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A Study to Evaluate the Safety, Tolerability, and Immunogenicity of Combined Modified RNA Vaccine Candidates Against COVID-19 and Influenza

A PHASE 1/2 STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF COMBINED MODIFIED RNA VACCINE CANDIDATES AGAINST COVID-19 AND INFLUENZA IN HEALTHY INDIVIDUALS

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05596734
Enrollment
1019
Registered
2022-10-27
Start date
2022-10-28
Completion date
2023-12-28
Last updated
2025-07-23

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

Conditions

Influenza, Human, COVID-19

Keywords

SARS-Cov-2, COVID-19, Influenza, Grippe, Flu, Vaccine, RNA vaccine

Brief summary

Substudy A: This is a Phase 1 randomized, open-label study to describe the safety and immunogenicity of up to 3 dose- level combinations of modRNA quadrivalent influenza vaccine (qIRV (22/23)) and bivalent BNT162b2 (original/Omi BA.4/BA.5). Participants will receive either: * qIRV (22/23)/bivalent BNT162b2 (original/Omi BA.4/BA.5), at 1 of the 3 dose-level combinations * qIRV (22/23) at dose level 1, * qIRV (22/23) at dose level 2, or * bivalent BNT162b2 (original/Omi BA.4/BA.5) at dose level 1 administered concurrently in the opposite arm to commercially licensed quadrivalent influenza vaccine (QIV). Substudy B: This Phase 1/2 study will describe the safety, tolerability, and immunogenicity of quadrivalent influenza vaccine (qIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), trivalent influenza vaccine (tIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), and bivalent influenza vaccine (bIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5) when given concurrently with licensed quadrivalent influenza vaccine (QIV).

Interventions

Intramuscular injection

BIOLOGICALqIRV (22/23)

Intramuscular injection

BIOLOGICALQIV

Intramuscular injection

BIOLOGICALbIRV

Intramuscular injection

BIOLOGICALtIRV

Intramuscular injection

Sponsors

Pfizer
CollaboratorINDUSTRY
BioNTech SE
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Masking description

Substudy A: Open-label unblinded. Substudy B: Participants are blinded to their assigned study intervention.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

SSA: Inclusion Criteria: * Male or female participants 18 years of age and older * Participants who are willing and able to comply with all scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures. * Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study. * Capable of giving signed informed consent as described in the protocol. * For participants 18 through 64 years of age: participants who have received 3 prior doses of 30 µg BNT162b2, with the last dose being 150 to 365 days before Visit 1 (Day 1). * For participants 65 years of age and older: participants who have received 4 or 5 prior doses of a modRNA SARS-CoV-2 vaccine, with the last dose being a bivalent vaccine, 120 days to 365 days before Visit 1 (Day 1). * For Participants 65 years of age and older: receipt of licensed influenza vaccination for the 2022-2023 northern hemisphere season 120 days or more before study intervention administration. SSA:

Exclusion criteria

* History of severe adverse reaction associated with any vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). * Immunocompromised individuals with known or suspected immunodeficiency. * Bleeding diathesis or condition associated with prolonged bleeding. * Women who are pregnant or breastfeeding. * Allergy to egg proteins (egg or egg products) or chicken proteins. * Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. * Receipt of chronic systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids), or radiotherapy, within 60 days before enrollment through conclusion of the study. * Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study. * For participants 18 through 64 years of age: vaccination with any investigational or licensed influenza vaccine within 6 months (175 days) before study intervention administration. * Participation in other studies involving a study intervention within 28 days before randomization. Anticipated participation in other studies within 28 days after receipt of study intervention in this study. * Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members. * Participation in strenuous or endurance exercise through Visit 3 of the study. * Prior history of heart disease. * Any abnormal screening troponin I laboratory value. * Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results. SSB: Inclusion Criteria * Male or female participants 18 years of age and older * Participants who are willing and able to comply with all scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures. * Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study. * Capable of giving signed informed consent as described in the protocol. * Participants who have received at least 3 prior US-authorized mRNA COVID-19 vaccines, with the last dose being an updated (bivalent) vaccine given at least 150 days before Day 1. SSB:

Design outcomes

Primary

MeasureTime frameDescription
SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)SSA: From Day 1 to Day 7 after VaccinationLocal reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 centimeter (cm). Redness and swelling were graded as mild (Grade 1): greater than (\>) 2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.
SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)SSA: From Day 1 to Day 7 after VaccinationLocal reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): \>2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.
SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)SSA: From Day 1 to Day 7 after VaccinationSystemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as\>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h.Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.
SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)SSA: From Day 1 to Day 7 after VaccinationSystemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as\>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h.Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.
SSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)SSA: From Vaccination on Day 1 through 4 Weeks after VaccinationAn adverse event (AE) was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
SSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)SSA: From Vaccination on Day 1 through 4 Weeks after VaccinationAn AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
SSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)SSA: From Vaccination on Day 1 through 6 Months after VaccinationAn SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.
SSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)SSA: From Vaccination on Day 1 through 6 Months after VaccinationAn SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.
SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)SSA: 2 Days after VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)SSA: 2 Days after VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)SSA: 1 Week After VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)SSA: 1 Week After VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)SSA: 2 Days after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)SSA: 2 Days after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)SSA: 1 Week after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)SSA: 1 Week after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)SSB: 2 Days after VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)SSB: 1 Week after VaccinationAn abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.
SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)SSB: 2 Days after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)SSB: 1 Week after VaccinationAn ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.
SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)SSB: From Day 1 to Day 7 after VaccinationLocal reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): \>2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.
SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)SSB: From Day 1 to Day 7 after VaccinationSystemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as \>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h. Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.
SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)SSB: From Vaccination on Day 1 through 4 Weeks after VaccinationAn AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)SSB: From Vaccination on Day 1 through 6 Months after VaccinationAn SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

Secondary

MeasureTime frameDescription
SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSA: Before Vaccination and 4 Weeks after VaccinationGMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the lower limit of quantitation (LLOQ) were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)SSB: 4 Weeks after VaccinationSeroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.
SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)SSA: Before Vaccination and 4 Weeks after VaccinationGMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)SSA: Before Vaccination to 4 Weeks after VaccinationGMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)SSA: Before Vaccination to 4 Weeks after VaccinationGMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)SSA: 4 Weeks after VaccinationSeroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)SSA: 4 Weeks after VaccinationSeroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSA: Before Vaccination and at 4 Weeks after VaccinationPercentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)SSA: Before Vaccination and at 4 Weeks After VaccinationPercentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.
SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)SSA: 4 Weeks after VaccinationSeroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).
SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)SSA: 4 Weeks after VaccinationSeroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).
SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)SSA: 4 Weeks after VaccinationPercentage of participants achieving HAI titers \>= 1:40 for each strain at 4 weeks after last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).
SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)SSA: 4 Weeks after VaccinationPercentage of participants achieving HAI titers \>= 1:40 for each strain at 4 weeks after last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).
SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSA: Before Vaccination and 4 Weeks after VaccinationGMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination were reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.
SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)SSA: Before Vaccination and 4 Weeks after VaccinationGMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination was reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.
SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)SSA: Before Vaccination to 4 Weeks after VaccinationGMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.
SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)SSA: Before Vaccination to 4 Weeks after VaccinationGMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.
SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)SSA: 4 Weeks after VaccinationSeroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.
SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)SSA:4 Weeks after VaccinationSeroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.
SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSB: Before Vaccination and 4 Weeks after VaccinationGMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.
SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)SSB: Before Vaccination to 4 Weeks after VaccinationGMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.
SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)SSB: 4 Weeks after VaccinationSeroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria,
SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSB: Before Vaccination and at 4 Weeks after VaccinationPercentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.
SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SSB: Before Vaccination and at 4 Weeks after VaccinationGMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination was reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.
SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)SSB: 4 Weeks after VaccinationGMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Countries

United States

Participant flow

Recruitment details

There were 2 sub studies: Sub study A and Sub study B. A total of 1019 participants were enrolled, out of which 1009 participants were vaccinated (sub study A: 377 and sub study B: 632).

Pre-assignment details

Interventions administered: quadrivalent influenza modRNA vaccine (qIRV), trivalent influenza modRNA vaccine (tIRV), Bivalent BNT162b2 (Original/Omi BA.4/BA.5) and quadrivalent influenza vaccine (QIV).

Participants by arm

ArmCount
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 1- 90 mcg) (original/OMI BA.4/BA.5) intramuscularly on Day 1.
30
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcg
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 60 mcg (original/OMI BA.4/BA.5) intramuscularly on Day 1.
28
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 2- 90 mcg) (original/OMI BA.4/BA.5) intramuscularly on Day 1.
30
Substudy A, 18-64 Years: qIRV 30 mcg
Participants aged 18-64 years were administered qIRV 30 mcg intramuscularly on Day 1.
30
Substudy A, 18-64 Years: qIRV 60 mcg
Participants aged 18-64 years were administered qIRV 60 mcg intramuscularly on Day 1.
30
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIV
Participants aged 18-64 years were administered Bivalent BNT162b2 30 mcg (Original/OMI BA.4/BA.5) and concurrent administration of licensed QIV in opposite arm intramuscularly on Day 1. Dose strength for licensed QIV was not disclosed as it acted as comparator and was administered per local regulations.
32
Substudy A, >=65 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)
Participants aged greater than or equal to (\>=) 65 years were administered qIRV and Bivalent BNT162b2 (Combination 1- 90 mcg) (original/OMI BA.4/BA.5) intramuscularly on Day 1.
33
Substudy A, >=65 Years: qIRV /Bivalent BNT162b2 (60 mcg)
Participants aged \>=65 years were administered qIRV and Bivalent BNT162b2 60 mcg (original/OMI BA.4/BA.5) intramuscularly on Day 1.
32
Substudy A, >=65 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)
Participants aged \>=65 years were administered qIRV and Bivalent BNT162b2 (Combination 2- 90 mcg) (original/OMI BA.4/BA.5) intramuscularly on Day 1.
33
Substudy A, >=65 Years: qIRV 30 mcg
Participants aged \>=65 years were administered qIRV 30 mcg intramuscularly on Day 1.
33
Substudy A, >=65 Years: qIRV 60 mcg
Participants aged \>=65 years were administered qIRV 60 mcg intramuscularly on Day 1.
33
Substudy A, >=65 Years: Bivalent BNT162b2 (30 mcg) /QIV
Participants aged \>=65 years were administered Bivalent BNT162b2 30 mcg (Original/OMI BA.4/BA.5) and concurrent administration of licensed QIV in opposite arm intramuscularly on Day 1. Dose strength for licensed QIV was not disclosed as it acted as comparator and was administered per local regulations.
33
Substudy B, 18-64 Years: QIV and Bivalent BNT162b2 (30 mcg)
Participants aged 18-64 years were administered bivalent BNT162b2 30 mcg (Original/OMI BA.4/BA.5) and licensed QIV concurrently in opposite arm intramuscularly on Day 1. Dose strength for licensed QIV was not disclosed as it acted as comparator and was administered per local regulations.
29
Substudy B, 18-64 Years: QIV and bIRV /Bivalent BNT162b2 (45mcg)
Participants aged 18-64 years were administered bIRV and Bivalent BNT162b2 45 mcg (OMI BA.4/BA.5) and licensed QIV concurrently in opposite arm intramuscularly on Day 1. Dose strength for licensed QIV was not disclosed as it acted as comparator and was administered per local regulations.
32
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 1- 90 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
124
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 2- 90 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
122
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 1)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 1- 60 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
114
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (75 mcg)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 75 mcg (OMI BA.4/BA.5) intramuscularly on Day 1.
31
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 3- 90 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
30
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 2- 60 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
33
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 4- 90 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
30
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)
Participants aged 18-64 years were administered qIRV and Bivalent BNT162b2 (Combination 3- 60 mcg) (OMI BA.4/BA.5) intramuscularly on Day 1.
26
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)
Participants aged 18-64 years were administered tIRV and Bivalent BNT162b2 75 mcg (OMI BA.4/BA.5) intramuscularly on Day 1.
32
Substudy B, 18-64 Years: qIRV (30 mcg)
Participants aged 18-64 years were administered qIRV 30 mcg intramuscularly on Day 1.
29
Total1,009

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017FG018FG019FG020FG021FG022FG023
Substudy ALost to Follow-up101000000000000000000000
Substudy AWithdrawal by Subject100000100000000000000000
Substudy BLost to Follow-up000000000000101100000000
Substudy BPhysician Decision000000000000000100000000
Substudy BWithdrawal by Subject000000000000101221200001

Baseline characteristics

CharacteristicSubstudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSubstudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)Substudy A, 18-64 Years: qIRV 30 mcgSubstudy A, 18-64 Years: qIRV 60 mcgSubstudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSubstudy A, >=65 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)Substudy A, >=65 Years: qIRV /Bivalent BNT162b2 (60 mcg)Substudy A, >=65 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)Substudy A, >=65 Years: qIRV 30 mcgSubstudy A, >=65 Years: qIRV 60 mcgSubstudy A, >=65 Years: Bivalent BNT162b2 (30 mcg) /QIVSubstudy B, 18-64 Years: QIV and Bivalent BNT162b2 (30 mcg)Substudy B, 18-64 Years: QIV and bIRV /Bivalent BNT162b2 (45mcg)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 1)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (75 mcg)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)Substudy B, 18-64 Years: qIRV (30 mcg)Total
Age, Continuous46.1 Years
STANDARD_DEVIATION 11.68
44.4 Years
STANDARD_DEVIATION 12.75
43.1 Years
STANDARD_DEVIATION 12.45
42.9 Years
STANDARD_DEVIATION 10.53
46.2 Years
STANDARD_DEVIATION 11.78
40.5 Years
STANDARD_DEVIATION 12.7
71.5 Years
STANDARD_DEVIATION 5.33
71.2 Years
STANDARD_DEVIATION 5.53
71.4 Years
STANDARD_DEVIATION 4.32
70.8 Years
STANDARD_DEVIATION 4.27
71.6 Years
STANDARD_DEVIATION 4.55
71.7 Years
STANDARD_DEVIATION 4.67
40.9 Years
STANDARD_DEVIATION 11.99
44.1 Years
STANDARD_DEVIATION 12.86
46.4 Years
STANDARD_DEVIATION 12.13
45.9 Years
STANDARD_DEVIATION 12.56
44.9 Years
STANDARD_DEVIATION 14.25
47.0 Years
STANDARD_DEVIATION 11.64
48.6 Years
STANDARD_DEVIATION 10.17
47.1 Years
STANDARD_DEVIATION 11.79
47.9 Years
STANDARD_DEVIATION 9.75
46.9 Years
STANDARD_DEVIATION 12.96
46.0 Years
STANDARD_DEVIATION 11.93
47.1 Years
STANDARD_DEVIATION 12.94
58.2 Years
STANDARD_DEVIATION 16.43
Ethnicity (NIH/OMB)
Hispanic or Latino
25 Participants22 Participants22 Participants23 Participants24 Participants26 Participants3 Participants8 Participants9 Participants7 Participants9 Participants15 Participants18 Participants18 Participants47 Participants42 Participants47 Participants11 Participants8 Participants10 Participants9 Participants8 Participants12 Participants9 Participants432 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants6 Participants8 Participants7 Participants6 Participants6 Participants27 Participants24 Participants24 Participants24 Participants24 Participants18 Participants11 Participants14 Participants77 Participants79 Participants67 Participants20 Participants22 Participants23 Participants21 Participants18 Participants20 Participants20 Participants571 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Asian
2 Participants0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants2 Participants0 Participants0 Participants1 Participants1 Participants11 Participants8 Participants5 Participants2 Participants2 Participants2 Participants4 Participants3 Participants2 Participants3 Participants51 Participants
Race (NIH/OMB)
Black or African American
4 Participants1 Participants5 Participants1 Participants3 Participants5 Participants1 Participants1 Participants0 Participants5 Participants2 Participants1 Participants3 Participants8 Participants12 Participants6 Participants12 Participants0 Participants5 Participants6 Participants7 Participants7 Participants5 Participants3 Participants103 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants3 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants6 Participants
Race (NIH/OMB)
White
24 Participants27 Participants24 Participants29 Participants25 Participants27 Participants32 Participants30 Participants33 Participants26 Participants30 Participants32 Participants24 Participants23 Participants100 Participants104 Participants95 Participants28 Participants22 Participants24 Participants19 Participants14 Participants25 Participants22 Participants839 Participants
Sex: Female, Male
Female
15 Participants15 Participants18 Participants16 Participants15 Participants17 Participants19 Participants13 Participants20 Participants13 Participants15 Participants19 Participants16 Participants20 Participants84 Participants74 Participants59 Participants19 Participants23 Participants20 Participants18 Participants16 Participants22 Participants13 Participants579 Participants
Sex: Female, Male
Male
15 Participants13 Participants12 Participants14 Participants15 Participants15 Participants14 Participants19 Participants13 Participants20 Participants18 Participants14 Participants13 Participants12 Participants40 Participants48 Participants55 Participants12 Participants7 Participants13 Participants12 Participants10 Participants10 Participants16 Participants430 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
EG022
affected / at risk
EG023
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 280 / 300 / 300 / 300 / 320 / 330 / 320 / 330 / 330 / 330 / 330 / 290 / 320 / 1240 / 1220 / 1140 / 310 / 300 / 330 / 300 / 260 / 320 / 29
other
Total, other adverse events
26 / 3027 / 2824 / 3022 / 3024 / 3027 / 3231 / 3322 / 3229 / 3325 / 3327 / 3320 / 3319 / 2923 / 32107 / 124104 / 12295 / 11426 / 3127 / 3029 / 3323 / 3020 / 2624 / 3220 / 29
serious
Total, serious adverse events
0 / 301 / 280 / 300 / 300 / 301 / 320 / 330 / 320 / 332 / 330 / 330 / 330 / 290 / 320 / 1240 / 1220 / 1141 / 310 / 300 / 330 / 300 / 260 / 320 / 29

Outcome results

Primary

SSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)

An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.

Time frame: SSA: From Vaccination on Day 1 through 4 Weeks after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)24.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)9.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)6.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)6.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)9.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Reporting Adverse Events From Vaccination Through 4 Weeks After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)

An adverse event (AE) was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.

Time frame: SSA: From Vaccination on Day 1 through 4 Weeks after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)3.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)10.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)3.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)6.7 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18-64 Years)3.1 Percentage of participants
Primary

SSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)

An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

Time frame: SSA: From Vaccination on Day 1 through 6 Months after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)6.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)

An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

Time frame: SSA: From Vaccination on Day 1 through 6 Months after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)3.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Reporting Serious Adverse Events (SAEs) From Vaccination Through 6 Months After Vaccination (18-64 Years)3.1 Percentage of participants
Primary

SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSA: 1 Week After Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)3.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSA: 1 Week After Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSA: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSA: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment to which they were received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)

Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 centimeter (cm). Redness and swelling were graded as mild (Grade 1): greater than (\>) 2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.

Time frame: SSA: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)83.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)89.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)80.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)63.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)73.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18-64 Years)71.9 Percentage of participants
Primary

SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)

Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): \>2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.

Time frame: SSA: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)84.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)53.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)84.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)63.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)72.7 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (>=65 Years)51.5 Percentage of participants
Primary

SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSA: 1 Week after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18-64 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSA: 1 Week after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSA: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (>=65 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSA: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination (18-64 Years)0 Percentage of participants
Primary

SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)

Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as\>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h.Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.

Time frame: SSA: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)76.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)78.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)70.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)53.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)63.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18-64 Years)68.8 Percentage of participants
Primary

SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)

Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as\>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h.Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.

Time frame: SSA: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)72.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)50.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)69.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)45.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)60.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (>=65 Years)45.5 Percentage of participants
Primary

SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)

An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious AEs. An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event. Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.

Time frame: SSB: From Vaccination on Day 1 through 4 Weeks after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)3.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)4.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)6.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)6.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)9.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)6.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)6.1 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)6.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)9.4 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Reporting AEs From Vaccination Through 4 Weeks After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)

An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

Time frame: SSB: From Vaccination on Day 1 through 6 Months after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)3.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Reporting SAEs From Vaccination Through 6 Months After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSB: 1 Week after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)

An abnormal troponin 1 result was defined as any troponin 1 level \>=0.30 nanogram per milliliter.

Time frame: SSB: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Abnormal Serum Troponin 1 Laboratory Values at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)

Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): \>2.0 cm to 5.0 cm; moderate (Grade 2): \>5.0 cm to 10.0 cm; severe (Grade 3): \>10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Percentage of participants with any local reactions were reported in this outcome measure.

Time frame: SSB: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)58.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)71.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)78.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)82.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)75.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)80.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)80.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)81.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)66.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)73.1 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)71.9 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Local Reactions up to 7 Days Following Vaccination (18- 64 Years)69.0 Percentage of participants
Primary

SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSB: 1 Week after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With New ECG Abnormalities at 1 Week After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)

An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: sustained atrial or ventricular arrhythmias, second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

Time frame: SSB: 2 Days after Vaccination

Population: Safety population included all participants who received the study intervention. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With New ECG Abnormalities at 2 Days After Vaccination (18- 64 Years)0 Percentage of participants
Primary

SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)

Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and new or worsened joint pain. Events were recorded by participants in an electronic diary. Fever defined as oral temperature \>=38.0 deg C and categorized as \>=38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Vomiting graded as: G1: 1-2 times in 24 h; G2: \>2 times in 24h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24h; G2: 4-5 loose stools in 24h; G3: 6 or more loose stools in 24h. Headache, fatigue, chills, new/worsened muscle pain and new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator. Percentage of participants with any systemic events were reported in this outcome measure.

Time frame: SSB: From Day 1 to Day 7 after Vaccination

Population: Safety population included all participants who received the study intervention. Participants were analyzed according to the treatment which they received.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)51.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)62.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)74.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)77.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)71.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)80.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)80.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)72.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)73.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)65.4 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)68.8 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Systemic Events up to 7 Days Following Vaccination (18- 64 Years)48.3 Percentage of participants
Secondary

SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)

GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination to 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.1 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin8.5 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin3.9 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin9.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.7 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin8.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket2.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.4 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.7 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin9.7 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin5.9 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.9 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin5.7 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.6 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket2.6 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin11.0 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket2.7 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin7.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin2.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Fold Rise (GMFRs) of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria2.6 Fold Rise
Secondary

SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the lower limit of quantitation (LLOQ) were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination and 4 Weeks after Vaccination

Population: Evaluable immunogenicity population (EIP) included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination32.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination32.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination18.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination165.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination341.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination10.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination26.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination14.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination20.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination16.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination201.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination14.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination31.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination36.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination141.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination12.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination11.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination160.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination31.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination18.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination12.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination35.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination282.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination30.9 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination23.6 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination259.9 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination167.6 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination9.8 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination17.8 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination21.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination45.9 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination26.0 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination10.5 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination12.2 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination129.1 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination16.4 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination16.4 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination41.0 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination249.8 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination20.0 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination40.0 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination97.8 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination34.2 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination12.0 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination24.5 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination78.2 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination36.6 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination294.7 Titers
Secondary

SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)

GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSA: Before Vaccination to 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers7.0 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers4.1 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers5.5 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers7.6 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.9 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers4.4 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers8.7 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers3.9 Fold Rise
Secondary

SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)

GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSA: Before Vaccination to 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers2.5 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.4 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers1.7 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers3.0 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers2.3 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers2.0 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination to 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.4 Fold Rise
Secondary

SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)

GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination to 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin1.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin2.0 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.1 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin2.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin2.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.4 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin2.1 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin2.7 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.4 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.4 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin1.9 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin2.2 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.2 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.3 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin2.2 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.4 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin2.6 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Phuket1.4 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)B/Austria1.7 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Wisconsin1.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMFRs of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (>=65 Years)A/Darwin1.4 Fold Rise
Secondary

SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

GMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination were reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSA: Before Vaccination and 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination12713.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3676.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination499.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: Before Vaccination3068.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination2202.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: Before Vaccination1466.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination240.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination8069.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination466.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination2139.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: Before Vaccination2487.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination7166.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3890.4 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination415.8 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination10719.9 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)SARS-CoV-2-Reference-Strain Neutralizing Titers: Before Vaccination2719.1 Titers
Secondary

SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)

GMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination was reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSA: Before Vaccination and 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1233.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination15305.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3627.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: Before Vaccination6045.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination1841.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: Before Vaccination4567.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination678.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination7821.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination2770.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination10280.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination866.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: Before Vaccination4461.1 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination15646.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers: Before Vaccination7654.1 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1472.6 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3774.4 Titers
Secondary

SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)

GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination and 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination57.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination14.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination56.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination37.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination113.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination20.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination49.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination107.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination115.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination40.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination44.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination11.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination38.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination14.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination28.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination97.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination27.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination57.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination156.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination62.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination134.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination40.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination12.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination20.4 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination119.6 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination81.8 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination28.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination15.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination40.9 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination53.5 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination10.7 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination41.8 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination64.5 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination26.0 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination150.1 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination15.0 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination181.7 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination69.3 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination71.0 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination44.0 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks after vaccination83.5 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before vaccination22.8 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks after vaccination80.0 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before vaccination56.6 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks after vaccination15.4 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks after vaccination41.8 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before vaccination10.4 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before vaccination50.8 Titers
Secondary

SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)

Seroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)3.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)7.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)3.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)10.7 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (18- 64 Years)6.5 Percentage of participants
Secondary

SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)

Seroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)3.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for All Strains at 4 Weeks After Vaccination (>=65 Years)3.1 Percentage of participants
Secondary

SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)

Seroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations.Number of Participants Analyzed signifies number of participants evaluable for this outcome measure and 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin63.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin75.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria14.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket17.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin77.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria3.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin60.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket18.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria21.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin70.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin71.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket32.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin86.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin69.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket34.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria17.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin89.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin75.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket50.0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin35.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria38.7 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket38.7 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin61.3 Percentage of participants
Secondary

SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)

Seroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin15.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria9.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin12.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin43.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria6.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket3.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin46.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin30.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria6.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket9.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin32.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin19.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria6.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin34.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket13.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria6.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin41.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Phuket12.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin12.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)A/Darwin12.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (>=65 Years)B/Austria15.6 Percentage of participants
Secondary

SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)

Percentage of participants achieving HAI titers \>= 1:40 for each strain at 4 weeks after last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)18.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)22.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)21.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)26.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)28.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (18- 64 Years)51.6 Percentage of participants
Secondary

SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)

Percentage of participants achieving HAI titers \>= 1:40 for each strain at 4 weeks after last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method. Data is reported combined for all strains (A/Wisconsin, A/Darwin, B/Austria and B/Phuket).

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations.

ArmMeasureValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)21.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)15.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)28.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)22.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)41.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With HAI Titers >= 1.40 for All Strain at 4 Weeks After Vaccination (>=65 Years)21.9 Percentage of participants
Secondary

SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)

Seroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.

Time frame: SSA: 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers67.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers46.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers63.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers85.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers42.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers32.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers74.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers48.4 Percentage of participants
Secondary

SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)

Seroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.

Time frame: SSA:4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers34.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers21.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers15.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers28.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers35.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Omicron (BA.4/BA.5)- Neutralizing Titers25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (>=65 Years)Reference-Strain Neutralizing Titers18.8 Percentage of participants
Secondary

SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)

Percentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination and at 4 Weeks After Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination62.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination75.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination31.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination83.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination93.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination68.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination90.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination15.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination100.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination59.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination81.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination21.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination56.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination62.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination96.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination65.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination87.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination31.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination62.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination53.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination96.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination15.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination86.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination9.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination25.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination93.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination74.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination87.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination71.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination54.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination64.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination62.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination31.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination75.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination100.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination93.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination89.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination51.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination75.9 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: 4 Weeks After Vaccination31.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: Before Vaccination75.0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Wisconsin: 4 Weeks After Vaccination93.8 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: Before Vaccination78.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)A/Darwin: 4 Weeks After Vaccination90.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: Before Vaccination43.8 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Austria: 4 Weeks After Vaccination68.8 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers >= 1:40 Before Vaccination and at 4 Weeks After Vaccination (>=65 Years)B/Phuket: Before Vaccination12.5 Percentage of participants
Secondary

SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

Percentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria and B/Phuket.

Time frame: SSA: Before Vaccination and at 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination53.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination32.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination96.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination85.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination60.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination28.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination57.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination14.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination56.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination92.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination55.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination25.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination25.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination92.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination33.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination25.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination92.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination46.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination66.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination96.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination17.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination42.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination14.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination53.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination48.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination44.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination96.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination96.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination51.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination70.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination33.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination13.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination32.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination100.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination67.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination42.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination39.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination21.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination85.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination21.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks After Vaccination87.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks After Vaccination96.8 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks After Vaccination90.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination22.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks After Vaccination54.8 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination58.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination51.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSA: Percentage of Participants With Strain Specific HAI Titers Greater Than or Equal to (>=) 1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination67.7 Percentage of participants
Secondary

SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)

GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination to 4 week after vaccination was reported in this outcome measure. GMFR and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the fold rise and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSB: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within specified time frame after vaccination;had at least 1 valid \& determinate assay result at 4-week post-vaccination visit \& had no major protocol deviations.Number of Participants Analyzed =participants evaluable \& 'Number Analyzed' = participants evaluable for specified rows. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers4.1 Fold rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.4 Fold rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.7 Fold rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.1 Fold rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers3.0 Fold rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.6 Fold rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.6 Fold rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.5 Fold rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.8 Fold rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.8 Fold rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.5 Fold rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.6 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers1.8 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.5 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.9 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.7 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers4.6 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers3.1 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers2.8 Fold rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers2.0 Fold rise
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers3.7 Fold rise
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMFR of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers3.8 Fold rise
Secondary

SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)

GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. When pre-vaccination assay results were lower than the LLOQ and the post-vaccination results were greater than or equal to the LLOQ, the pre-vaccination assay results were set to LLOQ for the GMFR calculation. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.

Time frame: SSB: Before Vaccination to 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin2.3 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.4 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin3.1 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria2.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin6.9 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.8 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.2 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.6 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.4 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin4.5 Fold Rise
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.7 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.4 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin4.8 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.8 Fold Rise
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.5 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.4 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin3.8 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.7 Fold Rise
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.4 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin3.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin4.5 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.6 Fold Rise
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.3 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin1.9 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.7 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin2.8 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.8 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin3.3 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin2.7 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.7 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.6 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin2.8 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin2.4 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.4 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.3 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.6 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Cambodia3.5 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin3.3 Fold Rise
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin3.6 Fold Rise
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin3.5 Fold Rise
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.7 Fold Rise
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.9 Fold Rise
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Phuket1.8 Fold Rise
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Cambodia2.4 Fold Rise
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Darwin4.3 Fold Rise
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)B/Austria1.4 Fold Rise
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMFR of Strain-Specific HAI From Before Vaccination to 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin4.0 Fold Rise
Secondary

SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

GMT of SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2 reference strain (BNT162b2 Original \[ancestral strain: Wuhan-Hu-1; USA-WA1/2020\]) neutralizing titers before study vaccination and at 4 week after vaccination was reported in this outcome measure. GMT and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ.

Time frame: SSB: Before Vaccination and at 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within specified time frame after vaccination;had at least 1 valid \& determinate assay result at 4-week post-vaccination visit \& had no major protocol deviations.Number of Participants Analyzed =participants evaluable \& 'Number Analyzed' = participants evaluable for specified rows. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination4353.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination8132.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination989.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination3396.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination3569.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination2960.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1081.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination7499.8 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4128.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3606.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1127.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination10769.8 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4335.7 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3555.6 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination10818.7 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1289.6 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4260.5 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination12081.5 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1361.4 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3997.9 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1805.5 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4846.4 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination4131.7 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination11319.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination9991.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination5693.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1527.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3878.7 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination3999.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4255.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1343.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination11632.2 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination6018.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination4840.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination14921.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1207.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1688.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination5380.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination4659.7 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination10981.2 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: 4 Weeks After Vaccination14605.4 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: Before Vaccination1054.2 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers: Before Vaccination3678.1 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers: 4 Weeks After Vaccination4385.7 Titers
Secondary

SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5\*LLOQ. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.

Time frame: SSB: Before Vaccination and 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive the study intervention to which they were randomized; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination21.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination52.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination51.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination82.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination35.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination181.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination36.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination33.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination26.5 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination13.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination37.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination343.9 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination44.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination49.7 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination35.1 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination172.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination17.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination110.0 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination44.3 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination22.6 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination44.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination213.4 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination32.2 Titers
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination24.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination36.2 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination48.0 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination19.2 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination53.3 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination173.4 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination33.1 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination25.3 Titers
Substudy A, 18-64 Years: qIRV 30 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination277.3 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination25.6 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination53.5 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination31.3 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination30.7 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination46.2 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination215.8 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination20.1 Titers
Substudy A, 18-64 Years: qIRV 60 mcgSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination149.6 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination26.9 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination46.4 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination217.1 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination51.7 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination172.3 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination14.9 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination18.6 Titers
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination27.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination66.4 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination125.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination20.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination62.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination55.1 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination36.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination33.2 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination155.8 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination110.7 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination149.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination51.9 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination23.3 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination22.3 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination46.5 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination31.5 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination12.2 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination120.1 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination106.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination20.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination28.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination45.3 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination15.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination23.1 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination38.1 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination23.5 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination80.0 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: 4 Weeks after vaccination60.6 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination12.7 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination139.3 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination18.4 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination31.5 Titers
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: Before vaccination13.1 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination141.4 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination36.4 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination26.9 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination173.2 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination16.9 Titers
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination46.2 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 Weeks after vaccination27.1 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before vaccination18.4 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: Before vaccination27.2 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: 4 Weeks after vaccination77.7 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 Weeks after vaccination38.9 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before vaccination16.0 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before vaccination18.9 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before vaccination37.8 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 Weeks after vaccination99.9 Titers
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: GMTs of Strain-Specific HAI Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 Weeks after vaccination178.8 Titers
Secondary

SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)

Seroconversion was defined as an HAI titer \<1:10 prior to vaccination and \>=1:40 at the time point of interest, or an HAI titer of \>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria,

Time frame: SSB: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations.Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. And 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria17.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin40.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin42.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket7.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin61.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria25.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin65.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria16.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket14.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin64.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin64.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria12.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin64.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket18.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin62.7 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin56.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin64.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria9.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket14.2 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin59.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket7.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin64.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria14.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket11.5 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin19.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria23.1 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin34.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria21.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket6.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin34.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin56.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket13.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin39.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria10.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin25.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria15.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin50.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia60.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin40.0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin70.4 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin44.8 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria20.7 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Darwin64.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin68.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia35.3 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Phuket16.7 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination (18- 64 Years)B/Austria4.0 Percentage of participants
Secondary

SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)

Seroresponse was defined as achieving \>= 4-fold rise from baseline (before study vaccination). If the baseline measurement was below the LLOQ, the postvaccination assay result of \>= 4\*LLOQ was considered a seroresponse. Exact 2-sided 95% CI, based on the Clopper and Pearson method. Percentage of participants achieving seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- neutralizing titers and SARS-CoV-2-Reference-Strain (ancestral strain (Wuhan-Hu-1; USA-WA1/2020) neutralizing titers at 4 weeks after study vaccination was reported in this outcome measure.

Time frame: SSB: 4 Weeks after Vaccination

Population: EIP included all eligible participants who receive study intervention to which they were randomized;had blood drawn for assay testing within specified time frame after vaccination;had at least 1 valid \& determinate assay result at 4-week post-vaccination visit \& had no major protocol deviations.Number of Participants Analyzed =participants evaluable \& 'Number Analyzed' = participants evaluable for specified rows. Only arms which received covid vaccine (BNT162b2) were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers50.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers33.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers25.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers37.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers35.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers33.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers30.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers29.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers30.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers31.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers38.5 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers25.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers23.1 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers30.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers38.7 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers25.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers41.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers46.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers26.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers23.1 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Omicron (BA.4/BA.5)- Neutralizing Titers44.8 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Seroresponse Based on SARS-CoV-2 Omicron (BA.4/BA.5)- Neutralizing Titers and SARS-CoV-2-Reference-Strain Neutralizing Titers at 4 Weeks After Vaccination (18- 64 Years)Reference-Strain Neutralizing Titers42.9 Percentage of participants
Secondary

SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)

Percentage of participants with HAI titer \>=1:40 for each strain before vaccination and 4 weeks after vaccination is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Data is reported for following strains: A/Wisconsin, A/Darwin, B/Austria, A/Cambodia and B/Phuket.

Time frame: SSB: Before Vaccination and at 4 Weeks after Vaccination

Population: EIP included all eligible participants who received vaccination 1; had blood drawn for assay testing within the specified time frame after vaccination; had at least 1 valid and determinate assay result at the 4-week post-vaccination visit and had no major protocol deviations before vaccination. Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (NUMBER)
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination53.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination64.3 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination42.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination60.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination81.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination78.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination40.7 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 1)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination92.9 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination68.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination100.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination65.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination43.8 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination25.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination100.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination58.1 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination62.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination55.4 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination30.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination61.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination64.2 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination95.0 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination45.5 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination92.6 Percentage of participants
Substudy A, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination44.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination64.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination69.5 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination33.9 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination45.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination96.6 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination72.0 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination53.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 30 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination99.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination43.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination70.8 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination61.1 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination97.2 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination52.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination95.3 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination32.4 Percentage of participants
Substudy A, 18-64 Years: qIRV 60 mcgSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination71.0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination53.6 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination39.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination50.0 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination74.1 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination71.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination96.4 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination39.3 Percentage of participants
Substudy A, 18-64 Years: Bivalent BNT162b2 (30 mcg) /QIVSSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination92.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination50.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination34.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination96.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination80.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination53.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination96.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination84.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination61.5 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination50.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination56.3 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination15.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination68.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination78.1 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination96.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination40.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 2)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination93.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination96.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination71.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination41.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination96.6 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination31.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination41.4 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination55.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (90 mcg Combination 4)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination67.9 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination88.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination19.2 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination50.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination44.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination88.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: Before Vaccination30.8 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: 4 weeks after vaccination88.0 Percentage of participants
Substudy B, 18-64 Years: qIRV /Bivalent BNT162b2 (60 mcg Combination 3)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination34.6 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination31.0 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination89.7 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination92.9 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination65.5 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination46.4 Percentage of participants
Substudy B, 18-64 Years: tIRV /Bivalent BNT162b2 (75 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination58.6 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: Before Vaccination44.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: 4 weeks after vaccination92.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Wisconsin: Before Vaccination64.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Phuket: 4 weeks after vaccination58.3 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: 4 weeks after vaccination48.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)B/Austria: Before Vaccination36.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: 4 weeks after vaccination91.7 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Cambodia: Before Vaccination61.1 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: 4 weeks after vaccination88.0 Percentage of participants
Substudy B, 18-64 Years: qIRV (30 mcg)SSB: Percentage of Participants With Strain Specific HAI Titers >=1:40 Before Vaccination and at 4 Weeks After Vaccination (18- 64 Years)A/Darwin: Before Vaccination44.0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026