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Kids & Teens CMV Vaccine Study

A Phase 1/2a, Placebo-Controlled, Safety and Immunogenicity Study of mRNA-1647 Cytomegalovirus Vaccine.
Males and Females ages 9-15 years old.
Participants will also receive study related treatment at no cost and will be compensated for time and travel.

Patient Info *

First

Last

Date of Birth *

Phone *

Email *

Parent/Legal Guardian Name *

Has child received any vaccines within the last 28 days? *

Yes
No

Is child currently ill with a fever? *

Yes
No

If female child is sexually active, are they willing to use birth control? *

Yes
No
N/A

Is child pregnant? *

Yes
No

Preferred Language

How did you hear about us? *

Please contact me with further information for this study. *

I Agree

IDAHO FALLS

Monday-Thursday 8am-5pm & Friday 8am-2pm

187 East 13th Street
Idaho Falls, ID 83404

Clinical Research Prime is an Affiliate of Mountain View Hospital.

REXBURG

By Appointment Only
420 E 4th N
Rexburg, ID 83440

CONTACT US

Call: (208) 497-0600
Text: (208) 508-1467
Fax: (208) 497-0606

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