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Special Investigation for Booster Dose of Comirnaty in Children Ages 6 Months Though 4 Years

COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) Special Investigation for Booster Immunization in Children Aged 6 Months to 4 Years

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06130410
Enrollment
25
Registered
2023-11-14
Start date
2024-03-06
Completion date
2024-07-26
Last updated
2025-07-14

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

Conditions

COVID-19, SARS-CoV-2

Keywords

COVID-19, SARS-CoV-2, Children (6 months though 4 years old), RNA Vaccine, Post-Marketing Study, Pediatric

Brief summary

The purpose of this post-marketing study is to assess the safety of Comirnaty monovalent XBB.1.5. for booster vaccination children ages 6 months though 4 years under actual use medical practice.

Interventions

BIOLOGICALCOMIRNATY intramuscular injection

Booster injection in the muscle, 1 dose

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
6 Months to 4 Years
Healthy volunteers
Yes

Inclusion criteria

* Children aged 6 months to 4 years at the time of the booster vaccination (4th dose) who (or whose representative) gave written consent to take part in the study.

Exclusion criteria

-There are no

Design outcomes

Primary

MeasureTime frameDescription
Proportion of Participants With Adverse Reaction (AR)For 28 days after the booster (4th) doseAn adverse event was defined as any untoward medical occurrence attributed to COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) in a participant who was vaccinated. The relatedness was assessed by the physician. Events for which a causal relationship with intramuscular injection could not be ruled out were handled as ARs.
Proportion of Participants With Serious Adverse Reaction (SAR)For 28 days after the booster (4th) doseAn SAR was defined as any AR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; hospitalization or prolongation of existing hospitalization; persistent or significant disability/malfunction; congenital anomaly/birth defect; or other medically important events.
Proportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Younger Than 2 Years of AgeWithin 7 days after the date of the booster (4th) doseLocal reactions and systemic events recorded in the health observation diary collected by the physician from study participants were handled as reactogenicity events. They were aggregated for the vaccinated participants by age group and grade. The results were aggregated by age group for local reactions and systemic events of grade 1 or higher. If the participants were younger than 2 years of age on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site tenderness, redness, and injection site swelling. Systemic events: pyrexia, decreased appetite, somnolence, and irritability. If the participants were 2 years or older on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site pain, redness, and injection site swelling. Systemic events: pyrexia, vomiting, diarrhoea, headache, malaise, chills, myalgia, and arthralgia.
Proportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Aged 2 Years or OlderWithin 7 days after the date of the booster (4th) doseLocal reactions and systemic events recorded in the health observation diary collected by the physician from study participants were handled as reactogenicity events. They were aggregated for the vaccinated participants by age group and grade. The results were aggregated by age group for local reactions and systemic events of grade 1 or higher. If the participants were younger than 2 years of age on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site tenderness, redness, and injection site swelling. Systemic events: pyrexia, decreased appetite, somnolence, and irritability. If the participants were 2 years or older on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site pain, redness, and injection site swelling. Systemic events: pyrexia, vomiting, diarrhoea, headache, malaise, chills, myalgia, and arthralgia.

Countries

Japan

Participant flow

Pre-assignment details

The enrollment period ended with 25 participants completed.

Participants by arm

ArmCount
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μg
Participants aged 6 months to 4 years old were vaccinated with the booster (4th) dose of COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) on Day 1.
25
Total25

Baseline characteristics

CharacteristicCOMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μg
Age, Customized
≥2 and ≤4 years
10 participants
Age, Customized
≥6 months and <2 years
15 participants
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Sex
Female
13 Participants
Sex: Female, Male
Sex
Male
12 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 25
other
Total, other adverse events
5 / 25
serious
Total, serious adverse events
0 / 25

Outcome results

Primary

Proportion of Participants With Adverse Reaction (AR)

An adverse event was defined as any untoward medical occurrence attributed to COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) in a participant who was vaccinated. The relatedness was assessed by the physician. Events for which a causal relationship with intramuscular injection could not be ruled out were handled as ARs.

Time frame: For 28 days after the booster (4th) dose

Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and were vaccinated with COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) at least once. Among the 25 participants with fixed CRFs in the study, no participants were excluded from the safety analysis set.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Adverse Reaction (AR)1 Participants
Primary

Proportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Aged 2 Years or Older

Local reactions and systemic events recorded in the health observation diary collected by the physician from study participants were handled as reactogenicity events. They were aggregated for the vaccinated participants by age group and grade. The results were aggregated by age group for local reactions and systemic events of grade 1 or higher. If the participants were younger than 2 years of age on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site tenderness, redness, and injection site swelling. Systemic events: pyrexia, decreased appetite, somnolence, and irritability. If the participants were 2 years or older on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site pain, redness, and injection site swelling. Systemic events: pyrexia, vomiting, diarrhoea, headache, malaise, chills, myalgia, and arthralgia.

Time frame: Within 7 days after the date of the booster (4th) dose

Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and were vaccinated with COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) at least once. Among the 25 participants with fixed CRFs in the study, no participants were excluded from the safety analysis set. Of the safety analysis set, participants aged 2 years or older were included in this analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Aged 2 Years or OlderLocal reactions (Grade 1 or higher)7 Participants
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Aged 2 Years or OlderSystemic events (Grade 1 or higher)2 Participants
Primary

Proportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Younger Than 2 Years of Age

Local reactions and systemic events recorded in the health observation diary collected by the physician from study participants were handled as reactogenicity events. They were aggregated for the vaccinated participants by age group and grade. The results were aggregated by age group for local reactions and systemic events of grade 1 or higher. If the participants were younger than 2 years of age on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site tenderness, redness, and injection site swelling. Systemic events: pyrexia, decreased appetite, somnolence, and irritability. If the participants were 2 years or older on the date of the booster (4th) dose, the following reactogenicity events were aggregated. Local reactions: injection site pain, redness, and injection site swelling. Systemic events: pyrexia, vomiting, diarrhoea, headache, malaise, chills, myalgia, and arthralgia.

Time frame: Within 7 days after the date of the booster (4th) dose

Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and were vaccinated with COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) at least once. Among the 25 participants with fixed CRFs in the study, no participants were excluded from the safety analysis set. Of the safety analysis set, participants younger than 2 years were included in this analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Younger Than 2 Years of AgeLocal reactions (Grade 1 or higher)5 Participants
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Reactogenicity (≥ Grade 1) in Those Who Are Younger Than 2 Years of AgeSystemic events (Grade 1 or higher)4 Participants
Primary

Proportion of Participants With Serious Adverse Reaction (SAR)

An SAR was defined as any AR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; hospitalization or prolongation of existing hospitalization; persistent or significant disability/malfunction; congenital anomaly/birth defect; or other medically important events.

Time frame: For 28 days after the booster (4th) dose

Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and were vaccinated with COMIRNATY intramuscular injection for 6 months to 4 years old (monovalent: Omicron XBB.1.5) at least once. Among the 25 participants with fixed CRFs in the study, no participants were excluded from the safety analysis set.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COMIRNATY Intramuscular Injection for 6 Months to 4 Years Old (Monovalent: Omicron XBB.1.5) 3μgProportion of Participants With Serious Adverse Reaction (SAR)0 Participants

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