92 BLA 125742 0 08 19 2021 Inspection Related Inspect

Pfizer Documents (PHMPT/FDA)

Pfizer Bla Submission

Pfizer 16 Plus Documents

79

Document text

Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
1 of 79   
 
TABLE OF CONTENTS  
 
Summary  ............................................................................................................................... 1  
Administrative Data ............................................................................................................... 2  
Persons Interv iewed  ............................................................................................................. 3  
Background and History  ....................................................................................................... 3  
Drug Product Manufacturing Overview ................................................................................ 5  
Walkthrough  .......................................................................................................................... 6  
Quality Systems  .................................................................................................................. 10 
Facilities and Equipment Systems  ..................................................................................... 22 
Equipment Qualification ...................................................................................................... 24 
Materials System  ................................................................................................................ 53 
Production System .............................................................................................................. 54 
Packaging and Labeling Systems ...................................................................................... 71 
Laboratory Control System ................................................................................................. 72 
Recall Procedures  .............................................................................................................. 76 
Refusals ............................................................................................................................... 76 
General Discussion with Management  .............................................................................. 76 
Exhibits Collected  ............................................................................................................... 77 
Attachments  ........................................................................................................................ 78 
 SUMMARY  
 
(Written by LF) 
This FY 21 pr
 e-license inspection at the Pfizer Manufacturing Belgium NV site located at 
Rijksweg 12, 2870 Puurs, Belgium was conducted for  BLA STN 125742/0, 
COMIRNATY ™ (COVID -19 Vaccine (BNT162b2, PF-07302048) ), i
ndicated for the 
prev
ention of COVID -19 in adults 16 years of age and older .  Pfizer Manufacturing 
Belgium NV (also known as Pfizer Puurs)  will produce the BNT162b2 drug product, 
including the steps of Lipid Nanoparticle (LNP ) fabrication/ formulation bulk drug product, 
fill/finish, and labelling/ packaging.  
 
The i
nspection was conducted from June 24 through July  2, 2021 and the inspection 
team included Laura Fontan (CSO/lead inspector) and Zhongren Wu (CSO) both from 
OCBQ/DMPQ, Anissa Cheung (CSO) from OVRR/DVP, and Susan Jackson (CSO) 
from ORA/OMPTO/OBPO/BPIS.  The scope of the inspection covered the following 
systems: Quality, Facilities /Equipment, Production, Materials , Packaging/labeling,  and 
FDA-CBER-2021-5683-1150420
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
2 of 79 Laboratory Control. The inspection was performed according to eNSpect operation 
identification number 201736.    
 The previous Pfizer Puurs  inspection was conducted November 9 through 16, 2017.  At 
the end of the previous inspection, no FDA Form 483, Inspectional Observations , was 
issued . 
 
During the recent  inspection, no FDA Form 483, Inspectional Observations , was issued, 
however there were some discussion items, which are listed at the end of this inspection report.  
 Documents reviewed included: SOPs, batch records, complaint reviews, devi
 ation 
investigations, change controls, training records, area cleaning and maintenance, facility 
layouts , equipment qualifications, cleaning validation, st
erilization validation, medi a fills, 
environmental monitoring, visual inspection, contamination prevention, and laboratory 
assays.  
  No sam
ples were collected,  and no refusals were encountered during this inspection.  
 ADMINISTRATIVE DATA (Written by LF)   
Inspected firm:  Pfizer Manufacturing Belgium NV  
Location:  Rijksweg 12  
Puurs , Belgium 2870  
Phone:  
FAX:  
Mailing address:  Rijksweg 12  
Puurs, Belgium 2870  
Dates of inspection:  06/24/2021, 06/25/2021, 06/28/2021, 06/29/2021, 06/ 30/2021, 
07/01/2021 and 07/02/2021  
Days in the facility:  7 
Participants:  Laura Fontan  (LF), Consumer Safety Officer  
Zhongren Wu (ZW), Consumer Safety Officer  
Anissa Cheung (AC), Consumer Safety Officer  
Susan Jackson (SJ), Consumer Safety Officer  
 
   
(b) (4)
FDA-CBER-2021-5683-1150421
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
3 of 79 PERSONS INTERVIEWED  
(Written by LF)  
 
During the opening meeting on June 24, 2021, we (LF, ZW, AC and SJ) presented our 
credentials to Luc Van Steenwinkel , Site Leader, who identified himself as the most 
responsible official for the site.  
  On June 30, 2021, Inspector Cheung ( AC) discussed her clos
 ing remarks with 
 Pieter Verbelen, Launch Excellence 
Director and  At
 the final close-out meeting on July  2, 
2021, we (LF, ZW and SJ ) di
scussed our closing remarks with site leadership which 
included Luc Van Steenwinkel, Site Leader and 
See Exhibit LF-1a-d  for a li
st (prepared by the firm) of those present at the opening and 
closing meetings, as well as participants in the inspection.  
 
Each member of the inspection team contributed to the establishment inspection report 
(EIR). The sections of the EIR written by each team member  are denoted by their  
initials.  
 BACKGROUND AND HISTORY  
(Written by LF) 
 
• Pfizer Manufacturing Belgium NV, having its corporate address at Rijksweg 12, B -
2870 Puurs, Belgium  was incorporated under the laws of the Kingdom of Belgium on 
the 9th day of September 1960.  
• Operations started in 1963.  
• The current  was built in 1980.  
Commercial manufacturing started in 1982. Since 1982 several extensions and 
facility modifications have been implemented, which include the 
in 2011.  In 2015, a
was implemented.  
• In 1998 a w as built for the manufacturing and 
packaging of w as used for 
manufacturing at that time  
• In 2013 the w as finished 
was  performed in 
2014/2015 and  started in 2015.  
• In 1999 t echnology was int roduced and
 In this ar ea Xalatan  manufactured. 
Xalatan is a product on the US market.  
• In 2004, a  was constructed about 1 mile from the 
manufacturing pl ant. This building contains  
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FDA-CBER-2021-5683-1150422
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
4 of 79 • The  the facility where
are aseptically filled  was built in 1998
 In 2012, the facility was finished,  
was  
performed in 2013 and  started in January 2014.  
• In 2013, a w as built for the manufacturing 
of  a vaccine against pneumococcal  infections . This has  been 
operational since end of 2014.  
• From 2017 to 2020, a wide range of projects were started, which included:   
o C onstruction project s at the Puurs Plant: 
 
o Expansion and optimization projects , such as  the 
  
o C ontinuous improvements projects such as :
and an I ntegr ated M anufacturing 
Excellence (IMEx) program  
• In 2018, Pfizer Manufacturing Belgium NV started building 
 C onstruction works continued in June 2020 
and i n March 2021 with   
• In 2020 several expansions were made to provide for the COVID -19 vaccine with the 
installation and validation of formulation booths F or the packagi ng and 
cold chain of COVID -19 vaccine, the freezer farm and shipping lines were installed. 
In 2021, w ere added to scale up the capacity for the 
COVID -19 vaccine.  
 
Further history is det
ailed in Exhibit LF-2 .  The opening presentation is attached in 
Exhibit LF-3 . 
 Hours of Operation:  
Aseptic Manufacturing, Packaging, Warehousing: 
 
 
Operations:
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FDA-CBER-2021-5683-1150423
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
5 of 79  
Administrative: Week: Monday through Friday - flex time (core time between 9 am to 5 
pm) 
 
Employees:  
Manufact ur
ing Operations: 
Packaging and Warehouse:
Q
uality Operations: 
Support Functions: Engineering, Site Technical Services, Launch Excellence, Supply 
Chain Management, OPEX, EHS & site services:
Enabling Functions: BT, HR, Finance, Procurement: 
Total: DRUG PRODUCT MANUFACTURING  O
VERVIEW  
(Section written by AC) 
 The manufacturing process for BNT162b2 drug product includes lipid nanoparticle (LNP) producti
on and bulk
 drug product formulation f ollowed 
by fill and finish ( Exhibit AC -1). 
 
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FDA-CBER-2021-5683-1150424
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
6 of 79 Sterile filtration of the bulk drug product
then f illed aseptically into vials 
 A
 stopper is inserted i nto each vial immediately after filling, 
followed by capping of the stoppered vials. After the filling operation, the vials are 
automatic
ally inspected, labeled, and frozen at -90 to - 60°C. 
 
All manufacturing operations and in-process holds ar e conducted at unl
ess 
other
wise speci
fied and the worst -case hold times are challenged during the process 
validation runs.  
 WALKTHROUGH 
(Writt
en by AC) 
 On the first day of inspection (June 24), we (AC, LF, ZW and SJ) started the facility 
walkthrough in the war 
ehouse w
here all the raw materials are received through the 
s
ystem. Then we moved to the r
oom at t
o 
observe t
he 
 
also showed us 
the r
oom. 
and 
Thomas Deproost (Sr Manager Aseptic Mfg, 
ac
companied us on the walkthrough  of the LNP production
 W
e started at the
 P
fizer personnel stated that all 
operations 
are captured under the electronic batch record, and they showed us how 
dat
a was captured in the electronic batch record.  
  
On June 30, Jan Dams (Sr Project Manager, Asept
ic Mfg), Abo Steels (Team
 Leader 
Production), and Koen Vastenavondt (Operational director, Aseptic Mfg  led a 
walk
through of  the freezer farm located at Building. ul
tra-low  
freez
ers are placed in this
 
I observed the transfer of pizza boxes  (firm’s terminology for vaccine storage 
box) from to the designated pizza boxes
pizza boxes/bundle) will be stored in
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(7)(C)
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FDA-CBER-2021-5683-1150425
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
7 of 79 for the transfer to
tr
ansport box is filled with dry ice
 The temperature probe is located t o 
monitor the temperature  There are packaging lines located 
and I observed the operation on Line packing pizza boxes into the 
shipping box (softbox
). pizza boxes are packed softbox and a probe is 
placed  
softbox with dry ice  
 
Facility W
alkthrough  
(Written by SJ)  
 During the inspection, I participated in a walk -through of the 
ar
ea and observed f ormulation booths w here COVID 19 vaccine i s 
 I observed the for the lipid component of the 
vaccine and I observed filling and visual inspection of batch
 A
 walk -through of G
rade areas and the filling operation 
including visual inspection for COVID  19 mRNA vac cine batch were observed.  
In addition to the walk -through of the production areas we w
ent to the 
incoming goods warehouse, freezer farm where the COVID  19 
mRNA vacci
ne is 
 Warehouse Walkthrough
 
(Written by ZW)  
 On 6/24/2021, Inspectors  Fontan, Jackson, 
 Cheung and I conducted the walk -through 
inspection of the warehouses,
 located in with 
assistance from guided u s 
and answered questions. He stated that the warehouse is temperature-controlled, and 
the temperature is monitored through
 stated that the inventory is also computer -based and governed by a 
 All incoming materials will be checked per the checklist 
for any damages.  I noticed there are used in the receiving area. 
s
tated all the are from shippers and they are or 
will be rejected.  I confirmed that the accepted 
 stated that all the external will be 
acceptance into the warehouse.  He stated that there are no physical compartments for 
quarantine, and release.  The regulatory status of the raw material is maintained by  the 
however,  for the rejected materials, they are 
area.  I inspected this area and checked the construction 
and I did not identify  any issues.  
 
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FDA-CBER-2021-5683-1150426
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
8 of 79 Per  the concept using the i s important  in his 
 warehouses, because 
 The vaccine 
manufactur
ing-related raw materials such as 
and gl
ass vials used in the filling line, are stored in the warehouses.  
    
On the are 
the 
expl
ained that the warehouse personnel are respons ible for 
 
 
I
 conducted a i nspection of the fr eezer .  The fr eezer 
has a size of   It is in the   There is a 
 
and the
 
to keep the temperature balanced.  The  door is locked, 
and open only to authorized personnel ac
cording to  
 With 
his perm
ission, I tried and w
as rejected to enter the  The 
door c
loses automatically 
 This freezer in 2015 and r
 equalified in  Currently, the
are 
stored here. While 
 t
he freezer  I inspected the labels and packaging integrity of
and verified the lot numbers without concerns.   
 The 
room
 is  We interviewed
and
st
ated t
hat the  can be conducted at or in a
 W
e observed a few
s
ection of the room designated as the ar
ea 
   We also observed the  which has the 
capacity of   According to  when 
t
he  is set at  We also 
observed the which is under qualification.   Currently, the
is more commonly used, according to 
 At the room
, I requested to review the batch record. s
tat
ed that 
batch records ar
e digital. He demonstrated that the batch record for the pr
oces s 
is filled out on the  I had no issues with the
pr
ocess.  
   
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FDA-CBER-2021-5683-1150427
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
9 of 79 Walkthrough of  
(Written by  LF) 
 
On June 28, 2021, SJ and I went t o the Room   to witness 
fi
lling of BNT162b2 batch  We were accompanied by  
 and   T he 2 
mL vials enter
 
  T
he vials are 
 The was
 operating 
the 
vials  I was told that the was
 
 There is also 
an SOP for aft
er such an event.  The 
direct product
 contact equipment used in the filling 
 The di
rect product contact equipment and miscellaneous parts 
needed for filling are
 The filler has 
st
opper s 
also enter  I was told that each batch uses 
 of
 stoppers . The ty
pically  batches at a 
time, howev
er, 
the direct product contact fi lling parts are per 
batch 
in a   At the  line is a capper
 Gr
ade 
 The capper rej
ects
  These rejects were enter
ed into the batch record.  The capper was 
operating at a speed of The validated maximum speed for the 2ml vial 
is is
 performed every 
and doc
umented on a rec
ord that is reviewed as part of the batch 
record.   The capped vials are then inspected using the automated visual 
inspection machine. No concerns w
ere noted.  
 On July 1, 2021, I went into
accom
panied by
Piet
er Verbelen, Launch Excellence Director and
to w
itness BNT162b2 steril e 
filtration operations in   The BNT162b2 bulk in
was lot is
 in room
  
The sterile filtration in the  room  
and then    When I was in Room operations personnel were 
in 
preparation for sterile filtration. is t
o  
bulk drug product
sam
ples are taken from filtration. See Exhibit LF-4
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(7)(C)
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FDA-CBER-2021-5683-1150428
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
10 of 79 S ample port   No concerns were 
noted.  
 
On July
 2, 2021, I inspected t he freezer farm located at Bui lding with
Abo Steel
s,
 Team Leader Production, and 
Koen Vas
tenavondt, Operational director, Aseptic Mfg B
NT162b2 filled 
vials f
its inside each freezer.  I watched the product being 
with the product pizza boxes 
each containing 195 vials. fit inside each freezer 
 
 A i
 s used to transport the frozen vial bundles to 
be packaged for shipping. The is kept cold using at the 
 
 I watched two operators load bundles into the
wh
ile checking/scanning batch numbers on each bundle during 
transfer .  I also watched the loading of pizza 
boxes  into one softbox with 
dry ice .
 The shipping logger is  instal
led the shipping box has an expiration of 
and 
provides  live monitoring of temperature in the box and GPS tracking. See 
Exhibit LF-5.   
 QUAL
IT
Y SYSTEMS 
 
Quality System  
(Written by SJ)  
 
All SOPs requested in the FDA Pre-Request List were translated from Dutch to English 
for the inspection.  
 
Coverage of the Quality System included the review of the following written procedures:  
  
Quality Manual  
SOP version Quality Manual  effective 10-June 2021 describes the Quality 
Management System at the Pfizer Manufacturing Belgium NV (Pfizer Global Supply 
(PGS) Puurs facility ). The Quality Manual addresses the Quality Management System 
(QMS) requirements for design, development, manufacturing, packaging, testing, disposition, storage, distribution and post market surveillance of all drug products, medicinal products, biological products,   
The Quality Manual describes the senior management responsibilities to include the 
development and maintenance of the Quality Policy ensuring a suitable and effective 
QMS is in place. Senior management is also responsible for adequate resources and that roles, responsibilities and authorities are defined, communicated, implemented throughout the organization.  
   
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FDA-CBER-2021-5683-1150429
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
11 of 79 The Quality Manual describes the QMS documentation process  and contains
 
Quality Manual and Organization 
Master Standard Operating Procedures (Master SOP)  
Standard Operating Procedures SOP and /or Work Instructions  
Forms  
Records  
 
SOP version Organization effective May 27, 2021 details the key roles and 
responsibilities of management. The SOP gives the site management organizational 
chart, quality management organizational chart and key roles and responsibilities of the senior management such as the Site Leader, Site Quality Operation Lead, Site Data 
Integrity Lead and the Release Operation Manager and Manager of COVID  Project. The 
SOP also gives additional roles and responsibilities of the Site Quality Review Team (SQRT).   Management Review  
(Written by SJ)  
 SOP version Management Revi
 ew Process  effective 18 May 2020, describes 
the process used to review the quality management system at documented, planned 
intervals by top management at the site to ensure continuing suitability, adequacy, and 
effectiveness. The Site Quality Review Team (S -QRT) meets on a fr
equency 
and the scope of their review is site quality and compliance metrics (QMS processes). Actions
 from the management review  are and 
incorporated i nto 
the CAP
A system.  
 Internal Audi
t 
(W
ritten by SJ)  
 SOP version Internal Audi
 ts Quality  effective 05 March 2021, this procedure 
manages the periodic site self -audit. Internal audits are a system -based audit which are 
conducted at a frequency such that each system is audited and 
the 
associat
ed sub systems are audited E
xamples of 
systems include but are not limited to quality, production, facilities and equipment, laboratory control materials, and validation.  Example of a subsystem includes but is not 
limited to the following: change control, production areas, supplier qualification, utilities, complaint management etc.  
 I reviewed the internal audit plan for the 2021 which included the system and subsystem for T
he internal audit plan documents that an audit of 
i
s scheduled in and an audit of
 i
s scheduled for 2021.
ex
plained the internal audit process and provided evidence of the 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
FDA-CBER-2021-5683-1150430
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
12 of 79 executed internal audits for for 2021. Additionally, I requested to verify that 
during the internal audits electronic data is retrieved and reviewed as part of the audit. 
pr
esented executed internal audit agenda/scope and audit 
concl
usions t hat stated that all elements of the audit were executed including the review 
of electronic records and data.  
 
Change Management  
(
Written by SJ)  
 
SOP Change Managem ent, effective 09 December 2020, details the 
introduction of a new change, change or decommissioning of an existing product, 
validation process, direct impact system and quality management system. Every change is identified in one of four groups  consisting of : product, process, systems and 
QMS.
 All changes are c ategori zed as either a permanent change, emergency change, 
procedural change and planned change and they are managed by the site change 
management procedures in SOP The SOP describes and defines the primary action within a permanent change as change description, impact assessment (IA)/action 
plan, pre-approval, implementation, and closure. Other changes such as procedural 
change, planned temporary change and emergency change are also described. QA is 
required to approve changes
 All changes are managed in 
 
Deviat
ion  
(Written by SJ)  
 
SOP-  version Devi ation Reporting effective 19 May 2021, manages reporting 
and documenting unplanned incidents for drug products activities, including but is not 
limited to production, testing, distribution in support of Pfizer Products at Pfizer Puurs. All unplanned incidents are documented in
To 
document an incident in  an 
ar
ea specific SOP is followed based on the incident type. The following are the area-
specific SOPs:  
 
• SOP- M
anufacturing Investigation   
• SOP- M anufacturing Investigation for Uti
lity Issues  
• SOP- Manufacturing Investigation from Environmental Monitoring Issues 
 
The SOPs appeared acceptable.  
 Review of Deviations/OOSs Investigation 
(Written by AC)  
 I reviewed m ore than 
 50 product  or process -related deviations. The majority of these 
were recurrent. One deviation involved multiple final DP  batches that demonstrated 
lower than expected
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150431
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
13 of 79 Deviation was created due to the
T
hree DP batches
were reject
ed.  This issue was communicated to the agency late last year, and 
during this ins
pection the firm provided additional data to further support that the
 w
as the root cause. Pfizer
 
identified that the impurities present in
c
aused the  Current ly, as a corrective action, 
is
 impl emented 
T
he firm
 provided DP manufactured with
pr
oduced with the process  and all 
release test r
esults are within specifications with no significant detection of
  
Five deviat
ions were reviewed that were related to the as
say 
The root cause of these deviations was either 
due to the operat
or error or issues with the I
 checked the training 
records of all the operators that are qualified for performing this test and the records indicated that they finished the training and are fully qualified to perform the assay. In 
response  to these deviations and further improving the robustness of this assay, the 
fi
rm has 
a plan in place to implement a revised as
say 
 A change 
control reques
t was created in May 2021
T
he rev ision of 
as
say appears acceptable.  
 
(Written by
 LF) 
 
Proc
ess Record PR was discovered on Dec ember 3, 2020 and reported on 
December 4, 2020.  In-process bioburden s amples were taken
on 
November 17, 2020.  T he sample was taken
 
 The 
results f
rom the w
ere  
exceeding the l
imit of  
 The corrective  action 
 taken after the event was to perform a  cleaning and 
disinfec
tion of the (
December 
21, 2020).  A detail ed cause and 
effect analysis was performed including machine, method, human, materials, 
measurement  system, and environmental factors. The detailed root cause analysis for 
the incident included:  
 
• Reviewing the  process and all bioburden and endotoxin results from 
Batch Al
l 
other results met the expected limits.  
• Review of sample flow and testing analysis  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150432
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
14 of 79 • Description of process and incident step by step including sampling and 
transportation, bioburden analysis, disinfection of preparation of 
materials , env
ironmental control ex
ecution of bioburden analysis and 
reading of bioburden results  
• Frequency of the issue, including historical bioburden and endotoxin data in the 
of r
eoccurrence of identified microorganism 
(Stenot
rophomonas maltophilia) , raw materials used during the 
batch, and 
witnes
sing of the set -up of and
 Many
 of the potential root  causes came f rom witnessing the set -up of  
 
 w
as removed and a  was connected. The main root cause 
was i
dentified as  O
perators that cleaned up 
a s
pill on the floor, attached the  without disinfecting their gloves.  
 
Contribut
ing 
fac
tors were:  
 
• Possibility of contamination from the environment  
• Part of product path is
• ar
e not able to withstand the gener
ated by the 
system  
 
Four 
corrective actions were listed and were completed.  All other bioburden and 
endotoxin result
s, tests,  E
M data  and 
r
elease resul
ts for the batch were within the expected limits, so it was concluded that 
there was no quality impact to this lot.  The investigation appeared thorough.  
Subsequent lots produced through di
d not have bioburden or endotoxin 
results that exceeded limits.   The information appears acceptable.  
 PR ID was created 
 May 21,2021, occur
red May  20, 2021 
Short description: Non-inspected COVID  vials  were labelled and pack aged (batch 
 This
 issue was discovered during  
C
orrec
tive actions were identified and implemented. An effectiveness check was 
required.  The investigation was approved for extension   
No concerns noted.  
 CAPA 
(Wri
tten 
by SJ)  
 
Corrective and prevent iv e action role, responsibility and process are described in SOP 
v
ersion The procedure applies to all actions A
 
correction 
is defined as The CAPA system 
manages correction from systems such as deviations, complaints, AP R, and internal 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150433
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
15 of 79 and external audits. The CAPA flow for corrective action and preventive action requires 
a root cause analysis and then the implementation of the defined corrective action and 
preventive action. When a defined effectiveness check has been identified for a 
corrective action, a successful effectiveness check is required before the CAPA can be 
closed.   
Biological Product Deviation Report ing (BPDR) 
(Written by SJ)  
 SOP version Biological
  Product Deviation Report (BPDR)  describes the 
requirement, responsibilities and the workflow for potential incidents that require a BPDR. In the event of an incident impacting a product  
 t
he Release Site Quality Operations Leader (SQOL) is r esponsible for  
preparing the draft BPDR with input from the A
dditionally, 
m
ust be identified in the BPDR. SOP des
cribes the timeframe for 
reporti
ng BPDR to CBER as no later than 45 days from the date of discovery.  
 Document M
anagement  
(
Written by SJ)  
 The written procedure SOP -
v
ersion Document  Management  manages GMP 
related documents within the Pfizer Puurs facility. GMP related documents can be 
managed  
or they can be 
managed f
or 
storage and 
management of the electronic versions of documents. SOP - det
ails a 
high-level workflow for the creation of a new document. Periodic review of GMP documents is set at a minimum of
how
ever the review of the Quality 
Manual and the Organization SOP requires a review frequency of  All 
documents identified as pertaining to GMP are required to have three approval s by 
three different persons. One of these approvals must be from the Quality Unit.  
 
i s used when making GMP related fill -in documents.
ensur
es a unique sequential number is shown on documents and the document has a 
limited s
helf life of after printing.  
 
GMP documents that are managed in applications are as 
follows
: Master Batch Record managed within the  
Lot Plans 
managed in and 
Maintenance Records managed within  
 Document control  
(
Written by ZW)  
 
The firm handles the document control per SOP - “
Document and record 
management”
, effective date 9/28/2020. 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
FDA-CBER-2021-5683-1150434
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
16 of 79 show ed me the flow chart indicating how the 
document or record is determined to be GMP related and the sub-SOP to be followed.  
Currently, most of the documents, such as are  For the
documents, such as they are issued by the QA unit and will be 
reconciliated.  
 Electronic 
Batch Record (EBR) system  
(Written by LF)  
 
The COVID -19 vacci ne manufacturing process is conducted using a
batch records.  The end goal is to have a batch 
record, however , currently manufacturing steps are initiated in  
pres
ented an overview of the EBR system.  
 The curr
ent pr
ocess es in include:  
 M
aster Batch records (MBR) are maintained under change control and 
c
urrently approved master record exists for each product at a specific time.  In order to 
change an E
BR the initiator must request a change and qualified authors (Site 
Technical Services) design/configure, test and prepare the MBR updates.  Any changes are verified by a qualified secondary author, the production authority and the quality authority. These steps are described in Work Instruction SOP -
 The EBR s do not al
 low any blanks , and steps cannot be skipped. The limits are 
c
hecked based on configured values, such as
 
can also be set for requirements before use such as 
preparation required  and expiry times.  The electronic signatures 
are configured based on the role.  
 During batch record execution, measured 
val
ues are inputted by 
 
 The limits for the
v
alues ar e part of the batch record and i f an exception 
is triggered.  Exceptions are also triggered by 
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4), (b) (6), (b) (7)
(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150435
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
17 of 79   Deviations can be initiated by production and are added to exceptions. 
The ex
ceptions are reviewed according to SOP - Evaluation of batch records of 
product 
produced in Puurs, Ver.  All exceptions are reviewed by production and 
quality.  Automatically generated alarms are also reviewed by quality.  
   
Unauthorized persons cannot  acces s the application. In addition,  
in  w
hich is linked to   
The shows 
 
The data is reviewed during the batch record review.   
 
 The discussed in procedure  
P
olicy is validated. has
 specific roles 
defined for access to the different  based on an 
employee’s function and training. No concerns were identified.  
 Quality 
Agreements  
(Written by SJ)  
 
During the inspection, I reviewed the Quality & Technical Agreement 
f
or contract manufacturing between Pharmaci a & Upjohn Company 
LLC, 
Pfizer Manufacturing Belgium NV, Biotherapeutics Pharmaceutical Sciences (ARD 
& ACMF aka Wyeth Pharmaceutical), Pfizer Biotherapeutics Pharmaceutical Science (ARD Chesterfield) and BioNTech Manufacturing GmBH.  The agreem
ent was signed by 
all the 
manufacturing sites and BioNTech.  The agreement delineates responsibilities 
between Pfizer and BioNTech. The specific responsibilities for each manufacturing site 
identified in the agreement was however not delineated. Quality agreements were 
discussed with who also 
presented the overview of Quality Agreements.  
 
I request
ed to review the quality agreement between the Pfizer Manufacturing Puurs 
and Pfizer 
Andover Clinical Manufacturing (ACMF) the supplier of the drug substance 
for the US market. ex
plained that there is
 
as it relates to the COVID  19 mRNA drug substance.  
  
The quality agr
eement between the Pfizer Manufacturing Belgium and Pfizer Ireland 
Pharmaceutical Grange Castle dated 03 September 2020 was reviewed during the 
inspection. Pfizer Pharmaceutical Grange Castle is a contract testing site for the COVID  
19 vaccine and drug product testing. This quality 
agreement delineates the responsibilities of the Pfizer Puurs and Pfizer Grange Castle. No objections were noted.  
 Before the closeout of the inspection,  
addressed the issue of reporting responsibilities to the US FDA. presented 
an amended quality agreement between the Pfizer manufacturing sites and BioNTech 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150436
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
18 of 79 signed 29 June 2021. The quality agreement was updated to clarify the relationship for 
COVID  19 vaccine   also explained that in 
the Pfizer Purrs site written procedure SOP version Biological Product 
Deviation Report  (BPDR) states that if there is an incident impacting a product 
i
t is the responsibility of the release site 
Quality Operations Leader to prepare the draft BPDR with input from
No objection was noted.  
 
Pest Cont
rol  
(Written by SJ)  
 SOP  version Pest Cont
 rol effective June 29, 2020, describes the 
procedures for implementing and maintaining a site pest control program. The site pest control coordinator is responsible for ensuring that an adequate pest control program is 
established, implemented, and maintained for each building in Pfizer Puurs. An external 
global cont 
ractor is responsible for managing and implementing the pest control 
program. The list of authorized biocides used the external contractor is documented in 
SOP Form There are three ty pes of pest control treatments performed 
by the external contractor: emergency, follow -up, and routine treatment. The routine 
treatment is performed times per year.  pr
esented 
the schemat
ic of pest control traps locations, detector types and executed routine 
treatment proof of service.  During the inspection, I walk ed through the warehouse, 
controlled areas, classified areas and the facility  and no objectionable 
conditions were noted as it relates to pest control.  
 
Training  
(Wri
tten by SJ)  
 SOP  version GMP Training describes the GMP training program for Pfizer 
employees, contingent workers, third party resources and contractors with direct or 
indirect impact on the quality of product. SOP details the scope, roles, and 
responsibilities. This GMP training SOP details the training for new hires (on boarding phase), development phase for current co-workers (developing phase) and the maintenance of   a general awareness with current co-workers (ongoing phase).  
  GMP orientation for new hires is an introduction to GMP concepts via
followed by
 The developing phase consists of
The 
ongoing phase involves  
 
During the inspection, the training records for a select number of employees in the 
COVID  19 vaccine formulation area, vaccine filling,  visual inspection (AQL) and QC 
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150437
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
19 of 79 laboratory were reviewed for specific position-related training and GMP refresher 
training. No deficiencies were noted during the review of these training records.  
 Annual Product Review  
(Written by AC) 
 
No Annual Product Review is written for BNT162b2 DP; however, 
 explained that a continued process verification (CPV) program 
for BNT162b2 DP is established. It consists of  T
 he objective of  is to 
continue monitoring the after process validation.  
sampling after 
process validation is considered. During  CPV reports are written on a regular 
basis.
The purpose of CPV is to gather  
product data from to assess whether the process 
remains in a controlled state and to give the opportunity to act proactively in case the 
process shows a trend to go out of control.  
 
C
PV has no endpoint and continues for the whole life cycle of 
BNT162b2 DP. A is used to for the obtained 
data and control limits are set based on the  Any out -of-control data from 
 will initiate  Product SME will review and the 
SME is responsible to review  and put comments to explain why
 test results will be recorded and documented in the future Annual Product 
Review.  
 In addition,  described 
the Quali 
ty Performance Report (QPR) that the QA performs  T
he 
recent one 
was performed between 2021. No outstanding finding was 
observed in this report. The report includes information to monitor the following items:  
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150438
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
20 of 79 Consumer Complaints  
(Written by ZW)  
 
 explained to me the procedures for handling 
complaints. 
 She stated that the firm uses a triage system to categorize the nature of 
each complaint.  The following are a few representative examples of the categories:  
I 
reviewed the SOP “Complaint handling”, version effective date.
walked me through the process flow chart.  According to this SOP, once a complaint is 
received,
 the firm will determine the investigation priority depending on the nature of the 
complaint, with three levels of urgency such as “Expedited”, “High” and “Normal”.  The 
time f
rame is set for calendar day
s for Expedited and High, and calendar days for 
Normal. The investigation procedures consist of
  
I
 requested 
to review the most recent trending analysis data. show
ed me the 
analysis
 between December 2020 and May 2021.  She stated that the complaints 
is
 used in the trending analysis, and as more vaccine 
is manuf
actured, i
s decreasing, as shown in the container category, from 
approximately 
 
The fir
m provided the complaint list  prior to the inspection, in the pre-request package.  I 
noted that since December 2020, there are approximately 11,000 complaints filed.  As of May 2021, the firm has manufactured approximately  
doses.  I randomly 
selected the 
following consumer complaints to evaluate how the firm conducted the 
complaint investigation ( Table ZW-8 ): 
 
ZW Table 8. 
 Complaint investigations  
Doc ID Date 
received  Date 
closed  Category Batch # Summary  
5/10/2021  6/25/2021  Container  EW4811  A customer complained of  container 
leakage during the reconstitution and 
the samples were returned for 
evaluation.  The firm started the 
investigations including but not 
limited to trending analysis, batch 
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150439
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
21 of 79 Doc ID Date 
received  Date 
closed  Category Batch # Summary  
record review, deviation investigation 
review, and retained sample 
inspection without issues.  No root cause was found. And no CAPA is 
taken.  
6/16/2021  Open  
12/18/2020  12/19/2020  Foreign 
objects  Not 
available  A customer was asking for the 
process to report a product with 
particles in it.  When the firm called 
the customer, there was no answer.  
 1/6/2021  2/17/2021  EJ0724  Small black particles were found 
after dilution. The customer was not 
able to return the sample. The firm 
performed the internal investigation including but not limited to review of 
batch record, deviation investigation 
and retained samples.  No root 
cause was found and no CAPA was 
taken.  
 12/17/2020  1/29/2021  EK4175  After the reconstitution *, the 
customer found a film/sediment on 
the outside of
 the vial and the 
contents did not contain enough to 
draw up even one dose.  The 
performed the investigation and no 
root cause can be identified.  
1/7/2021  2/19/2021  External 
cause 
investigation  EL1484  The effectiveness of the vaccine was 
questioned.  Four clinicians received the first dose and then tested COVID -positive.  The expiry of the 
vaccine is 
April 2021.
 The complaint 
sample was not returned. The firm’s internal investigation found no 
quality is sues.   
After the inspection, I was able to review
 this complaint in more depth 
and noted
rel
ated to the batch EL1484.
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4), (b) (6), (b) 
(7)(C)
(b) (4)
(b) (4), (b) (6), (b) (7)(C)
FDA-CBER-2021-5683-1150440
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Puurs, Belgium  EI End:  07/02/2021  
 
22 of 79 Doc ID Date 
received  Date 
closed  Category Batch # Summary  
4/15/2021  5/28/2021  Product 
appearance EW2246  After reconstitution, the customer 
found discoloration upon visual 
inspection, with whiti
sh dispersion.   
The firm performed the internal 
investigation including but not limited 
to review of batch record, deviation 
investigation and retained samples.  
No root cause was found and no 
CAPA was taken.  
  
*Note: “Reconstitution” is the term used in the Pfizer complaint documents.  I interpret 
this as the dilution of the drug product vial.  
 
I have no concerns with my review of the consumer complaints.  
 
FACILITIES AND EQUIPMENT SYSTEMS 
 Facility Changes  
(Written by ZW)  
 Since the last FDA inspection in 2017, particularly since the start of the COVID -19 
pandemic, t
he firm has added more people and mult
iple facilities and equipment.  T here 
are currently 
approximately employees and that number was approximately
i
n 2017.  T
he following table shows the major changes related to the current application 
and because of the time constraint, I focused my review and evaluation on the major 
c
hanges, specifically (
Table ZW1).   
 
Table ZW1.  Major
 changes  
Category  Facilities or Equipment  Location  
(b) (4), (b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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Puurs, Belgium  EI End:  07/02/2021  
 
23 of 79 Category  Facilities or Equipment  Location  
 
Per Pieter Verbellen, Di rector Launch Excellenc
e, the firm currently uses f
or 
preparation/for
mulation of the bulk liquid.   The filling process and vial inspection are 
performed at  
 No c
oncerns wer
e ident
ified regarding changes to the facilities and equipment.  
 
Preventive Maintenance of HEPA Filter s 
(Written by SJ)  
 SOP
V
ersion F ilter (Qualified) effective  January 7, 2021 describes 
the preventive maintenance (PM) program on HEPA filters. It should be noted that the 
filling operation is (Gr
ade /ISO  and 
the  is a 
Grade /ISO T
he PM progr am is managed by the 
T
he frequency for PM on the IS OH EP
A filter s is every PM is 
perfor
med in house and the parameters used during the HEPA
 filter PM are as follows: 
  
T
he PM program for HE PA
 filters was discussed with
 and  The 
review of PM includes 
t
he work order for the ISO H
EPA filter in  along with the 
traceabi
lity of the in-house equipment used to measure the key parameters of t he HEPA 
filters.  All equipment used in the HEPA filter PM was traceable back to a standard and 
within calibration at time of use. During the initial IQ/OQ/PQ of in 
May 
2020, filters were replaced as it failed new filters were 
installed and retested as part of the initial IQ/OQ/PQ; the HEPA filter retest results met 
all specifications . No objectionable conditions  were noted for the ISO HEPA
 filter PM 
records
 reviewed.  
 
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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Puurs, Belgium  EI End:  07/02/2021  
 
24 of 79 Validation 
(Written by LF)  
 SOP-  Systems Validation ver. ef
 fective May  28, 2021, describes the general 
approach for the validation of systems. The procedure pertains to direct impact systems that support the manufacturing, storage and distribution that include facilities, utilities, 
equipment and related automation.   Lab equipment and computer systems were not 
within the scope of this procedure. Lab equipment validation is covered under SOP -
Laboratory Equipment Qualification and Computer systems are covered under 
SOP-  Computer Systems Validation.  System validation includes verification (IQ 
and OQ) and Performance Qualification (PQ) of a system.  
 
The general approach for steri
lization validation is discussed in SOP - S
ter ilization 
Validation ver. effecti ve Mar ch 14, 2019.  This procedure includes sterilization of 
 Periodic 
requalif
ication of these processes  is required   N
o concerns 
noted.  
 EQU
IPM
EN
T QUALIFICATION  
 Qualification of the 
w
arehouses and computer security  
(Written by ZW) 
 The 
w
arehouse is also called 
 From a door
, which is  w e 
observed 
a ret
rieve or place on 
Fr
om the ground to the ceiling, there are
 T
he on 
the
f
or locations and materials.  
  On 6/25/2021, I reviewed the qualification of the system for the warehouse, 
with  
 She stated that the 
was
 implem
ented in 2014. Since then, more improvements have been made and 
the quali
fication of the  was conducted and approved in March 2018.  She 
showed me the qualification report.  I reviewed the report of 
and it appears all the acceptance criteria were met.   I asked about the security 
measures in s
tated that only authorized personnel have access to the 
and the computer security is governed by the
 
 I further requested 
and reviewed the policy for computer security.   This document  describes the computer 
configuration, policies for account lockout, audit and network security.  For example, the 
password must have
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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25 of 79 The account will be locked out after  I have no issues 
with 
the computer security measures.   
 
Temperatur
e mapping of the war
ehouse 
(W
ritten 
by ZW)  
 
The w
arehouse has st orage  
The capacity is  Because of limited 
time, I focused my review on the qualification of the w
arehouse.  
 
wal
ked me through the 
temper
ature mapping process.  She stated that the w
arehouse has 
the size 
of  The stored materials are placed 
on ar
e installed on the  
For the temperature mapping, a total of m
onitoring probes were distributed 
throughout 
the warehouse, including the worst -case locations on the
 F
or monitoring, m
onitoring probes 
are positioned throughout the warehouse.  
s
tated that temperature mapping studies were conducted:  
 
I
 requested and audited the data for  temperature mapping, which is documented in 
“P
erformance Qualification Report for 
 
dat
ed 1/21/ 2021.   For
 each study, the temperat
ure was monitored for   The 
firm
 also conducted the 
 
 The temperature was 
set at and al
arm limits were set at  The locations of the monitoring 
probes were adequately identified in the report.  I reviewed the temperat ure 
 and checked the  The firm also identified the 
 
 Based on the mapping study, m
onitoring probe locations are 
determined  I also reviewed the attached deviation 
reports and the audit trail report. I had no issues with the documents I reviewed.  
 
The  substances such as are stored in a
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150444
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Puurs, Belgium  EI End:  07/02/2021  
 
26 of 79 Qualification of the freezer  
(Wr
it
ten by ZW)   
 
The freezer has w
orking  is 
instal
led
 
appears to have adequate space and is organized.  The 
stored materials are placed on  Per the t
emperature is monitored 
and contr
olled by  a facility 
system.  
    
I rev
iewed the qualification document for the freezer w
ith
 
 She stated that temperature readings and 
t
he mos
t recent requalification/temperature mapping was performed in  as 
documented in  “Combined revalidation/requalification report for the
appr
oved on  The freezer has a temperature set at
 According to moni
toring probes 
were dis
tributed in the mapping study and the testing period 
w
as  
T
he monitoring probes were placed as follows:  
 
 
 The 
study identified the  The firm also conducted the 
 
I audited the temperature  
 I 
had no is
sues.  
  
The emergency power backup system for the freezer and 
other facilities will be 
discuss
ed later in this report.  
 
B
uilding for the storage of  the finished products, “Freezer Farm”  
(Writt
en by ZW)  
 
I conducted the inspection of the B
uilding on 6/28/2021 ( Exhibit ZW-1 ) .  The 
 is a bui
lding located on the side of the campus.  On the way to the 
 I noticed approx imately
 
stated that the firm purchases the 
from t o ensure the uninterrupted supply.   The  is 
at the and added to the (more 
discussion later in this report).  
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150445
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Puurs, Belgium  EI End:  07/02/2021  
 
27 of 79 To enter the bui lding, I needed to go through a door,  which is 
locked and opened only to the authorized personnel   I
 noted there were 
at
 the entrance.  
  
Mr. Jan 
Dams, Senior Project Manager and Mr. Abo Steels, Team Lead assisted me 
during the i
nspection.  They answered questions and provided documents.  Mr. Luc Van 
Steenwinkel, the site head, was also present during the walk -through inspection.  
Currently, the B
uilding is a facility for the COVID  BNT 162b2 
vaccine.  I noted that there are adequate spaces for the equipment such as ultra-
freezers and the storage  arranged in an organized 
fashion for inspection and cleaning ( Exhibit ZW-1 ).  The area appeared 
clean, and no cracks were noted between the doors and frames.  The and 
m
ouse traps were also found in the ar
ea as a pest control measure.   The firm 
uses an external contractor for the pest control, per Mr. Dams.  
 According to Mr. Dams, there are approximately
aut
horized people worki ng in the 
B
uilding.  I asked what  procedures have been taken to ensure the security of 
the freezers which are  Mr. Steels
 stated that the firm has 
several procedures
 such as:  
 
 
   
F
or the training, Mr. Steels stated that each new hire is required to take training based 
on his or 
her job responsibilities and they are not allowed to go to places beyond their 
job description. I randomly picked one employee, f
rom
 the and 
r
equested to 
audit her training records and training materials. I noted that is
 a 
 Her training records show that she has had on -job trainings (OJT) and 
S
OP trainings since February 2021.   The GMP training slides
instructed employees  
 
I had no issues with the training documents I reviewed.     
 
Freezer Farm  
(
Wr
itten by ZW)  
 According to Mr. Steels and Mr. Dams, there are currently approximately ultra-
f 
reezers (Exhibit ZW-1) in the  Building, and  freezers 
 I noted that all the freezers appear new.  Per Mr. Steel
s, the firm started 
the purchase of freezers in 2020 and qualifications of freezers in 2020.  The 
B
uilding is also called “Freezer Farm”.  It has a size of
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4), (b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150446
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28 of 79 Per Mr. Steels, each freezer has a attached to the freezer and this 
is
 equivalent to that displayed on the found 
in the 
T
he freezer temperature is also displayed  Mr. Steel
s 
stated that each freezer is monitored for temperature through a  
called and the temperature reading is taken every 
  
 
My audit of the freezer qualification started with a randomly selected freezer 
fr
om the floor.  Mr. Steel
s s
howed me,  the current 
temperature,
 and the temperature for the last five days, of this freezer, managed on the 
 
I noted there are w
ith a 
difference around  Mr. S teels 
explained that there are
r
espectiv ely.  The on 
the r
epresent s the worst case, normally t
han the
 bas
ed on the temperature mapping study and real -time monitoring.  
 I then requested to review the temperature monitoring for the month January and February 2021,
 and I noted there are two temperature excursions on 1/14/2021 and 
2/4/2021.  M
r. Steel
s ex
plained that the tem perature excur sion on 1/14/2021 is due to 
the loading of the vaccine Lot  T
his lot was unloaded, and 
freezer w
as cleaned on 2/4/2021, resulting in another excursion.  I reviewed the records 
without discrepancies noted. This freezer was cleaned on 2/4/2021.  
Mr. Steel
s s
tated that the  freezer is maintained at  W hen the 
vaccine vials, which are kept af
ter packaging, are loaded to the 
freezer, the freezing process takes approximately  Lot i
s curr ently 
stored in the freezer  Mr. Steel
s stated that the turnover is 
approximatel
y bec
ause of high demand.   No iss ues were identified.  
 
Freezer quali
fi
cation and temperature mapping 
(Writte n by ZW)  
 The qualification procedures and acceptance criteria are described in the document 
“ 
Form: performance qualification protocol”, and in
“FORM: Template System Acceptance and Release Report (SARR)”, 
respectively.  The temperature mapping is performed for
freezers.  The freezer has and tem
perature monitoring probes are 
placed i
n the
  The freezer temperatures should stay within 
predetermined working temperature  T
he 
freezer is monitored for  
I 
randomly selected the following three freezers (Table ZW2) and reviewed temperature 
mapping data:  
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150447
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29 of 79 Table ZW2.  Qualification of the ultra-freezers  
Freezer  Mapping date
 
 
The qualification s tudy has dat a sets plus 
audit trail) for each freezer. I noted that the temperatures stay within the specifications during the tests.  For the test,
temperature monitoring probes show the temperature increases up to  W
hen 
the  
the temperature drops to  Per Mr. Steels, the 
freezers, generally  I
 
had no issues with the documents I reviewed.  
 I also selected randomly and inspected a cleaned freezer
t
hat is ready 
to rec
eive vaccines.  After the door opens, there are
 The freezer appeared to be in good conditions and no 
ice build-up was observed.  According to Mr. St
eels, each freezer, when fully loaded, 
should tak
e pizza boxes (195 vaccine vials per box)
 
Temperature moni
toring probe calibration 
(Written by ZW)  
 I requested and reviewed the calibration documents for the temperature monitoring probes. 
s
tated that the probe calibration is 
performed  
and all the temperature monitoring probes 
are calibrated  I randomly selected the calibration reports of the following three probes:  
 
• cal
ibrated on 3/16/2021 
• calibrated on 5/12/2021 
• calibrated on 5/28/2021 
 
There are temperature set points such as and 
the failure limits 
are the 
set point I
 reviewed all three reports and noted that the observed 
temperature outputs are at most f
rom the set points.  I had no issues.  
 
and 
Alarm system  
(Written by ZW)  
 
and Mr. Abo S teels explained to me the 
alarm 
system for the us
ing  The procedures for the alarm handling 
are governed with SOP “H
andling of alarms ef
fective date 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150448
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30 of 79 10/13/2020.   Mr. Abo stated that the alarm system is on the and the 
al
arm messages are sent to the responsible person.  According to the procedure, 
the alarm message is
  The working temperature 
for the is  W
hen the temperature increases to or
 
beyond f
or the alarm system will be activated.  Per t
he 
window will avoid false alarms and gives operators enough time to perform 
regular activities such as
  
The firm performed the validation for the alarm system and the report is documented in 
Document ID: “
Ver
ificatie test plan/rapport alarmen 
op/ALERT”, 
with approval date 2/3/2021.  It appears that all the pre-determined 
parameters were met.  
 Softbox qualific
ation 
(Written by ZW)  
 
Inside the B
uilding and before entering the section, are the 
shipping lines
 for the vaccine products.  The vaccine vials, packaged in the flat “pizza 
box”, 195 vials per box, are shipped as a bundle of pizza boxes in the
Softbox, or bundles in the Softbox.   There are s
hipping lines: l
ines 
for the S
oftbox and f
or the Softbox.  I observed S
oftbox 
shipping lines were in operation during my walk -through inspection.  The pizza boxes in 
bundles are kept in athe storage ultra-freezer and the Softbox.  I observed an operator picked up the bundle 
with the  and placed the bundle inside the Softbox, and then added the dry 
ice to fill the Softbox.  Each shipping line has dry ice
operator checked the packaging conditions, and the 
logger. More discussions later in this report) on top of the payload and closed the 
Softbox. operator attached the shipping label and the Softbox was placed in a 
shipping ready area.  
 Softbox is a packaging therm
al container manufactured by a UK based company called 
Softbox Sy
stems.  I reviewed the following documents (Table ZW3) to evaluate the 
qualification of the most often used Softbox (for pizza boxes) as a shipper to maintain 
the temperature at  for no less than  Because of  
the time 
constraint, I did not request and review the Softbox qualif
ication.  
 
Table ZW3.  S
oftbox qualification 
Doc ID Document  Approval 
date Authorship Summary  
Thermal 
performance 
qualification 
protocol, 10/14/20  Pf izer  A total of shipments in 
Softbox will be executed from
  The 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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31 of 79 Doc ID Document  Approval 
date Authorship Summary  
transportation of 
ULT product from 
using a 
passive dry ice 
thermal container  minimum load will each consist of 
representing the 
worst case.  The shipper will be transported via and 
the Softbox shipper should mai ntain 
t
emperatures for a 
minimum of  One 
temperature monitoring device (TMD) is packed with each shipper 
and the temperature reading is taken at  intervals, with 
alarm set outside  
 
Thermal performance 
qualification 
report , 
transportation of ULT product from 
using a 
passive dry ice 
thermal container  10/30/20  Pf izer  The total transition time is 
and TMD shows the Softbox 
shi
pper
 maintain the temperature 
between  
During my in- depth review of this 
document after the inspection, I noted that there is no data for 
as planned in 
the protocol  
However, more studies  show that 
the Softbox 
maintains the 
temperature for more than   
See doc below.  
Technical 
assessment for OQ data on 
Softbox
ULT
 for transport 
of products  1/20/21  Pf izer  The firm performed
 T
he 
firm demonstrated that the SoftBox
 
is capable to maintain the temperatures between
for up to  The 
Softbox is
mimicking the worst case, 
 However, I 
noted that the 
temperature, indicated here 
between  may not 
represent the worst case, as the 
product may be kept in places 
where temperature exc ursions 
beyond may occur. 
stated that the firm has 
performed another study for
t
emperature profile, and 
provided the document
see below.  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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32 of 79 Doc ID Document  Approval 
date Authorship Summary  
ULT dry -
ice shipper
tem
perature 
control packaging 
system
temperature 
control profile  2/1/21  This study shows the Softbox 
shipper maintains for 
appr
oximately under
 the 
t
emperature 
conditions.  
shipping study report summary for project 
BNT162b2  6/16/21  Pf izer  The firm stated that this document 
evaluates the impact of the 
on 
the drug product utilizing a worst -
case
drug 
products from batch
are included in the study.  
This is a study.  Test samples are exposed to 
After the shipment, the 
firm performed the tests including but not limited
 The results are 
within specifications.  
 
testing of a 
U
LT dry -
ice shipper  8/4/20   performed the 
of the 
Soft
box shipper.  The Softbox was 
 
load.  tested the 
Softbox with the following elements:  
 O
n completion, the 
Softbox shows
  
 ULT dry -
ice shipper
temperature control packaging 
system
temperature 
profile  7/15/20  This document has instructions on 
how to pack the Softbox.
is added to the 
Softbox   The 
document also defines the
profile as
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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33 of 79 During my inspection, I noted that each Softbox was packed with
pizza boxes, while for the Softbox qualification, is used with
dry ice.  My concern was, if pizza boxes are shipped, dry ice may have to be used, then the cooling capability might be compromised. 
s
tated that 
that is not
 the case.  The Softbox is always filled with dry ice, as in 
the qualification study. If  pizza boxes are shipped, will be 
 During 
my review of the Softbox photos ( Exhibit ZW-1 , ), I noted that the dry ice 
is to the Softbox . No issues we re identified.  
 
Shipping control
 strategy  
(Written by ZW)  
 
gav
e a presentation about the shipping process (Exhibit ZW -3).  She 
s
tated that each Softbox s
hipper is packed with a logger, which is linked to the 
Controlant
 Platforms for live temperature monitoring and GPS tracking. Controlant 
tracks the movement of the Softbox the moment it leaves the Puurs facility until 
reachi ng the final destination.  The critical data such as the temperature and location 
can be seen real time.  Any excursions will be notified   The logger also has a 
  If the Softbox is
 Controlant will be notified.  Controlant is a contractor located in 
Iceland (Holtasmari 1, 201 Kopavogur, Iceland). No issues were identified.  
 
Dry ice (W
ritten by ZW)  
 
 explained to me that each shipping line is equipped with
dr
y ice to ensure the dry ice supply . 
has a capacity of  al
so stated that the firm has
 can also dr y ice in 
case that all the fail.  
 Emergency 
power backup system  
(Written by ZW)  
 I requested and reviewed the emergency power backup system.  Because of the temperatur
e sensitive nature of this vaccine, the uninterrupted power supply for the 
ultra-low temperature freezers should be assured. 
and  as
sisted me in the revi ew process.  
stated that at the Pfizer Puurs site, there are power sources: 
 
suppl
ies the electricity regularly to the plant. In case of power failure, 
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
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34 of 79 expl ained that the i s a
 
 When there is power failure, the 
s
o there is no 
interruption of the power supply.   The are linked to the 
ens
ure at any moment.  
 
st
ated that there are  for the 
freezer 
farm and the most recently qual
ified in 
June 2021. When  power fails, the  
I select
ed (
Table ZW4) to review their qualification documents 
(preventive maintenance work orders and qualification report, particularly if the 
response time is within the specified time frame when there is power failure (or 
shutdown)):  
Table ZW4. qualification 
 
I 
found no discrepancies from the documents I reviewed.  
 
(
Written by ZW)  
 
On the first day of the inspection on 6/24/2021, I conducted the inspection of the 
fac
ility,  with I nspectors  Fontan, Cheung and Jackson. 
 are required to enter
ex
plained the manufacturing processes from formulation, 
f
illing to vial inspection and packaging.  I observed the 
formulation process/lipid nanoparticle (LNP) formati on, the formulation booth
and 
the filling process  I revisited the on 
6/30/2021 with Inspector 
Fontan and observed the and the
process using the   N
o issues were 
identif
ied. 
     
Qualifi
cation of the  
(Written by ZW)  
 One of the critical processes in BNT162b2 manufacturing is the formulation process in 
which  and this process is 
performed using the
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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35 of 79  
   
I
 interviewed f
or the qualification of 
the  H
e stated that the
 
 The is manufactured by and 
the is 
developed by  
The c
onsists of 
  To verify/qualify the firm uses such 
as
 
 
I reviewed the following 
documents without issues noted (Table ZW5):  
 
Table ZW
5.  Qualification of the
Doc ID  Document  Date  Summary  
 
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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36 of 79 st ated that it takes about  The 
have to be  
 I asked  how
 the is 
monitored f
or each  s
tated that each  is 
connected to 
a  and then I requested and reviewed the  
documents.  The calibration is performed by 
 I 
requested the initial calibrat ion of the The  were initially 
calibrated in May 2020 and it appears that the and 
the certificate was issued to  I reviewed the certificates without 
concerns.   The illustrated servi ce procedures can be seen in Exhibit ZW-2 .  I had no 
issues with the documents I reviewed.  
 
(W
ritten by ZW)  
 
The firm utilizes a number of
 I requested and reviewed 
the follow
ing qualification documents (Table ZW6) without concerns.  
 
Table ZW6.  Qual
ification of the  
Doc ID  Doc title  Date Summary  
 Compressed air  
(Written by ZW)  
 I noted that the compressed air is used to  
during the
 I  
requested to review the qualification of the compressed air.  
as
sisted me with reviewing the documents and 
answered my
 questions.  He stated that the firm monitored the compr essed 
air 
by monit
oring the  I reviewed the 
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
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37 of 79 Doc ID: “System acceptance and release report: compressed 
air of (
mac hine ID , the approval date 
9/25/2020.  This report documents the verification activities, such as
 I also requested and 
reviewed the maintenance records from January 2021 to June 2021.  The 
maintenance log shows the testing results for
 I asked about  and was told it is considered to be similar to 
  I compared the testing results against the specifications without issues 
noted.  
 
st
ated that the  is also used
 B
ecause of the time constraint, I did not request and review the 
 qualification documents.  
 
S
terilization 
(Written by LF)  
 I discussed the sanitization with  
 N
o concerns were noted.  
 
Water pur
if
ication system  
(Written by ZW)  
 
The firm water system for purif ied water and water -for-injection (WFI) for the 
facility.  I conducted the walk -through inspection on 7/2/2021, and met
st ated that there are
wat
er 
is processed with the  
 I checked these and examined 
piping configuration for any possible without concerns. The equipment appeared in good maintenance conditions without leakages or wetness on the floor.  I 
also inquired about  the
and 
the shelf life and found no issues.   The 
water quality is monitored with   I noted 
the on the as
 (Table ZW -7) and they met 
both USP and internal specifications  for the purified water
 
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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38 of 79 Table ZW7. of the purified water  
 
The 
monitoring data are
 ar
e also equipped with the 
I
 asked about the
 
stated the purified water is  
I randomly selected and audited three r
ecords for the 
without issues.  Per  
the has
 been 
 
and it will occur
 
  
 
The WFI facility is  housed in W
FI is generated by 
the  
process and stored in a  I 
inspected the and the  and they appear in good working condition.  
WFI is kept a t 
 I also inspected the  of the  
and found no issues.  
   
At the user point in the room  of
 I
 noted the 
st
ated that if the required W FI has not yet been 
reached the  When the required WFI  has been 
reached, the   At the user point, the WFI is
befor
e use.   
 
I have no is
sues with the purified water.  See below for the WFI qualificati ons. 
 
WFI Qualification  
(Written by ZW)  
 
I requested and reviewed the  “ Initial environmental control 
qualification report for WFI in
 
approved on 7/14/2020.  The protocol for the qualification was approved on 
5/15/2020. 
 T
he 
specifications are as follows:  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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39 of 79  
The firm performed the  performance qualification in June 2020 and the 
samples were collected I reviewed the testing results, and they met the 
specification.   
 I had no issues with the water purification system.  
 Cleaning Validation (Written by LF) 
 
I reviewed the cleaning program with  
and Bojan Wijremblewski, SME, Cleaning Validation.  
 
The cleaning validation program is governed by SOP -  V effective February 
24, 2020.  The SOP is attached in Exhibit LF- 6 . a cleaning validation, 
a cleaning procedure needs to be in place that can be validated.  The procedure must be in at least draft form and must include the following:  
 I
f a new analytical method is required, the 
 Cl
eaning validation studies are divi ded into ini tial validation, verification, revalidation and 
routine requalification.  Initial validation, verification, and revalidation are triggered by a 
change control.  The routine requalification is based on
  
For product  monitoring, a
approach i
s used.  The is based on
 
 which is used for the cleaning studies. 
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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40 of 79  
Ini
tial cleaning validation is performed for
 I
f this cannot be confirmed a 
complete cleaning validation is performed.  For a list of all the products manufactured on filling line  i
ncluding the category of product, 
and allow
able  see Exhibit LF-7.  
 The i
s required to be implemented cleaning 
validation.  The used for validation may be
  The is part of the microbiological 
cleaning validation covered in ‘Rational e: Cleaning validation: 
Microbiological cleaning validation approach”, approved 29 Apr 2020.  This document 
describes equipment storage conditions, specific manufacturing area cleaning 
procedures, preventive measures, 
analytical methods used and approach for potential microbial 
contamination after cleaning and during storage.  The storage conditions for formulation equipment are summarized below:  
 
Equipment  Storage Conditions  
Formulation materials -Stored in Grade
-Stored in Grade
 
-Stored in Grade
 
 
During a walkthrough of the f
illing area, I observed the 
stor
age of cleaned equipment used for filling the BNT162b2 COVID  vaccine in 
designat
ed for the COVID  vaccine in Room  The  used for
w
as Room 
 Twelve documents were review
 ed related to the cleaning validation of equipment used 
for the manufacture of the BNT162b2 COVID  19 Vaccine in
 
 T
he of i
s performed  
 The are replaced with
during the execution of the The C
leaning Sequence consists of
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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41 of 79  
   
The 
are 
performed in  and the
 
are performed in 
ar
ea (Room ).  See Exhibit LF-8 P
hoto. 
 
All the product contact parts for the  r
emain in place for  
The pr
oduct contact parts are made of   
Multiple  tests are performed on the  
 
 The c leaning was performed for
successful repetitions.  
 
Most of the equipment that is used for the  of BNT162b2 is as indicated 
in t
he list below.  
during these tests.
i
s used in production.  
 
The table below summarizes the cleaning validation testing required for the
equi
pment.  
 
Equipment  Stage/  
Production use  Type 
Cleaning  Test Runs  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150460
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42 of 79 Equipment  Stage/  
Production use  Type 
Cleaning  Test Runs  
 
The samples taken were
with  
 The cleaning validation executed to 
date, met the required limits, however is still ongoing.  
Refer to D iscussion Item LF -1.  See Exhibit LF-9 , memo and Exhibit  
LF-10,  
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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43 of 79 Microbiological Cleaning Validation 
(Written by LF)  
 Microbiological cleaning validation testing is performed
protocols. The equipment listed below was 
chosen to verify that endotoxin and bioburden can be 
using the current cleaning procedures.   
 
Equipment  Type Cleaning/Location  Test Runs  Sampling  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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44 of 79 Equipment  Type Cleaning/Location  Test Runs  Sampling  
 
Bioburden were taken at
with  
 Bioburden acceptance criteria for  
the testing is  The endotoxin limit is  The 
m
icrobiological cleaning validation executed to date, met the required limits,
 Refer to Discussion Item LF -1. See Exhibit LF-11 , 
Microbiological cleaning memo.  
 
 T
he cleaning 
validation for the parts consisted of testing to demonstrate 
the  
with 
the same limits used for  
The cleaning validation 
was successful and validated a of  The cleaned par
ts are 
 
 In addition, verification tests were performed for the 
 
 The testing verified that the  
on t
he equipment is
s amples were taken from 
  No concerns were noted. 
 Sterilization Validation  
(Written by LF)  
 Sterilization validation summaries for all direct product -contact
  equipment were 
reviewed.  Processing equipment is sterilized  
 
ar
e validated by perf orm ing 
The pr
ocess is validated to show
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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45 of 79 The product ar e sterilized 
 test locations are chosen according to  
 
   
 
For the ty
pe, there are however,  
were 
determined to be (i.e., no worst -case could be 
determined).  v
alidation run was performed for  with a 
minimum of three validation runs for the t
ype. 
 
In addition, three validation runs were successfully performed to confirm that the 
af
ter the 
R
equalification of the of
 the ty
pe is performed
 
 The 
bulk drug product is sterile filtered  
 T
he bulk drug product is filt ered using 
 filters  The 
s
terilizing filters are us
ing a
 
   
F
ilter integrity tests are performed on 
w
hen I 
observed part of the set up during a walkthrough on July 1, 2021.
  
 
In addition,  a biobur
den sample is collected from
 B
ioburden is also tested during 
  See Exhibit 
LF-4 for a picture of the
 
The st
erilization process is controlled by a
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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46 of 79  The is  set up according to SOP - v er.  The phases 
consi
st of:  
 
Dur
ing  various ar
e  f or 
certain durations.  
 
For the validation,
wer e placed in locat ions including
 
 
 The acceptance criteria are listed in the table 
below.
  A analysis is also performed evaluating the attained 
for the  
and the 
resul
ts of the  instruments.  
 Prev
iously,  w
as validated and used for the BNT162b2 process (Mar  
2019 and Sep
 2020).  The  was updated per change control
 and 
change existing  
  This change control referred to A
n additional change control 
i
ncluded   This was in preparation to 
 
Int
egrity of 
these f
ilters are controlled by int egrity testing. was
 
used f
or the w
hen I observed part of the set up during a walkthrough on July 
1, 2021.
  w
as transferred from
 
Seven sterilization validation documents were reviewed for the i
n 
for of
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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47 of 79 Sterilization Validation Summary of Formulation Equipment at Puurs:  
Validation  Testing 
performed  Acceptance Criteria Acceptance 
Criteria Met  
R
evalidation 
 
Rev
alidation 
Performed  
Sep 2020 Yes 
R
evalidation 
 
Rev
alidation 
Performed  
Jan 2020 Yes 
 
Revalidation 
Performed  
Feb 2021 
Reports  
 Mar/Jun  2021  Yes 
 
No Concerns were noted.  
 Stoppers  
(Written by LF)  
 I discussed the stopper processing with
and
 T
he
ar
ea has s topper processor  in room t hat is dedicated to 
the ar
ea.  The stopper processor has stopper
and of
 these are dedicated to BNT162b2 and the s toppers.  There 
are also stopper processors in the
 
 During validation, the stopper processors are evaluated for  
  No concerns were noted.  
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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48 of 79 St erilization  
(Written by LF)  
 
  The direct product contact parts of the 
 
 If the analysis concludes that the revalidation runs are 
not reproducible a failure investigation will be perfor med, and corrective actions will be 
taken.  Ten validation documents were reviewed for the
sterilization.  
 
The ster
ilization/depyrogenation validation studies to support the BNT162b2 process at 
Puurs are summarized below.  
 
Depyrogenation/Sterilization at Puurs 
Validation  Testing 
performed  Acceptance Criteria Acceptance 
Criteria Met  
Vial Depyrogenation  
Last revalidation  
June 2020  Yes 
Stopper 
Depyrogenation and 
SterilizationYes 
Jun
 2020 
 Yes 
Decontamination-
Rev
alidation  
Aug 2020 Yes 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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49 of 79 Validation  Testing 
performed  Acceptance Criteria Acceptance 
Criteria Met  
Sterilization  
Yes 
Sterilization  
Yes 
 
No Concerns were noted.  
 
Sterilization 
(Written by LF)  
 
 T
he direct product contact parts 
ar
e cleaned and sterilized 
  
 
the following 
actions must be performed 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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50 of 79  
 
The 
decontamination is performed via a  
comprised of a 
loc ated in the clean room 
  During the decontamination,  
 
 The decontamination consists of
 
 
 T
he sterilization of the  
is a  pr ocess. The 
is regulated on  During the 
sterilization  the has to 
D
uring validation, a worst -case  The worst -case  
used the following parameters:  
 
 
 
The PQ protocol 
 
attached in Exhibit LF-12 contains a system description and diagrams.  
 
  
 S
eventeen validation document s were reviewed for the  i
n s upport of 
vial depyrogenation, decontamination, stopper depyrogenation,
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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51 of 79 sterilization. The sterilization/depyrogenation validation studies to support the 
BNT162b2 process at Puurs are summarized below.  
 
Depyrogenation/Sterilization at Puurs for
Validation  Testing 
performed  Acceptance Criteria Acceptance 
Criteria Met  
Vial Depyrogenation  
Initial qualification  
June 2020  
(3 runs) using 
2mL vial  Yes 
Stopper 
Depyrogenation and 
Sterilization
 Requalification 
performed Yes 
Requalification 
performed Yes 
Te
sting 
performed 
September 2020 
 Yes 
S
tudy 
Oct 2020 Yes 
Yes 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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52 of 79 Validation  Testing 
performed  Acceptance Criteria Acceptance 
Criteria Met  
Testing 
performed July 
and August 2020 
Sep
tember 2020 Yes 
A
ugust 2020 
performed August 
2020 Yes 
 
exec
uted August 
and Sept 2020 
 Yes 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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53 of 79 No concerns were noted.  
 
MATERIALS SYSTEM  
 
Supplier Management  
(Written by SJ)  
 
Management of suppliers is performed according to SOP version Supplier  
Management  effective  December  14, 2020.  The supplier management process 
includes selection, qualification, use and ongoing performance review of all vendors in the supply chain. The supplier management process also includes the management of Quality/Technical Agreements, quality risk assessment for all supplier s of production 
materials and or providers of outsourced services within a QMS -process.  
 SOP
S
upplier Qualification and Re-Assessment effective 28 April 2021 describes 
the ini
tial qualification and requalification of suppliers of production materials. The initial 
qualification requires a quality risk assessment, audit, and quality agreement. The Pfizer 
site must fi rst determine if the supplier is on the supplier list per SOP - A
 quality 
risk assessment is performed per SOP t
hen an audit of the supplier which is a 
 is performed according to SOP   Suppliers are assigned one of 
 in the qualification process:
A supplier is when there is a quality risk assessment, onsite 
audit, and a quality agreement between the supplier and Pfizer.  
 
The list of raw materials for BNT162b2 drug product contained mat
erial 
numbers.
 The supplier qualification history for each raw material supplier associated 
with the material number was reviewed from the system which manages the 
raw material supplies. pr
esented the process 
flow for t
he supplier qualification. pr
esented each 
supplier status as it pertains to the risk assessment, frequency of the onsite audits, last 
onsite audit date prior to the manufacture of the PPQ batches and the quality agreement between the supplier and Pfizer. All suppl iers for BNT162b2 drug product 
met the requirements for qualified status.  
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
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54 of 79 Material  control  
(Written by ZW)  
 
I reviewed the firm’s procedures for the incoming materials with
and M
s. Annelien Everaert, Q uality Lead Operation.  SOP -
“
Check of raw materials batch record”, effective date 3/25/2021, is one of the 
SOPs
 that handles the incoming materials.  Briefly, the firm uses a checklist to check 
the conformity such as
  This SOP also has instructions on how to enter the information into the 
 I reques
ted to review the documents for  particularly the batch 
 which was used in the validation batches for this application. st
ated 
that
 the  was suppl ied by and the
was performed at  I reviewed the following documents 
without
 discrepancies noted:  
 
•  Rec
eipt- dated 
10/
16/2020  
• f
or release of raw materials (batch record), dated 12/2/2020  
• SOP-  Receipt
approv
ed 5/20/2020 (version )  
 
 I 
also requested and reviewed one randomly selected lot of the glass vials, lot 
t
o evaluate the procedures for of the containers.  The checklist 
used is
 Form  and the glass vial supplier is  w
ith COA. The firm 
checked  
I reviewed t
he following documents without issues:  
 • Form -  Chec
 klist for release of  dev
ices, dated 10/26/2020 
• SOP  Inspection of vials, approved 2/11/2021 (version )  
 
PROD UCTION SYSTEM  
 Manufacturing codes  
(Written by ZW)  
 
 presented to me the 
SOP for batch number assignment (effective date Aug. 24, 2020). 
st
ated the batch numbers are and 
used in 
the  
 The batch number for each material has 
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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55 of 79   The materials can be
 
 For the finished product, the batch number 
starts
 with two lett
ers, followed by four digits, such as
s
tat
ed she is able to 
 
but not the  
 
Pr
ocess V
alidation 
(
Written by AC)  
 
To support EUA for BNT162b2,  process validation approach was executed 
 Pfizer named this validation as 
P
erformance Qualification (PPQ)
under
 EUA in the US.  PPQ required 
 
The first PPQ DP batch generated at Puurs was lot #  at 
and the lot was filled and finished at the l
ine. During 
pr
ocess val
idation at Puurs, an additional P
PQ DP batches (also called 
process validation lots, PV) were manufactured 
and 
fill
ed/finished in f
ill lines t
o demonstrate that the 
process at Puurs can consistently produce drug product (DP) lots of acceptable quality 
through the above-mentioned manufacturing steps ( Exhibit AC -2).  
 
Due to the DP  batch  an additional PPQ run with a 
 was performed
 
 
No adverse effects on product quality are 
anticipated  
No additional sampling or were 
performed dur
ing the process validat ion of the DP
 batch  In addition, no 
was included in this validation run 
 
 
All PPQ batches were executed according to the defined protocols and eval uated with 
predet
ermined acceptance criteria. Additional sampling was performed during the PPQ 
lots, to 
gather additional 
product data.
 Validation of was included in the design of process validation 
protocol. However, PPQ lot from  was challenged with the 
worst -case cumulative holds (E
xhibit AC -3). Additional discussion 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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56 of 79 on the validation of is included in the section of Discussion with Management. 
All required process controls including process parameters and l
imits 
were m
et for all PPQ lots. Although deviations were raised during process validation, all 
of them were adequately addressed. Some deviations led to initiation of investigations and CAPA was implemented if needed.  
 
Pfizer 
also performed a process vali dation study to validate the
i
n the DP manufacturing process. 
w
as executed 
in this validation study. The firm emphasized that it is not a common 
practice to dur
ing the DP manufacture; however, it is just a 
procedure to P
fizer is 
planning to t
o validate  
T
he validation protocol 
includes the 
 
 
T
he approved validation master plan for the COVID -19 vacci ne DP
Pr
otocol) stated that  lots are included in stability studies (Exhibit AC -4). 
However
, PP
Q batches
 
were not put on stability, leaving PP
Q batch with the
put
 on stability. The firm explained that the stabilit y studi es were 
monitored by St. Louis
, Chesterfield site, so they  with David 
Cirelli
 (Research Fellow Analytical R&D) from Andover,  
 and Paul Rohlfing (Execut ive 
Director Vaccine CMC) to address this issue. David and expl ained that a
D
P PPQ batch generated at  the Kalam azoo site was put on stability and another 
 DP PPQ batch from Puurs was also put on stability, therefore based on the firm’s 
practice of i
n validating the process, Pfizer  believed that 
sufficient stability data will be generated from the P
PQ batches from 
different
 manufacturing  since all hav
e 
The number of PPQ batches put on stability study are further discussed under the 
section of Discussion with Management.  
 Reprocessi
ng/R
ewor
k Process  
(Written by AC)  
 An SOP-  version Carrying out rework processes was used to guide the firm 
doing the repr 
ocessing of  A total of
was
 obs erved at the  during  
The 
rewor
k included F
or the 
 reprocessing step, the firm
proc
ess validation plan for the formulation of COVID -19 vaccine. The  step will 
 T
he outcomes of this validation study support 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150475
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Puurs, Belgium  EI End:  07/02/2021  
 
57 of 79  step has no significant impact on final product 
quality
. Additional information on  was reviewed in the BLA and the 
assessment is discussed in the BLA review memo.  
 
Media F
ills 
(Written by SJ)  
 SOP version Media Fil
 l effective  June 22, 2021 is a general procedure 
which describes that the purpose of the media fill is to evaluate the capabilities of 
aseptic processing activities. This procedure details that media fill process validation is 
performed for
  
Initial validation consists of a minimum of three suc
cessful media fills, 
performed 
on
 
Routine requalif ication of each 
different aseptic/line is completed on a  
 R
evalidation 
 i
s performed
 
Revalidation  should 
occur in the case of a  
that concludes the need for requalification.  
 Media fill study design is documented in the Master Batch Record and in the media fill 
protoc
ol.  
is the medium utilized in media fill qualification.  
Interventions performed during  aseptic production are simulated during the 
media fill qualification studies. Interventions incorporated into the media fill batch record 
represent  all the allowed interventions during  production activities.   All media 
fills are observed and documented by a qualified observer which is a representative of the Quality Authority.  
 SOP  also details the media fill  
 
T 
his SOP 
also describes the media fill evaluation, the criteria for pass/fail when contamination is 
detected and media fill investigation.  
 BNT162b2 dr
ug product is filled the w as i
nstalled and 
qualified 
for use in the year 2020, while the w
as installed and 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150476
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Puurs, Belgium  EI End:  07/02/2021  
 
58 of 79 qualified for use in 2014. Three media fills were conducted as part of the
quali
fication for f
illing runs and three media fills for fi lling. 
   
Exhibit S
J-1 is a copy  of all media fills conducted on filling line t o support 
BNT162b2 (BLA  125742)
 drug product. The list gives details as to 
 
The list of media fills provided by the firm, showed there 
were no contaminated media fill units. The validation on f
or  run
consisted of  The number of vials filled 
for di
d not meet the criteria of greater than v
ials. A root cause analysis 
was initiated as Deviation see Exhibit SJ -2. The root cause for this deviation was 
identified as a failure of the 
 The media fill validation and the root cause investigation were 
discussed with  and
ex
plained that even 
though Medi a Fil
l di
d not 
meet the requirement for greater than v
ials, all 
vials from the batch were and met the requirement for sterility/no growth. In addition, the media fill  run on
r epresented the worst case as
m
edia fill was the last batch filled after a run greater than other 
media fill batches were also filled  final batch of the  
   Media Fill Protocol and Report for the Introduction of a New Vial Filling Line 
and C
OVID  19 Vacci ne, were reviewed, 
and no objections noted, see Exhibit SJ -3. The report describes the results for the 
introduction of a liquid filling process on a new line, all media fills were specifi c for 
COVID  19 vaccine.  
In addition to the overall protocol and summary , Media Fill Report for the COVID  19 
Vaccine Product -Specific Media Fill on the V
ial
 Filling Line  
 
were reviewed, and no objections were noted see Exhibit SJ -4.  
 
Media fil
l batch records for and 
the filling section of the batch record for 
PPQ batch  w
ere reviewed. The media fill batch record review included 
evaluation of  
 
 
The media fill batch record  and 
the filling section of a commercial COVID  
19 vac
cine mRNA batch batch of a on w ere reviewed.  
The asepti
c operations performed were executed per  the 
media fills  records  reviewed.  It should be noted that is
 not simulated as 
part of
 the media fills and hence was not reviewed during media fill review. 
i
s performed at the and i
s not 
performed  The media fills are designed to incorporate the 
use of the same w
hich is also used in the COVID  19 mRNA vaccine 
commercial batches and was used in the COVID  19 vaccine PPQ batches. No 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150477
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Puurs, Belgium  EI End:  07/02/2021  
 
59 of 79 objections were noted with the media fill design and simulation of aseptic filling 
operation.  
 
Environmental Monitoring (Written by SJ)  
 
SOP
R
outine EM Program and S OP R outine EM Program 
desc
ribes the types of environmental monitoring, sampling locations, 
frequency and 
the alert and action limits for classification rooms. The firm performs 
active air sampling, passive air sampling, surface monitoring and particle monitoring. The Grade
m
onitori ng includes the active air sampling by  
passive air sampling utilizing 
S
urface sampling also includes m
onitoring which 
is managed under SOP Particle monitoring for non-viable particulates is 
described in SOP . are 
equipped with a
c
onsisting of partic le counters  that are controlled  
 Environment
al monitoring f requency, alert and action limits for are 
pr
ovided in t
he tables below:  
Frequency and Limits for Gr
ade Area
 
Grade     
Test  Performer  Frequency  Alert  limit  Action  limit  
 
Frequency and Limits G
rade A
reas 
Grade Rooms  
Test Performer  Frequency  Alert limit  Action limit  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150478
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Puurs, Belgium  EI End:  07/02/2021  
 
60 of 79 Grade Rooms  
Test Performer  Frequency  Alert limit  Action limit  
 
Frequency and Limit Grade Areas 
Grade  
Test Performer  Frequency  Alert limit  Action limit  
 Frequency and Limit Grade Areas 
Grade  
Test Performer  Frequency  Alert limit  Action limit  
 Frequency and Limit for
G
rade Area   
 
Test Performer  Frequency  Action Level  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150479
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Puurs, Belgium  EI End:  07/02/2021  
 
61 of 79 Test Performer  Frequency  Action Level  
 
Frequency and Limits Grade Areas  
Test Performer  Frequency  Alert level  Action level  
 
Frequency and Limit s Grade Rooms  
Test Performer  Frequency  Alert level  Action level  
 
Frequency and Limits  – Grade
Grade  – Grade – Grade    
Test Performer  Frequency  Alert level  Action level  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150480
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Puurs, Belgium  EI End:  07/02/2021  
 
62 of 79 Grade – Grade – Grade   
Test Performer  Frequency  Alert level  Action level  
 
Frequency and Limit
Material transfer from the to grade
Test Performer  Frequency  Alert level  Action level  
 ECO = environmental monitoring team  
 
In addition to the review of the environmental monitoring SOPs mentioned above the 
rationale f
or environmental monitoring sampling locations in
and t
he EM trends for f
rom March 2020 to March 2021 were reviewed. 
No adverse trends were identified in the Grade  Review of EM trends in 
G
rade and ar
eas including the Grade ar
ea from April 2020 – 
April 2021 revealed no objectionable trends. It should be noted that the same sampling and the same number of sampling sites as documented in the EM rational e were 
monitored dur ing the PPQ batch
 A list of environmental monitoring excursions prepared by the firm was presented for review.
 The list included the investigation number, room classification and of the 
organism identification. There was a total of ten excursions, none of the excursions 
were identified in in the Grade ar
eas. All ten excursions were in the 
Grade areas
, no mold organism was identified and although the individual excursions 
reached the action limit, no adverse trend was identified.  
 
Disinfec
tant Efficacy  
(Written by SJ)  
 
The list of disinfectant s used in the Grade ar eas of and
ar
e as follows:  
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150481
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Puurs, Belgium  EI End:  07/02/2021  
 
63 of 79 I reviewed disinfectant efficacy study  Performance Qualification 
Protoc
ol and Result, approved by Quality on August 30, 2019. The study results show 
that the use of tec
hnique met acceptance criteria of 
  
D
isinfectant efficacy study  Q A approved on  December 23, 2016 
descri
bes the qualification of
met
hod on surfaces found in Puurs Belgium manufacturing site. ef ficacy 
met the 
criteria for  The disinfectant efficacy study 
approv
ed by QA December 23, 2016 descr ibes the qualification of f
or 
 using the m
ethod and surfaces. m
et the 
acceptanc
e criteria of  
  
D
isinfectant efficacy study  describes the  for 
 des
cribes the efficacy study for
f
or and des cribes the  
for  All test results met the criteria for the category for which the 
study was performed. No objectionable conditions  were noted for the studies reviewed.  
 
Visual inspection and automated inspec
tion machines  
(Writ
ten 
by LF)  
 Filling lines  use automated vial inspection machines
w
hich 
undergo multi
ple phases of validation including
followed by phase 1 and phase 2 performance qualifications (PQs).  
The phase 1 PQ tests determine the machine per
formance by:  
 
 The 
goal of the phase 1 testing is to identify 
 
c
an be seen in Exhibit LF-13.  Phase 2 PQ testing focuses on 
batch quality control by increased AQL testing and def
ect 
trending to a
ssess process variability at batch scale.  Multiple PQ documents were 
presented and reviewed.  : 
 
 f
illing line inspects vials using the  and the  
 
 The f
illing line also uses i
nspection 
machine, however the 
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150482
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Puurs, Belgium  EI End:  07/02/2021  
 
64 of 79 The  used for filling line 
 i
s a ins
pection machine that can 
 
The PQ protocol described the inspection stations that are used for the COVID -
19 vaccine inspection which occur in the following order:  
 
Stations  Detection  
 
The  used for filli ng line 
 
is a  used for
 
It consists of  
 
 
 Vials are  
 Any rejected vials are 
and 
are r
ejected.  Any non-tested vials (usually due to ar
e also 
rejected.  
   
AQL t
esting performed during validation for the  cons
isted of a sample size of 
v
ial requiring critical defects  m
ajor defects  and minor defects 
 Visual 
Ins
pection 
(Written by LF)   
 
On June 24, 2021, we (LF, AC, SJ, ZW) witnessed filling on  
in 
Room  
The filling of Batch  was in progress.  The aut
omated 
visual inspection machine was processing vials at a speed of  I 
requested the Elect ronic Batch Record (EBR) results for the inspection of batch 
 The parts of the batch record provided included the verification (set up) 
process for the i
nspection machine and the  the AQL 
sampling performed, and the end verification performed for the 
  I was also provided the EBR reports for the inspection.  The
r
eport included a summary of the following results for the Batch:  
 
• 
• Inc
oming t
otal vials: 
• I
nspect
ed vials: 
• % good: 96.3%  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150483
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Puurs, Belgium  EI End:  07/02/2021  
 
65 of 79 • Total rejected:  (3.7%)  
• Rejected categories summarized in the report included:  
• 
 
T
he r
ecord report from the EBR was also requested for Batch  
The r
eport included 
t
otal rejected vials at 
 total rejected vials at the 
 
 The for Batch 
 was  which was deemed acceptable.  No concerns were noted.  
 
Production in 
(W
ritten 
by LF
) 
 
We (ZW and LF) observed operator  perform  the  
R
oom on June 30, 2021.  The  
 w
as perf
ormed using a
 t
he operator confirmed i
n 
the EBR.
  This information is  transferred into the batch record 
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150484
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
66 of 79 The r oom is also used for the  E xtensive c leaning of all 
surfaces and floors in the room is required  A picture of 
the  is attached in Exhibit LF-10. 
No concerns w
ere noted.   
 
In process bioburden and endotoxin results  
(Written by LF)  
 In process bioburden and endotoxin results for
w
as requested as a 
pre-request 
prior to the start of the inspection. 
 was provided for lots made from Oct ober 30, 2020 
to May  21, 2021   The complete list is provided in Exhibit LF-14.  Information 
was provided from the manufacturing steps listed below and the results were all within 
the action limi ts except for Lot m
anufactured on Nov ember 12, 2020.  The 
deviation related to this excursion was reviewed and found acceptable. Refer to the 
Deviation section under Quality Systems.  No concerns noted.  
 
In Process Testing (IPT) Step  Action limit  
 
M
anagement  
(Written by LF)  
 The  management program at Pfizer Puurs is described 
 in SOP -  ver. 
M
anagement  effective: June 18, 2021.  The SO P covers 
management of f
or
 
 ar
e cleaned with  T he
are decontaminated t
o
ar
e visually checked
 
If a 
 i
s discovered in a  an immediate assessment is conducted per SOP -
to determine immediate action and whether opening an investigation is 
appropriate.  
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150485
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Puurs, Belgium  EI End:  07/02/2021  
 
67 of 79 The integrity of the i s also ver ified using a   
 s
urface monitoring is conducted for each   In the case of 
any excursions, a deviation is always opened.  A trend analysis is carried out 
t
o evaluate any f
ound in the  P
reventive actions are also review ed, 
and additional preventive actions are defined, if deemed necessary.  No concerns were 
identified.  
 
Contaminat
ion 
and Cross -Contamination Controls  
(Written by LF)  
 The
B
uilding is a dedicated multi -product f acility for vaccine manufacturing.  
Formulati
on of BNT162b2 for use is performed in the
B
uil
ding.  Currently, the m
anufactured in the 
F
ormulation Area are t
he COVID  vaccine (BNT162b2). 
uses 
  In general, operations personnel are 
 
filled on filling line i
s the 
COVID  Vaccine (BNT162b2).  Introduction of new product families, updates to 
manufacturing processes, and changes to the facility design or equipment are assessed via the site change management process.  
 
The following 
procedures pertaining to cross contamination were reviewed:  
• SOP- MSOP: Cross  contamination management ver.  effective June 
28,2021 
• SO
P- SOP: Process Design and Qualifi cation ver. effective February 23, 
2021 
• SOP- MS
OP: Product Introduction and Product Related Changes, ver.
effecti
ve June 7, 2018 
• C
ross contamination risk management for COVID  vac cine,
m
anufacturing ver. effective: June 25, 2021 
• Qual
ity Risk Management: Potential Cross -Contami nation
Pl
ant, ver. effective: June 28, 2021 
 
SOP- outli
nes the cross- contamination assessments required based on health-
based exposure limits and risk assessment, and segregation requirements based on 
product class.  Quality Risk Management (QRM) System proactively assesses the potential risks and implements necessary controls such as:  
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150486
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Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
68 of 79  
Tox
icologists in Pfizer ’s Techni cal Review Committee (TRC) assign the product class to 
each Pfizer
 drug substance.  The TRC is a multi -disci plinary group within Global Quality 
Operations and Environmental and Health and Saf ety comprised of experts that 
characterize the hazards of molecules and classify them into a product class.  The rules for the implementation of the segregation are listed in Appendix 1 of SOP -  The 
SOP i 
s attached in Exhibit LF-15. Segregation practices are evaluated based on 
process step such as 
 The 
products are grouped 
based on risk, as follows:  
 
 
Ri
sk assessment  Cross contamination risk management for COVID  
v
accine, manuf
acturing in l
isted above was 
review
ed.  The assessment classified the COVID  vaccine as 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150487
Establishment Inspection Report  FEI: 1000654629  
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Puurs, Belgium  EI End:  07/02/2021  
 
69 of 79 f
ormulation for the COVID vaccine is performed in
C
OVID vaccine filling is performed on Vial Filling Line (as proposed in the BLA 
125742/0) and V
ial Filling Line  
T
he active ingredient in the COVID  vac cine (mRNA) was determined to be 
The m
anufacturi
ng 
activities in the ar ea are currently broken down as follows:  
 
 
Ac
cording to Risk assessment  cleaning activities are finalized for COVID  
v
accine on the v
ial 
line.  The risk assessment is attached in Exhibit LF -16. 
Cleaning activities are also finalized for the COVID  Vaccine 
on 
vial filling line  Cleaning validation is
 Note: The vial line is 
  The cleaning validation activities for
 
the v
ial filling line and the  l
ine are finalized. 
 T
he risk 
assessment contains further detail regarding the
amount of each drug product, 
 There 
is also an assessment of risk and risk reduction for procedures performed
 
t
o the Grade f
illing i
s  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150488
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
70 of 79  
 
Q
uality Risk Management: Potential Cross -Contami nation 
ver
. ef
fective: June 28, 2021, listed above w as reviewed.  The risk assessment is 
attached in Exhibit LF-17. The ar
ea consists of
 pr
oducts
COVID
 c
an be formulated in the ar
ea. 
 
  
 COVID  is filled on the f illing lines, as previously 
mentioned, on f
illing line  N
ote: 
Filling on w
as authorized as part of EUA 27034 and the
 is 
 
The manufacturing activities in the  
area are currently broken down as 
follows
: 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150489
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
71 of 79 Product contact  COVID  formulation and filling equipment are
 The f
illing line is used for 
COVID  vacci
ne  filling line is 
 
Addi
tional controls in place include:  
 
• Electronic batch record (EBR) control by  
 
•  is onl y performed using 
C
OV
ID vaccine  for f ormulation and filling.  
• Formulation booths (R
oom  and
f
illing line are used in a
w
hich are documented in the EBR.  
• af
ter performing any processing 
activ
ities and 
f
illing
• A
 of the cleaning process is performed after each cleaning and 
documented in the EBR.  
• The i
s used on a basis, 
 
No 
concerns
 w
ere noted.  
 PACKAGING AND LABELING SYSTEMS  
(Written by ZW)  
 
I conducted a walkthrough of the
pack aging l
ine on 7/2/2021.  As mentioned 
earlier, the 
firm has pac
kaging lines for the BNT162b2 vaccine. 
B
ecause of time constraint, I did not inspect the 
pac
kaging line.  
 
I met and
 T
hey explained the packaging process and answered my 
questions.   Per t
he pac
kaging line currently is operating 
 I obs
erved that the packaging line is
 
The filled vials are i
nto the packaging  
T
he label is applied to each vial and checked  for accuracy.  
s
tated that the labels are t
he lot # and expiry are added 
 
The labeled vials are loaded 
square flat 
“pizza box”, 195 vials per box. 
v
erify the count before he the pizza 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150490
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
72 of 79 box. pastes the label  on the box and packs boxes 
   The bundle is then placed in a f
or transport to 
the w
arehouse in the Building   The  c
an take up to 
(
to fill one ultra-freezer).  From the w
arehouse to the freezer 
farm
, a temperature-controlled truck is used for transportation, and the deliver time 
takes  I reviewed the on the 
truck from randomly selected days . No issues  were noted.  
 
LABORATO
RY CO
NTROL SYSTEM  
 
Walkthrough of the Labor
atory  
(Written by AC)  
 
The one analytical assay that I observed in the  laboratory was
 T
he operator performed this assay for DP sample 
 
was 
qualified as the reference standard  The reference standard can be 
us
ed  This reference is used for the generation of 
f
or the  
w
as used for the of the tested samples. The  
i
s calibrated  and the calibration events are documented. Under the 
 system, I saw that analysts are required to review the raw data. Only if all 
system/assay suitability checks fulfilled the acceptance criteria to demonstrate assay validity, the lab results can be approved. I did not identify issues of concerns regarding the execution of the assay and analyses of the raw data.  
 
Review
 of E
ndotoxin assay  
(Written by AC)  
 
Endotoxin testing for BNT162b2 drug product i
s performed using a  
 
Due to
s
tep is performed  
 The verification was performed using 
t
o monitor endotoxin 
content v
erification reports 
w
ere generated to ensure the sample  used 
w
ith the bacterial endotoxin test for  
In 
the verification study report, the prepared samples were
 T
he 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150491
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Puurs, Belgium  EI End:  07/02/2021  
 
73 of 79 data demonstrated that the sample the final readout 
and supported that the verified  is within the  
N
o issue of concern was identified for this assay.  
 
Stability
 Study of BNT162b2 Drug Product  
(Written by AC)  
 The current proposed shelf life for the BNT162b2 drug product stored at the real -time 
conditi
on of -90 to -60°C is m
onths. Data from the stability studies consists of  
l
ots 
l
ots  and lots  
manufactured by Pfizer Puurs, Pfizer Kalamazoo,
 were presented during the inspection ( Exhibit AC -5). All results,
 
generated to date, met the acceptance criteria at the time of testing. However, results of 
some of the 
stability time points are not updated in a timely manner when this inspector 
reviewed their DP stability data onsite. After discussion with the Pfizer’s stability team, 
they provided the updated stability results for the batches on June 
29, 2021 and all updated stability results met the acceptance criteria at the time of 
testing.  
 
Bioburden Test
 Met
hod Verification 
(Written by SJ)  
 Document M
 ethod Verification Report for
in the Bioburden Test  
 by on 
the
 
The method verification was conducted per
 The m
ethod was executed with 
and us
ing 
and us ing 
 T he acceptance criteria for the method verification 
are described as the  from the  product must be at 
least of  
 The bioburden test for
met all pre-established criteria hence the method was verified as acceptable.  
 The routine bioburden test method is described in
v
ersion effective  
June 
22,  2021. This method details the steps for routine bioburden testing via 
 
and results interpretation. The routine 
bioburden test method is in line with steps used in the bioburden method verification. No objectionable conditions  were noted.  
 
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
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(b) (4)
(b) (4)
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(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150492
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
74 of 79 Sterility Test Method Qualification 
(Written by SJ)  
 Document approved by January 2021 docum
 ents the 
sterility test method via f
or COVID  19 MRNA vaccine. The method 
verification was performed utilizing three different batches of the COVID  19 mRNA 
vaccine, 
 T
he result
s 
of the study for the COVID 19 mRNA vaccine 
were successful in that both product and was compar able. 
v
ersion effective  May 10, 2021 details the routine sterility test method for 
COVID -19 vaccine dr
ug product in vials. This sterility test method was 
reviewed, and no issues were noted.  
 
 s terility test method was 
validated for the COVID -19 mRNA vaccine. Document 
approv
ed by Quality 01 May 2021 V alidation Project Report for the Method Verification 
for Sterility Testing on Comirnaty Drug Product (vial) or COVID 19 
mRNA, BTN162b2 D
rug Product (Vial) using the
 This sterility test follows the 
method however  
 is utilized. The i
s 
a method f
or the detection of the presence of microorganisms 
 
  
 of the validation demonstrated the  of the
met
hod for sterility testing T
he raw data to support the 
paramet
ers used to define  were as follows: 
 were reviewed. No objections 
were noted.  
validation study demonstrated that the presence of the COVID  19 mR NA 
vaccine product in the test sample
 The 
raw data reviewed details the three batches of COVID 19  mRNA vaccine were 
utilized in testing and the study was There 
were two deviation investigations during this study, the deviations were investigated, and a root cause was identified for each deviation.  
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150493
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
75 of 79 The validation of the m ethod with a
 m
et all specifications to be used as 
a  method for COVID 19 mRNA vaccine.  
 
The  sterility test method is des cribed in v ersion This 
method ut
ilizes the  and read out of results with
as
 executed in the validation study.  
 During t
he inspection, I discussed sterility test failur e with  
 I
 questioned if there were any sterility test failures for COVID -19 
mRNA 
vaccine and requested the associated deviations investigations. 
s
tated there were no sterility failures at the site. I requested a signed statement that 
there is no sterility test failure for COVID 19 mRNA batches.  
provided a signed document attesting to no sterility failure for 
COVID -19 mRNA vaccines at the site see Exhibit SJ -5. 
 Sample (W
ritten by AC)  
 SOP-  des
 cribes the procedure for 
C
OVID  samples for analysis by
R
elease samples are 
and s
tability samples are 
 The protocol contains information on 
different sections: request of pr
eparation of the accompanying documents, 
and preparation for  All sections provide clear instructions, and I did not 
identify issues of concern on this protocol.  
 Sample ret
ention program  
(Written by ZW)  
 I reviewed the procedures for the reserved samples with
 
  She stated that she follows the SOP -  for the 
sample 
retention.   For each lot of the vaccine, the firm has gr
oups of the retained 
samples:  
  
 
Currently the vaccine shelf life is months.  The  s
amples are kept for 
and t
he samples for respectively.  No issues were noted.  
   
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150494
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
76 of 79 RECALL PROCEDURES  
 
Product return and recall  
(Written by ZW)  
 
I reviewed the following recall and product return SOPs with
 and
• SOP- “
Market action management”, effective date 4/21/2021 SOP -
“E
valuation of r eturned goods COVID -19 vaccine”, effective date 6/28/2021.  
 
Accor
ding to there are no product returns or recalls since the launch of 
the vaccine.  I reviewed the procedures without issues.  
 
REFUSALS  
(Written by LF)  
 
We (LF, SJ , ZW, and AC) encountered no refusals during the current inspection.  
 No FDA Form 483 Observations was issued to the firm.  
 GENERAL DISCUSSION WITH MANAGEMENT  
 We discussed various issues with Management during the inspection which may require their attention including the following.  
 
(Written by AC) 
 
1. validation protocols were used to cover all test conditions and 
sam
pling plans needed to validate the s
upporting that 
the dr
ug product manufacturing process consist ently produces BNT162b2 drug 
product lots of acceptable quality under the commercial manufacturing range of
T
hree batches 
m
anufactured at f
illing lines were included in the validat ion studies. All 
bat
ches were put on stability, but bat
ches w as 
put on stability. The firm explained that the decision to put bat
ch on 
stability was based on a  and product  lots 
produced at the Puurs and Kalamazoo sites. I advised them that in general 
i
s acceptable to be used for the design of process validation, but it is 
strongly recommended to get concurrence on your proposed f
rom 
the agency prior to the execution of the study. This decision is product -specific and 
depends also on the level of characterization of the product. In addition, it is 
recommended to include at least three lots of your product in validating the worst -
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150495
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
77 of 79 case of the hold time T he firm acknowledged these 
suggesti
ons.  
 
2. For the 
release analytical assay s Puurs 
analytical laboratories, I suggested 
 The firm acknowledged the suggestion.  
 
(Written by LF)  
 
1. Microbiological cleaning validation relating to equipment used for form ulation and 
filling of the COVID 19 Vaccine is not complete.  The c
leaning validation for the 
is
 also not complete.  Memos provided by
and
 (Exhibit LF-11, Microbiological cleaning validation 
status) and (
Exhibit LF-9 , 
cl
eaning validation of  were provided by the firm to summarize 
the status of the cleaning validation, estimated compl etion and next steps.  During the 
discussion at the firm, I stated that FDA would cover the completion of these items as part of the review activities associated with BLA 125742/0.  
 EXHIBI
TS C
OLLECTED  
 LF-1a-d List of Personnel with whom We Interacted, opening and closing meeting 
   attendees  
LF-2 History of Business  
LF-3 Opening Presentation 
LF-4
and  
LF-5 W
arehouse T
our 
LF-6 Cleaning Validation SOP -
LF-7 List of Products fi lled on  
LF-
8
LF-9 m
emo  
LF-10  
LF-
11 Microbiological Cleaning Validation Status Memo 
LF-12 PQ protocol (Doc ID:  S terilization of
LF-13 
Visual Inspection 
LF-14 In process bioburden and endotoxin results  
LF-15 SOP - MSOP: Cross contamination management ver.
LF-16 C ross contamination risk management for COVID  vaccine,
manuf
acturing in  ver.
LF-17  Q
uality Risk Management: Potential Cross -Contamination
ver.
 
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (6), (b) (7)(C)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
FDA-CBER-2021-5683-1150496
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
78 of 79 SJ-1 Copy of the List of Media Fills  
SJ-2 Root Cause Analysis for Deviation associated with Media Fill 
SJ
-3 Media Fill Protocol & Report for Introduction to New Fill Line f
or COVID  19 
mRN
A Vaccine 
SJ-4 Media F
ill Protocol & Report for Introduction of COVID  19 mRNA Vaccine 
SJ-5 No Sterility Test Failure for COVID  19 mRN A Vaccine Signed Statement  
 
AC-1  COVID -
19 mRNA LNP Process Flow Diagram, 
AC-2 Drug Product Process Validation Strategy, 
AC-3 Cumulative Target/Challenges, 
AC
-4 COVID -19 Vaccine, Pfizer Puurs Master Validation Plan,
AC-5 Summ ary Table of BNT162b2 Drug Product Stability Studies,  
 
ZW
-1 Photos collected,
ZW-2 PM
ZW-3 Presentation shipping qualification,
 ATTACHMENTS  
 
None  
 
The signatures of the FDA representatives are on the following page(s).  
  
 
  
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) (4)
(b) 
(4)
FDA-CBER-2021-5683-1150497
Establishment Inspection Report  FEI: 1000654629  
Pfizer Manufacturing Belgium NV  EI Start:  06/24/2021  
Puurs, Belgium  EI End:  07/02/2021  
 
79 of 79  
Signature Page  
 
   
 
Laura Fontan, CSO, CBER/OCBQ/DMPQ/B1   
 
   
Zhongren Wu, CSO, CBER/OCBQ/DMPQ/B1  
 
  
 
  Anissa Cheung, CSO , CBER/ OVRR /DVP 
    
 
  Susan Jackson, CSO, ORA/OMPTO/OBPO/BPIS  
    
 
FDA-CBER-2021-5683-1150498