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Document text

Department of Health and Human Services  
Food and Drug Administration (FDA)  
Center for Biologics Evaluation and Research (CBER)  
Office of Biostatistics and Epidemiology (OBE)  
Division of Epidemiology (DE)  
 
PHARMACOVIGILANCE PLAN REVIEW MEMORANDUM  
 
  From:     Deborah L. Thompson, MD, MSPH  
    Medical Officer, Analytic Epidemiology Branch (AEB)  
    DE, OBE, CBER, FDA 
 To:    Ramachandra Naik, PhD  
Chair, Review Committee  
Office of Vaccines Research and Review  (OVRR), CBER, 
FDA 
 Through:    Manette Niu, MD  
    Branch Chief, AEB  
    DE, OBE, CBER, FDA 
     Narayan Nair , MD  
    Division Director, DE 
    OBE, CBER, FDA  
 Subject:     Review of Pharmacovigilance Plan 
 Sponsor:     Pfizer  
 Product:    BNT162b2 ( COVID- 19 Vaccine) 
 BLA Number :   125742/0  
 
Proposed Indication:  Active immunization to prevent COVID -19 disease caused 
by SARS- CoV-2 in individuals > 16 years of age.   
 Submission Date:   May 18, 202 1 
 Action Due Date:    January 16,  2022 
  
2 
 1 Objective and Scope 
 The purpose of this review is to assess the adequacy of the sponsor’s proposed pharmacovigilance plan (PVP) submitted under the original BLA 125742/0 for  post-
marketing safety monitoring for BNT162b2 (COVID -19 vaccine)  and to identify potential 
safety issues  associated with the use of  BNT162b2 that may need to be addressed 
through additional pharmacovigilance activities  including safety -related studies such as 
Post-Marketing Requirements ( PMRs ) and/or Post -Marketing Commitments  (PMCs ) or 
a Risk Evaluation and Mitigation Strategy (REMS) .  
  2 Product Information 
 
2.
1 Product Description 
 BNT162b2 contains a nucleoside- modified messenger RNA (modRNA) that encodes 
the viral spike (S) glycoprotein of SARS -CoV-2. Each vial of vaccine is diluted with 1.8 
mL of sterile 0.9% Sodium Chloride Injection, USP prior to use to form the vaccine. Each dose includes the following ingredients: lipids ((4-hydroxybutyl)azanediyl)bis(hexane- 6,1-diyl)bis(2 -hexyldecanoate), 2[(polyethylene 
glycol) -2000] -N,N-ditetradecylacetamide, 1,2- distearoyl -sn-glycero-3- phosphocholine, 
and cholesterol), potassium chloride, monobasic potassium phosphate, sodium chloride, dibasic sodium phosphate dihydrate, and sucrose.  
 2.2 Authorized Indication and Dosing Regimen 
 
The Pfizer -BioNTech COVID- 19 Vaccine is currently authorized for use under an 
Emergency Use Authorization (EUA) for active immunization to prevent coronavirus disease 2019 ( COVID- 19) caused by severe acute respiratory syndrome coronavirus 2 
(SARS- CoV-2) in individuals >12 years of age.  The vaccine is administered 
intramuscularly as a series of two doses (0.3 mL each) given three weeks apart.  
 2.3 Proposed Product Indication and Dosing Regimen 
 
The proposed indication for BNT162b2 is active immunization to prevent COVID- 19 
disease caused by  SARS- CoV- 2 in individuals > 16 years of age.  The vaccine is 
administered intramuscularly as a series of two doses (0.3 mL each) given three weeks apart.  
  3 Materials Reviewed 
 
•
 Pharmacovigilance Plan, Version 1.0 (STN 125742/0.1 , Module 1.16.1 , dated 
May 17, 202 1; received May 18, 2021) 
• Pharmacovigilance Plan, Version 1.1 (STN 125742/0.20 , sequence 0021, 
Module 1.16.1 , dated July 28, 2021; received July 29, 2021) 
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 • Cumulative Analysis of Post -authorization Adverse Event Reports (STN 
125742/0, Module 5.3.6, received May 6, 2021)  
• Summary of Clinical Safety (STN 1257 42/0, Module 2.7 .4; received May 6, 202 1) 
• Draft Labeling Text (STN 125742/0.1 , Module 1.14; received May 18, 2021) 
• Post-authorization safety surveillance study protocols  linked in the PVP  
• Sponsor’s IR responses  
• VAERS database and data mining 
 
 
4 S
ummary of Pertinent Regulatory History and Prior Marketed Experience 
 Pertinent regulatory history is shown in Table 1.  BNT162b2 has received temporary 
authorization for emergency supply in 28 countries and conditional marketing authorization in 39 countries.  As of August 4, 2021, over 194 million doses of BNT16b2 
have been administered to over 88 million individuals in the U.S. under the EUA. Per the sponsor’s Summary Monthly Safety Report (STN 19736.409), approximately 
 doses of BNT162b2 have been shipped worldwide from December 1, 2020 
through June 30, 2021, which corresponds to approximately 757,863,718 estimated 
doses administered.  
 
Table 1: Pertinent Regulatory History  
Date  Regulatory Action  
April 29, 2020  IND for BNT162b2 became  effective  
July 7, 2020  Fast Track Designation granted for individuals 18 years 
of age and older  
December 11, 2020  Emergency Use Authorization (EUA 27034) granted for 
active immunization to prevent COVID -19 in individuals 
16 years of age and older  
May 10, 2021  FDA re-issued EUA letter to expand authorization for 
use in individuals 12 through 15 years of age with 
addition of following warning in Fact Sheet for Healthcare Providers : “Syncope (fainting) may occur in 
association with administration of injectable vaccines, in particular adolescents. Procedures should be in place to 
avoid injury from fainting.”  
May 18, 2021  Final roll of BLA 125742/0 submitted  
June 25, 2021  EUA Fact Sheet revised to add Warnings for myocarditis 
and pericarditis following use of Pfizer -BioNTech 
COVID -19 Vaccine  
  
(b) (4)
4 
  
  5 Summary  of Sponsor’s Safety Database  
 5.1 Clinical Studies  
 
There are two clinical studies for BNT162b2 which are summarized in Table 2.  
Table 2: Summary of Clinical Studies for BNT162b2 * 
Study  Description  Number of 
subjects  
randomized   Data cut -off date  
BNT162 -01 Phase 1/2 first in human dose 
finding study, open- label, non-
randomized, included two age cohorts: 18 -55 years and 56- 85 
years;  BNT162b2 was given at 5 
dose levels (1, 3, 10, 20, 30 µg)  
 216 October 23, 2020  
C4591001 
(BNT162-02) Phase 1/2/3 randomized, placebo -
controlled, observer blind study for safety, immunogenicity, and efficacy    
   
 
 Phase 1: two age cohorts: 18 -55 
years and 65- 85 years; 3 dose 
levels for BNT162b2: 10, 20, and 30 µg, randomized 4:1 to receive active vaccine or placebo; long term follow -up (LTFU) for 
AEs/SAEs for BNT162b2 30 µg group only  
 195 (30 in 
LTFU)  
 August 24, 2020 
(March 13, 2021 for LTFU)  
 
 Phase 2: two age cohorts: 18 -55 
years and 56- 85 years;  BNT162b2 
30 µg dose; randomized 1:1 to receive active vaccine or placebo  
 360 September 2, 
2020  
 
 Phase 3: three age cohorts: 12 -15, 
16-55 years and >55 years; 
BNT162b2 30 µg dose; randomized 1:1 to receive active vaccine or placebo  43,847 
(includes 360 subjects from Phase 
2) March 13, 2021  
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 *Adapted from sponsor’s Summary of Clinical Safety, Table 1.  
 
Study BNT162- 01 
Study BNT162b2 is an ongoing, first- in-human, open- label, non- randomized Phase 1/2 
dose finding and cohort expansion (for dose levels selected during dose finding) study 
conducted in Germany (not under U.S. IND) among healthy adults age 18 to 85 years of age. Four vaccine candidates from three different RNA platforms were tested. Key safety assessments included physical examinations, electrocardiograms, clinical 
laboratory tests, solicited local and systemic reactions  (recorded in diaries for seven 
days post -dose) , SARS- CoV- 2 testing, a dverse events (AEs), and serious adverse 
events (SAEs). Unsolicited treatment emergent AEs (TEAEs) were recorded for 28 days 
post-second dose. Adverse events of special interest (AESI) included enhanced 
respiratory disease or flu- like symptomatology that did not resolve after seven days.  
Study C4591001  
 
Study C4591001 (IND 019736) is a Phase 1/2/3 randomized, placebo- controlled, 
observer blind study for safety, immunogenicity, and efficacy. Part icipants are followed 
for 24 months. Participants >16 years who originally received placebo (i.e., normal 
saline) and became eligible for receipt of BNT162b2 were offered BNT162b2 in a 
phased process as part of the study.  
Phase 1 evaluated two vaccine candidates (BNT162b 1 and BNT162b2) and involved 
dose- level finding (three dose levels for BNT162b2: 10, 20, and 30 µg) among two age 
cohorts  of healthy adults  (18-55 and 65- 85 years; n=195). Subjects were randomized 
4:1 to receive active vaccine or  placebo. Reactogenicity (i.e., local and systemic 
reactions) was a ssessed for up to seven days after each dose, AEs were assessed 
from dose 1 through 1- month after the last dose, and SAEs were assessed from dose 1 
to six months after the last dose. Long- term follow -up for AEs and SAEs was conducted 
for the BNT162b2 30 µg cohort (n=30) from 1- month post -second dose to the unblinding 
date (approximately 6- months post -second dose).   
Phase 2/3  was conducted to define the safety profile of BNT162b2 and in volved 
administration of BNT162b2 (30 µg dose) to individuals in three age cohorts  (12-15 
years , 16-55 years and >55 years; n=43,847) . Phase 2/3 participants were  those judged 
by investigators to be at higher risk for acquiring COVID -19 (e.g., individuals who use 
mass transportation or frontline essential workers). Subjects were randomized 1:1 to receive active vaccine or placebo. Phase 2 was conducted to confirm the safety profile seen in Phase 1 and included the first 360 randomized subjects ; reactogenicity was 
assessed for up to seven days after each dose and AEs/SAEs were assessed from 
dose 1 to 7- days post -second dose.  Phase 3 assessed r eactogenicity in a subset of 
subjects (n=9,839)  for up to seven days after each dose. Adverse events and SAEs 
were assessed in all subjects f or 1-month post-second dose and up to the unblinding 
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 date. In addition, open- label AEs/SAEs were assessed among participants originally 
randomized to BNT162b2 (n=20,309) from the date of unblinding to the data cut -off 
(March 13, 2021). Open- label AEs/SAEs were assessed among participants who were 
originally randomized to placebo but were vaccinated with BNT162b2 after treatment 
disclosure (n=19,525) from the date of BNT162b2 vaccination to the data- cutoff (March 
13, 2021). No AEs of special interest were defined for Study C4591001.  
5.2 Adverse Events  
 
In Study BNT162- 01 most solicited local and systemic reactions were mild or moderate 
in severity and were short -lived after dosing. Most unsolicited AEs were also mild to 
moderate in severity  and all resolved; there were no unanticipated safety findings . 
There were no AESIs , deaths , or treated- related SAEs reported among participants who 
received BNT162b2 in Study BNT162- 01. Similarly, in Phase 1 and 2 of Study 
C4591001, reactogenicity was mostly mild to moderate and short -lived after dosing; the 
AE profile did not suggest any serious safety concerns. There were no treatment -related 
SAEs or deaths.  
 
In Phase 3 of Study C4591001, solic ited local reactions occurred more commonly in the 
BNT162b2 group as compared with the placebo group; the majority of local reactions were mild or moderate in severity after both first and second doses and in both younger (<55 years) and older age groups  (>55 years) . Solicited s ystemic events and use of 
antipyretic/pain medication were generally reported less frequently in the placebo group 
as compared with the BNT162b2 group for both age groups and doses, with the exception of vomiting and diarrhea which w ere reported at similar  frequencies between 
BNT162b2 and placebo groups.  The majority of solicited systemic events were mild or 
moderate in severity.  Solicited systemic events occurred more frequently after Dose 2 of 
BNT162b2 as compared with Dose 1 in both younger and older age groups . 
Reactogenicity AEs were generally milder and less frequent in the older age group as compared with the younger age group.  
 In the blinded placebo -controlled follow -up period (n=43,847) , 30.2% of BNT162b2 
recipients and 13.9% of placebo recipients had any AE from Dose 1 to 1- month after 
Dose 2 and 0.6% and 0.5% , respectively,  had an SAE; there were three deaths in the 
BNT162b2 group and five deaths in the placebo group. The most frequently reported 
AEs were reactogenicity events including injection site pain (13.3% BNT162b2 group vs 1.8% placebo group), pyrexia (6.9% vs 0.4%), fatigue (6.7% vs 1.7%), chills (6.2% vs 0.5%), headache (6.1% vs 1.9%), myalgia (5.7% vs 0.8%), pain (2.9% vs 0.3%), and arthralgia (1.2% vs 0.5%). Among those in the BNT162b2 group, the overall AE frequencies were higher  in the younger age group ( 32.6%) as compared with the older 
age group ( 26.7% ).  
 From Dose 1 to the unblinding date, the AEs with the highest incidence rates were consistent with the AEs in the Dose 1 to 1- month after Dose 2 analysis . There were also 
similar incidence rates of SAE s (3.2 per 100 person- years for BNT162b2 group vs 3.3 
per 100 person- years for placebo group) and deaths among BNT162b2 and placebo 
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 recipients  (0.2 per 100 person- years for both groups ; 15 vs 14 deaths, respectively ). 
There were four  related- SAEs in the BNT162b2 group (one each of lymphadenopathy, 
shoulder injury related to vaccine administration, ventricular arrhythmia, and paresthesia 
of right leg) and one related- SAE in the placebo group (psoriatic arthr opathy) . The 15 
deaths in BNT162b2 group were due to: cardiac arrest  (n=4) , arteriosclerosis  (n=2) , and 
one each of COVID -19 pneumonia, cardiac failure congestive, cardiorespiratory arrest, 
chronic obstructive pulmonary disease ( COPD) , emphysematous cholecystitis, 
hypertensive heart disease, metastatic lung cancer, sepsis, septic shock, shigella sepsis, and an unevaluable event ; multiple contributing causes of death could be 
reported for each subject. The 14 deaths in the placebo group were due to COVID -19 
(n=2) , multiple organ dysfunction syndrome (n=2) , myocardial infarction (n=2) , 
pneumonia  (n=2) , lacking specific cause ( n=2; one “death” and one “ missing ”) and one 
each of acute respiratory failure, aortic rupture, metastatic biliary cancer, cardiac arrest, cardiorespiratory arrest, dementia, hemorrhagic stroke, liver metastases, and overdose.  
None of the deaths  during the Dose 1 to unblinding date time period were assessed by 
investigators as related to the study intervention.  
 From the unblinding date to the data cut -off, the incidence rates of AEs were markedly 
reduced relative to the AEs reported from Dose 1 to the unblinding date among the 
original BNT162b2 recipients (n=21,926)  (8.8/100,000 person- years vs 83.2/100,000 
person- years, respectively) . There were 55 SAEs during this time period among the 
original  BNT162b2 recipients , including one related- SAE of  myocardial infarction 
(participant in younger age group with no past medical history [ PMH], onset 71- days 
after Dose 2, resolved same day). There were three deaths among the original 
BNT162b2 participants  (all in the older age group; one each due to road traffic accident, 
lung metastases, and myocardial infarction) ; none of the deaths were assessed by 
investigators as related to study intervention.  
 
Among the 19,525 participants who originally received placebo and then received 
BNT162b2 after unblinding, the most frequently reported AEs overall were related to 
reactogenicity and were consistent with AEs reported among the group that was originally randomized to receive BNT162b2.  After vaccination with BNT162b2, there 
was one related- SAE of anaphylactoid reaction in a patient with an ongoing medical 
history of drug hypersensitivity and food and seasonal allergies  (onset 2- days post -1
st 
dose of BNT162b2; treated with self -administered epinephrine pen and resolved same 
day). Two deaths  occurred following vaccination with BNT162b2 ( both in the older age 
group; one each due to cardiorespiratory arrest and completed suicide), neither of which 
were assessed by investigators as related to the study intervention.                                                                                                                                                                                                        
 The sponsor also provided a review of AEs of interest requested by FDA  
(hypersensitivity/anaphylaxis, Bell’s p alsy/facial paralysis, lymphadenopathy, and 
appendicitis) and the Center for Disease Control and Prevention’s ( CDC) AESI list  for 
COVID- 19 vaccines . This review wa s focused on the Dose 1 to unblinding time period. 
For hypersensitivity, there was a higher number and percentage of participants in the BNT162b2 vs placebo groups (182 [0.83%] vs 161 [0.73%], respectively), which was mainly due to skin and subcutaneous tissue disorders  (134 [0.61%] vs 119 [0.54%]), 
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 including rash (62 [0.28%] vs 52 (0.24%]), urticaria (18 [0.08%] vs 15 [0.07%]), rash 
pruritic (8 [0.04%] vs 6 [0.03%]), rash maculo- papular (7 [0.03%] vs 4 [0.02%]), and 
eczema (7 [0.03%] vs 3 [0.01%]) . There were three hypersensitivity SAEs during the 
blinded placebo- controlled follow -up period: two in the BNT162b2 group (anaphylactic 
reaction following bee sting and drug hypersensitivity to an antibiotic) and one in the placebo group (anaphylactic shock due to an ant bite); none were considered by investigators as related to the study intervention. Among the original placebo group 
participants who then received BNT162b2 after unblinding there was one anaphylactoid reaction (assessed as related; reviewed in section 5.2 of this memorandum).  For Bell’s 
palsy, there were four  cases in the BNT162b2 group ( two of which were considered 
related by investigators) and two  in the placebo group during the blinded placebo-
controlled follow -up period. Among those who originally received placebo and then 
received BNT162b2 after unblinding, there were three participants who experienced 
facial paralysis (all considered related by investigators). L ymphadenopathy was 
reported in 87 (1.0 per 100 person -years [PY] ) participants in the BNT162b2 group 
compared to 8 (0.2 per 100 PY) participants in the placebo group. One lymphadenopathy event (right axil la, normal lymph node biopsy ) was considered a 
related- SAE in the BNT162b2 group and resolved within 66 days . Appendicitis  was 
reported for a total of 15 BNT162b2 participants, including one case of perforated 
appendicitis , as compared with 12 total reports of appendicitis  in the placebo group, 
including two cases of complicated appendicitis, and one case of perforated 
appendicitis. All appendicitis cases were reported as SAEs and none were considered related to study intervention by investigators . Among CDC- defined AESIs that occurred 
from Dose 1 to unblinding in the Phase 2/3 study, the overall number and percentage of participants with any unsolicited AES Is within selected SM Qs were similar between the 
BNT162b2 (224 [1.02%]) and placebo groups (217 [0.99%]) ; most individual AESI 
categories were similar between BNT162b2 and placebo groups  (or higher in the 
placebo group) with the exception of hypersensitivity which is discussed above. 
 
Reviewer comment:  The sponsor submitted a revised PVP (Version 1.1) on July 29, 
2021 which added the important identified risks of myocarditis and pericarditis and also 
included clinical trial data for myocarditis and pericarditis through June 18, 2021. The revised PVP indicated that among participants age 16 years and older two SAE cases of pericarditis  were found from Phase 3 clinical trial C4591001; both SAEs were 
deemed by study investigators as not related to study treatment. There were no clinical trial reports of myocarditis as an SAE. Review of the sponsor’s safety data did not identify new safety  concerns that required further amending the sponsor’s PVP.   
 5.3 Sponsor’s Cumulative Analysis of Post -Authorization Adverse Event Reports 
 
Cumulative post -authorization safety data, through February 28, 2021:  
 The sponsor provided a summary of cumulative post -authorization safety data, including 
U.S. and foreign post -authorization adverse event reports received through February 
28, 2021.  The safety database includes AEs reported spontaneously, by health 
authorities, and from  published medical literature, Pfizer -sponsored marketing 
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 programs, non- interventional studies, and serious AEs reported from clinical studies 
regardless of causality assessment.  
 
There was a total of 42,086 AE reports containing 158,893 events. Most reports were 
from the U.S. (13,739), followed by the United Kingdom (13,404), Italy (2,578), 
Germany (1,973), France (1,506), Portugal (866), and Spain (756); the remaining 7,324 reports were from 56 other countries . Most  reports were in females (29,914 ( 71.1%)  
reports ); there were 9,182 ( 21.8%) reports for males and 2,990 ( 7.1%) with no sex data. 
Reports by age groups were as follows: < 17 years ( n=175), 18- 30 years ( n=4,953), 31-
50 years ( n=13,886), 51- 64 years ( n=7,884), 65- 74 years ( n=3,098), >75 years 
(n=5,214), and unknown ( n=6,876). The most commonly reported MedDRA Preferred 
Terms ( PTs) occurring >10% were headache (24.1%), pyrexia (18.2%), fatigue (17.4%), 
chills (13.1%), vaccination site pain (12.3%), nausea (12.3%), and myalgia (11.7%).  
 The sponsor included  a summary of post -authorization AE reports for each safety 
concern listed in the PVP ( see Section 7 of this memorandum for PVP summary ). For 
anaphylaxis  (important identified risk) , there were 1, 002 cases that met the Brighton 
Collaboration (BC) definition level 1 (highest level of certainty) through 4 (reported event 
with insufficient evidence to meet case definition), including nine fatal events. The sponsor concluded that evaluation of these cases did not reveal any significant new 
safety information and that anaphylaxis and non- anaphylactic hypersensitivity reactions 
are appropriately described in the product labeling (Sections 4 Contraindications, 5.1 
Management of Acute Allergic Reactions, and 6 Adverse Reactions of the proposed USPI) . In addition, the sponsor did not identify any cases definitively considered to be 
vaccine- associated enhanced disease (VAED)  or vaccine- associated enhanced 
respiratory disease (VAERD)  and concluded that VAED/VAERD remains a theoretical 
risk for the vaccine (i.e., important potential risk) .  
 Among “missing information” categor ies in the PVP, t here were 413 reports (84 serious 
and 329 non- serious) involving use in pregnancy and lactation. There were 270 
maternal  cases and four  fetus/infant  cases. Pregnancy outcomes were reported for 32 
cases (including twins who each had two different outcomes reported) and included spontaneous abortion ( n=23); outcome pending ( n=5); premature birth with neonatal 
death, spontaneous abortion with intrauterine death (2 each); spontaneous abortion with neonatal death and normal outcome (1 each). Among mother s, 124 cases (75 serious 
and 49 non -serious) were  pregnancy -related PTs: spontaneous abortion ( n=25); uterine 
contraction during pregnancy, premature rupture of membranes, abortion, abortion missed, and fetal death (1 each). The four  fetus/infant  cases reported the following PTs: 
exposure during pregnancy, fetal growth restriction, maternal exposure during pregnancy, premature baby (2 each); and death neonatal ( n=1). There were 133 report s 
in breastfed infants, including 17 cases (3 serious and 14 non- serious) that reported 
clinical events that occurred in an infant/child exposed to vaccine via breastfeeding: pyrexia ( n=5); rash ( n=4); infant irritability (n= 3); infantile vomiting, diarrhea, insomnia, 
and illness (2 each); poor feeding infant, lethargy, abdominal discomfort, vomiting, allergy to vaccine, increased appetite, anxiety, crying, poor quality sleep, eructation, agitation, pain, and urticaria (1 each) . 
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There were 34 reports (24 serious and 10 non-serious) involving 132 AEs indicating use 
in pediatric individuals <12 years of age. Events reported more than once included product administered to patient of inappropriate age ( n=27); off label use ( n=11);  
pyrexia ( n=6); product use issue ( n=5); fatigue, headache, nausea (4 each); vaccination 
site pain ( n=3); upper abdominal pain, COVID -19, facial paralysis, lymphadenopathy, 
malaise, pruritis, and swelling (2 each).   
 There were 1,665 reports concerning vac cine effectiveness  (1,649 drug ineffective and 
16 vaccination failure). Among the 16 cases of vaccination failure, eight individuals had 
onset of COVID- 19 symptoms within 7 -13 days post -2
nd vaccine dose and six 
individuals had onset within 15- 29 days post -2nd dose. Six reports were  asymptomatic 
COVID- 19 infections . For each concern listed in the PVP, the sponsor concluded that 
no new safety signals were identified in post -authorization AE data.  
 The sponsor also evaluated AEs in the following AESI categories: anaphylactic reactions, cardiovascular, COVID -19, dermatological, hematological, hepatic, facial 
paralysis, immune- mediated/autoimmune, musculoskeletal, neurological (including 
demyelination), other (e.g., herpes viral  infections) pregnancy -related, renal, respiratory, 
thromboembolic events, stroke, and vasculitic events, and concluded that the cumulative case review did not raise new safety issues.  
 Finally, the sponsor provided information on reports potentially indicative of medication errors . There were 2, 056 reports of medication errors, with or without associated AEs.  
Of these, there were seven death reports; and 1,569 (76.3%) reports were medically 
confirmed. The sponsor indicated that all m edication errors repor ted in death reports 
were assessed as non- serious events with unknown outcomes  and concluded that 
based on available information, including causes of death, the relationship between the medication error and the death is weak.  Overall, most reports (n=1 ,371, 66.7% ) 
included only medication errors without any associated clinical adverse events (e.g., poor quality product administered, product temperature excursion issue, underdose, circumstance or information capable of leading to medication error). In 685 reports, there were AEs co- reported; the most frequent AEs were headache (n=187), pyrexia 
(n=161), fatigue (n=135), chills (n=127), pain (n=107), vaccination site pain (n=100) , 
nausea (n=89), myalgia (n=88), pain in extremity (n=85), arthralgia (n=68), off label use (n=57), dizziness (n=52), lymphadenopathy (n=47), asthenia (n=46), and malaise (n=41).  
 
Reviewer comment : The sponsor’s cumulative summary of post -authorization data as of 
the data lock point, February 28, 2021, showed that t he most frequently reported AEs  
were consistent with AEs described in the EUA Fact Sheet ( i.e., headache, pyrexia, 
fatigue, chills, vaccination site pain, nausea, and myalgia).   
 
Post-authorization safety data, updated through June/ July 2021:  
 
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 The sponsor submitted a revised PVP (Version 1.1) on July 29, 2021 which included 
post-authorization data for myocarditis and pericarditis  among individuals 16 years of 
age and older  through June 18, 2021. There was a total of 823 AE reports, including 
490 reports of myocarditis and 372 reports of pericarditis; 38 reports included both myocarditis and pericarditis. Among the 490 myocarditis reports , 464 (including 78 U.S. 
reports)  met Brighton Collaboration Level 1 to 4 (Version 1.4.2;  May 30, 2021) . The 
majority of myocarditis reports (n=325, 66.3%) were in males and the median age was 
32 years (range=16- 97 years) ; there were 14 death reports . Among the 371 reports of 
pericarditis  (including 68 U.S. reports) , 181 (48.8%) were in  males and 185 (49.9%) 
occurred in females (five reports did not include sex) ; the median age was 51 years 
(range=16- 92 years)  and there were three death reports.  
 The sponsor also provided post -authorization data through June 18, 2021 for 
myocarditis and pericarditis in individuals age 12- 15 years. There were 13 reports of 
myocarditis  (none were deaths) ; 11 met Brighton Collaboration Level 4 (i.e., reported 
event with insufficient evidence to meet the case definition) and two met  Brighton 
Collaboration Level 5 (i.e., not a case); 10 (90.9%) were male and 1 (9.1%) was female;  
the median age was 14 years (range=12- 15 years) . There were four  reports of 
pericarditis  (none were deaths); all were male,  and the median age was 13.5 years 
(range=12- 15 years).  
 The sponsor indicates that a mechanism of action by which the vaccine could cause myocarditis and pericarditis has not been established, however myocarditis and pericarditis are considered an important identified risk in the PVP. The sponsor concluded that  the vaccine continues to have a favorable risk benefit balance and that 
considering the low rates of myocarditis and pericarditis reported following vaccination, balanced with the risk of death and illness (including myocarditis) from SARS -CoV- 2, 
the publ ic health impact of post -vaccination myocarditis and pericarditis is minimal.  
 
Reviewer comment:  There are ongoing analys es, by the sponsor and FDA, to further 
characterize the new safety signal for myocarditis and pericarditis after the Pfizer -
BioNTech COVID- 19 vaccine. As described above, the majority of myocarditis reports 
occurred in males, under 30 years of age. Please see section 6.1 and 8.2 for additional discussion .  
  6 Summary of FDA Post -Authorization Safety Data  
 6.1 Vaccine Adverse Event Reporting System D ata 
 Since its authorization on December 11, 2021 through June 11, 2021 a total of 151,543 
reports, including 24,961 serious reports ( 3,512 of which were death reports ), have 
been received and processed (coded, redacted, and quality assur ance performed) by 
the Vaccine Adverse Event Reporting System (VAERS) for  the Pfizer -BioNTech 
COVID- 19 vaccine. Among all reports t he top 10 most frequently reported PTs are 
headache, fatigue, pyrexia, chills, pain, dizziness, nausea, pain in extremity, arthralgia, 
12 
 and injection site pain. Among serious reports the top 10 most frequently reported PTs 
are SARS- CoV- 2 test, COVID -19, dyspnea, headache, fatigue, pyrexia, death, SA RS-
CoV- 2 test positive, dizziness, and nausea.  
 
Reviewer comment:  Most of t he commonly reported PTs in VAERS reports are labeled 
events in the EUA Fact Sheet (i.e., headache, fatigue, fever, chills, pain, joint pain, 
nausea, vomiting) or a non-specific AE that could be a possible vaccine stress -related 
response (i.e., dizziness) . The PTs of SARS -CoV- 2 test and SARS -CoV- 2 test positive 
refer to testing for SARS -CoV- 2 infection. The PT of “dyspnea” is a non-specific 
symptom that may be present in a variety of conditions both serious and non- serious . 
Dyspnea associated with FDA/CDC AESI s, such as acute myocardial infarction, 
pulmonary embolus, or myopericarditis, is  monitored as part of routine surveillance for 
AESI s and/or through death reviews.  
 
VAERS was  queried for the safety concerns listed in the PVP (Section 7 of this 
memorandum).   
 
Anaphylaxis:  
 For the important identified risk of anaphylaxis , VAERS was queried from December 11, 
2020 ( the date of authorization) to June 11, 2021. The query was run on June 17, 2021 
using the PTs anaphylactic reaction, anaphylactic shock , anaphylactoid reaction, or 
anaphylactoid shock . The search returned 1, 034 reports  (1,009 U.S. reports), including 
524 serious  reports ; 12 of the serious reports were  death report s. There were 
167,680,391 doses of the Pfizer -BioNTech Covid -19 vaccine administered in the U.S. 
as of June 14, 2021 . This equates to a crude reporting rate for anaphylaxis of 6.0 cases 
per million doses . Among the 12 deaths, five individuals were  female, six were male , 
and one was of unknown sex ; the median age was 81 years (range= 58- 86 years ; 3 
individuals were of unknown age ) and the median onset  as calculated by VAERS dates 
was zero days post -vaccination (range= 0-16 days ). Nine individual s who died report ed 
various chronic underlying conditions including hypertension, asthma, diabetes mellitus, ischemic cardiomyopathy, myocardial infarction, atrial fibrillation, arrythmia, obesity, sleep apnea, and dementia. Three individuals  who died had a history of hypers ensitivity 
to penicillin, contrast imaging, or food/fruit allergy. One individual  had a history of 
COVID- 19 one- month prior to vaccination and one individual  was diagnosed with 
concomitant COVID- 19 pneumonia and acute hypoxic respiratory failure post -
vacci nation.  
 
Reviewer comment:  Allergic reactions and anaphylaxis are labeled in the EUA Fact 
Sheet for this product.  In addition, the EUA F act Sheet cites CDC clinical guidelines 
which recommend observation periods following COVID -19 vaccination. Review of 
VAERS reports did not identify new safety concerns related to anaphylaxis.  Limitations 
to interpreting this information include that VAERS data are based on passive 
surveillance and important limitations of passive surveillance data include 
missing/inaccurate data, unconfirmed diagnoses, potential under -reporting, and variable 
or incomplete reporting. The methodology for calculating crude reporting rates was 
13 
 based on reports retrieved from automated queries, which may include duplicate cases 
as not all cases were manually reviewed to apply the Brighton Collaboration case 
definition criteria for anaphylaxis  (Ruggeberg, 2007). (Note that this is a key difference 
in the above methodology compared to previous publications [MMWR Jan 15, 2021; 
Gee, 2021; Shimabukuro, 2021], which calculated reporting rates based only on adjudicated cases  that were confirmed through medical record review or direct contact  
with the provider.) The incidence  of anaphylaxis after receipt of the Pfizer -BioNTech  
COVID- 19 vaccine is comparable with those reported after receipt of other vaccines  
(Gee, 2021) .    
  
Myocarditis and pericarditis:  
After the issuance of the EUA, FDA and CDC received reports of myocarditis and 
pericarditis following administration of the Pfizer -BioNTech COVID- 19 Vaccine. In 
accordance with FDA recommendations, the sponsor added myocarditis and pericarditis as important identified risk s in the PVP. A VAERS search was performed for the 
timeframe from December 11, 2020 (the date of authorization)  to June 21, 2021. The 
query was run on June 23, 2021 utilizing the PTs autoimmune myocarditis, autoimmune 
pericarditis, eosinophilic myocarditis, hypersensitivity myocarditis, myocarditis, 
pericarditis, pericarditis adhesive, pericarditis constrictive, and pleuropericarditis.  
The query returned 1, 023 reports  (1012 U.S . reports), including 809 serious reports 
(seven were death reports concerning  six unique individuals), of which 652 reports were 
in individuals under 30 years of age. The reports concerned 775 (75.8%) males and 238 
(23.3%) females; 10 reports concerned individuals of unknown sex. The median age 
was 21 years (range=12- 86 years). The median onset post -vaccination as calculated by 
VAERS dates was 3 days (range=0- 151 days). The six  unique death reports (3 U.S. and 
3 foreign reports) concerned three males and three females; the median age at death 
was 66 years (range=19- 81 years) and the median onset post -vaccination was 4 days 
(range=1- 22 days). Four deaths occurred following the second dose, one following the 
first dose , and for one the dose number  was not reported. Most death reports contained 
limited information or described concurrent medical conditions and/or risk factors that 
might have contributed to the death. A summary  of each death report is listed below:  
1394140: 78-year male with no reported PMH died  post -2nd vaccine. An 
autopsy revealed myocarditis , but limited details were provided.  
1044420: 36-year male with h istory  of anosmia and influenza- like illness ( ILI) developed 
non-specific ILI symptoms a few days post -vaccin ation . Twenty -two days post -2
nd 
vaccination  he developed low grade fevers, malaise, and sore throat. Testing revealed a 
negative SARS- CoV- 2 test  and a positive coronavirus nucleocapsid IgG . His symptoms 
progressed  and the p atient  ultimately deteriorated and died.  Autopsy findings included: 
heart with multifocal myocarditis w ith mixed inflammatory infiltrate, myocyte necrosis, 
microthrombi . The death certificate listed the following causes of death: hemorrhagic 
shock, d/t intraperitoneal bleed, d/t coagulopathy, d/t post COVID -19 syndrome. 
(b) (6)
14 
 1340821:  60-year female reported to have endocarditis following first dose and then 
myocarditis post -2nd dose (reported by friend, limited details) . 
1070309: Foreign report: 72-year female with PMH of cardiac arrest, chest pain, high 
cholesterol, neoplasm, acute myeloid leukemia, hypertension, high BMI, and GERD had chest pain and pericarditis 3- days post -1st dose. She suffered a cardiac arrest 7- days 
post-vaccination and d ied days post -vaccination due to pericarditis .  
1048413: Foreign report: 19-year male with no PMH experienced accelerated heartbeat, shortness of breath ( SOB) , and sharp pains radiating down left arm 5- days 
post-2nd vaccination. He was  hospitalized  in intensive care unit ( ICU) and died. The 
reported cause of death was myocarditis . 
1048221: Foreign report: 81-year female with history  of COVID -19 experienced septic 
shock, extensive myo - and pericarditis, and multiple organ failure 3- days post - 
vaccination , died days post -vaccination; autopsy -determined cause of death: Carditis 
pericardium myocardium.  
In addition to review of reports from automated queries, all U.S. death reports are manually reviewed, and the following death was identified:  
1406840: 13-year male with attention deficit hyperactivity disorder  and developmental 
coordination disorder experienced flu-like symptoms for days and then was found 
deceased; onset of symptoms 1- day post -vaccination . The preliminary autopsy report 
revealed cardiomegaly  with biventricular dilatation, bilateral serous pulmonary 
effusions and serous pericardial effusion, marked pulmonary edema and c ongestion, 
and moderate degree of diffuse cerebral edema; SARS- CoV-2 and influenza A/B 
tests, toxicology, and determination of the cause of death are pending.  
 
Furthermore, observed to expected (O/E) analyses were performed for risk windows of 7 days and 21 days, stratified by age, sex and dose, using U.S. data retrieved from 
automated queries of the VAERS database (data lock point July 6, 2021). The following PTs were used: atypical mycobacterium, pericarditis , autoimmune 
myocarditis , autoimmune pericarditis , bacterial pericarditis , coxsackie myocarditis, 
coxsackie pericarditis , cytomegalovirus myocarditis , cytomegalovirus pericarditis , 
enterovirus myocarditis , eosinophilic  myocarditis , hypersensitivity myocarditis , 
immune- mediated myocarditis , myocarditis , myocarditis bacterial , myocarditis 
helminthic , myocarditis infectious , myocarditis meningococcal , myocarditis mycotic, 
myocarditis post infection, myocarditis septic , pericarditis , pericarditis adhesive, 
pericarditis constrictive, pericarditis helminthic , pericarditis infective, pericarditis 
mycoplasmal , pleuropericarditis , purulent pericarditis , viral myocarditis , and viral 
pericarditis . The v accine administration data lock point for the O/E analysis was June 
30, 2021. Only results for 7 -day risk windows are shown in Tables 3 and 4 ( relative 
risks [RR] with 95% CI >1 in bold font). The O/E analysis, stratified by age and dose 
number, indicates that the observed number of cases exceeds the expected number of cases (based on pre- COVID- 19 pandemic U.S. population- based background 
incidence rates). The reporting rate and RR was higher among males than females for 
(b) (6)
(b) (6)
(b) (6)
15 
 almost all age groups and higher following dose 2 as compared to dose 1 in most age 
groups for both males and females.  This trend was higher in the 7- day risk window 
compared to the 21- day risk window, and in the younger age groups. I mportant 
limitations of passive surveillance data include missing/inaccurate data, unconfirmed 
diagnosis and potential under -reporting. There is ongoing follow -up of the reports to 
obtain additional medical records for assessment of cases.    
  Table 3:  Reporting Rates and Relative Risk (RR) of Myocarditis and Pericardit is 
Post Vaccination in Males using a 7-D ay Risk Window  
 
Age 
Group 
(years)  Background 
Rate*  Dose 1 
Reporting 
Rate ** Dose 1 
RRᶧ (95% 
CI) Dose 2 
Reporting 
Rate ** Dose 2 
RRᶧ (95% 
CI) 
12 - 17 2.16 a 0.99 23.94 
(17.02-
32.73)  10.22  246.84 
(219.83-
276.26)  
18 - 24 2.16 0.48 11.5 
(6.7-
18.42)  5.91 142.84 
(122.17-166) 
25 - 29 2.16 0.26 6.2 
(2.49-12.78)  1.55 37.44 
(26.08 -
52.06)  
30 - 39 6.1b 0.17 1.45 (0.7 
-2.67)  0.88 7.56 
(5.49-10.14)  
40 - 49 6.1 0.12 1.04 
(0.42-2.13)  0.53 4.49 
(2.93-6.58)  
50 - 64 6.1 0.07 0.59 
(0.24-1.22)  0.14 1.16 
(0.6-
2.03)  
>65 6.1 0.07 0.63 
(0.25-1.3) 0.07 0.61 
(0.22-1.33)  
*Background rates  are rates per 100,000 persons per year.  
**Reporting rates are per 100,000 doses of vaccine  
ᶧRelative Risk (RR) is the reporting rate compared to the background rate when 
applied to the proportion of individuals vaccinated in each age group to July 1, 2021 
aGubernot et al, U.S. Population- Based background incidence rates of medical 
conditions for use in safety assessment of COVID -19 vaccines  
bRoth et al, Global Burden of Cardiovascular Diseases and Risk Factors, 1990– 2019  
  
16 
 Table 4: Reporting Rates and Relative Risk of Myocarditis and Pericarditis post 
Vaccination in Females using a 7- Day Risk Window  
Age 
Group 
(years)  Background 
Rate*  Dose 1 
Reporting 
Rate**  Dose 1 
RRᶧ (95% 
CI) Dose 2 
Reporting 
Rate**  Dose 2 
RRᶧ (95% 
CI) 
12 - 17 2.16a 0.15 3.51 
(1.29-
7.64)  1.06 25.49 
(17.55-
35.8)  
18 - 24 2.16 0.1 2.32  
(0.63-
5.94)  0.58 14.13  
(8.63 -
21.82)  
25 - 29 2.16 0.07 1.59  
(0.19-
5.75)  0.2 4.74  
(1.54 -
11.05)  
30 - 39 4.4b 0.18 2.16 
(1.12-
3.78)  0.16 1.91  
(0.87 -
3.63)  
40 - 49 4.4 0.06 0.72  
(0.19-
1.83)  0.32 3.74  
(2.22 -
5.92)  
50 - 64 4.4 0.1 1.23  
(0.64-
2.16)  0.19 2.23  
(1.34-
3.48)  
>65 4.4 0.04 0.5  
(0.16-
1.17)  0.08 0.91  
(0.39-
1.79)  
*Background rates  are rates per 100,000 persons per year.  
**Reporting rates are per 100,000 doses of vaccine  
ᶧRelative Risk (RR) is the reporting rate compared to the background rate when 
applied to the proportion of individuals vaccinated in each age group to July 1, 2021 
aGubernot et al, U.S. Population- Based background incidence rates of medical 
conditions for use in safety assessment of COVID -19 vaccines  
bRoth et al, Global Burden of Cardiovascular Diseases and Risk  Factors, 1990– 2019  
 
Reviewer  comment:  Myocarditis and pericarditis emerged as a safety signal in VAERS 
and was jointly reviewed by FDA and CDC. Please see section 8.2 for further 
discussion of this safety signal.  
 
Vaccine -associated enhanced disease (VAED):  
 There are not specific PTs for the important potential risk of vaccine- associated 
enhanced disease ( VAED) . Please see reviewer comments below regarding the VAERS 
search for PTs related to vaccine effectiveness.  
  
17 
 Other:  
 
Categories in the PVP that are considered “missing information” (i.e., use during pregnancy and lactation, vaccine effectiveness, and use in pediatric individuals <12 years of age), were also queried in VAERS . A VAERS search from December 11, 2020 
(the date of authorization) to June 11, 2021 (run on June 22, 2021) for the System 
Organ Class (SOC) Pregnancy, Puerperium and Perinatal Conditions returned 1, 050 
reports , including 175 serious reports , 11 of which were deaths. Among the 11 death 
reports, eight  involved a fetal ( n=5) or infant  death ( n=3) and three were  maternal 
deaths. The five fetal deaths were  either miscarriage or intrauterine death that occurred 
less than two weeks post -maternal vaccination. The three infant  deaths were:  one death 
from thrombotic thrombocytopenic purpura ( TTP) in a breastfed infant  (symptom onset 
1-day post -2
nd-maternal vaccination) , one report of premature birth 6- days post -
vaccination with subsequent death (vaccine exposure during second trimester), and one 
report of premature birth at 21 weeks gestation with  subsequent death 2- hours after 
birth (birth 13- days post -maternal vaccinat ion and complicated by meconium aspiration 
and maternal chorioamnionitis due to a S taphylococcus aureus  infection). The three 
maternal deaths were : a 32-year old female with asymptomatic Factor V Leiden who 
died 4- days after childbirth and 52- days post -vaccination (limited details) ; a 42- year old 
female with no reported PMH who died of a massive pulmonary embolus at 27- weeks 
gestation, and a 38- year old female with Type I diabetes mellitus, hemochromatosis, 
and sleep apnea who experienced maternal cardiac arrest  with likely amniotic fluid 
embolism and disseminated intravascular coagulation ( DIC) 14-days post -vaccination.  
 A separate query (run on July 13, 2021) of VAERS PT event counts for the SOC 
Pregnancy, Puerperium and Perinatal Conditions (from December 11, 2021 to June 11, 2021) showed a total of 1,5 89 PTs, including 546 PTs reported for  serious  reports  and 
21 PTs reported for deaths. Among serious reports, the top 10 most frequently reported 
PTs in the SOC Pregnancy, Puerperium and Perinatal Conditions were : exposure 
during pregnancy ( n=189), abortion spontaneous ( n=83), maternal exposure during 
pregnancy ( n=40), fetal death ( n=27), premature delivery (n=20), premature labor 
(n=17), delivery (n=15), induced labor ( n=14), premature baby ( n=11), and premature 
separation of placenta ( n=9).  Among death reports, PTs in the SOC Pregnancy, 
Puerperium and Perinatal Conditions reported more than once included exposure 
during pregnancy ( n=4), maternal exposure during pregnancy ( n=4), fetal death ( n=4), 
spontaneous abortion (n=2), and premature baby ( n=2). 
 
Reviewer comment : Vaccine safety in pregnant women is being evaluated in a 
randomized controlled trial conducted by the sponsor, active surveillance studies conducted by the sponsor, and the CDC v- safe program.  The background incidence of 
miscarriage varies by age and ranges from 10% in women aged 25- 29 years up to 53% 
in women aged 45 years and older  (Magnus, 2019). Review of the m ost common PTs 
reported in the SOC Pregnancy, Puerperium and Perinatal Conditions  and individual 
review of VAERS death reports  did not suggest patterns indicating a new safety 
concern that needs to be addressed in the PVP.  
 
18 
 For “missing information” regarding vaccine effectiveness, VAERS was searched for the 
timeframe December 11, 2020 to June 11, 2021 (query run on June 17, 2021) using 
PTs for vaccination failure and drug ineffective. The search returned 1, 788 reports that 
included the PT “vaccin ation failure ” (n=254) and/or “drug ineffective” ( n=1,565); 31 
reports contained both PTs . Among the 254 reports including the PT vaccination failure, 
there were 24 serious  reports and eight  deaths . Among the eight deaths  (three  U.S. and 
five foreign reports) , six were female and two were male; the median age was 71 years 
(range=37- 98 years) and median onset as calculated by VAERS dates  was 10 days 
post-vaccination (range=7- 63 days). Most deaths occurred in individuals with reported 
underlying co- morbidities.  Among the 1, 565 reports of  drug ineffective, there were 258 
serious  reports including 120 deaths . Among the 120 deaths , the majority (n=103, 86%)  
were foreign reports ; 41 individuals were female, 57 were male, and 22 were of 
unknown sex; the median age was 84 years (range= 17-99 years ; 29 [24%] with 
unknown age) and median onset as calculated by VAERS dates  was 4 days post -
vaccination (range= 0-26 days ; 22 [18%] had incalculable VAERS dates ). Most deaths 
occurred in individuals with reported underlying co- morbidities  or unknown medical 
history . 
 
Review er comment:  There are VAERS reports  of deaths  due to COVID- 19 in patients 
reported to be fully vaccinated. It is expected  there may be some cases  of vaccination  
failure,  especially  in elderly  or immunocompromised subjects.  Infection with a variant  
SARS- CoV-2 virus  for which vaccination is less effective i s also a possibility.  Many 
reports concern elderly individuals with co- morbidities or contain limited details which 
makes complete assessment difficult. Generally, passive surveillance and spontaneo us 
adverse event reporting cannot be used to draw conclusions regarding vaccine 
effectiveness due to the lack of a control group, reporter bias, and underreporting. Severe manifestations  and death from COVID -19 raise  the possibility  of vaccine-
associated enhanced disease (VAED), which has overlapping clinical manifestations 
with natural  SARS- CoV-2 infection, making it difficult to differentiate VAED f rom severe  
COVID- 19 disease in individual  VAERS reports ( Munoz, 2021). VAED is being 
assessed in a continuation of the Phase 3 clinical studies  and active  surveillance  studies 
being conducted by the sponsor .  
For “missing information” regarding individuals < 12 years of age, VAERS  was searched 
for the timeframe December 11, 2020 to June 11, 2021 (query run on June 22 , 2021). 
There was a total of 2 73 reports in children <12 year s of age, including 31 serious  
reports and two death reports . Among the 31 serious reports, the most commonly 
reported PTs (>10%) were product administered to patient of inappropriate age (n=15), 
off-label use (n=11), headache (n=7), exposure via breast milk (n=5), rash (n=5), 
pyrexia (n=4), product use issue (i.e., product use in unapproved population; n= 3), 
dizziness (n=3), nausea (n=3), and vaccination site pain (n=3). One death report  
concerned an 11- year-old female but  it was not clear if she had received the vaccine or 
if she was exposed to other family members who received the vaccine; this report 
contained limited details and was difficult to interpret. The other death report concerned a 5-month- old breastfed infant who was diagnosed with TTP  after the mother received 
19 
 her 2nd Pfizer -BioNTech  vaccine dose; symptom onset 1 -day post -maternal vaccination 
(this report was included in the pregnancy and lactation review above) . 
 
Reviewer comment:  The Pfizer -BioNTech COVID- 19 vaccine is currently authorized for 
use in individuals age 12 years and older and the BLA has a proposed indication for use 
in individuals age 16 years and older.  Review of VAERS data indicates that individuals 
younger than age 12 have received the product outside of clinical trials; no patterns of AEs were identified to suggest new safety concerns  that warrant amendment to the 
PVP.  
   6.2 Data Mining Findings  
 Data mining of the V AERS database using Empirica Signal
1 with a data lock point of 
June 4, 2021, revealed the following PTs and subgroups  had an increased 
disproportional reporting value (EB05> 2) for the Pfizer -BioNTech COVID- 19 vaccine 
(Table 5): 
 Table 5: Preferred Terms with Disproportional Reporting in Empirica Signal for 
the Pfizer -BioNTech COVID- 19 Vaccine  
 
Preferred Term  (PT) US  
EB05  US Adult >65 years 
EB05  US Female 
EB05  
Drug ineffective  1.964  2.034 1.779  
Investigation  2.053  2.071 2.001  
Product preparation issue  2.021  2.124 1.947  
Weight  2.02 2.028 1.98 
 
Reviewer comment:  Reports with PT “drug ineffective” generally describe patients who 
contracted COVID -19 prior to being fully vaccinated or reports with limited details to 
assess timing or confirmation of COVID -19 infection or number of vaccine doses. Cases 
of vaccination failure might not always be reported to a spontaneous adverse event 
reporting system. Inferences that can be made from VAERS about COVID disease after vaccination are limited. Vaccine effectiveness is monitored through clinical trials , and 
post-authorization studies conducted by the sponsor. The PT “investigation” is non-
specific and generally refers to investigation s performed as part of work -up for signs or 
symptoms.  The PT “product preparation issue” generally concerns reports with i ssues 
such as incorrect vaccine reconstitution or lack of reconstitution with diluent . The PT of 
 
1 Empirica Signal is a web -based platform that uses an automated approach to explore relationships in large datasets by 
generating statistical scores for combinations of products and events from drug or vaccine databases. Data mining is conducte d 
to evaluate  whether any events (i.e., MedDRA PTs) following use of a particular vaccine  are disproportionally reported 
compared to all vaccine reports  in VAERS; the threshold for signal detection is an EB05 value > 2. (EBO5 is the lower bound of 
the 90% confidence limit for the Empirical Bayesian Geometric Mean). The data generated from Empirica Signal do not, by 
themselves, demonstrate causal associations, but the data might serve as a signal for further investigation and can be useful for hypothesis generation and exploration of potential concerns. 
20 
 “weight” is non- specific and may refer to weight gain or loss in a patient or report of the 
patient’s weight. Review of PTs with an EB05> 2 did not identify new  safety concerns  
that need to be addressed in the PVP.  
 
6.3 Discussion of U .S. Package Insert (US PI) Section 6.2 Post -marketing 
Experience  Sponsor proposed AEs for inclusion under Section 6.2 Post -marketing Experience 
include : 
 Cardiac Disorders: myocarditis and pericarditis  
 Gastrointestinal Disorders: diarrhea, vom iting 
 Immune System Disorders: severe allergic reactions, including anaphylaxis, and other hypersensitivity reactions (e.g., rash, pruritis, urticaria, angioedema)  
 Musculos keletal and Connective Tissue Disorders: pain in extremity (arm)  
 OBE/DE recommends inclusion of additional PTs  to Section 6.2 Post -marketing 
Experience for: 
 
• Dizziness 
o Among serious reports (as of August 2, 2021), dizziness ranks in the cumulative top 10 reported PTs with 11, 107 events reported. A cumulative 
VAERS query for the PT dizziness, run on August 3, 2021, returned 35,104 reports  (26,131 [74.4%] were U.S. reports), including 3, 857 
(11.0%) serious reports (145 of these were death reports). There were 
26,032 (74.2%) reports concerning females  and 8,615 (25.5%) concerning 
males ; 457 (1.3%) reports did not include sex. The median onset based 
on VAERS dates=0 days (range=0- 171 days post -vaccination) and 
median age=42 years (range=0.1- 115 years).  
• Dyspnea  
o Among serious reports (as of August 2, 2021), dyspnea ranks in the cumulative top 10 reported PTs with 10, 506 events reported. A cumulative 
VAERS query for the PT dyspnea, run on August 3, 2021, returned 19, 858 
reports  (12,757 [64.2%] were U.S. reports), including 6, 235 (31.4%) 
serious reports (1 ,102 of these were death reports). There were 14, 166 
(71.3%) reports concerning females  and 5, 421 (27.3%)  concerning males ; 
271 (1.4%) reports did not include  sex. The median onset based on 
VAERS dates=0 days (range=0- 207 days post -vaccination) and median 
age=48 years (range= 0.1-109 years).  
 
 
21 
 7 Pharmacovigilance Plan 
 
7.1 Summary of Pharmacovigilance Plan  
 The sponsor submitted a PVP  proposing routine pharmacovigilance (PV), including data 
capture aids (DCAs) for anaphylactic reactions and VAED, and post -authorization 
observational and active surveillance safety studies (Table 6). There are also ongoing 
clinical trials.  
 Table 6: Summary of Safety Concerns and Planned Pharmacovigilance Activities*  
Safety  Concern  Actions Proposed  
Important Identified Risks   
Anaphylaxis  • Routine pharmacovigilance  
• Data capture aid 
• Communication of important  identified risk via 
label  (Sections  4 - Contraindications , 5.1 - 
Management  of Acute  Allergic  Reactions,  
Section  6 - Adverse reactions  - and 6.2 - Post 
Authorization Experience) 
• C ompletion of C4591001:  Phase 1/2/3,  placebo-
controlled,  randomized,  observer -blind,  dose-
finding  study  to evaluate the safety,  tolerability,  
immunogenicity,  and efficacy  of SARS- CoV-2 
mRNA vaccine candidates  against  COVID- 19 in 
healthy  individuals  
• Three post -authorization safety studies to 
monitor safety of BNT162b2 (C4591009, 
C4591011, C4591012)  
Myocarditis and Pericarditis  • Routine pharmacovigilance  
• Three post -authorization safety studies to 
monitor safety of BNT162b2 (C4591009, C4591011, C4591012 ) 
• FDA will also require a safety post -marketing 
study to further assess these serious risks  
Important Potential Risks   
Vaccine -Associated 
Enhanced Disease (VAED), including Vaccine-Associated Enhanced Respiratory Disease (VAERD)  • Routine pharmacovigilance  
• Data capture aid 
• Completion of C4591001:  Phase 1/2/3,  placebo-
controlled,  randomized,  observer -blind,  dose - 
finding study  to evaluate the safety,  tolerability,  
immunogenicity,  and efficacy  of SARS- CoV-2 
mRNA vaccine candidates  against  COVID- 19 in 
healthy  individuals  
• Four post -authorization safety studies to monitor 
safety of BNT162b2 (C4591008 , C4591009, 
22 
 C4591011, C4591012)  
Missing Information   
Use in pregnancy and 
lactation  • Routine pharmacovigilance  
• Completion of C4591015:  A phase 2/3, placebo-
controlled,  randomized,  observer  blind  study  to 
evaluate the safety,  tolerability,  and 
immunogenicity  of a SARS- CoV-2 RNA  vaccine 
candidate (BNT162b2)  against  COVID -19 in 
healthy  pregnant  women 18 years  of age and 
older  
• Three post -authorization safety studies 
to monitor safety of BNT162b2 
(C4591009, C4591011, C4591022 
[Pregnancy Registry study])  
Vaccine effectiveness  
 • Routine pharmacovigilance  
• Completion of BNT162 -01 cohort  13 (Phase 1/2 
dose- escalation clinical trial):  Immunogenicity  of 
Pfizer -BioNTech COVID- 19 Vaccine  in 
immunocompromised subjects,  including  
assessment  of antibody  responses  and cell-
mediated responses  
• Three post -authorization vaccine effectiv eness 
studies ( C4591014:  Pfizer -BioNTech COVID- 19 
BNT162b2 Vaccine  Effectiveness  Study  - Kaiser  
Permanente Southern California  
• WI235284: determinin g RSV Burden and 
Outcomes  in Pregnant  Women and Older  
Adults  Requiring  Hospitalization.  COVID- 19 
Amendment  for COVID  VE/ Sub-study  6 
• WI255886:  Avon  Community  Acquired 
Pneumonia  Surveillance  Study:  A Pan- pandemic  
Acute  Lower  Respiratory  Tract  Disease  
Surveillance  Study  
Use in pediatric individuals 
<12 years of age • Routine pharmacovigilance  
• Completion of C4591001 ≥12 to ≤15 years of 
age: Phase 1/2/3, placebo- controlled, 
randomized, observer -blind, dose- finding study 
to evaluate the safety, tolerability, 
immunogenicity, and efficacy of SARS -CoV-2 
mRNA vaccine candidates against COVID -19 in 
healthy individua ls. Randomi zed placebo-
controlled study  in 2,000 participants  (1,000 
active recipients)  of 2 doses  of BNT162b2 at a 
21-day interval  
• Completion of C4591007 <12 years  of age: 
Phase  1 open  label  dose -finding  study  to 
23 
 evaluate  safety,  tolerability,  and immunogenicity  
and phase 2/3 placebo -controlled,  observer - 
blinded safety,  tolerability,  and immunogenicity  
study  of a SARS- CoV-2 mRNA vaccine 
candidate against  COVID- 19 in healthy  children 
<12 years  of age 
• One post -authorization safety study to monitor 
safety of BNT162b2 (C4591009)  
*Adapted from sponsor’s Pharmacovigilance Plan, Version 1. 1 Table 46: Summary of 
Safety Concerns and Action Plans . 
 
 
7.
3 Summary of Post -authorization Safety Surveillance Studies 
 
The sponsor proposes five post -authorization safety surveillance studies, which are 
summarized in the sections below. The sponsor also proposes three post -authorization 
vaccine effectiveness studies  (C4591014, WI235284, WI255886) : 
 
• C4591014:  Pfizer -BioNTech  COVID- 19 BNT162b2 Vaccine  Effectiveness  Study - 
Kaiser  Permanente Southern California  
• WI235284:  Determining RSV Burden and Outcomes  in Pregnant  Women and Older  
Adults  Requiring  Hospitalization ; COVID- 19 Amendment  for COVID  VE/ Sub-study  6 
• WI255886:  Avon  Community  Acquired Pneumonia Surveillance Study:  A Pan- 
pandemic  Acute  Lower  Respiratory  Tract  Disease  Surveillance Study   
Reviewer comment:  The vaccine effectiveness study protocols were submitted to IND 
19736/268 and are being reviewed by the CBER Biologics Effectiveness and Safety 
(BEST) team ; see memorandums from CBER BEST team for study details and OBE 
assessment.  
 
7.3.1 C4591008:  HERO  Together:  A post -Emergency Use Authorization  
observational  cohort  study to evaluate the safety of the Pfizer -BioNTech  COVID-
19 Vaccine in U.S. healthcare workers,  their  families,  and their  communities  
The primary objective of this study is to estimate the real-world incidence of safety 
events of interest and other clinically significant events among U.S. healthcare workers 
vaccinated with the Pfizer -BioNTech COVID -19 vaccine following EUA.  Secondary 
objectives are to evaluate whether the vaccine recipients experience increased risk of safety events of interest and other clinically significant events post -vaccination and to 
estimate the incidence rates of safety events of interest and other clinically significant events among sub- cohorts, such as individuals who are pregnant or 
immunocompromised, and stratified by age.  
This prospective observational study will collect data based on participant self -report 
24 
 (primarily using a secure web portal) at regular intervals for 24  months  following 
vaccination. Events will be confirmed using medical records. This study aims to enroll 
at least 20,000 HCW who received a COVID -19 vaccine. Safety outcomes of interest 
area based on the priority list of AESI from the Brighton Collaboration’s Safety Platform 
for Emergency Vaccines (SPEAC) Project ( https://brightoncollaboration.us/priority -list-
aesi-covid/ ; accessed 12/13/2020 ) and include the following (* denotes events that will 
only be collected if individual hospitalized):  
• Neurologic: generalized convulsion/sei zures, Guillain -Barré syndrome, aseptic 
meningitis, encephalitis/encephalomyelitis, other acute demyelinating diseases, 
transverse myelitis, multiple sclerosis, optic neuritis, Bell’s palsy  
• Immunologic: anaphylaxis, vasculitides*, arthritis/arthralgia, multisystem inflammatory syndrome (in adults) , Kawasaki disease, fibromyalgia, autoimmune 
thyroiditis  
• COVID- 19: severe COVID -19 disease*, microangiopathy*, heart failure and 
cardiogenic shock*, stress cardiomyopathy*, coronary artery disease*, arrythmia*, deep vein thrombosis, pulmonary embolus, cerebrovascular stroke, limb ischemia*, hemorrhagic disease*, acute kidney injury*, liver injury, C hillblain-
like lesions, single organ cutaneous vasculitis*, erythema multiforme*  
• Cardiac: myocarditis, pericarditis, acute myocardial infarction 
• Hematologic: thrombocytopenia, disseminated intravascular coagulation  
• Other: pregnancy outcomes, death, narcolepsy and cataplexy, non- anaphylactic 
allergic reactions  
Data analysis will include descriptive  statistics of vaccination and baseline 
characteristics, number and incidence rate for each safety event of interest will be 
calculated overall and within subgroups of interest. Qualitative comparisons will be 
made using hospitalization rates among non- vaccinated HCW  enrolled in the HERO 
registry and external sources of background event rates. A self -matched comparative 
analysis will then be performed for events that appear to be associated with vaccination 
and that are amenable to self -matched analysis (e. g., adequate case counts, known risk 
interval).  
The proposed s tudy milestones are:  
Interim report submission: June 30, 2021; December 31, 2021; June 30, 2022; 
December 31, 2022 
Final study report  submission : December 31, 2023 
Reviewer comment:  This study was proposed in the original EUA submission (EUA 
27034/0) and the final study protocol was submitted to EUA 27034/68; OBE/DE  
reviewed the final study protocol and provided comments  to the sponsor . In addition, 
the sponsor submitted an interim st atistical analysis plan (SAP) and a protocol 
amendment (IND 19736/324) to expand the study population to include HCW families 
and community members, update recruitment strategies, and provide additional details 
25 
 regarding the clinical event ascertainment pr ocess . The protocol amendment and SAP 
were reviewed by OBE/DE and are acceptable. Please see previous review 
memorandum s for additional details . 
 
7.3.2 C4591009:  A non- interventional  post -approval  safety study of the 
Pfizer --BioNTech  COVID- 19 mRNA  vaccine in the United States 
The primary objective of this study is  to estimate the relative risk (RR) or 
prevalence ratio of safety events of interest following receipt of at least one 
dose of the Pfizer -BioNTech COVID- 19 vaccine in the overall study population 
and in pregnant women, in immunocompromised individuals, and in individuals with a history of COVID -19. Secondary objectives are to describe the 
proportion of individuals receiving at least one dose and a complete dose 
series, the timing and type of second dose of COVID -19 vaccine, and the 
baseline characteristics of individuals who receive at least one dose of the 
Pfizer -BioNTech COVID- 19 vaccine compared to those who do not receive any 
COVID- 19 vaccine doses.  
This is a ret rospective cohort study comparing vaccinated individuals with 
concurrent unexposed comparators using claims and electronic health record data from partners in the Sentinel System . Safety events of interest will be 
aligned with events being monitored in the rapid cycle analysis of COVID -19 
vaccines in the FDA’s BEST system and CDC’s VSD. The study will estimate 
incidence rates or  incidence/prevalence proportions for each safety event of 
interest for matched exposed and unexposed cohorts; comparative analys es 
will also estimate hazard ratios or incidence rate ratios and 95% CI within 
propensity score- matched cohorts . Individuals of all ages will be included in the 
descriptive analysis of vaccine utilization while the safety analysis will be 
limited to individu als within the age- indicated population for the Pfizer -
BioNTech COVID- 19 vaccine. The study period will extend a minimum of three 
years post -EUA.  
The proposed study milestones are:  
Final protocol submission: August 31, 2021 
Monitoring report submission: October 31,  2022  
Interim report submission: October 31, 2023 
Final study report submission: October 31,  2025  
Reviewer comment:  This study was proposed in the EUA submission  to expand the 
Pfizer -BioNTech COVID- 19 vaccine indication to pediatric individuals age 12- 15 
years  (EUA 27034/132) ; a study protocol synopsis  was submitted with the BLA.  
 
26 
 7.3.3 C4591011:  Active safety surveillance of the Pfizer -BioNTech  COVID- 19 
vaccine in the U.S. Department  of Defense  population following  Emergency  Use 
Authorization 
The primary objective of this study is to assess whether individuals and sub- cohorts of 
interest (i.e., pregnant women, immunocompromised, elderly,  individuals with specific 
comorbidities,  individuals receiving only one dose of  the Pfizer -BioNTech  COVID- 19 
vaccine,  and individuals  with prior SARS- CoV-2 infection) in the Department of 
Defense ( DoD) military health system (MHS) experience increased risk of  safety  
events of interest following  receipt of the Pfizer -BioNTech COVID- 19 vaccine. 
Secondary objectives are to characterize utilization patterns of the Pfizer -BioNTech 
COVID- 19 vaccine among individuals within the DoD MHS.  
 
This active safety surveillance study will utilize a  rapid- cycle, longitudinal, observational 
cohort study design to assess real -world safety of the Pfizer -BioNTech COVID- 19 
vaccine  using a self -controlled risk interval design and a cohort design with two 
comparator populations ( 2018/2019 season influenza vaccine recipients and 
unvaccinated matched controls). Safety events of interest are aligned with AESIs from 
the Brighton Collaboration’s SPEAC Project , FDA,  and CDC’s Advisory Committee on 
Immunization Practices (ACIP) enhanced safety monitoring recommendations. A 
stepwise data analysis process will include signal detection, evaluation, and verification. 
The study will use coding and medical record data from the DoD MHS Data Repository 
and will be conducted for 30- months post -EUA.   
 
The proposed study milestones are:  
 
Interim report submissions: June 30, 2021; December 31, 2021; June 30, 2022; 
December 31, 2022 
 
Final study report  submission : December 31, 2023 
 
Reviewer comment:  This study was proposed in the original EUA submission (EUA 
27034/0). The final study protocol was submitted to EUA 27034/68 and reviewed by the 
CBER BEST team . An IR response (EUA 27034/186) indicated that the start date for 
C4591011 is delayed due to a change in study collaborators and the first interim report will be submitted by December 31, 2021 rather than June 30, 2021. Please see previous 
review memorandum s for additional details .  
 
7.3.4 C4591012:  Post -emergency use authorization active safety surveillance  
study among individuals in the Veteran’s Affairs  Health System  receiving  Pfizer -
BioNTech  Coronavirus Disease 2019 (COVID -19) vaccine 
 The primary objective of this study is to assess whether individuals and sub- cohorts of 
interest (i.e., immunocompromised, elderly,  individuals with specific comorbidities,  
individuals receiving only one dose of  the Pfizer -BioNTech COVID- 19 vaccine,  and 
individuals  with prior SARS -CoV- 2 infection) in the Veterans Health Administration 
27 
 (VHA) system  experience increased risk of  safety  events of interest following  receipt of 
the Pfizer -BioNTech COVID- 19 vaccine. Secondary objectives are to characterize 
utilization patterns of the Pfizer -BioNTech COVID- 19 vaccine among individuals within 
the VHA . 
 
This active safety surveillance study will utilize a rapid- cycle, longitudinal, observational 
cohort study design to assess real -world safety of the Pfizer -BioNTech COVID- 19 
vaccine  using a self -controlled risk interval design and an active comparator design 
(2014/2015 through 2018/2019 season al influenza vaccine recipients). Safety events of 
interest are aligned with AESIs from the Brighton Col laboration’s SPEAC Project , FDA,  
and CDC’s ACIP enhanced safety monitoring recommendations. A stepwise data analysis process will include signal detection, evaluation, and verification. The study will use coding and medical record data from the VHA Corporate Data Warehouse which is an integrated electronic medical record system and will be conducted for 30- months  
post-EUA.  
The proposed study milestones are:  
Interim report submissions: June 30, 2 021; December 31, 2021; June 30, 2022; 
December 31, 2022 
Final  study report  submission : December 31, 2023 
Reviewer comment:  This study was proposed in the original EUA submission (EUA 
27034/0). The final study protocol was submitted to EUA 27034/68 and reviewed by the 
CBER BEST team. An IR response (EUA 27034/186) in dicates that the protocol will be 
revised to incorporate CBER BEST team comments regarding the addition of a contemporary unvaccinated comparator  cohort for signal evaluation; a revised protocol 
will be submitted by August 31, 2021. Please see previous review memorandum s for 
additional details . 
 
7.3.5 C4591022:  Pfizer -BioNTech  COVID- 19 Vaccine exposure during pregnancy:  A 
non- interventional  post -approval  safety study of pregnancy and infant  outcomes 
in the Organization of Teratology Information Specialists (OTIS)/Mother  To Baby  
Pregnancy  Registry  
 The primary objective of this pregnancy registry study is to assess whether pregnant women in the Organization of Teratology  Information Specialists  (OTIS ) Pregnancy 
Registry receiving the Pfizer -BioNTech COVID- 19 vaccine experience increased risk 
of pregnancy and infant safety outcomes . The secondary objective is to characterize 
utilization patterns of the Pfizer -BioNTech COVID- 19 vaccine among pregnant 
wom en in the OTIS registry.  
 This prospective, observational cohort pregnancy registry study will utilize two comparator groups: 1) pregnant women who received an influenza or Tdap (tetanus, diphtheria, and acellular pertussis) vaccine during pregnancy and 2)  pregnant women 
who received no vaccines during pregnancy.  The study aims to enroll 1800 pregnant 
women over a 3- year recruitment period. Pregnancy and infant safety outcomes will  
includ e major  congenital malformations, spontaneous  abortion,  stillbirth,  preterm 
28 
 delivery, small for gestational  age, and small for age postnatal  growth to one year of 
age. Data will be collected using maternal interviews, medical record review, and a 
pregnancy exposure diary. Data analysis will include descriptive statistics, birth 
prevalence rates and incidence rates, and risk estimates.  
 
The proposed study milestones are:  
Final protocol submission: July 1, 2021 
Interim report  submissions:  January 31, 2022; January 31, 2023; January 31, 2024;  
January 31, 2025 
End of data collection: December 31, 2024 Final study report  submission : December 1, 2025  
Reviewer comment:  This pregnancy registry study will  be a post -marketing commitment 
(PMC).  
 
 8 DE Assessment of Sponsor’s Pharmacovigilance Plan 
 8.1 Important Identified Risk: Anaphylaxis 
 The risk of anaphylaxis was recognized early in the post -authorization time period and 
information was added to the EUA Fact Sheets for healthcare providers and recipients 
and caregivers. One BNT162b2- related- SAE of anaphylactoid reaction occurred in a 
clinical trial (C4591001) participant who originally received placebo and then received BNT162b2 after unblinding. This individual had an ongoing medical history of drug hypersensitivity and food and seasonal allergies and had onset 2- days post -1
st dose of 
BNT162b2; she self-administered an epinephrine pen and symptoms resolved the same 
day. In addition, t he sponsor’s summary of post -authorization AE reports identified 
1,002 cases of anaphylaxis that met the Brighton Collaboration (BC) definition level 1 
(highest level of certainty) through 4 (reported event with insufficient evidence to meet 
case definition), including nine fatal events.  A VAERS search for reports of anaphylaxis 
returned 1,034 reports, including 524 serious reports and 12 death reports ; there were 
no patterns suggestive of any new safety signals . 
 The important identified risk of anaphylaxis , which can be fatal or life -threatening, will be 
monitored through routine pharmacovigilance activities , including a data capture aid to 
identify relevant clinical information,  and post -authorization safety studies . This safety 
concern has labeling proposed in the following sections of the USPI:  
• Section 4 Contraindications  
• Section 5 Warnings and Precautions , 5.1 Management of Acute Allergic 
Reactions  
• Section 6 Adverse Reactions  
 
Reviewer comment : The proposed PVP is a dequate to monitor  the risk of anaphylaxis . 
29 
  
8.2 Important Identified Risk: Myopericarditis and Pericarditis  
 
During the post -authorization period, myocarditis and pericarditis following 
administration of the Pfizer -BioNTech COVID- 19 Vaccine was reported to VAERS . 
Myocarditis and pericarditis emerged as a safety signal in VAERS , and there are 
ongoing analyses for further characterization of these risks. CDC issued clinical considerations regarding myocarditis and pericarditis after receipt of mRNA COVID -19 
vaccines among adolescents and young adults in May 2021. Myocarditis and 
pericarditis following mRNA COVID- 19 vaccines was discussed at the FDA Vaccines 
and Related Biologic al Products Advisory Committee ( VRBPAC)  and CDC Advisory 
Committee on Immunization Practices ( ACIP)  meetings in June 2021.  The EUA Fact 
Sheet was revised on June 25, 2021 to add a Warning for myocarditis and pericarditis  
and t he PVP was amended to include myocarditis and pericarditis as  important 
identified risk s. The sponsor’s PVP indicates that a mechanism of action has not been 
established for how the vaccine could cause myocarditis and pericarditis, however 
potential hypotheses are related to an immune stimulated response, a general systemic 
inflammatory respons e, or a hypersensitivity response. The revised PVP (Version 1.1) 
also included post -authorization data for myocarditis and pericarditis among individuals 
16 years of age and older through June 18, 2021. As per the sponsor, t here was a total 
of 823 reports,  including 490 reports of myocarditis and 372 reports of pericarditis . A 
VAERS search for reports of myopericarditis returned 1, 023 reports  (1,012 were U.S. 
reports) , including 809 serious reports ( seven  were death reports concerning six unique 
individuals). As described in the O/E analysis, given a 7- day risk window (Tables 3 and 
4), the reporting rate and RR is elevated in age groups under 30 years, with more cases 
occurring after dose 2.  The reporting rate and RR was higher among males  than 
females for almost all age groups .   
 
Monitoring for myocarditis and pericarditis is ongoing and includes the following activities:  
- Continued passive surveillance using VAERS  
- Vaccine Safety Datalink (VSD) analyses for safety signals  
- Ongoing Sponsor passive surveillance using worldwide adverse events data 
- Ongoing Sponsor active surveillance studies  
In addition, a safety post -marketing requirement (PMR) under FDAAA is warranted to 
further characterize t he serious  risk of myopericarditis .  
 This safety concern has labeling proposed in the following sections of the USPI:  
• Section 5 Warnings and Precautions   
• Section 6 Adverse Reactions  
 
Reviewer  comment:  The sponsor ’s proposed PVP  and FDA required post -marketing 
study  is adequate to monitor and further assess the risk of myocarditis  and pericarditis  
including long- term follow up.  Please see PVP addendum memo for review of the 
safety PMR.  
30 
  
8.3 Important Potential  Risk: Vaccine- Associated Enhanced Disease (VAED), 
including Vaccine- Associated Enhanced Respiratory Disease (VAERD)  
 
Vaccine -associated enhanced disease (VAED)  is a modified and/or severe presentation 
of an infectious disease in individuals exposed to a wild -type pathogen following receipt 
of a vaccine designed to prevent infection (Munoz , 2021). The clinical manifestations of 
VAED are within the spectrum of nat ural disease and are difficult to separate from 
vaccine failure; there are no specific biomarkers or histopathologic findings for VAED (Munoz , 2021). In addition, there can be multiple pathophysiologic pathways that could 
lead to VAED/VAERD in general, suc h as immune complex mediated enhanced 
disease, cellular immunity in enhanced respiratory disease, antibody mediated enhanced disease, cytokine activation, or vaccine- induced enhancement of infection 
acquisition (Munoz , 2021). The sponsor cites VAED as a theoretical risk based on 
animal  models of related betacoronaviruses, including SARS -CoV-1 and MERS -CoV, 
and disease enhancement that was seen in vaccinated children following infection with 
natural virus after receipt of inactivated respiratory syncytial vi rus vaccine.  Data from the 
blinded placebo- controlled follow -up period in Study C4591001 show one confirmed 
case of post -vaccination severe COVID -19 compared to 31 confirmed cases in the 
placebo group.  No post -authorization AE reports have been identified as cases of 
VAED/VAERD.  The important potential  risk of VAED will be monitored through routine 
pharmacovigilance activities , including a data capture aid to identify relevant clinical 
information,  and post -authorization safety studies.  
 
Reviewer comment : The favorable balance of confirmed cases of severe COVID -19 in 
BNT162b2 vs placebo recipients in Study C4591001 is reassuring. The proposed PVP 
is adequate to monitor  the potential risk of VAED and VAERD . 
 8.4 Missing Information: Use in pregnancy and lactation 
 Pregnant women were excluded from the pivotal clinical trial and the safety profile of the 
Pfizer -BioNTech COVID- 19 vaccine in pregnant or lactating women  is not known. Post -
authorization data from the sponsor’s safety database and a VAERS search did not identify any  patterns suggesting new  safety concerns . Missing information regarding the  
use of the product during pregnancy and lactation will be monitored through routine 
pharmacovigilance activities , a clinical trial,  and post -authorization safety studies , 
including a Pregnancy Registry study  which will be a PMC.  The lack of safety data will 
be communicated in product labeling (Section 8.1 Pregnancy and 8.3 Lactation) .  
 
Reviewer comment : The proposed PVP is a dequate to monitor for use in pregnancy 
and lactation.  
 8.5 Missing Information: Vaccine effectiveness  
 Real-world vaccine effectiveness of the Pfizer -BioNTech COVID- 19 vaccine outside of 
clinical trials and in larger and more diverse populations is not known. Post -
31 
 authorization data from the sponsor’s safety database identified 16 cases of vaccination 
failure out of 42,086 total AE cases reported cumulatively to February 28, 2021. The 
sponsor’s review of these cases did not reveal any new safety signals associated with the lack of vaccine effectiveness.  In addition, a VAERS search returned 1, 788 reports 
that included the PT vaccinati on failure (n=254) and/or drug ineffective (n=1, 565); 31 
reports contained both PTs ; there were no patterns suggestive of any  safety signals . 
Missing information regarding real -world vaccine effectiveness will be monitored 
through routine pharmacovigilance activities  and post -authorization real-world vaccine 
effectiveness studies.  Data on vaccine efficacy in clinical trials will be communicated in 
product labeling (Section 14 Clinical Studies) .  
 
Reviewer comment:  The proposed PVP is a dequate to monitor vaccine effectiveness.  
 8.6 Missing Information: Use in pediatric individuals <12 years of age 
 
Pediatric individuals <12 years of age were excluded from the pivotal clinical trial and 
the safety profile in this population is not known. Post -authorization data from the 
sponsor’s safety database revealed 34 cases concerning 132 AEs; review of PTs did 
not reveal new safety concerns . A VAERS search returned 273 reports  concerning 
individuals <12 years of age and did not suggest any patterns concerning for any new  
safety signals . Missing information regarding pediatric individuals <12 years of age will 
be monitored through routine pharmacovigilance activities  and a post-authorization 
safety study. There are also ongoing clinical trials. The lack of safety data will be 
communicated in product labeling (Section 8.4 Pediatric Use).  
 
Reviewer comment : The proposed PVP is adequate to monitor use in individuals <12 
years of age.  
  9 DE Conclusions 
 Based on review of available data, there is a new safety signal for myopericarditis from post-authorization safety surveillance which warrant s a FDAAA Title IX PMR safety 
study to assess the important identified risk of myopericarditis. Please see PVP addendum memo for review of the safety PMR. The sponsor’s proposed Pregnancy  
Registry study (C4591022) will be a PMC. In addition, the safety of BNT162b2 can be 
monitored through routine PV activities, risk communication through labeling, and the additional post-authorization safety studies proposed by the sponsor .  
  10 DE Recommendations 
 Should the product be approved, b ased on the review of the clinical trial safety data, 
and the post-authorization safety data, OBE/DE recommends the following actions:  
• Routine pharmacovigilance in accordance with adverse event reporting 
regulations under 21 CFR 600.80, as per the sponsor’ s proposed PVP.  
32 
 • Post -marketing requirement (PMR)  safety  study under Section 505(o) of the 
FDCA (amended by FDAAA, Title IX, Section 901), to assess the serious risk of 
myopericarditis . (Please see PVP addendum memo for review of the safety 
PMR. ) 
• Post -marketing commitment  (PMC) safety study for a pregnancy registry 
(C4591022) to assess whether pregnant women receiving the Pfizer -BioNTech 
COVID- 19 vaccine experience an increased risk of pregnancy and infant safety 
outcomes compared to two comparator groups .  
• Voluntary post -marketing studies: Post-EUA studies that continue as voluntary 
studies will be followed through updates in periodic safety update reports (PSURs).  
 
OBE/DE also recommends inclusion of the following AE s to the USPI, Section 6.2 Post -
marketing Experience:  dizziness and dyspnea.  
 At this time, the available safety  data do not suggest a safety concern that would require 
a REMS. Please see the final version of the package insert submitted by the sponsor for 
the final agreed- upon language for the label . 
  11 References  
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BioNTech COVID- 19 Vaccine — United States, December 14– 23, 2020. MMWR Morb 
Mortal Wkly Rep 2021;70:46– 51. DOI: http://dx.doi.org/10.15585/mmwr.mm7002e1
 
 Gee J, Marquez P, Su J, et al. First Month of COVID -19 Vaccine Safety Monitoring — 
United States, December 14, 2020– January 13, 2021. MMWR Morb Mor tal Wkly Rep 
2021;70:283– 288. DOI: http://dx.doi.org/10.15585/mmwr.mm7008e3
 
 Gubernot D, Jazwa A, Niu M, Baumblatt J, U.S. Population- Based background 
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Munoz FM, Cramer JP, Dekker CL, Dudley MZ, Graham BS, Gurwith M, Law B, 
Perlman S, Polack FP, Spergel JM, Van Braeckel E, Ward BJ, Didierlaurent AM, Lambert PH; Brighton Collaboration Vaccine -associated Enhanced D isease Working 
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33637387; PMCID: PMC7901381.  
 
33 
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