This is an HTML version of an attachment to the Freedom of Information request 'Deaths in NIMS database'.

By email 
Our ref: 06/02/24/KMG/743 
ICO ref: IC-268043-K0S9 
30 April 2024 
Dear Clare Craig, 
The Information Commissioners Office (ICO) contacted UKHSA on 7 February 2024, 
in respect of your Freedom of Information (FOI) request sent to the UK Health 
Security Agency (UKHSA) on 4 August 2023. 
UKHSA acknowledges that on this occasion it has not applied the exemption at 
section 40 of the Freedom of Information Act (FOIA) correctly. We would like to 
apologise for this and provide our views to you on a revised consideration of this 
UKHSA is keen to resolve this complaint and has revisited the request received on 4 
August 2023, and its handling thereof. Given the public interest in this information, 
we hope that releasing the attached anonymised table, which provides the requested 
data presented by age band and by week of vaccination and month of death, will 
satisfy your request. 
UKHSA considers that disclosure of the requested data may have negative 
consequences on the mental health of the families of those deceased individuals to 
whom this data relates. As such, we have deliberated a public interest test in respect 
of the exemption at section 38(1)(a) of the FOIA. UKHSA trusts that you wil  
understand our decision to present the requested data as described above to 
mitigate our concerns regarding the families of the deceased.  
We have provided additional important below about how the data should be 
interpreted, to avoid any misinterpretation of the data. We hope this is of help and 
that you wil  find how we have presented the data in our disclosure acceptable for 
you requirements.  
This dataset contains individuals:  
  •  Aged 20 years old and over 
•  That have been vaccinated with at least 1 dose of any Covid-19 vaccine 
between the 8 December 2020 and the 31 August 2023 
•  Have a recorded death date up until the 31 August 2023. 
•  Were a resident of England or not confirmable as being a resident of any 
other country (i.e. possibly England) on the 31 August 2023. 

The columns include:  
  •  “Age Group At First Dose” - The age group of the person when their first dose 
(“Dose Number” = 1) of any covid-19 vaccine was administered (range of 5 or 
•  “Dose Number” – The dose number the record is referring to 
•  “Dose Date Administered Week Commencing” – The Monday commencing 
the week of the administration of the vaccine “Dose Number” specified 
•  “Date of Death by calendar month”  
•  “Country” – The individuals most recent country of residence (not necessarily 
at time of vaccination) as of the 31 August 2023. Those recorded as “Not 
Confirmable” had a postcode but were not able to be linked to a wider region 
(e.g. transcription error in the postcode, but possibly still a resident of 
England), and those with “Unknown” did not have any postcode information 
•  RecordCount- Indicates the number of unique individuals to whom the details 
in the row apply 
In the context of very high vaccine coverage in the population, a large number of 
deaths wil  occur, coincidentally, due to unrelated causes, in the period after 
vaccination. This is especial y true because vaccination has been prioritised to 
individuals who are more at risk of severe COVID-19 disease, particularly older age 
groups and those with underlying medical conditions.  
The small proportion of the eligible population who do not have a record of 
vaccination are also likely be systematically different to those who have a record of 
vaccination. For example, they may no longer be UK residents, or they may be a 
duplicated record with mis-recorded details. In both of these examples, it may not be 
possible to link a record of death to the individual on the database.  
In addition, as UKHSA does not hold the cause of death in these data, it is not 
possible to exclude events that are clearly unrelated (such as accidents) or those 
linked to an underlying condition that existed prior to vaccination. Without a clear and 
plausible hypothesis on the timing of any putative event, analysis of such a large 
dataset wil  also likely generate spurious associations that are due to random 
Al  of these factors would invalidate the use of this database for comparison of 
mortality by vaccination status and mean that any conclusions drawn from an 
analysis of this data are highly likely to be misleading. 
The following articles provide further contextual information on the relationship 
between COVID vaccination and deaths. 
Adult case fatality risk post vaccination: 
ONS : Deaths involving COVID-19 by vaccination status, England: deaths occurring 
between 2 January and 2 July 2021 Office for National Statistics 

ONS: Deaths involving COVID-19 by vaccination status, England: deaths occurring 
between 1 April 2021 and 31 May 2023 Office for National Statistics 
Nyberg T. 2022. Comparative analysis of the risks of hospitalisation and death 
associated with SARS-CoV-2 omicron (B.1.1.529) and delta (B.1.617.2) variants in 
England: a cohort study The Lancet 
Yours sincerely,  
Information Rights Team