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Male or female participants aged ≥ 18 years at randomization |
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Healthy adults or adults with pre-existing medical conditions who are in stable condition. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease 3 months before enrollment and expected to remain stable for the duration of the study |
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Documented to have received two homologous doses of AZD1222, mRNA-1273, or MVC-COV1901 vaccine, with the latest dose between 150 and 365 days prior to randomization, with an interval between the two homologous doses of ≥ 4 weeks to ≤ 12 weeks, and did not receive any other investigational or approved COVID-19 vaccines |
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Female participants must |
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Be either of non-childbearing potential, i.e. surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year post-menopausal |
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Or, if of childbearing potential, be abstinent or agree to use medically effective contraception from 14 days before screening to 30 days following the injection of study intervention. Acceptable forms include |
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i.Implanted hormonal methods of contraception or placement of an intrauterine device |
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or intrauterine system ii.Established use of hormonal methods (injectable, pill, patch |
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or ring) combined with barrier methods of contraception: condom or occlusive cap |
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(diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository |
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c.Have a negative pregnancy test |
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Participant is willing and able to comply with all required study visits and follow-up |
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required by this protocol |
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Participant, and the participant's legal representative if applicable, must understand |
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the procedures of the study and provide written informed consent |
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Pregnant or breast feeding or have plan to become pregnant in 30 days after the
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administration of study intervention
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Employees at the investigator's site, of the Sponsor or delegate (e.g., contract
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research organization) who are directly involved in the conduct of the study
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Currently receiving or received any investigational intervention within 30 days prior
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to the vaccination of study intervention
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Administered any licensed live-attenuated vaccines within 28 days or other licensed
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non-live-attenuated vaccines within 7 days prior to vaccination of study intervention
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Administered any blood product or intravenous immunoglobulin administration within 12
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weeks prior to the vaccination of study intervention
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Currently receiving or anticipated to receive concomitant immunosuppressive or
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immune-modifying therapy (excluding inhaled, topical skin and/or eye drop-containing
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corticosteroids, low-dose methotrexate, or < 2 weeks of daily receipt of prednisone
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less than 20 mg or equivalent) within 12 weeks prior to the vaccination of study
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intervention
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Currently receiving or anticipated to receive treatment with tumor necrosis factor
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(TNF)-α inhibitors, e.g. infliximab, adalimumab, etanercept within 12 weeks prior to
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the vaccination of study intervention
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Major surgery or any radiation therapy within 12 weeks prior to the vaccination of
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study intervention
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Immunosuppressive illness or immunodeficient state, including hematologic malignancy
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history of solid organ, bone marrow transplantation, or asplenia
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A history of malignancy with potential risk for recurrence after curative treatment
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or current diagnosis of or treatment for cancer (exceptions are squamous and basal
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cell carcinomas of the skin and treated uterine cervical carcinoma in situ, at the
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discretion of the investigator)
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Bleeding disorder considered a contraindication to intramuscular injection or
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phlebotomy
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A history of cerebral venous sinus thrombosis, heparin-induced thrombocytopenia
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thrombosis with thrombocytopenia syndrome (TTS), antiphospholipid syndrome, capillary
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leak syndrome, myocarditis, or pericarditis
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Participant with ongoing acute diseases or serious medical conditions which will
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interfere with adherence to study requirements, or the evaluation of any study
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endpoint
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Acute diseases or serious medical conditions include cardiovascular, pulmonary
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hepatic, neurologic, metabolic, renal, psychiatric condition (e.g. alcoholism, drug
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abuse, anorexia or severe depression), current severe infections, autoimmune disease
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medical history, physical findings, or laboratory abnormality that in the
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investigators' opinion are not in stable condition and participating in the study
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could adversely affect the safety of the participant
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Documented SARS-CoV1 or 2 infection prior to the study intervention
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Participant with a history of hypersensitivity to any vaccine or a history of allergic
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disease or reactions likely to be exacerbated by any component of the AZD1222
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mRNA-1273 or MVC-COV1901
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Body (oral, rectal, or ear) temperature ≥ 38.0°C or acute illness (not including minor
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illnesses such as diarrhea or mild upper respiratory tract infection at the discretion
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of the investigator) within 2 days before the vaccination of study intervention
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Any condition that is a contraindication to study intervention based on the judgement
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of the investigator
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