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:
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.
| Scenario | What VAERS Records | What VAERS Cannot Tell You |
|---|---|---|
| Pfizer primary series (2021), Pfizer booster (2023), adverse event (2024) | Booster lot number | Whether the original 2021 doses contributed |
| Pfizer dose 1, Moderna dose 2, adverse event after dose 2 | Moderna lot number | Whether Pfizer dose 1 played a role |
| Three different boosters over two years | Only 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.
What This Means for Interpreting Later-Year Data
| If you see… | You cannot conclude… |
|---|---|
| A 2023 or 2024 lot with death reports | That the booster caused the deaths |
| No reports for a 2023 lot | That the booster is safer (it may be underreported or administered to healthier people) |
| A report blaming a specific lot | That lot is definitely the cause (prior doses may be responsible) |
| A report after mixed vaccination | Which brand or lot caused the event |
Summary of Key Caveats
| What these numbers ARE | What these numbers ARE NOT |
|---|---|
| Reports of death after vaccination | Proof of death because of vaccination |
| Useful for generating hypotheses | Useful for determining safety or risk |
| A reflection of reported volume | A reflection of actual death rates |
| Known to capture fewer than 1% of events | A complete or accurate count |
| Able to record only the most recent vaccine lot | Able to identify which dose in a series caused an event |
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
| Rank | Vaccine Lot | Total Death Reports (All Months Combined) |
|---|---|---|
| 1 | EN6201 | 236 |
| 2 | EN6200 | 182 |
| 3 | EN5318 | 179 |
| 4 | EN6198 | 177 |
| 5 | EL9269 | 176 |
| 6 | EN6202 | 168 |
| 7 | EN6207 | 162 |
| 8 | EN6205 | 162 |
| 9 | EN6204 | 150 |
| 10 | EM9810 | 142 |
| 11 | EN6208 | 128 |
| 12 | EN6203 | 120 |
| 13 | EL9261 | 113 |
| 14 | EL9267 | 109 |
| 15 | EN6206 | 95 |
| 16 | EL3248 | 94 |
| 17 | EL3249 | 93 |
| 18 | EL0140 | 90 |
| 19 | EL9265 | 89 |
| 20 | EL3302 | 88 |
| 21 | EL9262 | 86 |
| 22 | EL8982 | 84 |
| 23 | EN9581 | 83 |
| 24 | EL9264 | 82 |
| 25 | EL9266 | 80 |
| 26 | EP6955 | 74 |
| 27 | EL1283 | 73 |
| 28 | EP7534 | 72 |
| 29 | ER8727 | 71 |
| 30 | EL0142 | 68 |
| 31 | EJ1686 | 67 |
| 32 | EK9231 | 66 |
| 33 | EL1284 | 63 |
| 34 | EM9809 | 62 |
| 35 | ER8730 | 58 |
| 36 | EL3246 | 56 |
| 37 | EK4176 | 53 |
| 38 | ER8737 | 52 |
| 39 | ER8732 | 49 |
| 40 | EW0171 | 48 |
| 41 | EW0150 | 47 |
| 42 | ER8731 | 47 |
| 43 | ER8733 | 46 |
| 44 | EJ1685 | 45 |
| 45 | EW0162 | 45 |
| 46 | EL3247 | 44 |
| 47 | EW0151 | 43 |
| 48 | EM9808 | 43 |
| 49 | ER8734 | 43 |
| 50 | EW0169 | 42 |
Ranks 51–100
| Rank | Vaccine Lot | Total Death Reports |
|---|---|---|
| 51 | EW0153 | 41 |
| 52 | EW0161 | 41 |
| 53 | EW0172 | 40 |
| 54 | EW0175 | 40 |
| 55 | ER8735 | 39 |
| 56 | EW0164 | 39 |
| 57 | EN6199 | 38 |
| 58 | EP7533 | 38 |
| 59 | EW0158 | 38 |
| 60 | EW0179 | 38 |
| 61 | EL9263 | 37 |
| 62 | EW0167 | 37 |
| 63 | EW0170 | 37 |
| 64 | EK5730 | 36 |
| 65 | EW0168 | 36 |
| 66 | EW0177 | 35 |
| 67 | EW0182 | 35 |
| 68 | ER8736 | 34 |
| 69 | EW0176 | 34 |
| 70 | EW0185 | 34 |
| 71 | FC3184 | 33 |
| 72 | EH9899 | 32 |
| 73 | EW0180 | 32 |
| 74 | EW0186 | 32 |
| 75 | EM9808 | 31 |
| 76 | EW0181 | 31 |
| 77 | EW0187 | 31 |
| 78 | EW0191 | 31 |
| 79 | ER2613 | 30 |
| 80 | EW0165 | 30 |
| 81 | FC3182 | 30 |
| 82 | EW0178 | 29 |
| 83 | EW0196 | 29 |
| 84 | FC3183 | 29 |
| 85 | EL9261 (duplicate variant?) | 28* |
| 86 | FC3180 | 28 |
| 87 | FD0810 | 28 |
| 88 | EW0183 | 27 |
| 89 | FF2593 | 27 |
| 90 | EM9809 | 26 |
| 91 | EW0160 | 26 |
| 92 | FC3181 | 26 |
| 93 | ER8729 | 25 |
| 94 | EW0173 | 25 |
| 95 | FF2588 | 25 |
| 96 | FD0809 | 24 |
| 97 | FF2587 | 24 |
| 98 | FF2589 | 24 |
| 99 | FH8028 | 24 |
| 100 | FH8030 | 24 |
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
- These are raw, unverified VAERS reports — not proven vaccine-caused deaths.
- No denominator — we do not know how many doses of each lot were administered.
- 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 reports | The lot is dangerous | The lot was likely used widely in early 2021 |
| A lot with zero death reports | The lot is safer | The lot may have been used less, or later, or underreported |
| Rising death reports over time | Safety is getting worse | Reporting 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.
💡 Support This Work
Creating well-researched articles, maintaining this website, and keeping the information free takes time and resources.
If you found this article helpful, please consider donating to support the mission of empowering people to live healthier, longer lives, without relying on medications.
🙏 Every contribution, big or small, truly makes a difference. Thank you for your support!
Follow me on Facebook, Gab, Twitter (formerly known as X), Instagram, and Telegram.
Related:
- Pfizer COVID-19 Vaccine Lot Numbers with the Most Deaths
- Lot Numbers of Pfizer and Moderna mRNA Vaccines with the Highest Deaths
- Moderna COVID-19 Vaccine Lot Numbers with the Most Deaths: Medalerts
- Pfizer and Moderna shots increase all cause mortality: Denmark study
- Blood Vessel Damaging Proteins of the SARS-CoV-2
- Cerebral Thrombosis after the Pfizer Covid-19 Vaccine
- The High Risk of Deadly Brain Clots in the J & J COVID Vaccine
- This Study shows a Ten Fold Risk of Developing Blood Clots after the COVID Vaccines.
- You got the COVID shot and found that others developed blood clots. Now what?
- Platelet Changes Causes Blood Clots in COVID-19
- Unidentified Foreign Bodies in the Vaccines Form Clots
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
As an Amazon Associate, I earn from qualifying purchases
Discover more from Don't Get Sick!
Subscribe to get the latest posts sent to your email.