019736 S387 M5 c4591008 interim protocol deviations

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Listing 7.7.2 Page 1of 1
BNT162b2 Protocol C4591008
Participant Reported Death
PFIZER CONFIDENTIAL    SDTM Creation: 11MAY2021:07:31:19 Data Cutoff: 29APR2021    Source Data: ADSL
Generated from /dcri/ct/hero_together/lists/l_death.sas on 24MAY2021 12:45 Page 5of 1689   Subject ID Age/Sex/Race Vaccination DateDays since 1st Vaccine 
to Death Covid -19 Related
C4591008 -6872706624 73/M/WHITE 2020 -12-16 52 Not Covid -19 Related
C4591008 -7271517760 54/M/WHITE 2021 -01-14 50 Not Covid -19 Related
090177e1972e4eaa\Approved\Approved On: 22-Jun-2021 15:08 (GMT) 
FDA-CBER-2021-5683-1075463