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Safety, Immunogenicity, and Dose Ranging Study of Inactivated Zika Virus Vaccine in Healthy Participants

A Phase 1, Randomized, Observer-Blind, Placebo-Controlled, Safety, Immunogenicity, and Dose Ranging Study of Purified Inactivated Zika Virus Vaccine (PIZV) Candidate in Flavivirus Naïve and Primed Healthy Adults Aged 18 to 49 Years

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03343626
Enrollment
271
Registered
2017-11-17
Start date
2017-11-13
Completion date
2020-11-24
Last updated
2022-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Flavivirus Infections, Healthy Participants, Virus, Zika, Zika Virus Disease

Keywords

Drug therapy

Brief summary

The purpose of this study is to describe the safety, tolerability and immunogenicity of two doses of purified inactivated Zika virus vaccine (PIZV) given 28 days apart. Three different vaccine doses containing different protein concentrations (2, 5 or 10 microgram \[mcg\]) each, will be given as 2 dose schedule to flavivirus naive and primed healthy adults. Participants will be followed for 7 days post each dose for tolerability and up to 6 months post dose 2 for safety. Immunogenicity assessment will be performed at 28 days post each dose and 6 months post dose 2. In addition, the selected dose group and control group will be followed till 24 months post dose 2 for safety and persistence of immunity.

Detailed description

The vaccine being tested in this study is called PIZV or TAK-426 adjuvanted with aluminum hydroxide. The Zika virus vaccine is being tested to provide safety and immunogenicity data to enable the vaccine to be further developed clinically. The study will enroll approximately 240 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the four groups-which will remain undisclosed to the study observer: * Placebo * PIZV: 2 microgram (mcg) Low Dose * PIZV: 5 mcg Medium Dose * PIZV: 10 mcg High Dose All participants will be administered either placebo or PIZV by intramuscular (IM) injection into the middle third of the deltoid muscle, preferably in the non-dominant arm on Days 1 (Visit 1) and 29 (Visit 4). This multi-center trial will be conducted in the United States and Puerto Rico. The overall time to participate in this study is up to 25 months. Participants will make multiple visits to the clinic on Days 1, 8, 29, 36, 57, 211, 393 and will be contacted by telephone on Day 133 (Visit 7) and Day 575 (Visit 9) and also visit the clinic on Day 757 (Visit 11) depending on the study arm, for a final follow-up assessment.

Interventions

DRUGPlacebo

Placebo (normal saline (0.9% NaCl) IM injection.

BIOLOGICALPIZV

Purified inactivated Zika virus vaccine with aluminum hydroxide adjuvant IM injection.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

1. Participants who are in good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and eligibility screening tests (hematology, biochemistry and urinalysis) and clinical judgment of the investigator. Vital signs must be within normal limits (ie, below Grade 1 as specified in the Food and Drug Administration \[FDA\] Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers). Screening tests must be within normal limits or not be above Grade 1 as defined in the FDA Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers. 2. Participants who can comply with trial procedures and are available for the duration of follow-up. 3. All female participants must be willing to undergo serum beta human chorionic gonadotropin (B-hCG) pregnancy test and must test negative by urine pregnancy test prior to each study vaccination.

Exclusion criteria

1. Participants and participants' partners with confirmed Zika virus (ZIKV) infection by self-report. 2. Traveling to flavivirus endemic countries or flavivirus endemic regions of the United States (US) or US territories\*, within 4 weeks prior to screening or planned travel through to Visit 6 (applicable only to participants to be enrolled into the flavivirus naïve cohort). a. Centers for Disease Control and Prevention (CDC) website define the information about the flavivirus endemic countries and US regions and territories. 3. Known hypersensitivity or allergy to any of the vaccine candidate components (including excipients of the investigational vaccine or placebo). 4. Has any history of progressive or severe neurologic disorder, seizure disorder or neuro-inflammatory disease (example, Guillain-Barré syndrome). 5. Known or suspected impairment/alteration of immune function, including: * Chronic use of oral steroids (equivalent to 20 milligram per day \[mg/day\] prednisone greater than or equal to \[\>=\] 12 weeks / \>= 2 milligram per kilogram \[mg/kg\] body weight / day prednisone \>= 2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed). * Receipt of parenteral steroids (equivalent to 20 mg/day prednisone \>= 12 weeks / \>= 2 mg/kg body weight / day prednisone \>= 2 weeks) within 60 days prior to Day 1. * Receipt of immunostimulants within 60 days prior to Day 1. * Receipt of parenteral, epidural or intra-articular immunoglobulin preparation, blood products, and/or plasma derived products within 3 months prior to Day 1 or planned during the full length of the trial. In addition, participants must be advised not to donate blood during the study period. * Known Human Immunodeficiency Virus (HIV) infection or HIV-related disease. * Genetic immunodeficiency. 6. Has known current or chronic hepatitis B and/or hepatitis C infections. 7. Has abnormalities of spleen or thymic function. 8. Has a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. 9. Individuals participating in any clinical trial with another investigational product, including ZIKV vaccine clinical trial within 30 days prior to first trial visit or intent to participate in another clinical trial at any time during the conduct of this trial. 10. Individuals who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this trial or who are planning to receive any vaccine within 28 days of investigational vaccine/placebo administration. 11. Female participants who are pregnant or breastfeeding, or are planning to become pregnant. 12. Any positive or indeterminate pregnancy test. 13. If female participant of childbearing potential, sexually active, and who has not used any of the acceptable contraceptive methods for at least 2 months prior to trial entry: * Of childbearing potential is defined as status post onset of menarche and not meeting any of the following conditions: menopausal for at least 2 years without any other alternative medical cause (as confirmed by a healthcare professional), status after bilateral tubal ligation for at least 1 year, status after bilateral oophorectomy, or status after hysterectomy. * Acceptable birth control methods are defined as one or more of the following: * Hormonal contraceptive (such as oral, injection, transdermal patch, implant, cervical ring). * Barrier (condom with spermicide or diaphragm with spermicide) each and every time during intercourse. * Intrauterine device. * Monogamous relationship with vasectomized partner. Partner must have been vasectomized for at least six months prior to the participants' trial entry. 14. If female participant of childbearing potential and sexually active, refusal to use an acceptable contraceptive method from trial entry through 2 months after the last dose of investigational vaccine/placebo. In addition female participants of childbearing potential must be advised not to donate ova during this period. 15. To avoid sexual transmission of ZIKV from natural exposure: Refusal to use latex condoms correctly and consistently by sexually active participants even if other contraceptive measures are used from signing the informed consent form (ICF) through the end of the trial. Male participants must be advised not to donate sperm during this period.

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo28 days after Dose 2 (Day 57)GMTs of neutralizing antibodies for ZIKV were measured by the Zika plaque reduction neutralization test (PRNT) test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).
Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboWithin 7 days after Dose 1 (Day 8)Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.
Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboWithin 7 days after Dose 2 (Day 36)Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or PlaceboWithin 28 days after Dose 1 (Day 29)An AE was defined as any untoward medical occurrence in participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or PlaceboWithin 28 days after Dose 2 (Day 57)An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.
Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or PlaceboWithin 28 days after Dose 1 (Day 29)A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or PlaceboWithin 28 days after Dose 2 (Day 57)A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboWithin 7 days after Dose 1 (Day 8)Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first vaccination and included pain (none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents daily activity with or without treatment), erythema (\<25 mm, mild: \>=25 to- \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=-50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.
Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboWithin 7 days after Dose 2 (Day 36)Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first vaccination and included pain (none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents daily activity with or without treatment), erythema (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

Secondary

MeasureTime frameDescription
GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 228 days after Dose 1 (Day 29); 6 months after Dose 2 (Day 211)GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).
GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable Groups12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation). As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.
Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 228 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57); 6 months after Dose 2 (Day 211)Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay.
Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable Groups12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay. As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.
Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 228 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57)Seroconverted participants were defined as participants at Baseline with detectable post-vaccination serum antibodies (test results are at or above LOD) and seropositive participants at Baseline with a four-fold increase in post-vaccination antibodies from Baseline, as measured by the neutralization assay.
Percentage of Participants Who Experienced at Least One SAE During the StudyFrom day of first vaccination (Day 1) up to end of the study (Day 757)A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Countries

Puerto Rico, United States

Participant flow

Recruitment details

Study participants, aged \>=18 to \<=49 years, were enrolled in this Phase 1 study in 9 sites in the United States and Puerto Rico from 13 November 2017 to 24 November 2020.

Pre-assignment details

Flavivirus (FV) status was determined using a Luminex assay targeting 13 FV. FV-naïve participants with median fluorescent intensity (MFI) below that assigned for negative cut-off were first enrolled in FV-naïve Cohort in ratio 1:1:1:1 to receive either placebo or purified inactivated Zika virus vaccine (PIZV). After positive recommendation from data monitoring committee, FV-primed participants, with MFI\>500 were enrolled in FV-primed Cohort in ratio 1:1:1:1 to receive either placebo or PIZV.

Participants by arm

ArmCount
Flavivirus-naïve Cohort: Placebo
Placebo injection, intramuscular (IM), once on Day 1 (first dose) and Day 29 (second dose).
31
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)
PIZV 0.5 mL, 2 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
31
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)
PIZV 0.5 mL, 5 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
31
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)
PIZV 0.5 mL, 10 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
32
Flavivirus-primed Cohort: Placebo
Placebo injection, IM, once on Day 1 (first dose) and Day 29 (second dose).
36
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)
PIZV 0.5 mL, 2 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
37
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)
PIZV 0.5 mL, 5 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
37
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
PIZV 0.5 mL, 10 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).
36
Total271

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyData Entry Error00000001
Overall StudyLost to Follow-up43254447
Overall StudyReason not Specified01000001
Overall StudyWithdrawal of Consent21033112

Baseline characteristics

CharacteristicFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
Age, Continuous36.7 years
STANDARD_DEVIATION 8.93
34.9 years
STANDARD_DEVIATION 9.52
35.8 years
STANDARD_DEVIATION 8.86
34.1 years
STANDARD_DEVIATION 8.5
34.7 years
STANDARD_DEVIATION 8.2
35.5 years
STANDARD_DEVIATION 8.71
37.0 years
STANDARD_DEVIATION 8.89
35.4 years
STANDARD_DEVIATION 8.45
35.5 years
STANDARD_DEVIATION 8.69
Body Mass Index (BMI)27.921 kg/m^2
STANDARD_DEVIATION 4.2049
27.527 kg/m^2
STANDARD_DEVIATION 4.7632
27.541 kg/m^2
STANDARD_DEVIATION 3.7165
26.750 kg/m^2
STANDARD_DEVIATION 3.6511
27.398 kg/m^2
STANDARD_DEVIATION 3.5244
27.054 kg/m^2
STANDARD_DEVIATION 4.7105
26.982 kg/m^2
STANDARD_DEVIATION 4.124
28.072 kg/m^2
STANDARD_DEVIATION 4.4735
27.398 kg/m^2
STANDARD_DEVIATION 4.1433
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants2 Participants4 Participants36 Participants36 Participants36 Participants35 Participants151 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants30 Participants29 Participants28 Participants0 Participants1 Participants0 Participants1 Participants119 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
6 Participants5 Participants3 Participants4 Participants6 Participants4 Participants7 Participants10 Participants45 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants2 Participants1 Participants1 Participants1 Participants0 Participants1 Participants6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
23 Participants26 Participants26 Participants27 Participants27 Participants31 Participants30 Participants25 Participants215 Participants
Region of Enrollment
Puerto Rico
0 Participants0 Participants0 Participants0 Participants15 Participants16 Participants16 Participants15 Participants62 Participants
Region of Enrollment
United States of America
31 Participants31 Participants31 Participants32 Participants21 Participants21 Participants21 Participants21 Participants209 Participants
Sex: Female, Male
Female
21 Participants16 Participants18 Participants14 Participants21 Participants18 Participants26 Participants24 Participants158 Participants
Sex: Female, Male
Male
10 Participants15 Participants13 Participants18 Participants15 Participants19 Participants11 Participants12 Participants113 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
0 / 310 / 310 / 310 / 320 / 360 / 370 / 370 / 36
other
Total, other adverse events
4 / 313 / 313 / 314 / 325 / 365 / 377 / 378 / 36
serious
Total, serious adverse events
1 / 311 / 310 / 312 / 321 / 362 / 370 / 374 / 36

Outcome results

Primary

Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo

GMTs of neutralizing antibodies for ZIKV were measured by the Zika plaque reduction neutralization test (PRNT) test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

Time frame: 28 days after Dose 2 (Day 57)

Population: Per-Protocol Set (PPS) included participants in the Full Analysis Set (FAS) who have no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Overall number of participants analyzed are the number of participants with data available for analyses.

ArmMeasureValue (GEOMETRIC_MEAN)
Flavivirus-naïve Cohort: PlaceboGeometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo5.00 titer
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo1129.69 titer
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo1992.33 titer
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo3689.89 titer
Flavivirus-primed Cohort: PlaceboGeometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo198.82 titer
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo597.63 titer
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo1276.92 titer
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo2590.54 titer
Primary

Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo

An AE was defined as any untoward medical occurrence in participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

Time frame: Within 28 days after Dose 1 (Day 29)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo.

ArmMeasureValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo29.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo19.4 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo29.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo9.4 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo22.2 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo21.6 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo21.6 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo16.7 percentage of participants
Primary

Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo

An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

Time frame: Within 28 days after Dose 2 (Day 57)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo.

ArmMeasureValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo16.1 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo16.1 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo9.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo12.5 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo8.3 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo13.5 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo13.5 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo13.9 percentage of participants
Primary

Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame: Within 28 days after Dose 2 (Day 57)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo.

ArmMeasureValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.0 percentage of participants
Primary

Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame: Within 28 days after Dose 1 (Day 29)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo.

ArmMeasureValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo2.7 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.0 percentage of participants
Primary

Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or Placebo

Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first vaccination and included pain (none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents daily activity with or without treatment), erythema (\<25 mm, mild: \>=25 to- \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=-50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

Time frame: Within 7 days after Dose 1 (Day 8)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo. Overall number of participants are the number of participants with data available for analyses.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild13.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild30.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm9.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild32.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm6.5 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild38.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild8.3 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm5.6 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate9.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild33.3 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm6.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm2.8 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm5.6 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild30.6 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm5.6 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate8.3 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboSwelling, <25 mm2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Mild34.3 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or PlaceboPain, Moderate2.9 percentage of participants
Primary

Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or Placebo

Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first vaccination and included pain (none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents daily activity with or without treatment), erythema (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

Time frame: Within 7 days after Dose 2 (Day 36)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo. Overall number of participants are the number of participants with data available for analyses.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm3.6 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild14.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild29.6 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild30.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild36.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild18.2 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild3.2 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild21.9 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate6.3 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild21.9 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboSwelling, <25 mm5.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Mild20.6 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboErythema, <25 mm2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboInduration, <25 mm2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or PlaceboPain, Moderate8.8 percentage of participants
Primary

Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or Placebo

Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

Time frame: Within 7 days after Dose 1 (Day 8)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo. Number analyzed is the number of participants with data available for analyses in the specific category.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate6.7 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild20.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate6.7 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate13.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild6.7 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild16.7 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild16.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild13.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild16.1 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild19.4 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild16.1 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate6.5 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild12.9 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild25.8 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate6.5 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild6.5 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild12.9 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild12.9 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate8.3 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild11.1 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild8.3 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate2.8 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild19.4 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild19.4 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate2.8 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild16.7 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild12.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate2.7 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild6.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild12.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild12.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild12.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild2.8 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild11.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe2.8 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate5.6 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild13.9 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild13.9 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild16.7 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild25.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Mild5.7 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Mild8.6 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Moderate2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Severe2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Mild22.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Mild17.1 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFatigue, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboFever, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Severe2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or PlaceboHeadache, Mild11.4 percentage of participants
Primary

Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or Placebo

Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

Time frame: Within 7 days after Dose 2 (Day 36)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo. Number analyzed is the number of participants with data available for analyses in the specific category.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe3.2 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild3.2 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate6.9 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate3.4 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate3.4 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild3.4 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate6.9 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild13.8 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate3.4 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild6.9 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild7.4 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild14.8 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild11.1 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild7.4 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild16.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild6.7 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild13.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate3.3 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate3.3 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild9.1 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild6.1 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild12.1 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild9.1 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate3.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild6.3 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild9.4 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild12.5 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild9.4 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild12.5 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild6.3 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate3.1 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe6.4 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild6.3 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Severe2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Moderate2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFatigue, Mild11.8 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Mild2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Moderate8.8 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Moderate5.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMyalgia, Moderate5.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboFever, Mild0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Severe0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboHeadache, Mild2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboMalaise, Mild2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Mild2.9 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or PlaceboArthralgia, Moderate2.9 percentage of participants
Secondary

GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable Groups

GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation). As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

Time frame: 12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)

Population: PPS included participants in the FAS who had no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Overall number of participants analyzed are the number of participants with data available for analyses. Number analyzed is the number of participants with data available for analysis at the given timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Flavivirus-naïve Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 3935.00 titer
Flavivirus-naïve Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 75718.48 titer
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 757427.41 titer
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 393413.71 titer
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 393103.88 titer
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 757324.26 titer
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 393505.10 titer
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 757149.68 titer
Secondary

GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2

GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

Time frame: 28 days after Dose 1 (Day 29); 6 months after Dose 2 (Day 211)

Population: PPS included participants in the FAS who have no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Number analyzed is the number of participants with data available for analysis at the given tlmepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Flavivirus-naïve Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 295.00 titer
Flavivirus-naïve Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 2115.00 titer
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 2941.28 titer
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211151.24 titer
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 2993.76 titer
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211364.10 titer
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 29291.41 titer
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211613.28 titer
Flavivirus-primed Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 29164.06 titer
Flavivirus-primed Cohort: PlaceboGMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211125.80 titer
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 29513.62 titer
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211258.44 titer
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211506.97 titer
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 291002.69 titer
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 291572.58 titer
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2Day 211866.26 titer
Secondary

Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2

Seroconverted participants were defined as participants at Baseline with detectable post-vaccination serum antibodies (test results are at or above LOD) and seropositive participants at Baseline with a four-fold increase in post-vaccination antibodies from Baseline, as measured by the neutralization assay.

Time frame: 28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57)

Population: Per-Protocol Set (PPS) included participants in the Full Analysis Set (FAS) who have no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Number analyzed is the number of participants with data available for analysis at the given tlmepoint.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 290.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 570.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2972.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 57100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2982.14 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 57100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2996.43 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 57100.00 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 292.94 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 576.45 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2938.71 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 5746.67 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 5754.84 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2950.00 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 2969.70 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2Day 5776.67 percentage of participants
Secondary

Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2

Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay.

Time frame: 28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57); 6 months after Dose 2 (Day 211)

Population: PPS included participants in the FAS who had no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Number analyzed is the number of participants with data available for analysis at the given timepoint.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2110.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 290.0 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 570.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 211100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2972.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 57100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 57100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2982.14 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 211100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 211100.00 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2996.43 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 57100.00 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 21176.67 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2985.29 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 5787.10 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 5796.67 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 2996.77 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 21184.00 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 57100.00 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 29100.00 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 211100.00 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 211100.00 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 29100.00 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2Day 57100.00 percentage of participants
Secondary

Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable Groups

Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay. As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

Time frame: 12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)

Population: PPS included participants in the FAS who had no major protocol violations (relevant for the analysis, primary immunogenicity assessment or persistence assessment). Overall number of participants analyzed are the number of participants with data available for analyses. Number analyzed is the number of participants with data available for analysis at the given timepoint.

ArmMeasureGroupValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 3930.00 percentage of participants
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 75726.32 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 75793.75 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 393100.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 39365.63 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 75785.19 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 393100.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable GroupsDay 75776.19 percentage of participants
Secondary

Percentage of Participants Who Experienced at Least One SAE During the Study

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame: From day of first vaccination (Day 1) up to end of the study (Day 757)

Population: Safety Analysis Set included all randomized participants who received at least one (1) dose of PIZV or placebo.

ArmMeasureValue (NUMBER)
Flavivirus-naïve Cohort: PlaceboPercentage of Participants Who Experienced at Least One SAE During the Study3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One SAE During the Study3.2 percentage of participants
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One SAE During the Study0.0 percentage of participants
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One SAE During the Study6.3 percentage of participants
Flavivirus-primed Cohort: PlaceboPercentage of Participants Who Experienced at Least One SAE During the Study2.8 percentage of participants
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Percentage of Participants Who Experienced at Least One SAE During the Study5.4 percentage of participants
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Percentage of Participants Who Experienced at Least One SAE During the Study0.0 percentage of participants
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Percentage of Participants Who Experienced at Least One SAE During the Study11.1 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 22, 2026