AZD1222 Vaccine for the Prevention of COVID-19

Inclusion Criteria:

1. Participant must be ≥ 18 years of age at the time of signing the informed consent.

2. Medically stable such that, according to the judgment of the investigator,
hospitalization within the study period is not anticipated and the participant appears
likely to be able to remain in follow-up through the end of protocol-specified
follow-up.

- A stable medical condition is defined as disease not requiring significant change
in therapy or hospitalization for worsening disease during the 3 months prior to
enrolment

3. Able to understand and comply with study requirements/procedures based on the
assessment of the investigator.

4. Male and/or female

5. Female participants

1. Women of childbearing potential must:

- Have a negative pregnancy test on the day of screening and on Day 1

- Use one highly effective form of birth control for at least 28 days prior to
Day 1 and agree to continue using one highly effective form of birth control
through 60 days following administration of the second dose of study
intervention. A highly effective method of contraception is defined as one
that can achieve a failure rate of less than 1% per year when used
consistently and correctly. Periodic abstinence, the rhythm method, and
withdrawal are NOT acceptable methods of contraception.

2. Women are considered of childbearing potential unless they meet either of the
following criteria:

- Surgically sterilised (including bilateral tubal ligation, bilateral
ophorectomy, or hysterectomy), or

- Postmenopausal

- For women aged < 50 years, postmenopausal is defined as having both:

- A history of ≥ 12 months amenorrhea prior to first dosing, without an
alternative cause, following cessation of exogenous sex-hormonal
treatment, and

- A follicle-stimulating hormone level in the post-menopausal range Until
follicle-stimulating hormone is documented to be within menopausal
range, the participant is to be considered of childbearing potential

- For women aged ≥ 50 years, postmenopausal is defined as having a history of
≥ 12 months amenorrhea prior to first dosing, without an alternative cause,
following cessation of exogenous sex-hormonal treatment

6. Capable of giving signed informed consent which includes compliance with the
requirements and restrictions listed in the ICF and in the protocol

Exclusion Criteria:

1. History of allergic disease or reactions likely to be exacerbated by any component of
AZD1222.

2. Active infection with SARS-CoV-2 as confirmed by RT-PCR.

3. Known past laboratory-confirmed SARS-CoV-2 infection. Note: Participant's baseline
serostatus determined as part of the study will not be used as a basis for exclusion
from the study.

4. Significant infection or other acute illness, including fever > 37.8°C on the day
prior to or day of first dosing.

5. Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV
infection; asplenia; recurrent severe infections and use of immunosuppressant
medication within the past 6 months (≥ 20 mg/kg/day of prednisone or its equivalent,
given daily or on alternate days for ≥ 15 days within 30 days prior to administration
of study intervention), except topical/inhaled steroids or short-term oral steroids
(course lasting

≤ 14 days).

1. Note: HIV-positive participants with CD4 counts > 500 for ≥ 12 months and on a
stable HIV antiretroviral regimen may be enrolled

2. Note: Topical tacrolimus is allowed if not used within 14 days prior to the day
of erolment.

6. History of primary malignancy except for:

1. Malignancy with low potential risk for recurrence after curative treatment (for
example, history of childhood leukaemia) or metastasis (for example, indolent
prostate cancer) in the opinion of the site investigator.

2. Adequately treated non-melanoma skin cancer or lentigo maligna without evidence
of disease

3. Adequately treated uterine cervical carcinoma in situ without evidence of disease

4. Localised prostate cancer

7. Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or
platelet disorder), or prior history of significant bleeding or bruising following IM
injections or venepuncture.

8. Severe and/or uncontrolled cardiovascular disease, respiratory disease,
gastrointestinal disease, liver disease, renal disease, endocrine disorder, and
neurological illness, as judged by the investigator (mild/moderate well-controlled
comorbidities are allowed).

9. History of Guillain-Barré syndrome, or other neuroimmunological disease.

10. Any other significant disease, disorder, or finding that may significantly increase
the risk to the participant, affect the ability of the participant to participate in
the study, or impair interpretation of the study data.

11. Receipt of, or planned receipt of investigational products indicated for the treatment
or prevention of SARS-CoV-2 or COVID-19. Note: For participants in the study who
become hospitalised with COVID-19, receipt of licensed treatment options and/or
participation in investigational treatment studies is permitted.

12. Receipt of any vaccine (licensed or investigational) other than licensed influenza
vaccines within 30 days prior to and after administration of study intervention.

13. Receipt of any influenza vaccine (licensed or investigational) within 7 days prior to
and after administration of study intervention.

14. Receipt of immunoglobulins and/or any blood products within 3 months prior to
administration of study intervention or expected receipt during the period of study
follow-up.

15. Involvement in the planning and/or conduct of the study (applies to both Sponsor staff
and/or staff at the study site).

16. For women only - currently pregnant (confirmed with positive pregnancy test) or
breastfeeding

17. Judgment by the investigator that the participant should not participate in the study
if the participant is unlikely to comply with study procedures, restrictions, and
requirements.

18. Previous enrolment in the present study. 5.3 Lifestyle Considerations 1) Participants
must follow the contraception requirements 2) Restrictions relating to concomitant
medications