| 1.01 | Re-elect Felix J. Baker | For |
| 1.02 | Re-elect David R. Brennan | For |
| 1.03 | Re-elect M. Michele Burns | For |
| 1.04 | Re-elect Christopher J. Coughlin | For |
| 1.05 | Elect Ludwig N. Hantson | For |
| 1.06 | Re-elect John T. Mollen | For |
| 1.07 | Re-elect R. Douglas Norby | For |
| 1.08 | Re-elect Alvin S. Parven | For |
| 1.09 | Re-elect Andreas Rummelt | For |
| 1.10 | Re-elect Ann M. Veneman | For |
| 2 | Approve the Alexion Pharmaceuticals Inc. 2017 Incentive Plan | Oppose |
| 3 | Appoint the Auditors | Oppose |
| 4 | Advisory Vote on Executive Compensation | Oppose |
| 5 | Approve the Frequency of Future Advisory Votes on Executive Compensation | 1 |
| 6 | Shareholder Resolution: Implement Confidential Shareholder Voting on Executive Pay Matters | Oppose |
