ABCDEFGHIJ
1
subjectIddeviationIdvisitDesignatordvCatepochdvSeqsourceactSitecapedvTerm
2
100110011-1JI8LRASCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
3
100110011-1LGBQFBSCR
Non-Important
SCREENING2ANPD1001NOProcedure/Test not performed per protocol
4
100110021-1JI8LRESCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
5
100110031-1JI8M0OSCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
6
100110041-1JI8M0SSCR
Non-Important
SCREENING2ANPD1001NOProcedure/Test not done
7
100110041-1K3AOWBV4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NOProcedure/Test not done
8
100110041-1KM4RCBV6_WEEK2_POSTVAX2_S
Non-Important
FOLLOW-UP4ANPD1001NOProcedure/Test performed out of window
9
100110051-1JI8M0WSCR
Non-Important
SCREENING4ANPD1001NOProcedure/Test not done
10
100110051-1K3AOWFV4_WEEK3_VAX2_S
Non-Important
VACCINATION5ANPD1001NOProcedure/Test not done
11
100110051-1KM4RCEV6_WEEK2_POSTVAX2_S
Non-Important
FOLLOW-UP6ANPD1001NOProcedure/Test performed out of window
12
100110051-1OAJFURCOVID_A
Non-Important
FOLLOW-UP3ANPD1001NOLab performed out of window
13
100110051-1RRSIMXV4_WEEK3_VAX2_SImportantREPEAT SCREENING 12ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
14
100110051-1RRSIN1V4_WEEK3_VAX2_SImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
15
100110061-1JI8M10SCR
Non-Important
SCREENING2ANPD1001NOProcedure/Test not done
16
100110061-1K3AOWIV4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NOProcedure/Test not done
17
100110061-1KM4RCRV6_WEEK2_POSTVAX2_S
Non-Important
FOLLOW-UP4ANPD1001NOProcedure/Test performed out of window
18
100110061-1KXT62PSCR
Non-Important
SCREENING1ANPD1001NOProcedure not performed as part of vital signs.
19
100110071-1JI8M14SCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
20
100110071-1KL8O1LUnschedule Teleheath Visit
Non-Important
VACCINATION3ANPD1001NOVisit not done
21
100110071-1KM4RCUV6_WEEK2_POSTVAX2_S
Non-Important
FOLLOW-UP2ANPD1001NOProcedure/Test performed out of window
22
100110081-1JI8M1ISCR
Non-Important
SCREENING2ANPD1001NOProcedure/Test not done
23
100110081-1K3BWG3V4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NOProcedure/Test not done
24
100110081-1KM4RCXV6_WEEK2_POSTVAX2_S
Non-Important
FOLLOW-UP4ANPD1001NOProcedure/Test performed out of window
25
100110081-1KQTA2EConsent
Non-Important
FOLLOW-UP1ANPD1001NOOther Informed Consent
26
100110091-1JFBTJHConsent
Non-Important
SCREENING1ANPD1001NOOther Informed Consent
27
100110091-1JI8M1MSCR
Non-Important
SCREENING4ANPD1001NOProcedure/Test not done
28
100110091-1K3BWG6V4_WEEK3_VAX2_S
Non-Important
VACCINATION5ANPD1001NOProcedure/Test not done
29
100110091-1KXT62TSCR
Non-Important
SCREENING3ANPD1001NOProcedure not performed as part of vital signs.
30
100110091-1L9JOW0V1_DAY1_VAX1_S
Non-Important
VACCINATION2ANPD1001NO
Subject was vaccinated despite meeting temporary delay criterion #1 (current febrile illness or other acute illness within 48 hrs before study intervention administration. Includes current symptoms that could represent a potential COVID-19 illness.
31
100110101-1JP0N6SSCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
32
100110111-1JP0N6VSCR
Non-Important
SCREENING3ANPD1001NOProcedure/Test not done
33
100110111-1K8KYZDV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NOProcedure not performed as part of vital signs.
34
100110111-1R0YDKLCOVID_A
Non-Important
FOLLOW-UP1ANPD1001NONasal swab not collected for the visit where it is required
35
100110121-1JP0N6YSCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
36
100110131-1JP0N7BSCR
Non-Important
SCREENING5ANPD1001NOProcedure/Test not done
37
100110131-1KFHO1SV4_WEEK3_VAX2_S
Non-Important
VACCINATION4ANPD1001NOUrine pregnancy test not performed.
38
100110131-1KFHO1VV4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NONasal swab not collected by site staff prior to vaccination.
39
100110131-1LKF7CPV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NOOther IP deviation
40
10011013127173801Vax 3
Non-Important
REPEAT SCREENING 11ICON1001NOIP Documentation Error - Confirmation of Treatment - Received Form errors
41
100110141-1JP0N7ESCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
42
100110151-1JP0N7HSCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
43
100110161-1JP0N7KSCR
Non-Important
SCREENING1ANPD1001NOProcedure/Test not done
44
100110211-1JVJ258SCR
Non-Important
SCREENING5ANPD1001NOProcedure/Test not done
45
100110211-1KM11HVV4_WEEK3_VAX2_S
Non-Important
VACCINATION4ANPD1001NOUrine pregnancy test not performed.
46
100110211-1KM11HYV4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NONasal swab not collected by site staff prior to vaccination.
47
100110211-1LKF7CTV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NOOther IP deviation
48
10011021126632101Vax 3
Non-Important
OPEN LABEL TREATMENT
1ICON1001NOIP Documentation Error - Confirmation of Treatment - Received Form errors
49
100110261-1JVJ25MSCR
Non-Important
SCREENING3ANPD1001NOProcedure/Test not done
50
100110261-1KFHOBFV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NONasal swab not collected by site staff prior to vaccination.
51
100110261-1LKF7CYV4_WEEK3_VAX2_S
Non-Important
VACCINATION1ANPD1001NOOther IP deviation
52
100110281-1JVJ25SSCR
Non-Important
SCREENING3ANPD1001NOUrine pregnancy test not performed.
53
100110281-1JY98JVV1_DAY1_VAX1_S
Non-Important
VACCINATION4ANPD1001NOUrine pregnancy test not performed.
54
100110281-1JY98K0V2_DAY2_POSTVAX1_S
Non-Important
VACCINATION5ANPD1001NOUrine pregnancy test not performed.
55
100110281-1KM11I1V4_WEEK3_VAX2_S
Non-Important
VACCINATION6ANPD1001NOUrine pregnancy test not performed.
56
100110281-1KM4RBWV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NONasal swab not collected by site staff prior to vaccination.
57
100110281-1LKF7EFV4_WEEK3_VAX2_S
Non-Important
VACCINATION1ANPD1001NOOther IP deviation
58
100110301-1KM4RBZV4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NOUrine pregnancy test not performed.
59
100110301-1KM4RC2V4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NONasal swab not collected by site staff prior to vaccination.
60
100110301-1LKF7EJV4_WEEK3_VAX2_S
Non-Important
VACCINATION1ANPD1001NOOther IP deviation
61
100110321-1LKF7F9V4_WEEK3_VAX2_S
Non-Important
VACCINATION1ANPD1001NOOther IP deviation
62
100110321-1LKF7FDV4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NONasal swab not collected by site staff prior to vaccination.
63
100110341-1JVJ25PSCR
Non-Important
SCREENING4ANPD1001NOProcedure/Test not done
64
100110341-1KM4RC5V4_WEEK3_VAX2_S
Non-Important
VACCINATION3ANPD1001NOUrine pregnancy test not performed.
65
100110341-1KM4RC8V4_WEEK3_VAX2_S
Non-Important
VACCINATION2ANPD1001NONasal swab not collected by site staff prior to vaccination.
66
100110341-1LKF7EMV4_WEEK3_VAX2_S
Non-Important
VACCINATION1ANPD1001NOOther IP deviation
67
100110401-1NRYTMXPOT_COVID_CONVA
Non-Important
FOLLOW-UP2ANPD1001NOVisit performed outside of protocol specified window.
68
100110411-1NZLLYLPOT_COVID_ILL
Non-Important
FOLLOW-UP2ANPD1001NOPotential COVID-19 illness visit not done when required per protocol.
69
100110411-1QYBYBEPotential ReVax Initial ContactImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
70
100110421-1R6ZGTRV4_WEEK3_VAX2_SImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
71
100110421-1SSS15SPOT_COVID_ILL
Non-Important
REPEAT SCREENING 12ANPD1001NOPotential COVID-19 illness visit not done when required per protocol.
72
10011043126637401Vax 2
Non-Important
VACCINATION2ICON1001NOIP verification incomplete
73
10011043128799601Vax 3
Non-Important
REPEAT SCREENING 11ICON1001NOIP Documentation Error - Confirmation of Treatment - Received Form errors
74
100110441-1SK6OGJPotential ReVax Initial ContactImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
75
100110461-1L3POMGV4_WEEK3_VAX2_S
Non-Important
FOLLOW-UP1ANPD1001NOSubject received allowable non-study vaccine within 28 days prior to or 28 days after the administration of IP.
76
100110471-1L24D3DConsent
Non-Important
SCREENING1ANPD1001NOOther Informed Consent
77
100110481-1LNZ1PPSCR
Non-Important
SCREENING2ANPD1001NOProcedure/Test not performed per protocol
78
100110481-1LNZ1PVSCR
Non-Important
SCREENING3ANPD1001NOProcedure/Test not performed per protocol
79
10011048126637701Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
80
10011049126637901Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
81
10011052126638201Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
82
100110531-1SKKCBAPotential ReVax Initial ContactImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
83
100110531-1SKKCBDPotential ReVax Initial ContactImportantREPEAT SCREENING 12ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
84
10011053126638401Vax 2
Non-Important
VACCINATION3ICON1001NOIP verification incomplete
85
10011055126638801Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
86
10011057126638901Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
87
100110581-1KP8XJSConsent
Non-Important
SCREENING1ANPD1001NOSubject/LAR signed and dated ICD after screen/enroll date
88
10011058126639001Vax 2
Non-Important
VACCINATION2ICON1001NOIP verification incomplete
89
10011059126639101Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
90
100110611-1QSQ8I0COVID_A1
Non-Important
REPEAT SCREENING 12ANPD1001NOVisit performed outside of protocol specified window.
91
10011061126639201Vax 2
Non-Important
VACCINATION1ICON1001NOIP verification incomplete
92
10011064126639401Vax 2
Non-Important
VACCINATION2ICON1001NOIP verification incomplete
93
10011064127436401Vax 3
Non-Important
OPEN LABEL TREATMENT
1ICON1001NOIP Documentation Error - Confirmation of Treatment - Received Form errors
94
10011069126632201Vax 3
Non-Important
OPEN LABEL TREATMENT
1ICON1001NOIP Documentation Error - Confirmation of Treatment - Received Form errors
95
100110701-1KXT62XV1_DAY1_VAX1_S
Non-Important
VACCINATION1ANPD1001NOProcedure not performed as part of vital signs.
96
100110711-1L86RWNConsent
Non-Important
FOLLOW-UP1ANPD1001NOOther Informed Consent
97
100110741-1KU8SIEConsent
Non-Important
SCREENING1ANPD1001NOOther Informed Consent
98
100110771-1KVEIHYConsent
Non-Important
SCREENING1ANPD1001NOOther Informed Consent
99
100110811-1R6ZGTVV2_VAX2_LImportantREPEAT SCREENING 11ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.
100
100110811-1R6ZGTYV2_VAX2_LImportantREPEAT SCREENING 12ANPD1001YES-POP2,YES-POP3Receipt of any other nonstudy coronavirus vaccine at any time prior to or during the study.