist 
TBLIND (C66735) for the study protocol needs:  
•OBSERVER BLIND  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2005  TSVAL value not found in 'Trial 
Phase Response' extensible codelist 
when TSPARMCD == 'TPHASE'  Warning  TS 1 
(100.00%)  New term was added to extensible codelist 
TPHASE (C66737) for the study protocol needs:  
•PHASE I/II/III TRIAL  
SD1203  VSDTC date is after RFPENDTC  Error  VS 81 (< 
0.1%)  At the time of data extraction, study is still 
ongoing and RFPENDTC is derived as the 
maximum of date of disposition, Subject Visits, 
date of death. Therefore , for ongoing subjects 
may not yet include completion date of the current 
study phase where individual dates from that 
phase may already be reported.  
SD2239  Inconsistent value for VSTPT  Error  VS 6132 
(1.46%)  Values are popu lated correctly as per Vaccine 
TAUG. P21 rule is expecting same 
TPT/TPTNUM used across subject/DTC. Since 
DTC differs, P21 check fired, however there is an 
inherent assumption in the rule that for different 
times on same date, the timepoint should be 
diffe rent (e.g. 1 HR and 3 HRS timepoints cannot 
have same date/time values), which does not 
apply here.  
SD1076  Model permissible variable added 
into standard domain  Notice  VS 6 
(13.64%)  Model permissible variables were added to the 
domain VS for the study pro tocol needs:  
• VSEVINTX  
• VSLNKGRP  
• VSEVLINT  
• VSLNKID  
• VSREFID  
• VSEVAL  
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ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
CT2002  EPOCH value not found in 'Epoch' 
extensible codelist  Warning  VS 410819 
(98.01%)  New term was added to extensible codelist 
EPOCH (C99079) for the study protocol needs:  
•VACCINATION  
•OPEN LABEL FOLLOW -UP 
•REPEAT SCREENING 1  
SD0016  Missing value for VSSTRESC, 
when VSDRVFL='Y'  Warning  VS 22605 
(100.00%)  As per CBER guidance, the records were derived 
for missed diary days and VSDRVFL flag is used 
to indicate that data was not collected.  
SD0027  Missing value for VSORRES, 
when VSORRESU is provided  Warning  VS 1 (< 0.1%)  At the time of data extraction study is still 
ongoing and complete data was not obtained at 
database release.  
SD0030  Missing value for VSSTRESC, 
when VSS TRESU is provided  Warning  VS 1 (< 0.1%)  Data is reported as collected. At the time of data 
extraction study is still ongoing and complete data 
was not obtained at database release.  
SD1117  Duplicate records  Warning  VS 1 (< 0.1%)  Data reported as collected. These visits were 
unplanned COVID illness visits 
(VISIT=COVID_A) and the VSORRES values 
differ for these records.  
SD1124  Missing value for VSREASND, 
when VSSTAT is 'NOT DONE'  Warning  VS 271 
(1.18%)  Reason for NOT DONE was not collected.  
 
4.3 Additional Conformance Details  
There are no additional details to be documented.   
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Protocol/ 
Amendment  
Version  Category  IETESTCD  Full Text of Criterion  
1.0 INCLUSION  IN01A00  Male or female participants between the ages of 18 and 55 years, inclusive, 65 
and 85 years, inclusive, or 18 and 85 years, inclusive, at randomization 
(dependent upon study stage)  
6.0 INCLUSION  IN01A05  Male or female participants between the ages of 18 and 55 years, inclusive, 65 
and 85 years, inclusive, or 18 and 85 years, inclusive, at randomization 
(dependent upon study phase)  
7.0 INCLUSION  IN01A06  Male or female participants between the ages of 18 and 55 years, inclusive, and 
65 and 85 years, inclusive (Ph ase 1), or >= 16 years (Phase 2/3), at 
randomization  
8.0 INCLUSION  IN01A07  Male or female participants between the ages of 18 and 55 years, inclusive, and 
65 and 85  years, inclusive (Phase 1), or >=12 years (Phase 2/3), at 
randomization. Note that participants <18 years of age cannot be enrolled in the 
EU 
1.0 INCLUSION  IN02A00  Participants who are willing and able to comply with all scheduled visits, 
vaccination plan, laboratory tests, lifestyle considerations, and other study 
procedures  
1.0 INCLU SION  IN03A00  Healthy participants who are determined by medical history, physical 
examination, and clinical judgment of the investigator to be eligible for inclusion 
in the study. Note: Healthy participants with preexisting stable disease, defined 
as disea se not requiring significant change in therapy or hospitalization for 
worsening disease during the 6 weeks before enrollment, can be included  
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6.0 INCLUSION  IN03A05  Healthy participants who are determined by medical history, physical 
examination (if required), and clinical judgment of the investigator to be eligible 
for inclusion in the study. Note: Healthy participants with preexisting stable 
disease, defined as disease not requiring significant change in therapy or 
hospitalization for worsening dise ase during the 6 weeks before enrollment, can 
be included  
7.0 INCLUSION  IN03A06  Healthy participants who are determined by medical history, physical 
examination (if required), and clinical judgment of the investigator to be eligible 
for inclusion in the study.  
Note: Healthy participants with preexisting stable disease, defined as disease not 
requiring significant change in therapy or hospitalization for worsening disease 
during the 6 weeks before enrollment, can be included. Specific criteria for Phas e 
3 participants with known stable infection with human immunodeficiency virus 
(HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV) can be found in 
Section 10.8  
1.0 INCLUSION  IN04A00  Capable of giving personal signed informed consent as described in Appendix 1, 
which includes compliance with the requirements and restrictions listed in the 
ICD and in this protocol  
8.0 INCLUSION  IN04A07  Capable of giving personal signed informed consent/have parent(s)/legal 
guardian capable of giving signe d informed consent as described in Appendix 1, 
which includes compliance with the requirements and restrictions listed in the 
ICD and in this protocol  
6.0 INCLUSION  IN05A05  Participants who, in the judgment of the investigator, are at risk for acquiring 
COVID -19 
7.0 INCLUSION  IN05A06  Phase 2/3 only: Participants who, in the judgment of the investigator, are at 
higher risk for acquiring COVID -19 (including, but not limited to, use of mass 
transportation, relevant demographics, front line essenti al workers and others)  
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1.0 EXCLUSION  EX01A00  Other medical or psychiatric condition including recent (within the past year) or 
active suicidal ideation/behavior or laboratory abnormality that may increase the 
risk of study participation or, in the investi gator's judgment, make the participant 
inappropriate for the study  
1.0 EXCLUSION  EX02A00  Known infection with human immunodeficiency virus (HIV), hepatitis C virus 
(HCV), or hepatitis B virus (HBV)  
7.0 EXCLUSION  EX02A06  Phase 1 & 2 only: Known infection with human immunodeficiency virus (HIV), 
hepatitis C virus (HCV), or hepatitis B virus (HBV)  
1.0 EXCLUSION  EX03A00  History of severe adverse reaction associated with a vaccine and/or severe 
allergic reaction (eg, anaphylaxis) to any component of  the study intervention(s)  
1.0 EXCLUSION  EX04A00  Receipt of medications intended to prevent COVID 19  
1.0 EXCLUSION  EX05A00  Stages 1 and 2 only:  Previous clinical or microbiological diagnosis of COVID -
19 
6.0 EXCLUSION  EX05A05  Previous clinical or microbiological diagnosis of COVID -19 
8.0 EXCLUSION  EX05A07  Previous clinical (based on COVID -19 symptoms/signs alone, if a SARS -CoV -2 
NAAT result was not available) or microbiological (based on COVID -19 
symptoms/signs and a positive SARS -CoV -2 NAAT result) diagnosis of 
COVID -19 
1.0 EXCLUSION  EX06A00  Sentinel participants in Stage 1 only: Individuals at high risk for severe COVID -
19, including those with any of the following risk factors: Hypertension, Diabetes 
mellitus, Chronic pulmonary disease, As thma, Current vaping or smoking, 
History of chronic smoking within the prior year, BMI >30 kg/m2, Anticipating 
the need for immunosuppressive treatment within the next 6 months  
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2.0 EXCLUSION  EX06A01  Sentinel participants in Stage 1 only: Individuals at hi gh risk for severe COVID -
19, including those with any of the following risk factors: Hypertension,  Diabetes 
mellitus, Chronic pulmonary disease, Asthma, Current vaping or smoking, 
History of chronic smoking within the prior year, Chronic liver disease, Sta ge 3 
or worse chronic kidney disease (glomerular filtration rate <60 mL/min/1.73 
m2), Resident in a long -term facility, BMI >30 kg/m2, Anticipating the need for 
immunosuppressive treatment within the next 6 months  
6.0 EXCLUSION  EX06A05  Phase 1 only: Individuals at high risk for severe COVID -19,including those with 
any of the following risk factors: Hypertension, Diabetes mellitus, Chronic 
pulmonary disease, Asthma,  Current vaping or smoking, History of chronic 
smoking within the prior year, Chronic l iver disease, Stage 3 or worse chronic 
kidney disease (glomerular filtration rate <60 mL/min/1.73 m2), Resident in a 
long-term facility, BMI >30 kg/m2, Anticipating the need for 
immunosuppressive treatment within the next 6 months  
1.0 EXCLUSION  EX07A00  Sentinel participants in Stage 1 only: Individuals currently working in 
occupations with high risk of exposure to SARS -CoV -2 (eg, healthcare worker, 
emergency response personnel)  
6.0 EXCLUSION  EX07A05  Phase 1 only: Individuals currently working in occupations with high risk of 
exposure to SARS -CoV -2 (eg, healthcare worker, emergency response 
personnel)  
1.0 EXCLUSION  EX08A00  Immunocompromised individuals with known or suspected immunodeficiency, 
as determined by history and/or laboratory/physical examination . 
1.0 EXCLUSION  EX09A00  Individuals with a history of autoimmune disease or an active autoimmune 
disease requiring therapeutic intervention including but not limited to: systemic 
or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid arthritis, 
Guillain -Barre syndrome, multiple sclerosis, Sjogren's syndrome, idiopathic 
thrombocytopenia purpura, glomerulonephritis, autoimmune thyroiditis, giant 
cell arteritis (temporal arteritis), psoriasis, and insulin -dependent di abetes 
mellitus (type 1)  
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5.0 EXCLUSION  EX09A04  Sentinel participants in Stage 1 only: Individuals with a history of autoimmune 
disease or an active autoimmune disease requiring therapeutic intervention, 
including but not limited to: systemic or cutaneous lupus erythematosus, 
autoimmune arthritis/rheumatoid arthritis, Guillain -Barre syndrome, multiple 
sclerosis, Sjogren's syndrome, idiopathic thrombocytopenia purpura, 
glomerulonephritis, autoimmune thyroiditis, giant cell arteritis (temporal 
arteritis), psoriasis, and insulin -dependent diabetes mellitus (type 1)  
6.0 EXCLUSION  EX09A05  Phase 1 only: Individuals with a history of autoimmune disease or an active 
autoimmune disease requiring therapeutic intervention, including but not limited 
to: syste mic or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid 
arthritis, Guillain -Barre syndrome, multiple sclerosis, Sjogren's syndrome, 
idiopathic thrombocytopenia purpura, glomerulonephritis, autoimmune 
thyroiditis, giant cell arteritis (tempora l arteritis), psoriasis, and insulin -
dependent diabetes mellitus (type 1)  
1.0 EXCLUSION  EX10A00  Bleeding diathesis or condition associated with prolonged bleeding that would, in 
the opinion of the investigator, contraindicate intramuscular injection  
1.0 EXCLUSION  EX11A00  Women who are pregnant or breastfeeding  
1.0 EXCLUSION  EX12A00  Previous vaccination with any coronavirus vaccine  
1.0 EXCLUSION  EX13A00  Individuals who receive treatment with immunosuppressive therapy, including 
cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune 
disease, or planned receipt throughout the study.  If systemic corticosteroids have 
been administered short term (<14 days) for treatment of an acute illness, 
participants should  not be enrolled into the study until corticosteroid therapy has 
been discontinued for at least 28 days before study intervention administration.  
Inhaled/nebulized, intra -articular, intrabursal, or topical (skin or eyes) 
corticosteroids are permitted  
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2.0 EXCLUSION  EX13A01  Individuals who receive treatment with immunosuppressive therapy, including 
cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune 
disease, or planned receipt throughout the study.  If systemic corticosteroids have 
been administered short term (<14 days) for treatment of an acute illness, 
participants should not be enrolled into the study until corticosteroid therapy has 
been discontinued for at least 28 days before study intervention administrat ion. 
Inhaled/nebulized (except for sentinel subjects in Stage 1 – see exclusion 14), 
intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted  
1.0 EXCLUSION  EX14A00  Receipt of blood/plasma products or immunoglobulin, from 60 da ys before study 
intervention administration or planned receipt throughout the study  
1.0 EXCLUSION  EX15A00  Participation in other studies involving study intervention within 28 days prior to 
study entry and/or during study participation  
1.0 EXCLUSION  EX16A00  Previous participation in other studies involving study intervention containing 
lipid nanoparticles  
1.0 EXCLUSION  EX17A00  Sentinel participants in Stage 1 only: Positive serological test for SARS -CoV -2 
IgM and/or IgG antibodies at the screening visit  
6.0 EXCLUSION  EX17A05  Phase 1 only: Positive serological test for SARS -CoV -2 IgM and/or IgG 
antibodies at the screening visit  
1.0 EXCLUSION  EX18A00  Sentinel participants in Stage 1 only: Any screening hematology and/or blood 
chemistry lab oratory value that meets the definition of a >=Grade 1 abnormality. 
Note: With the exception of bilirubin, participants with any stable Grade 1 
abnormalities (according to the toxicity grading scale) may be considered eligible 
at the discretion of the inve stigator.  (Note: A "stable" Grade 1 laboratory 
abnormality is defined as a report of Grade 1 on an initial blood sample that 
remains <=Grade 1 upon repeat testing on a second sample from the same 
participant)  
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6.0 EXCLUSION  EX18A05  Phase 1 only: Any screening hematology and/or blood chemistry laboratory value 
that meets the definition of a >= Grade 1 abnormality Note: With the exception 
of bilirubin, participants with any stable Grade 1 abnormalities (according to the 
toxicity grading scale) may be co nsidered eligible at the discretion of the 
investigator.  (Note: A "stable" Grade 1 laboratory abnormality is defined as a 
report of Grade 1 on an initial blood sample that remains <= Grade 1 upon repeat 
testing on a second sample from the same participant .) 
1.0 EXCLUSION  EX19A00  Sentinel participants in Stage 1 only: Positive test for HIV, hepatitis B surface 
antigen (HBsAg), hepatitis B core antibodies (HBc Abs), or hepatitis C virus 
antibodies (HCV Abs) at the screening visit  
6.0 EXCLUSION  EX19A05  Phase 1 only: Positive test for HIV, hepatitis B surface antigen (HBsAg), 
hepatitis B core antibodies (HBc Abs), or hepatitis C virus antibodies (HCV Abs) 
at the screening visit  
1.0 EXCLUSION  EX20A00  Sentinel participants in Stage 1 only: SARS -CoV -2 NAAT -positive nasal swab 
within 24 hours before receipt of study intervention  
6.0 EXCLUSION  EX20A05  Phase 1 only: SARS -CoV -2 NAAT -positive nasal swab within 24 hours before 
receipt of study intervention  
1.0 EXCLUSION  EX21A00  Investigator site staff or Pfizer employees directly involved in the conduct of the 
study, site staff otherwise supervised by the investigator, and their respective 
family members  
7.0 EXCLUSION  EX21A06  Investigator site staff or Pfizer/BioNTech employees directly involved in the 
conduct of the study, site staff otherwise supervised by the investigator, and their 
respective family members  
2.0 EXCLUSION  EX22A01  Sentinel participants in Stage 1 only: Regular receipt of inhaled/nebulized 
corticosteroids.  
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6.0 EXCLUSION  EX22A05  Phase 1 only: Regular receipt of inhaled/nebulized corticosteroids  
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This document is confidential  Page 83 of 86  Appendix I I: Data Cutoff  Algorithm in  Standard Domains  
 
Records are inclu ded in SDTM datasets as specified below  with &cutoff equal to 13 March 2021  
 
SDTM Domain  Cutoff Description  
AE  
Apply util_partial_datetime_imputation .sas to AESTDTC and 
AEENDTC to derive ASTDT AND AENDT  respectively.  
%util_partial_datet ime_imputation(  
           _isodate =AESTDTC/AEENDTC  
                                     ,_impdate = ASTDT/AENDT  
                                     ,_impdateflag = %str(ASTDTF/AENDTF)  
                                     ,_imputation_rule_date  = %str(START/STOP) ); 
  
 
     All records with ASTDT <= &cutoff are included.  
In addition,  
 
If .<ASTDT <= &cutoff  and AEENDT > cutoff date, then  
- AEENDTC and AEENDY is set to missing  
- AEENRTPT = ‘ONGOING’  
- AEENTPT = ‘Last Subject Encounter’  
- AEOUT = ‘NOT RECOVERED/NOT RESOLVED’  
- AESDTH  = ‘N’ 
end; 
       else if AESTDTC = ‘ ‘ and AEENDTC ne ‘ ‘and AENDT <= &cutoff  
then the record is included.  
If AESTDTC  and AEENDTC are both missing,  then the record is 
included.    
DROP ASTDT and AENDT  
 
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DM    Include all records with DMDTC <= &cutoff  
     
 If RFPENDTC > &cutoff then RFPENDTC = ‘ ‘  
       If RFSTDTC > &cutoff then do;  
          If randomization date > &cutoff then do;  
               RFSTDTC =' '; RFENDTC=' '; RFXSTDTC=' '; RFXENDTC=' ';  
                 arm='NOT ASSIGNED'; armcd='NOTASSGN';  
        end; 
      else if randomization date <= &cutoff then do;  
              set RFSTDTC = randomization date;  
              RFENDTC=randomization  date; RFXSTDTC=' ';  
              RFXENDTC=' ';  
      end; 
       Else if RFSTDTC <= &cutoff then do;  
             If RFENDTC > &cutoff then set RFENDTC=&cutoff;   
              RFXENDTC=&cutoff;  
 
       If DTHDTC > &cutoff then do;  
                  set DTHDTC = ‘ ‘;  
                  set DTHFL = ‘ ‘;  
       end; 
 
EC Include all records with ECSTDTC <= &cutoff  
If ECENDTC > &cutoff then do; ECENDTC = &cutoff; ECENDY = 
ECENDTC – RFSTDTC +1; end;  
 
EX Include all records with EXSTDTC <= &cutoff  
If EXENDTC > &cutoff then do; EXENDTC = &cutoff; EXENDY = 
EXENDTC – RFSTDTC +1; end;  
 
DD/CE/DV /FACE /FAHO/HO/IE /IS/LB /MB/MO/PE /PR/SV/VS /SE Include all records with  ( DDDTC / CEDTC/  DVSTDTC / (Datepart) 
FADTC  /HODTC/  IEDTC / ISDTC / (datepart)  LBDTC/ MBDTC / 
MODTC/ PEDTC / PRSTDTC/ SVSTDTC / VSDTC / SESTDTC ) <= 
&cutoff  
 
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DS/MH  Include all records with DSDTC <= &cutoff and ( DSSTDTC / 
MHSTDTC)  <= &cutoff  
 
CM  
Apply util_partial_datetime_imputation .sas to CMSTDTC and 
CMENDTC to derive ASTDT AND AENDT  respectively.  
%util_partial_datet ime_imputation(  
           _isodate =CMSTDTC/CM ENDTC  
                                     ,_impdate = ASTDT/AENDT  
                                     ,_impdateflag = %str(ASTDTF/AENDTF)  
                                     ,_imputation_rule_date = %str(START/STOP) ); 
 
 
All records with ASTDT <= &cutoff are included.  
In addition,  
 
If .<ASTDT <= &cutoff  and AENDT > cutoff date, then  
- CMENDTC is set to missing  
- CMENRTPT = ‘ONGOING’  
- CMENTPT = ‘Last Subject Encounter’  
-  
end; 
       else if CMSTDTC = ‘ ‘ and CMENDTC ne ‘ ‘  and CMENDTC <= &cutoff  
then the record is included.  
If CMSTDTC and CMENDTC are both missing  then the record is 
included.    
DROP ASTDT and AENDT  
 
CO If RDOMAIN = ‘IS’ then retain all obs where CODTC<= cutoff, else for 
all other values of RDOMAIN, match with USUBJID  /SEQ.    
 
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RELREC  Include all records If USUBJID = ‘ ’.  for each domain in RDOMAIN,  
match with USUBJID  /SEQ if index(idvar,’SEQ’)>0; else match with  
USUBJID /LNKID if index(idvar,’LNKID’)>0.  
 
 
 
Appendix III: FDA 2010.1 Issue Summary  
 
Check 
ID Diagnostic Message  FDA 
Severity  Dataset  Count 
(Issue 
Rate)  Explanation  
SD1352  Duplicate records in 
EC domain  Warning  EC 15 (< 0.1%)  This is a false positive as per P21. ECSEQ values are unique for each 
record within EC domain and within each Unique Subject Identifier 
(USUBJID), Name of Treatment (ECTRT ), Start Date/ Time of 
Treatment (ECSTDTC) and  Mood  (ECMOOD) . 
SD1149  Expected variable 
with missing value 
for all records  Warning  MB 2 (25.00%)  As data is not  collected for MBRESCAT  and MBGRPID , this field is 
currently set to NULL  for all records . 
SD1149  Expected variable 
with missing value 
for all records  Warning  MO 1 (16.67%)  MOBLFL is derived based on l ast non -missing value on or before 
DM.RFSTDTC . All records  with MODTC populated are after their 
respective RF STDTC , therefore NULL values are expected for all the 
records.  
 
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