Pfizer Lot Numbers with the Most Reported Deaths Examined

Part 1 of the Vaccine Lot Numbers Examined

This is a brand-new article listing the top 100 Pfizer COVID-19 vaccine lot numbers, using the latest CDC Wonder data from the rollout year, 2021, through April 24, 2026.

🎧 ▶️ Press the play button below to listen.

Introduction

This article is in response to the interest given to an old article. Pfizer COVID-19 Vaccine Lot Numbers with the Most Deaths. The data here is current as of April 2026.

They are drawn directly from the U.S. Vaccine Adverse Event Reporting System (VAERS) — a national passive surveillance database co-managed by the CDC and FDA.

VAERS accepts reports from healthcare providers, vaccine manufacturers, and the public. Anyone can submit a report, and they are encouraged to report any clinically significant health problem following vaccination, whether or not they believe the vaccine caused it.

Because of this, VAERS data alone cannot tell us whether a vaccine caused a death. The reports may be incomplete, inaccurate, coincidental, or unverifiable. They also lack a denominator — meaning we do not know how many doses of each lot were given.

However, there is another critical factor that readers must understand: the opposite problem of underreporting.

The Other Side: VAERS Dramatically Underreports Adverse Events

While VAERS data has limitations, experts also acknowledge that the system captures only a tiny fraction of actual adverse events. The Lazarus Report — a grant final report submitted to the U.S. Department of Health and Human Services (AHRQ Grant No. R18HS017045) — investigated adverse event reporting by comparing electronic medical records to VAERS records. Their findings were striking:

“Although 25% of ambulatory patients experience an adverse drug event, less than 0.3% of all adverse drug events and 1-13% of serious events are reported to the Food and Drug Administration (FDA). Likewise, fewer than 1% of vaccine adverse events are reported.”

This means that for every vaccine adverse event that occurs, fewer than 1 in 100 is ever reported to VAERS. For COVID-19 vaccines specifically, some researchers have found that underreporting may be even more pronounced because vaccines were administered at non-traditional sites (pharmacies, pop-up clinics, mass vaccination sites) where adverse event reporting was less systematic than in traditional healthcare settings.

What This Means for Interpreting the Data

These two realities exist simultaneously:

VAERS has false signalsANDVAERS misses most true events
Coincidental deaths are reportedFewer than 1% of adverse events are reported
Reports may be incomplete or inaccurateCOVID-19 vaccine reporting may be even worse
No causation can be determined from VAERS aloneThe true number of adverse events is almost certainly much higher

Therefore, the raw numbers in the table below — while useful for identifying potential safety signals — almost certainly represent a small fraction of actual adverse events that occurred. The true number of deaths following vaccination is unknown, but experts agree it is significantly higher than what VAERS captures.

With those critical limitations in mind, the table below shows the Pfizer COVID-19 vaccine lot numbers with the highest number of death reports in VAERS, updated through April 2026. These numbers are raw counts, not rates, and should not be interpreted as evidence that any lot was unsafe.

Additional Complexity: Booster Shots and Mixed Vaccine Series

There are two additional factors that make interpreting VAERS data — and assigning adverse events to a specific lot or vaccine — extremely difficult, especially for later years.

1. If an adverse event occurs after a booster, was it caused by the booster or the original shot?

This is a critical question that VAERS cannot answer.

Consider a person who:

  • Received their primary Pfizer series in early 2021 (Lot A and Lot B)
  • Received one or more Pfizer boosters in 2022, 2023, or 2024 (Lot C, Lot D, etc.)

If that person experiences a serious adverse event (e.g., myocarditis, stroke, autoimmune condition) in 2024 — weeks, months, or even years after their last booster — the VAERS report will typically list only the most recent vaccine lot (the booster) as the suspect product. However, the adverse event could theoretically be related to:

  • The booster itself (Lot C or D)
  • The original primary series (Lot A or B), with delayed onset
  • An interaction between doses
  • Purely coincidental background illness

VAERS cannot distinguish between these possibilities. The database does not track individual vaccination histories in a way that allows researchers to link an adverse event to a specific dose from years earlier. Therefore, adverse events reported after booster doses cannot be reliably attributed to the booster versus the original shots.

2. Mixing vaccines within a series further confounds the problem

Millions of Americans received:

  • Pfizer for dose 1, Moderna for dose 2 (or vice versa)
  • Pfizer or Moderna for the primary series, then a Novavax or J&J booster
  • Different brands across multiple boosters

In these cases, if an adverse event occurs, VAERS typically records only the vaccine given at the most recent dose (or the one the reporter believes caused the event). The contribution of prior doses from other manufacturers is lost.

ScenarioWhat VAERS RecordsWhat VAERS Cannot Tell You
Pfizer primary series (2021), Pfizer booster (2023), adverse event (2024)Booster lot numberWhether the original 2021 doses contributed
Pfizer dose 1, Moderna dose 2, adverse event after dose 2Moderna lot numberWhether Pfizer dose 1 played a role
Three different boosters over two yearsOnly the last lot (if any)Which dose (or combination) caused the event

This mixing means that even if a later-year adverse event is correctly reported, the lot number in VAERS may not represent the true cause — or even the only relevant vaccine.

ALT_TEXT - Infographic timeline showing two original Pfizer doses in 2021 and a Pfizer booster in 2023, followed by a serious adverse event in 2024. Text explains that VAERS only records the most recent booster lot number and cannot determine whether the original doses contributed to the event. DrJesseSantiano.com centered at bottom.
Fig. 1: When an adverse event occurs years after a booster, VAERS blames the booster lot. But the original shots may have played a role — and VAERS cannot tell the difference.

What This Means for Interpreting Later-Year Data

If you see…You cannot conclude…
A 2023 or 2024 lot with death reportsThat the booster caused the deaths
No reports for a 2023 lotThat the booster is safer (it may be underreported or administered to healthier people)
A report blaming a specific lotThat lot is definitely the cause (prior doses may be responsible)
A report after mixed vaccinationWhich brand or lot caused the event

Summary of Key Caveats

What these numbers AREWhat these numbers ARE NOT
Reports of death after vaccinationProof of death because of vaccination
Useful for generating hypothesesUseful for determining safety or risk
A reflection of reported volumeA reflection of actual death rates
Known to capture fewer than 1% of eventsA complete or accurate count
Able to record only the most recent vaccine lotAble to identify which dose in a series caused an event

ALT_TEXT - Infographic comparing what VAERS death report numbers actually mean versus what they do not mean. Two columns. Left column lists: reports of death after vaccination, raw counts, useful for hypotheses, captures fewer than 1% of events. Right column lists: not proof of causation, not death rates, not evidence a lot was unsafe, not complete. DrJesseSantiano.com centered at bottom.
Fig. 2: VAERS numbers show reports, not risk. See the full explanation in the article.

First, the Raw Numbers (from CDC WONDER)

The table below shows Pfizer lots with the highest number of death reports in VAERS as of April 2026. These are real reports submitted by healthcare providers, family members, or the public.

Top 50 Pfizer COVID-19 Vaccine Lots by VAERS Death Reports

RankVaccine LotTotal Death Reports (All Months Combined)
1EN6201236
2EN6200182
3EN5318179
4EN6198177
5EL9269176
6EN6202168
7EN6207162
8EN6205162
9EN6204150
10EM9810142
11EN6208128
12EN6203120
13EL9261113
14EL9267109
15EN620695
16EL324894
17EL324993
18EL014090
19EL926589
20EL330288
21EL926286
22EL898284
23EN958183
24EL926482
25EL926680
26EP695574
27EL128373
28EP753472
29ER872771
30EL014268
31EJ168667
32EK923166
33EL128463
34EM980962
35ER873058
36EL324656
37EK417653
38ER873752
39ER873249
40EW017148
41EW015047
42ER873147
43ER873346
44EJ168545
45EW016245
46EL324744
47EW015143
48EM980843
49ER873443
50EW016942

Ranks 51–100

RankVaccine LotTotal Death Reports
51EW015341
52EW016141
53EW017240
54EW017540
55ER873539
56EW016439
57EN619938
58EP753338
59EW015838
60EW017938
61EL926337
62EW016737
63EW017037
64EK573036
65EW016836
66EW017735
67EW018235
68ER873634
69EW017634
70EW018534
71FC318433
72EH989932
73EW018032
74EW018632
75EM980831
76EW018131
77EW018731
78EW019131
79ER261330
80EW016530
81FC318230
82EW017829
83EW019629
84FC318329
85EL9261 (duplicate variant?)28*
86FC318028
87FD081028
88EW018327
89FF259327
90EM980926
91EW016026
92FC318126
93ER872925
94EW017325
95FF258825
96FD080924
97FF258724
98FF258924
99FH802824
100FH803024

The top 100 lot numbers listed here are from the original monovalent Pfizer vaccine given in 2020–2021.

Later booster formulations (bivalent, XBB, JN.1) are recorded under different VAERS product codes and are not included in this ranking. They will be the subject of a future article in this series.

Comparing raw death counts between original shots and boosters would be invalid — not only because of different populations, but because they are different vaccines in the VAERS database.

Important Notes on These Numbers

  1. These are raw, unverified VAERS reports — not proven vaccine-caused deaths.
  2. No denominator — we do not know how many doses of each lot were administered.
  3. Top lots are almost entirely from Dec 2020 – May 2021, when vaccination targeted the oldest, sickest populations and reporting was most intense.

The Critical Caveat You Won’t See in a Screenshot

VAERS is a passive surveillance system. Anyone can submit a report. The criteria are intentionally broad: healthcare providers are encouraged to report any clinically significant health problem following vaccination, whether or not they believe the vaccine caused it.

The CDC and FDA are very clear:

“VAERS reports alone cannot be used to determine if a vaccine caused or contributed to an adverse event or illness. The reports may contain information that is incomplete, inaccurate, coincidental, or unverifiable.”

In other words:
A death report in VAERS means a death occurred after vaccination, not because of it.

Why High-Report Lots Are Not “Dangerous”

1. High-volume lots produce more reports by chance

Early Pfizer lots (late 2020 through early 2021) were distributed to millions of people, especially the elderly in nursing homes and long-term care facilities. If you give 2 million doses of a single lot to a population where 0.5% would die from any cause within a few weeks, you will see thousands of background deaths — all of which may be reported to VAERS.

2. No denominator = no rate

VAERS does not tell you how many doses of each lot were given. A lot with 100 reports and 10 million doses is far safer than a lot with 10 reports and 10,000 doses. Without that denominator, raw counts are meaningless for comparing safety.

3. Reporting bias is extreme

Early in the pandemic, any death after vaccination was headline news. Doctors, families, and even coroners were more likely to file a VAERS report. Later, lots received far less scrutiny, so underreporting increased. This skews the data dramatically toward early 2021.

4. Coincidental deaths are expected

Even with a perfectly safe vaccine, a certain number of deaths will occur by chance in the days or weeks following vaccination — due to heart attacks, strokes, cancer, infections, accidents, or COVID itself. VAERS captures those, but cannot distinguish them from true vaccine reactions without further investigation.

What Happens When CDC Actually Investigates

When VAERS detects a “safety signal” (e.g., a lot with many reports), the CDC and FDA do not stop there. They use more rigorous systems like:

  • Vaccine Safety Datalink (VSD) – active surveillance with medical records and control groups
  • Clinical Immunization Safety Assessment (CISA) – in-depth case reviews

To date, no Pfizer lot has been withdrawn or flagged as unsafe based on VAERS data. In every case where a lot appeared to have high death reports, follow-up studies found no causal link. The reports were either coincidental or reflected high vaccine use in vulnerable populations.

Take Aways

If you see…Do not conclude…Instead understand…
A lot with 100+ death reportsThe lot is dangerousThe lot was likely used widely in early 2021
A lot with zero death reportsThe lot is saferThe lot may have been used less, or later, or underreported
Rising death reports over timeSafety is getting worseReporting intensity and vaccine distribution changed

The Bottom Line

The COVID-19 pandemic has taught us many lessons — not all of them coming from mainstream medicine. Patients, families, independent researchers, and community doctors also observed, documented, and asked hard questions. Some of those questions have not yet been fully answered.

VAERS is one tool among many. It is flawed, incomplete, and easily misunderstood. But it is also one of the few windows the public has into what is being reported — and what is not.

Whether you are a vaccine advocate, a skeptic, or somewhere in between, the data in this article should not be used to declare any lot “safe” or “dangerous.” Instead, it should remind us of something broader:

People should look back and learn from what happened — because it can possibly happen again.

Another pandemic. Another vaccine. Another rapid rollout. Another passive surveillance system with the same strengths and the same weaknesses.

The question is not whether VAERS is perfect or worthless. The question is whether we — as individuals, as communities, and as a country — will remember what we learned this time. Will we demand better reporting systems? Will we track lot-specific outcomes with denominators? Will we honestly investigate both underreporting and coincidental reports?

Those lessons are not in any lot number. They are in how we choose to respond now.

Don’t Get Sick!

About Dr. Jesse Santiano, MD

Dr. Santiano is a retired internist and emergency physician with extensive clinical experience in metabolic health, cardiovascular prevention, and lifestyle medicine. He reviews all medical content on this site to ensure accuracy, clarity, and safe application for readers. This article is for educational purposes and is not a substitute for personal medical care.

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Related:

References:

  • United States Department of Health and Human Services (DHHS), Public Health Service (PHS), Centers for Disease Control (CDC) / Food and Drug Administration (FDA), Vaccine Adverse Event Reporting System (VAERS) 1990 – 04/24/2026, CDC WONDER On-line Database. Accessed at http://wonder.cdc.gov/vaers.html on May 16, 2026 8:56:36 PM
  • Lazarus, R. (2010). Electronic Support for Public Health – Vaccine Adverse Event Reporting System (ESP: VAERS) – Final Report (Grant No. R18 HS017045). Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.

Disclaimer:
This article is for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician before making health decisions based on the TyG Index or other biomarkers.

© 2018 – 2026 Asclepiades Medicine, LLC. All Rights Reserved
DrJesseSantiano.com does not provide medical advice, diagnosis, or treatment


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