1. pregnant or lactating women. 2. subjects that deteriorated to score \>5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score \<5 prior to randomization. 3. severe neutropenia (neutrophil count \<500/mm³) assessed within 24 hours prior to start of treatment. 4. thrombocytopenia (platelet count \<30,000/mm³) assessed within 24 hours prior to start of treatment. 5. hemoglobin \<7g/dl assessed within 24 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) \<30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index \<16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

1. pregnant or lactating women. 2. subjects that deteriorated to score \>5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score \<5 prior to randomization. 3. severe neutropenia (neutrophil count \<500/mm³) assessed within 24 hours prior to start of treatment. 4. thrombocytopenia (platelet count \<30,000/mm³) assessed within 24 hours prior to start of treatment. 5. hemoglobin \<7g/dl assessed within 24 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) \<30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index \<16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

pregnant or lactating women. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. severe neutropenia (neutrophil count <500/mm³) assessed within 24 hours prior to start of treatment. thrombocytopenia (platelet count <30,000/mm³) assessed within 24 hours prior to start of treatment. hemoglobin <7g/dl assessed within 24 hours prior to start of treatment. known hemolysis. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). known decompensated heart failure (new york heart association class iii-iv). known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. known human immunodeficiency virus infection. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

pregnant or lactating women. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. severe neutropenia (neutrophil count <500/mm³) assessed within 24 hours prior to start of treatment. thrombocytopenia (platelet count <30,000/mm³) assessed within 24 hours prior to start of treatment. hemoglobin <7g/dl assessed within 24 hours prior to start of treatment. known hemolysis. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). known decompensated heart failure (new york heart association class iii-iv). known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. known human immunodeficiency virus infection. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

1. pregnant or lactating women. 2. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. 3. severe neutropenia (neutrophil count <500/mm³) assessed within 24 hours prior to start of treatment. 4. thrombocytopenia (platelet count <30,000/mm³) assessed within 24 hours prior to start of treatment. 5. hemoglobin <7g/dl assessed within 24 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

1. pregnant or lactating women. 2. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. 3. severe neutropenia (neutrophil count <500/mm³) assessed within 24 hours prior to start of treatment. 4. thrombocytopenia (platelet count <30,000/mm³) assessed within 24 hours prior to start of treatment. 5. hemoglobin <7g/dl assessed within 24 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 24 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known treatment with polyvalent immunoglobulin preparations, any type of blood product, or any type of interferon during the last 21 days before entering the trial. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

1. pregnant or lactating women. 2. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. 3. severe neutropenia (neutrophil count <500/mm³) assessed within 18 hours prior to start of treatment. 4. thrombocytopenia (platelet count <30,000/mm³) assessed within 18 hours prior to start of treatment. 5. hemoglobin <7g/dl assessed within 18 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 18 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known immunoglobulin or blood product treatment during the last 21 days prior to randomization. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.

1. pregnant or lactating women. 2. subjects that deteriorated to score >5 on the 9-category ordinal scale (e.g. receiving invasive mechanical ventilation (imv), and/or extracorporeal membrane oxygenation (ecmo)) or subjects that improved to score <5 prior to randomization. 3. severe neutropenia (neutrophil count <500/mm³) assessed within 18 hours prior to start of treatment. 4. thrombocytopenia (platelet count <30,000/mm³) assessed within 18 hours prior to start of treatment. 5. hemoglobin <7g/dl assessed within 18 hours prior to start of treatment. 6. known hemolysis. 7. known thrombosis or thromboembolic events (tees) or known medical history of tees (e.g. cerebrovascular accidents, transient ischemic attack, myocardial infarction, pulmonary embolism, and deep vein thrombosis) within the previous 3 months or those subjects particularly at risk for tees (e.g. history of thrombophilia, permanent immobilization, or permanent paralysis of the lower extremities) caused by other reasons than covid-19. 8. subject on dialysis or with severe renal impairment, estimated glomerular filtration rate (egfr) <30 ml/min/1.73 m² assessed within 18 hours prior to start of treatment (details in appendix 3: estimated glomerular filtration rate). 9. subject with end stage renal disease (esrd), or known primary focal segmental glomerulosclerosis (fsgs). 10. known severe lung diseases interfering with covid-19 therapy (e.g. severe interstitial lung disease, cystic fibrosis, idiopathic pulmonary fibrosis, active tuberculosis, chronically infected bronchiectasis, or active lung cancer). 11. known decompensated heart failure (new york heart association class iii-iv). 12. known pre-existing hepatic cirrhosis, severe hepatic impairment (child pugh c score ≥9 points), or hepatocellular carcinoma. 13. known intolerance to proteins of human origin or known allergic reactions to components of trimodulin. 14. selective, absolute immunoglobulin a (iga) deficiency with known antibodies to iga. 15. known treatment for thorax/head/neck/hematologic malignancies in the last 12 months. 16. known human immunodeficiency virus infection. 17. life expectancy of less than 90 days, according to the investigator's clinical judgment, because of medical conditions neither related to covid-19 nor to associated medical complications. 18. obesity (body mass index ≥40 kg/m²), a body weight of more than 123 kg, or anorexia (body mass index <16 kg/m²). 19. known immunosuppressive treatment other than acute treatment for covid-19 (e.g. transplant recipient, subject with autoimmune disease). 20. known immunoglobulin or blood product treatment during the last 21 days prior to randomization. 21. participation in another interventional clinical trial within 30 days before entering, or during the trial, or previous participation in this clinical trial. 22. employee or direct relative of an employee of the contract research organization, the trial site, or biotest.