Study VBT00002 is planned to be a Phase 1/2, randomized, modified double-blind, active-controlled, multi-center study to be conducted in approximately 980 adults aged 50 years and older in the United States. The purpose of the study is to assess the safety and immunogenicity of recombinant influenza vaccine (RIV) + adjuvanted recombinant COVID-19 vaccine (rC19) vaccine comprised of RIV combined with different recombinant Spike (rS) antigen levels of rC19 compared to RIV alone, rC19 (dose 1) alone, and RIV and rC19 (dose 1) (coadministered in opposite arms). Placebo will be coadministered in the RIV alone, rC19 (dose 1) alone, and RIV + rC19 study groups to control for the number of injections and to maintain observer blinding. Thus, each participant will receive two injections at enrollment, one in each deltoid muscle. Study details include: * The study duration will be approximately 12 months * Study intervention will be administered via a single intramuscular (IM) injection into the right and left deltoid muscles on Day(D) 01 * Dose escalation with sequential enrollment (sentinel cohort followed by main cohort for a given dose) * The visit frequency for participants will be D01 and D30, and D09-D366 (telephone call) Number of Participants: Approximately 980 participants are expected to be randomized.
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Number of participants with immediate adverse events (AEs)
Timeframe: Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination
Number of participants with solicited injection site reactions
Timeframe: Up to 7 each days after vaccination
Number of participants with solicited systemic reactions
Timeframe: Up to 7 days after each vaccination
Number of participants with unsolicited AEs
Timeframe: Up to 28 days after each vaccination
Number of participants with adverse events of special interest (AESIs)
Timeframe: Up to 180 days after each vaccination
Number of participants with medical attended adverse events (MAAEs)
Timeframe: Up to 180 days after each vaccination
Number of participants with MAAEs relating to predefined PIMDs
Timeframe: From Day 182 through 12 months following the last study vaccination
Number of participants with serious adverse events (SAEs)
Timeframe: Up to 180 days after each vaccination
Number of participants with related SAEs
Timeframe: From Day 182 through 12 months following the last study intervention
Number of participants with MAAEs relating to predefined PIMDs that meet the criteria for SAEs
Timeframe: From Day 182 through 12 months following the last study vaccination
Geometric mean (GM) of HAI titers in all participants
Timeframe: At Day 01 and Day 30
Geometric mean ratio (GMR) of HAI titers in all participants
Timeframe: At Day 01 and Day 30
GM of SARS-CoV-2 neutralizing titers in all participants
Timeframe: At Day 01 and Day 30
GMR of SARS-CoV-2 neutralizing titers ratio D30/D01 in all participants
Timeframe: At Day 01 and Day 30