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COVID-19 Reactogenicity

Reactogenicity, Patient Reported Outcomes and Vaccine Preference in Adults Immunized With Recombinant Protein or mRNA COVID-19 Vaccines

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07051031
Enrollment
1000
Registered
2025-07-03
Start date
2025-10-01
Completion date
2026-06-14
Last updated
2026-03-04

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

Conditions

COVID-19

Keywords

COVID-19, Novavax, COVID-19 Reactogenicity, COVID-19 vaccine side effects, Novavax vs mRNA booster, Protein-based COVID vaccine, Seasonal COVID-19 booster comparison, COVID-Vaccine tolerability study, COVID-19 Post-vaccination symptoms, COVID-19 immunization study, COVID-19 Vaccine safety and daily functioning, COVID-19 Patient-reported outcomes, Novavax booster trial, mNEXSPIKE mRNA-1283, Moderna

Brief summary

The purpose of this study is to compare post-vaccination reactions between the protein-based Novavax vaccine and the mNEXSPIKE mRNA-1283 vaccine. Specifically, the study aims to determine the rate of participant-reported symptoms associated with each type of vaccine.

Detailed description

Why is this study being conducted? Many individuals receive a flu vaccine each year, but fewer receive the COVID-19 booster, even though COVID-19 infection can be more severe. One possible reason is concern about vaccine side effects. The goal of this study is to determine whether a different type of COVID-19 vaccine, called Novavax, causes fewer side effects than the more commonly used mRNA vaccines (such as Pfizer or Moderna) when administered as a seasonal booster. What is Novavax? Novavax is a protein-based COVID-19 vaccine approved by the FDA. Earlier studies suggest that fewer side effects may occur with Novavax; however, not many studies have directly compared Novavax with mRNA vaccines What is the purpose of this study? Eligible individuals who qualify for a COVID-19 booster are invited to participate. Participants will receive either the Novavax vaccine or an mRNA vaccine. After vaccination, participants will be asked to report any symptoms or side effects experienced. Collected information will help determine which vaccine may be better tolerated. Why does this matter? By comparing participant experiences, this study aims to identify ways to improve acceptance and accessibility of COVID-19 booster vaccines. Findings may help increase public confidence in vaccination and support ongoing protection against COVID-19.

Interventions

DRUGNuvaxovid (NVX-CoV2705)

COVID-19 vaccination

DRUGmNEXSPIKE mRNA-1283

COVID-19 vaccination

Sponsors

Marcel Curlin
Lead SponsorOTHER

Study design

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

Eligibility

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

Inclusion criteria

Adults eligible for seasonal COVID-19 vaccine, ages 18 and older Signed informed consent form (ICF) and agree to participate in the study Prior receipt of one or more COVID-19 vaccines

Exclusion criteria

* If a person is experiencing a moderate or severe illness or infection (as judged by the study investigator) or has a fever (temperature of 38.0°C or higher) on the day they are supposed to participate in the study, they should not join until they are feeling better and the fever is gone. * Anyone with a medical or mental health issue, or problems with substance use that might make taking part in the study risky * People who have had a severe allergic reaction to COVID-19 vaccines in the past * Those who have been diagnosed with inflammation in or around the heart after receiving a COVID-19 vaccine * Individuals who have received any other vaccine within a week before joining the study or who plan to get a vaccine on the same day as the study or within 7 days afterward

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting ≥1 Systemic Symptom Within 7 Days Post-Vaccinationwithin 7 days post vaccinationProportion and number of participants who report at least one systemic symptom (e.g., fever, fatigue, myalgia, headache, chills) within 7 days following COVID-19 booster vaccination, as collected via daily symptom diary.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026