To evaluate immune responses of an Investigational mRNA-1273.815 vaccine against the Omicron subvariant strain (XBB.1.5) of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Inclusion Criteria:

• Participants of childbearing potential may be enrolled in the study if the participant fulfills all of the following criteria:

  1. Has a negative pregnancy test on the day of injection prior to vaccine dose being administered (Day 1).
  2. Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to Day 1.
  3. Has agreed to continue using an effective contraception through 2 weeks following injection.
  4. Is not currently breastfeeding.

Exclusion Criteria:

• Has known history of SARS-CoV-2 infection within 3 months prior to enrollment.

• Currently has symptomatic acute or unstable chronic disease requiring medical or surgical care, to include significant change in therapy or hospitalization for worsening disease, at the discretion of the Investigator.

• Has a medical, psychiatric, or occupational condition that may pose additional risk as a result of participation, or that could interfere with safety assessments or interpretation of results according to the Investigator's judgment.

• Reported history of congenital or acquired immunodeficiency (for example, human immunodeficiency virus), immunosuppressive condition, asplenia, or recurrent severe infections disease.

• Has known or suspected allergy or history of anaphylaxis, urticaria, or other significant adverse reaction to the vaccine or its excipients.

• Receipt of the following:

  1. COVID-19 vaccine within 3 months prior to enrollment
  2. Any other licensed vaccine within 28 days before or 2 weeks after the study injection, with the exception of influenza vaccines, which may be given 14 days before or after receipt of a study vaccine.
  3. Systemic immunosuppressants or immune-modifying drugs for >14 days in total within 6 months prior to Screening (for corticosteroids ≥10 milligrams/day of prednisone equivalent) or is anticipating the need for immunosuppressive treatment at any time during participation in the study. Note: Inhaled, nasal, and topical steroids are allowed.
  4. Systemic immunoglobulins or blood products within 3 months prior to Screening or plans for receipt during the study.

• Has donated ≥450 milliliters of blood products within 28 days prior to Screening or plans to donate blood products during the study.

• Has participated in an interventional clinical study within 28 days prior to Screening or plans to participate in an interventional clinical trial of an investigational vaccine or drug while participating in this study.

Note: Other inclusion and exclusion criteria may apply.

Safety Set included all enrolled participants who received study drug.

Day 1 through Day 15

The all-cause mortality was based on the randomization set. The serious and other (not including serious) adverse events were based on the safety set which consisted of all enrolled participants who received the study drug.