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A Study to Evaluate Safety and Effectiveness of mRNA-1273 COVID-19 Vaccine in Healthy Children Between 6 Months of Age and Less Than 12 Years of Age

A Phase 2/3, Three-Part, Open-Label, Dose-Escalation, Age De-escalation and Randomized, Observer-Blind, Placebo-Controlled Expansion Study to Evaluate the Safety, Tolerability, Reactogenicity, and Effectiveness of mRNA-1273 SARS-CoV-2 Vaccine in Healthy Children 6 Months to Less Than 12 Years of Age

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04796896
Enrollment
11942
Registered
2021-03-15
Start date
2021-03-15
Completion date
2024-03-15
Last updated
2025-06-13

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

Conditions

SARS-CoV-2

Keywords

mRNA-1273, mRNA-1273 vaccine, SARS-CoV-2, SARS-CoV-2 Vaccine, Coronavirus, Virus Diseases, Messenger RNA, COVID-19, COVID-19 Vaccine, Moderna

Brief summary

The primary goal for this study is to evaluate up to 3 dose levels of mRNA-1273 vaccine given to healthy children as intramuscular (IM) injection in 2 doses (in Parts 1 and 2) and 3 doses (in Part 3), and a third dose or an optional booster dose (BD) (in Parts 1 and 2).

Detailed description

This is a Phase 2/3, 3-part, open-label, dose-escalation, age de-escalation, randomized, observer-blind, placebo-controlled, expansion study intended to infer the effectiveness of mRNA-1273 in children aged 6 months to less than 12 years. Please access http://www.kidcovestudy.com for additional information, such as Study Overview, Participation, Site Locations along with contact numbers for each location for the study.

Interventions

BIOLOGICALmRNA-1273

Sterile liquid for injection

BIOLOGICALPlacebo

0.9% sodium chloride (normal saline) injection

BIOLOGICALmRNA-1273.214

Sterile liquid for injection

Sponsors

ModernaTX, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

Parts 1 and 3 are Open-label; Part 2 Randomized and Observer-blind

Eligibility

Sex/Gender
ALL
Age
6 Months to 11 Years
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: * For participants with chronic diseases (such as, asthma, diabetes mellitus, cystic fibrosis, human immunodeficiency virus \[HIV\] infection), the disease should be stable, per investigator assessment. * Investigator assessment that the parent(s)/legally acceptable representatives understand and are willing and physically able to comply with protocol mandated follow-up, including all procedures, written informed consent is provided, and participants provide assent. * For children 2 years of age or older has a body mass index at or above the third percentile according to World Health Organization (WHO) Child Growth Standards at the Screening Visit. * For children 6 months to \<12 months of age: born at full-term with a minimum birth weight of 2.5 kilograms (kg). * For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection, agreement to continue adequate contraception or abstinence through 3 months following the second injection (Day 29) and the third dose in Part 3 (Day 149/booster dose Day 1), and not currently breastfeeding. Key

Exclusion criteria

* Known history of SARS-CoV-2 infection within 2 weeks prior to administration of vaccine or known close contact with anyone with laboratory-confirmed SARS-CoV-2 infection or COVID-19 within 2 weeks prior to administration of vaccine. * Prior administration of an investigational or approved CoV (such as, SARS-CoV-2, SARS CoV, Middle East Respiratory Syndrome CoV) vaccine. * Treatment with investigational or approved agents for prophylaxis against COVID 19 (such as, receipt of SARS-CoV-2 monoclonal antibodies) within 6 months prior to enrollment. * Known hypersensitivity to a component of the vaccine or its excipients. * A medical or psychiatric condition that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with safety assessments, or interfere with interpretation of results. * History of a diagnosis or condition that, in the judgment of the investigator, may affect study endpoint assessment or compromise participant safety. * Received any non-study vaccine within 14 days before or after any dose of vaccine (except for seasonal influenza vaccine, which is not permitted within 14 days before or after any dose of vaccine) * Received intravenous or subcutaneous blood products (red blood cells, platelets, immunoglobulins) within 3 months prior to Day 1 * Participated in an interventional clinical study within 28 days prior to Day 0 or plans to donate blood products while participating in this study.

Design outcomes

Primary

MeasureTime frameDescription
Parts 1, 2, and 3: Number of Participants With Unsolicited AEsUp to 28 days post-vaccinationAn AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. COVID-19/SARS-CoV-2 infections were considered clinical events for efficacy and not AEs. A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each dose group separately.
Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyUp to 2 yearsAn SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event. AESIs for mRNA-1273 were identified based upon medical concepts that may be related to COVID-19 or were of interest in COVID-19 vaccine safety surveillance. An MAAE is an AE that led to an unscheduled visit to a healthcare practitioner. This included visits to a study site for unscheduled assessments and visits to healthcare practitioners external to the study site. COVID-19/SARS-CoV-2 infections were considered clinical events for efficacy and not AEs. A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each dose group separately.
Parts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P301Day 57 P204/Day 57 P301Antibody values reported as below lower limit of quantification (LLOQ) were replaced by 0.5\*LLOQ and values greater than upper limit of quantification (ULOQ) were replaced by ULOQ if actual values were not available. LLOQ was 18.5 arbitrary units (AU)/milliliter (mL) and ULOQ was 45118 AU/mL for ID50 titer. Per-Protocol (PP) Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative reverse transcriptase polymerase chain reaction (RT-PCR) test for SARS-CoV-2 and negative serology test based on binding antibody (bAb) specific to SARS-CoV-2 nucleocapsid protein at baseline, not receiving highly active antiretroviral therapy (HAART) for participants with HIV; and had no major protocol deviations that impacted key or critical data.
Parts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301Day 57 P204/Day 57 P301Antibody values reported as below LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key/critical data. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.
Parts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301Day 57 P204/Day 57 P301Percentage of participants with seroresponse for pseudovirus neutralizing antibody ID50 are reported. Seroresponse: change from below LLOQ to equal above 4\*LLOQ, or at least a 4-fold rise if baseline is ≥LLOQ. LLOQ=18.5 AU/mL and ULOQ=45118 AU/mL for ID50 titer. PP Immunogenicity Subset: all enrolled participants who received planned doses of study vaccine, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 at baseline, not receiving HAART; and had no major protocol deviations that impacted key/critical data. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.
Parts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301Day 57 P204/Day 57 P301Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 and ULOQ AU/mL was 111433 AU/mL. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.
Parts 1 and 2: GM Concentration of Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years of Age) Vaccine Recipients in Study P301BD-Day 29 P204/Day 57 P301Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.
Part 3: GM Concentration of Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301Third Dose-Day 29 P204/Day 57 P301Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.
Parts 1 and 2: SRR for Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301BD-Day 29 P204/Day 57 P301Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.
Part 3: SRR for Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301Third Dose-Day 29 P204/Day 57 P301Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV were not receiving HAART, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.
Parts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)7 days post-vaccinationSolicited ARs were collected in an electronic diary (eDiary). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section.

Secondary

MeasureTime frameDescription
Parts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 1, Day 57 (1 month after Dose 2)GM level of SARSCOV2S2P immunoglobulin G (IgG) antibody VAC123/VAC72, as measured by ECL multiplex assay specific to SARS-CoV-2 spike protein is reported. Antibody values reported as \<LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 23 AU/mL and ULOQ was 14000000 AU/mL for VAC72. LLOQ was 69 AU/mL and ULOQ was 14400000 AU/mL for VAC123. PP Immunogenicity Subset: all enrolled participants who received planned doses of study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 protein at baseline, not receiving HAART in participants with HIV; and had no major protocol deviations.
Parts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1 (Pre-booster), BD-Day 29 (1 month after booster dose)GM level of SARSCOV2S2P IgG antibody VAC123/VAC72 is reported. Antibody values reported as \<LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 23 and ULOQ was 14000000 AU/mL for VAC72. LLOQ was 69 and ULOQ was 14400000 AU/mL for VAC123. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, , not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline, had BD-Day 29 antibody assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not receive off-study COVID-19 vaccination prior to BD-Day 29 visit.
Part 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181GM level of SARSCOV2S2P IgG antibody against B.1.1.529 strain is reported. Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 102 and ULOQ was 1180000 AU/mL for VAC123. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, participants with HIV were not receiving HAART, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impact key or critical data, and had not receive off-study COVID-19 vaccination prior to BD-Day 29 visit.
Parts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 1 and Day 57 (1 month after Dose 2)Antibody values reported as below LLOQ were replaced by 0.5\*LLOQ and values greater than ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 18.5 AU/mL and ULOQ was 45118 AU/mL for ID50 titer. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.
Parts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Day 1 and Day 57 (1 month after Dose 2)Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. Data are reported per Baseline SARS-CoV-2 status: Negative and Positive. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.
Parts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline (Pre-Dose 1), Day 57 (1 month after Dose 2), Day 209 (6 months after Dose 2), BD-Day 1 (Pre-booster), and BD-Day 29 (1 month after booster dose or third dose)Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.
Part 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Baseline (Pre-Dose 1), Day 57 (1 month after Dose 2), Third Dose-Day 1 (at least 3 months or 6 months after Dose 2), Third Dose-Day 29 (1 month after third dose), and Third Dose-Day 181 (6 months after third dose)Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.
Part 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)14 days after second injectionSARS-CoV-2 infection was defined in participants with negative SARS-CoV-2 at baseline: bAb level against SARS-CoV-2 nucleocapsid protein negative at Day 1, that became positive (as measured by Roche Elecsys) postbaseline; OR positive RT-PCR postbaseline. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.
Part 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)14 days after second injectionAsymptomatic SARS-CoV-2 infection was identified by absence of symptoms and infections as detected by RT-PCR or serology tests: Absence of COVID-19 symptoms AND at least 1 from following: bAb level against SARS-CoV-2 nucleocapsid protein negative at Day 1 that became positive post-baseline, OR positive RT-PCR test post-baseline. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.
Part 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)14 days after second injectionA COVID-19 case was identified as a positive post-baseline RT-PCR test result together with at least 1 of following systemic symptoms: fever (≥ 38 degrees Celsius \[°C\]/≥ 100.4 degree Fahrenheit \[°F\]) or chills, fatigue, headache, myalgia, nasal congestion or rhinorrhea, new loss of taste or smell, sore throat, abdominal pain, diarrhoea, nausea/vomiting, poor appetite/poor feeding; or at least 1 of following respiratory signs/symptoms: cough, shortness of breath or difficulty breathing. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.

Other

MeasureTime frameDescription
Number of Deaths Related to Study DrugUp to 2 yearsA death that occurred during the study or that came to the attention of the investigator during the study was reported to the Sponsor, whether or not it was considered related to study drug. The investigator assessed causality (that is, whether there is a reasonable possibility that the study drug caused the death). The relationship was characterized using the following classifications: Not related: There was not a reasonable possibility of a relationship to the study drug. The temporal sequence of the death relative to administration of the study drug was not reasonable AND/OR the death was more likely explained by a cause other than the study drug. Related: There was a reasonable possibility of a relationship to the study drug. There was evidence of exposure to the study drug. The temporal sequence of the death relative to the administration of the study drug was reasonable. The death was more likely explained by the study drug than by another cause.

Countries

Canada, United States

Participant flow

Recruitment details

The study was conducted in 3 parts: Part 1 (open-label; dose-escalation and age de-escalation), Part 2 (placebo-controlled), and Part 3 (open-label; lower dose regimen).

Pre-assignment details

A comparison to the mRNA-1273-P301 (NCT04470427) study's efficacy data was performed on a sub-group of mRNA-1273-P301 (P301) study participants aged 18-25 (N=296). Study Completion and Not Completion data reported in the Participant Flow were collected by Overall Study (that is, as 1 period regardless if a booster dose was received).

Participants by arm

ArmCount
Part 1 (6-11 Years): mRNA-1273 50 µg
Participants received 2 doses of 50 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
380
Part 1 (6-11 Years): mRNA-1273 100 µg
Participants received 2 doses of 100 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
371
Part 1 (2-5 Years): mRNA-1273 25 µg
Participants received 2 doses of 25 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
75
Part 1 (2-5 Years): mRNA-1273 50 µg
Participants received 2 doses of 50 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
149
Part 1 (6-23 Months): mRNA-1273 25 µg
Participants received 2 doses of 25 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
150
Part 2 (6-11 Years): Placebo
Participants received 2 doses of matching placebo by IM injection approximately 28 days apart (Day 1 and Day 29). Participants were offered crossover vaccination with 50 μg of mRNA-1273 after the availability of a coronavirus disease 2019 (COVID-19) vaccine under EUA.
1,004
Part 2 (6-11 Years): mRNA-1273 50 µg
Participants received 2 doses of 50 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
3,011
Part 2 (2-5 Years): Placebo
Participants received 2 doses of matching placebo by IM injection approximately 28 days apart (Day 1 and Day 29). Participants were offered crossover vaccination with 25 μg of mRNA-1273 after the availability of a COVID-19 vaccine under EUA.
1,008
Part 2 (2-5 Years): mRNA-1273 25 µg
Participants received 2 doses of 25 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
3,040
Part 2 (6-23 Months): Placebo
Participants received 2 doses of matching placebo by IM injection approximately 28 days apart (Day 1 and Day 29). Participants were offered crossover vaccination with 25 μg of mRNA-1273 after the availability of a COVID-19 vaccine under EUA.
669
Part 2 (6-23 Months): mRNA-1273 25 µg
Participants received 2 doses of 25 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1 and Day 29).
1,995
Part 3 (6-11 Years): Primary Series mRNA-1273 25 µg
Participants received 2 doses of 25 µg mRNA-1273 by IM injection approximately 28 days apart (Day 1, and Day 29).
90
Study mRNA-1273-P301 (NCT04470427) mRNA-1273 100 μg
Participants (young adults; 18-25 years of age) received 100 μg mRNA-1273 on a 2 injection schedule in Study mRNA-1273-P301 (P301).
296
Total12,238

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011
Overall StudyAdverse Event100001101110
Overall StudyDeath000000001000
Overall StudyLost to Follow-up2415642155237522214314218
Overall StudyMissing000000212110
Overall StudyOther Than Specified65326318666388482584
Overall StudyPhysician Decision1000031817050
Overall StudyProtocol Deviation000112222100
Overall StudyReceived Emergency Use Authorization (EUA) Vaccine54031194372222911591
Overall StudyWithdrawal by Subject3631118161622991493039419216

Baseline characteristics

CharacteristicPart 1 (6-11 Years): mRNA-1273 50 µgPart 1 (6-11 Years): mRNA-1273 100 µgPart 1 (2-5 Years): mRNA-1273 25 µgPart 1 (2-5 Years): mRNA-1273 50 µgPart 1 (6-23 Months): mRNA-1273 25 µgPart 2 (6-11 Years): PlaceboPart 2 (6-11 Years): mRNA-1273 50 µgPart 2 (2-5 Years): PlaceboPart 2 (2-5 Years): mRNA-1273 25 µgPart 2 (6-23 Months): PlaceboPart 2 (6-23 Months): mRNA-1273 25 µgPart 3 (6-11 Years): Primary Series mRNA-1273 25 µgStudy mRNA-1273-P301 (NCT04470427) mRNA-1273 100 μgTotal
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P204
Adults (between 18 and 64 years)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P204
Children (2 - 11 years)
380 Participants371 Participants75 Participants149 Participants0 Participants1004 Participants3011 Participants997 Participants3022 Participants0 Participants6 Participants90 Participants0 Participants9105 Participants
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P204
Infants and toddlers (28 days - 23 months)
0 Participants0 Participants0 Participants0 Participants150 Participants0 Participants0 Participants11 Participants18 Participants669 Participants1989 Participants0 Participants0 Participants2837 Participants
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P301
Adults (between 18 and 64 years)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants296 Participants296 Participants
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P301
Children (2 - 11 years)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
Age Categorical Data for Participants Enrolled in Study mRNA-1273-P301
Infants and toddlers (28 days - 23 months)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P204
Hispanic or Latino
72 Participants69 Participants24 Participants17 Participants15 Participants183 Participants562 Participants142 Participants429 Participants94 Participants257 Participants29 Participants0 Participants1893 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P204
Not Hispanic or Latino
304 Participants296 Participants51 Participants129 Participants133 Participants811 Participants2421 Participants857 Participants2593 Participants568 Participants1719 Participants58 Participants0 Participants9940 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P204
Unknown or Not Reported
4 Participants6 Participants0 Participants3 Participants2 Participants10 Participants28 Participants9 Participants18 Participants7 Participants19 Participants3 Participants0 Participants109 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P301
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants78 Participants78 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P301
Not Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants216 Participants216 Participants
Ethnicity (NIH/OMB)
Ethnicity Data for Participants Enrolled in Study mRNA-1273-P301
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
American Indian or Alaska Native
0 Participants2 Participants0 Participants0 Participants1 Participants3 Participants15 Participants3 Participants11 Participants0 Participants7 Participants2 Participants0 Participants44 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Asian
28 Participants25 Participants8 Participants3 Participants7 Participants100 Participants297 Participants51 Participants191 Participants38 Participants94 Participants2 Participants0 Participants844 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Black or African American
34 Participants13 Participants3 Participants7 Participants3 Participants94 Participants310 Participants38 Participants142 Participants18 Participants62 Participants37 Participants0 Participants761 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Multiple
39 Participants31 Participants3 Participants10 Participants11 Participants98 Participants330 Participants100 Participants324 Participants76 Participants215 Participants0 Participants0 Participants1237 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants4 Participants3 Participants5 Participants0 Participants0 Participants0 Participants0 Participants13 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Not Reported
9 Participants4 Participants0 Participants0 Participants0 Participants10 Participants23 Participants4 Participants13 Participants2 Participants11 Participants1 Participants0 Participants77 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Other
3 Participants10 Participants7 Participants1 Participants3 Participants22 Participants62 Participants16 Participants43 Participants7 Participants33 Participants0 Participants0 Participants207 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
Unknown
0 Participants2 Participants0 Participants0 Participants1 Participants1 Participants10 Participants0 Participants4 Participants1 Participants5 Participants0 Participants0 Participants24 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P204
White
266 Participants284 Participants54 Participants128 Participants124 Participants676 Participants1960 Participants793 Participants2307 Participants527 Participants1568 Participants48 Participants0 Participants8735 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants30 Participants30 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants29 Participants29 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Multiple
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants14 Participants14 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Other
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants8 Participants8 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
Unknown
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race Data for Participants Enrolled in Study mRNA-1273-P301
White
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants207 Participants207 Participants
Sex: Female, Male
Sex Data for Participants Enrolled in Study mRNA-1273-P204
Female
185 Participants199 Participants39 Participants69 Participants67 Participants516 Participants1456 Participants498 Participants1490 Participants341 Participants981 Participants34 Participants0 Participants5875 Participants
Sex: Female, Male
Sex Data for Participants Enrolled in Study mRNA-1273-P204
Male
195 Participants172 Participants36 Participants80 Participants83 Participants488 Participants1555 Participants510 Participants1550 Participants328 Participants1014 Participants56 Participants0 Participants6067 Participants
Sex: Female, Male
Sex Data for Participants Enrolled in Study mRNA-1273-P301
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants153 Participants153 Participants
Sex: Female, Male
Sex Data for Participants Enrolled in Study mRNA-1273-P301
Male
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants143 Participants143 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
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
EG018
affected / at risk
EG019
affected / at risk
EG020
affected / at risk
EG021
affected / at risk
deaths
Total, all-cause mortality
0 / 3800 / 3710 / 690 / 1550 / 1500 / 9950 / 3,0070 / 1,0070 / 3,0310 / 6660 / 1,9940 / 900 / 7010 / 6400 / 4440 / 700 / 2,7660 / 1840 / 2120 / 891 / 2,7710 / 28
other
Total, other adverse events
145 / 380134 / 37130 / 6978 / 155111 / 150100 / 995573 / 3,007356 / 1,0071,341 / 3,031317 / 6661,095 / 1,9949 / 9064 / 70158 / 64062 / 4444 / 70468 / 2,76628 / 18456 / 21220 / 89655 / 2,7714 / 28
serious
Total, serious adverse events
5 / 3803 / 3710 / 690 / 1553 / 1501 / 99522 / 3,0073 / 1,00732 / 3,0317 / 66645 / 1,9941 / 903 / 7018 / 6404 / 4440 / 7012 / 2,7660 / 1841 / 2121 / 8923 / 2,7710 / 28

Outcome results

Primary

Part 3: GM Concentration of Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301

Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.

Time frame: Third Dose-Day 29 P204/Day 57 P301

Population: PP immunogenicity subset (Third Dose Analysis). Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P3014616.6 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P3011400.4 AU/mL
Primary

Part 3: SRR for Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301

Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV were not receiving HAART, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: Third Dose-Day 29 P204/Day 57 P301

Population: PP immunogenicity subset (Third Dose Analysis). Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (NUMBER)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: SRR for Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P30190.0 percentage of participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgPart 3: SRR for Post-third Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P30199.3 percentage of participants
Primary

Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From Study

An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event. AESIs for mRNA-1273 were identified based upon medical concepts that may be related to COVID-19 or were of interest in COVID-19 vaccine safety surveillance. An MAAE is an AE that led to an unscheduled visit to a healthcare practitioner. This included visits to a study site for unscheduled assessments and visits to healthcare practitioners external to the study site. COVID-19/SARS-CoV-2 infections were considered clinical events for efficacy and not AEs. A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each dose group separately.

Time frame: Up to 2 years

Population: Safety Set of Part 1 and Part 3 included all dosed participants and of Part 2 included all randomized participants who received any study injection. Per prespecified analysis, the data for this outcome measure was not collected for participants who received only placebo.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs85 Participants
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs1 Participants
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs1 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs1 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs71 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs1 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs2 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs59 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs16 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs23 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs4 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs17 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs1 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs3 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs10 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs1 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs7 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs2 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs182 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs16 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs901 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation1 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs1 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs3 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs3 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs2 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs137 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs9 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs616 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs7 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs16 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs34 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation1 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs175 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs5 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs5 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs7 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs169 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs3 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs32 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs0 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs80 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs1 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (6-23 Months): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (6-23 Months): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs2 Participants
Part 2 (6-23 Months): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs105 Participants
Part 2 (6-23 Months): PlaceboParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs3 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs22 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs1095 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs19 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation1 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs13 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs32 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs1687 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs13 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation1 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs1237 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs45 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs22 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs1 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs0 Participants
Part 2(6-11 Yrs): PS PBO - mRNA-1273 50 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2(6-11 Yrs): PS PBO - mRNA-1273 50 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs3 Participants
Part 2(6-11 Yrs): PS PBO - mRNA-1273 50 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs221 Participants
Part 2(6-11 Yrs): PS PBO - mRNA-1273 50 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs3 Participants
Part 2 (2-5 Years): PS PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Part 2 (2-5 Years): PS PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs1 Participants
Part 2 (2-5 Years): PS PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs204 Participants
Part 2 (2-5 Years): PS PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs8 Participants
Part 2 (6-23 Months): PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudySAEs4 Participants
Part 2 (6-23 Months): PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAESIs1 Participants
Part 2 (6-23 Months): PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyMAAEs171 Participants
Part 2 (6-23 Months): PBO - mRNA-1273 25 μg (Crossover)Parts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation From StudyAEs Leading to Discontinuation0 Participants
Primary

Parts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)

Solicited ARs were collected in an electronic diary (eDiary). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section.

Time frame: 7 days post-vaccination

Population: Solicited Safety Set: all participants in Safety Set (Safety Set of Part 1 and Part 3 included all dosed participants and of Part 2 included all randomized participants who received any study injection) who contributed any solicited AR data, that is, had at least 1 post-baseline solicited safety assessment. Per prespecified analysis, data for this endpoint was not collected for the mRNA-1273.214 treatment groups.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)216 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)221 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)93 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)24 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)46 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)7 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)36 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)4 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)12 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)358 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)1726 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)30 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)374 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)367 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)62 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)147 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)141 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)823 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)2983 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)797 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)2800 Participants
Part 2 (6-23 Months): PlaceboParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)596 Participants
Part 2 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)1889 Participants
Part 3 (6-11 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)66 Participants
Primary

Parts 1, 2, and 3: Number of Participants With Unsolicited AEs

An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. COVID-19/SARS-CoV-2 infections were considered clinical events for efficacy and not AEs. A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each dose group separately.

Time frame: Up to 28 days post-vaccination

Population: Safety Set of Part 1 and Part 3 included all dosed participants and of Part 2 included all randomized participants who received any study injection. Per prespecified analysis, data for this endpoint was not collected for the mRNA-1273.214 and placebo only treatment groups.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs38 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs20 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs24 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs8 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs4 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs1 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs8 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs1 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs5 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs33 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgParts 1, 2, and 3: Number of Participants With Unsolicited AEs196 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs106 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs92 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs15 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs51 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs75 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs785 Participants
Part 2 (6-11 Years): PlaceboParts 1, 2, and 3: Number of Participants With Unsolicited AEs1087 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgParts 1, 2, and 3: Number of Participants With Unsolicited AEs883 Participants
Part 2 (2-5 Years): PlaceboParts 1, 2, and 3: Number of Participants With Unsolicited AEs17 Participants
Primary

Parts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P301

Antibody values reported as below lower limit of quantification (LLOQ) were replaced by 0.5\*LLOQ and values greater than upper limit of quantification (ULOQ) were replaced by ULOQ if actual values were not available. LLOQ was 18.5 arbitrary units (AU)/milliliter (mL) and ULOQ was 45118 AU/mL for ID50 titer. Per-Protocol (PP) Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative reverse transcriptase polymerase chain reaction (RT-PCR) test for SARS-CoV-2 and negative serology test based on binding antibody (bAb) specific to SARS-CoV-2 nucleocapsid protein at baseline, not receiving highly active antiretroviral therapy (HAART) for participants with HIV; and had no major protocol deviations that impacted key or critical data.

Time frame: Day 57 P204/Day 57 P301

Population: PP immunogenicity subset. Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint. As planned, Part 1 immunogenicity assessment did not serve as formal noninferiority hypothesis testing. It was intended to guide the dose selection only.

ArmMeasureValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011012.5 titer
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011845.9 titer
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011782.6 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011669.1 titer
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011890.2 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011618.3 titer
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: Geometric Mean (GM) Value of Serum Pseudovirus Neutralizing Antibody ID50 Titers From Study mRNA-1273-P204 (P204) Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years) Vaccine Recipients (Day 57) in Study P3011321.9 titer
95% CI: [1.061, 1.413]
Primary

Parts 1 and 2: GM Concentration of Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years of Age) Vaccine Recipients in Study P301

Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: BD-Day 29 P204/Day 57 P301

Population: PP immunogenicity subset (Booster Dose Analysis). Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = Pre-booster SARS-CoV-2 negative participants evaluable for this endpoint. 'Part 1 6-23 months group' and 'Part 1 2-5 years group' combined for noninferiority hypothesis testing. 'Part 1 and Part 2 groups of 6-11 years' combined for noninferiority hypothesis testing.

ArmMeasureValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years of Age) Vaccine Recipients in Study P3011400.4 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years of Age) Vaccine Recipients in Study P3015457.2 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 in Study P204 Compared With Post-primary Series (Post-Dose 2) in Young Adult (18 to 25 Years of Age) Vaccine Recipients in Study P3015575.9 AU/mL
95% CI: [3.158, 4.808]
95% CI: [3.404, 4.657]
Primary

Parts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301

Percentage of participants with seroresponse for pseudovirus neutralizing antibody ID50 are reported. Seroresponse: change from below LLOQ to equal above 4\*LLOQ, or at least a 4-fold rise if baseline is ≥LLOQ. LLOQ=18.5 AU/mL and ULOQ=45118 AU/mL for ID50 titer. PP Immunogenicity Subset: all enrolled participants who received planned doses of study vaccine, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 at baseline, not receiving HAART; and had no major protocol deviations that impacted key/critical data. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.

Time frame: Day 57 P204/Day 57 P301

Population: PP immunogenicity subset. Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint. As planned, Part 1 immunogenicity assessment did not serve as formal noninferiority hypothesis testing. It was intended to guide the dose selection only.

ArmMeasureValue (NUMBER)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30199.5 percentage of participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301100 percentage of participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301100 percentage of participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301100 percentage of participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301100 percentage of participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30199.0 percentage of participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: Seroresponse Rate (SRR) For Serum Pseudovirus Neutralizing Antibody ID50 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30199.3 percentage of participants
95% CI: [-2.2, 1.6]
Primary

Parts 1 and 2: SRR for Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301

Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: BD-Day 29 P204/Day 57 P301

Population: PP immunogenicity subset (Booster Dose Analysis). Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = Pre-booster SARS-CoV-2 negative participants evaluable for this endpoint.

ArmMeasureValue (NUMBER)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: SRR for Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P30199.3 percentage of participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: SRR for Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301100 percentage of participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: SRR for Post-booster Dose Serum Pseudovirus Neutralizing Antibody VAC62 From Baseline (Pre-Dose 1) Compared With Post-primary Series (Post-Dose 2) From Baseline (Pre-Dose 1) in Young Adult (18 to 25 Years) Vaccine Recipients in Study P301100 percentage of participants
95% CI: [-4.4, 2.4]
95% CI: [-2.2, 2.4]
Primary

Parts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301

Antibody values reported as below LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key/critical data. Since the number of participants enrolled in Part 3 was substantially smaller than the planned sample size required for immunogenicity hypothesis testing after Dose 2 of mRNA-1273 25 μg primary series and after a 3rd dose of mRNA-1273 25 μg, the hypothesis testing was not performed.

Time frame: Day 57 P204/Day 57 P301

Population: PP immunogenicity subset. Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P3011394.1 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P3011759.8 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P3014368.6 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P3011400.4 AU/mL
95% CI: [0.87, 1.139]
95% CI: [1.101, 1.434]
Primary

Parts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301

Percentage of participants with seroresponse for Pseudovirus Neutralizing Antibody VAC62 are reported. Seroresponse was defined as a change from below the LLOQ to equal above 4 \* LLOQ, or at least a 4-fold rise if baseline is equal to or above the LLOQ. LLOQ was 10 and ULOQ AU/mL was 111433 AU/mL. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.

Time frame: Day 57 P204/Day 57 P301

Population: PP immunogenicity subset. Study P301 mRNA-1273 100 μg: PPIS of randomly selected participants from study P301 aged 18-25 meeting pre-specified criteria. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (NUMBER)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30198.9 percentage of participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P301100 percentage of participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30188.5 percentage of participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: SRR For Serum Pseudovirus Neutralizing Antibody VAC62 From Study P204 Vaccine Recipients at Day 57 Compared With Those From Young Adult (18 to 25 Years of Age) Vaccine Recipients (Day 57) in Study P30199.3 percentage of participants
95% CI: [-2.5, 1.5]
95% CI: [-0.8, 2.4]
Secondary

Part 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)

Asymptomatic SARS-CoV-2 infection was identified by absence of symptoms and infections as detected by RT-PCR or serology tests: Absence of COVID-19 symptoms AND at least 1 from following: bAb level against SARS-CoV-2 nucleocapsid protein negative at Day 1 that became positive post-baseline, OR positive RT-PCR test post-baseline. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.

Time frame: 14 days after second injection

Population: PP set for efficacy. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)10 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)10 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)55 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)124 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)21 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgPart 2: Number of Participants With Asymptomatic SARS-CoV-2 Infection, Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein (by Roche Elecsys)70 Participants
95% CI: [0.151, 0.882]
95% CI: [-0.007, 0.48]
95% CI: [-0.832, 0.352]
Secondary

Part 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)

A COVID-19 case was identified as a positive post-baseline RT-PCR test result together with at least 1 of following systemic symptoms: fever (≥ 38 degrees Celsius \[°C\]/≥ 100.4 degree Fahrenheit \[°F\]) or chills, fatigue, headache, myalgia, nasal congestion or rhinorrhea, new loss of taste or smell, sore throat, abdominal pain, diarrhoea, nausea/vomiting, poor appetite/poor feeding; or at least 1 of following respiratory signs/symptoms: cough, shortness of breath or difficulty breathing. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.

Time frame: 14 days after second injection

Population: PP set for efficacy.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)4 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)3 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)125 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)207 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)73 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgPart 2: Number of Participants With Occurrence of COVID-19 (Per US Centers for Disease Control and Prevention [CDC] Case Definition of COVID-19)130 Participants
95% CI: [-0.416, 0.965]
95% CI: [0.328, 0.574]
95% CI: [0.232, 0.576]
Secondary

Part 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)

SARS-CoV-2 infection was defined in participants with negative SARS-CoV-2 at baseline: bAb level against SARS-CoV-2 nucleocapsid protein negative at Day 1, that became positive (as measured by Roche Elecsys) postbaseline; OR positive RT-PCR postbaseline. PP Set for Efficacy included all enrolled participants who received planned doses of study drug per schedule, complied with the 2nd injection timing, had no major protocol deviations that impacted key or critical efficacy data, and had a negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline.

Time frame: 14 days after second injection

Population: PP set for efficacy. 'Overall number of participants analyzed' = participants evaluable for this endpoint.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)14 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)13 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)178 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)330 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)94 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgPart 2: Number of Participants With SARS-CoV-2 Infection Including Symptomatic and Asymptomatic Infection (by Serology and/or RT-PCR)198 Participants
95% CI: [0.325, 0.873]
95% CI: [0.287, 0.509]
95% CI: [0.127, 0.474]
Secondary

Part 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181

Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, not receiving HAART in participants with HIV, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: Baseline (Pre-Dose 1), Day 57 (1 month after Dose 2), Third Dose-Day 1 (at least 3 months or 6 months after Dose 2), Third Dose-Day 29 (1 month after third dose), and Third Dose-Day 181 (6 months after third dose)

Population: PP immunogenicity subset (Third Dose Analysis). 'Overall number of participants analyzed' = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Baseline120.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Day 573775.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Third Dose-Day 11839.1 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Third Dose-Day 294616.6 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Concentration of Post-third Dose SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Third Dose-Day 1, Third Dose-Day 29, and Third Dose-Day 181Third Dose-Day 1811432.5 AU/mL
Secondary

Part 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181

GM level of SARSCOV2S2P IgG antibody against B.1.1.529 strain is reported. Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 102 and ULOQ was 1180000 AU/mL for VAC123. PP Immunogenicity Subset (Third Dose Analysis): all enrolled participants who received first 2 doses of planned doses of mRNA-1273 vaccination in Part 3 open-label phase per schedule, received third dose in Third Dose Analysis, participants with HIV were not receiving HAART, had BD-Day 29 antibody assessment for the analysis endpoint, had no major protocol deviations that impact key or critical data, and had not receive off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181

Population: PP immunogenicity subset (Third Dose Analysis). 'Overall number of participants analyzed = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Baseline (Pre-dose 1)4659.5 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Day 57141758.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Third Dose-Day 148176.2 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Third Dose-Day 2993436.4 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgPart 3: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Third Dose-Day 1, Third Dose-Day 29, Third Dose-Day 181Third Dose-Day 18140271.7 AU/mL
Secondary

Parts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29

Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 vaccination in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline (pre-dose 1 of mRNA-1273), had BD-Day 29 Ab assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not received off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: Baseline (Pre-Dose 1), Day 57 (1 month after Dose 2), Day 209 (6 months after Dose 2), BD-Day 1 (Pre-booster), and BD-Day 29 (1 month after booster dose or third dose)

Population: PP immunogenicity subset (Booster Dose Analysis). 'Overall number of participants analyzed' = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 1558.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 571557.1 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 296474.7 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 209448.6 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline9.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 209544.5 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 1447.2 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 295778.7 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 571275.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline12.8 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 209790.7 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline7.8 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 571718.7 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 1795.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 295805.4 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 1627.9 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 571503.3 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline9.3 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29Day 209530.3 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Concentration of Post-booster SARS-CoV-2-specific Neutralizing Antibody VAC62 on Baseline, Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 296991.6 AU/mL
Secondary

Parts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29

GM level of SARSCOV2S2P IgG antibody VAC123/VAC72 is reported. Antibody values reported as \<LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 23 and ULOQ was 14000000 AU/mL for VAC72. LLOQ was 69 and ULOQ was 14400000 AU/mL for VAC123. PP Immunogenicity Subset (Booster Dose Analysis): all enrolled participants who received 2 doses of planned doses of mRNA-1273 in Part 1 open-label phase or Part 2 blinded phase per schedule, received booster dose in Booster Dose Analysis, , not receiving HAART in participants with HIV, had a negative SARS-CoV-2 status at baseline, had BD-Day 29 antibody assessment for the analysis endpoint, no major protocol deviations that impacted key or critical data, and had not receive off-study COVID-19 vaccination prior to BD-Day 29 visit.

Time frame: Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1 (Pre-booster), BD-Day 29 (1 month after booster dose)

Population: PP immunogenicity subset (Booster Dose Analysis). Overall number of participants analyzed = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 57302128.3 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline50.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 20974516.9 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 29633999.7 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 166677.7 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 20966516.5 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline37.5 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 57279427.6 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 168322.4 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 29675348.1 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 20971427.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline34.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 29536478.9 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 150621.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 57241874.9 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 186416.4 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 20985360.1 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Baseline51.9 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29BD-Day 29520973.0 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of SARS-CoV-2 S Protein-specific bAb, as Measured by MSD ECL Multiplex Assay on Baseline (Pre-dose 1), Day 57, Day 209, BD-Day 1, and BD-Day 29Day 57336189.6 AU/mL
Secondary

Parts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57

GM level of SARSCOV2S2P immunoglobulin G (IgG) antibody VAC123/VAC72, as measured by ECL multiplex assay specific to SARS-CoV-2 spike protein is reported. Antibody values reported as \<LLOQ were replaced by 0.5\*LLOQ and values \>ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 23 AU/mL and ULOQ was 14000000 AU/mL for VAC72. LLOQ was 69 AU/mL and ULOQ was 14400000 AU/mL for VAC123. PP Immunogenicity Subset: all enrolled participants who received planned doses of study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 protein at baseline, not receiving HAART in participants with HIV; and had no major protocol deviations.

Time frame: Day 1, Day 57 (1 month after Dose 2)

Population: PP immunogenicity subset. Overall number of participants analyzed= participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)35.6 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57325784.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)49.1 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57457349.2 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)15.8 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57261952.0 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)33.7 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57417419.8 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)14.6 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57297561.7 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)32.6 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57293118.9 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57235059.2 AU/mL
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)24.5 AU/mL
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Baseline (Day 1)22.0 AU/mL
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Level of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) S Protein-specific Binding Antibody (bAb), as Measured by MesoScale Discovery (MSD) Electrochemiluminescence (ECL) Multiplex Assay on Days 1 and 57Day 57293955.4 AU/mL
Secondary

Parts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57

Antibody values reported as below LLOQ were replaced by 0.5\*LLOQ and values greater than ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 18.5 AU/mL and ULOQ was 45118 AU/mL for ID50 titer. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.

Time frame: Day 1 and Day 57 (1 month after Dose 2)

Population: PP immunogenicity subset. 'Overall number of participants analyzed' = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.3 titer
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571669.1 titer
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.6 titer
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571890.2 titer
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.3 titer
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571012.5 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.3 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571845.9 titer
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.6 titer
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571782.6 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 19.3 titer
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgParts 1 and 2: GM Value of SARS-CoV-2-specific Neutralizing Antibody ID50 Titers on Day 1 and Day 57Day 571618.3 titer
Secondary

Parts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57

Antibody values reported as below the LLOQ were replaced by 0.5\*LLOQ and values greater than the ULOQ were replaced by ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL. Data are reported per Baseline SARS-CoV-2 status: Negative and Positive. PP Immunogenicity Subset: all enrolled participants who received planned doses of the study vaccine per schedule, had baseline SARS-CoV-2 status, had baseline and Day 57 antibody assessment for analysis endpoint, complied with immunogenicity window based on 2nd injection timing; had negative RT-PCR test for SARS-CoV-2 and negative serology test based on bAb specific to SARS-CoV-2 nucleocapsid protein at baseline in Part 2, not receiving HAART in participants with HIV; and had no major protocol deviations that impacted key or critical data.

Time frame: Day 1 and Day 57 (1 month after Dose 2)

Population: PP immunogenicity subset. 'Overall number of participants analyzed' = participants evaluable for this endpoint. Number analyzed = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Negative): Day 17.9 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2(Negative): Day 571398.1 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 577430.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 1175.3 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Negative): Day 18.0 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 1199.9 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2(Negative): Day 571760.8 AU/mL
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 5710411.6 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2(Negative): Day 572140.6 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Negative): Day 121.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 1177.5 AU/mL
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgParts 2 and 3: GM Concentration of SARS-CoV-2-specific Neutralizing Antibody VAC62 on Day 1 and Day 57Baseline SARS-CoV-2 (Positive): Day 574592.9 AU/mL
Other Pre-specified

Number of Deaths Related to Study Drug

A death that occurred during the study or that came to the attention of the investigator during the study was reported to the Sponsor, whether or not it was considered related to study drug. The investigator assessed causality (that is, whether there is a reasonable possibility that the study drug caused the death). The relationship was characterized using the following classifications: Not related: There was not a reasonable possibility of a relationship to the study drug. The temporal sequence of the death relative to administration of the study drug was not reasonable AND/OR the death was more likely explained by a cause other than the study drug. Related: There was a reasonable possibility of a relationship to the study drug. There was evidence of exposure to the study drug. The temporal sequence of the death relative to the administration of the study drug was reasonable. The death was more likely explained by the study drug than by another cause.

Time frame: Up to 2 years

Population: Safety Set of Part 1 and Part 3 included all dosed participants and of Part 2 included all randomized participants who received any study injection. Data are reported by study part and by age categories of 6-11 years and 6 months-5 years.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-11 Years): PS mRNA-1273 50 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-11 Years): PS mRNA-1273 100 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (6-23 Months): PS mRNA-1273 25 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 10 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): PS mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): PS mRNA-1273 50 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6 Months-5 Yrs): PS PBO - mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6 Months-5 Years): PS mRNA-1273 25 μg - BD 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2(6-11 Yrs): PS Placebo - mRNA-1273 50 μg - BD 1273 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6-11 Years): PS mRNA-1273 50 μg - BD 1273 25 μgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 3 (6-11 Years): BD mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-11 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-11 Years): mRNA-1273 100 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (2-5 Years): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (2-5 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 1 (6-23 Months): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6-11 Years): PlaceboNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6-11 Years): PlaceboNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6-11 Years): mRNA-1273 50 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (2-5 Years): PlaceboNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (2-5 Years): PlaceboNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths1 Participants
Part 2 (2-5 Years): mRNA-1273 25 µgNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants
Part 2 (6-23 Months): PlaceboNumber of Deaths Related to Study DrugDeaths0 Participants
Part 2 (6-23 Months): PlaceboNumber of Deaths Related to Study DrugDeaths related to study drug0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026