Health

Vaccines

Routine and seasonal immunizations.

Why it matters · Appointment delays and local allocation.

11

Inputs

36

Companies

20

Facilities

10

Source countries

How it's made

The process

  1. 01

    Antigen cultivation

    Viruses grown on chicken eggs (flu, >80% of global supply), cell lines (Vero, MRC-5, MDCK), or in bioreactors (bacterial, recombinant protein, mRNA in vitro transcription). Single-use wave and stirred-tank bioreactors now standard for most recombinant and mRNA vaccines.

  2. 02

    Purification and concentration

    Antigen isolated by centrifugation, filtration, and chromatography (affinity, ion exchange, size exclusion). Bioprocess chromatography resins and ultrafiltration membranes (Cytiva, Sartorius) are critical consumables. mRNA purified by DNase treatment plus HPLC or oligo-dT affinity.

  3. 03

    mRNA synthesis and LNP encapsulation

    For mRNA vaccines: T7 RNA polymerase in vitro transcription with co-transcriptional CleanCap capping (TriLink near-monopoly). mRNA then encapsulated in lipid nanoparticles (LNPs) via microfluidic mixing of ionizable lipid, phospholipid, cholesterol, and PEG-lipid in ethanol/aqueous buffer.

  4. 04

    Formulation and adjuvant addition

    Purified antigen combined with adjuvant (alum, AS01B for Shingrix/malaria, MF59 for flu pandemic vaccines) and stabilizers (sucrose, trehalose, polysorbate 80). pH, tonicity, and preservative adjusted. mRNA vaccines formulated in cryoprotectant buffer for ultra-cold storage.

  5. 05

    Fill and finish (aseptic)

    Drug product filled into sterile borosilicate or aluminosilicate (Valor Glass) vials under ISO 5 cleanroom conditions. High-speed lines: 400–750 vials/minute. Rubber stoppers applied; vials crimped with aluminum caps. Only ~20–30 aseptic fill facilities globally; fill-finish is the binding bottleneck for pandemic surge.

  6. 06

    Quality control testing

    Potency assays, sterility testing (7–14 day culture), identity, purity, pH, preservative and adjuvant quantitation, particulate matter, residual DNA. Batch release typically 2–4 weeks. For mRNA: dsRNA content, cap efficiency, poly-A tail length.

  7. 07

    Cold chain distribution

    Most vaccines stored at 2–8°C; mRNA vaccines at –75°C to –15°C. Cold chain infrastructure requires ultra-cold freezers (Thermo Fisher, Eppendorf) from manufacturer through transport to point of care. Last-mile delivery in sub-Saharan Africa fails for 50% of health facilities.

Where it comes from

Country dependencies

Weighted share of upstream inputs sourced from each country.

CountryWeighted shareInputs supplied to vaccines
CLChile90%AS01B Adjuvant System (GSK proprietary)
BEBelgium71%Malaria Vaccine (R21/Matrix-M, RTS,S) · AS01B Adjuvant System (GSK proprietary)
USUnited States38%Borosilicate Glass Tubing (Type I) · Bioprocess Chromatography Resins · Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type) +4
DEGermany31%Borosilicate Glass Tubing (Type I) · Bioprocess Chromatography Resins · Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type) +2
SESweden28%Bioprocess Chromatography Resins · Single-Use Bioreactor Bags (Cellbag)
INIndia27%Borosilicate Glass Tubing (Type I) · Malaria Vaccine (R21/Matrix-M, RTS,S)
JPJapan11%Bioprocess Chromatography Resins · Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type) · mRNA Cap Analogs (CleanCap, co-transcriptional)
CNChina10%Borosilicate Glass Tubing (Type I) · mRNA Cap Analogs (CleanCap, co-transcriptional)
CHSwitzerland10%Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type)
FRFrance8%Single-Use Bioreactor Bags (Cellbag)

Shipped finished

Top finished-goods sources

Countries that ship finished vaccines directly to the U.S., distinct from the upstream raw inputs above.

CountryU.S. importsShare of U.S. imports
BEBelgium$3.7B39%
IEIreland$3.1B33%
ITItaly$924M10%
FRFrance$591M6%
DEGermany (Federal Republic of Germany)$419M4%
CACanada$273M3%
GBUnited Kingdom$196M2%
DKDenmark, except Greenland$150M2%
AUAustralia$31M<1%
TWTaiwan$29M<1%

Who makes it

Supplier companies

36 companies in this supply chain, sorted by market share.

GSK →(GSK)
HQ GB100% shareSOLE SUPPLIER

UK pharmaceutical company; sole manufacturer and formulator of AS01B adjuvant system (QS-21 + MPL in liposomes); used in Shingrix (herpes zoster vaccine, $4B+ annual revenue) and RTS,S/Mosquirix (malaria vaccine); retaining AS01E adjuvant supply even as malaria vaccine manufacturing transfers to Bharat Biotech

Supplies these inputs

Seasonal Influenza Vaccine (Cell-Based Quadrivalent) · Squalene — MF59 Adjuvant Base (Shark / Plant-Derived) · AS01B Adjuvant System (GSK proprietary)

Replaceability

Substitutability 5% · 60 mo to replace

Business segments

  • Respiratory Inhalers (Ventolin, Advair, Trelegy)35% rev
  • Vaccines (Shingrix, Flu, Mosquirix)40% rev
  • Specialty Medicines (HIV, Oncology, Rare Disease)25% rev

World's largest vaccine manufacturer by dose volume — ~1.9–2.0 billion doses/year as of 2023, representing ~60% of global vaccine production. Produces routine childhood vaccines (polio, measles, DTP, BCG), COVID vaccines, and others for Gavi-eligible markets. Single-site concentration risk in Pune.

Supplies these inputs

Malaria Vaccine (R21/Matrix-M, RTS,S) · Pneumococcal Conjugate Vaccine (PCV13/PCV20) · Single-Use Bioreactor Bags (Cellbag)

Business segments

  • Routine Childhood Vaccines (GAVI/UNICEF)48% rev
  • COVID-19 Vaccines (Covishield / Covovax)18% rev
  • Malaria Vaccine (R21/Matrix-M)8% rev
  • Antivenoms & Specialty Biologics16% rev
TriLink BioTechnologies →
HQ US75% shareSOLE SUPPLIER

San Diego-based mRNA capping reagent company (subsidiary of Maravai LifeSciences, MRVI); inventor of CleanCap co-transcriptional capping technology; near-monopoly during COVID-19 vaccine era with 350+ preclinical/clinical programs using CleanCap; revenue peaked at $883M (2022), fell to $259M (2024) after COVID demand collapse

Supplies these inputs

N1-Methylpseudouridine (m1Ψ-UTP) — mRNA Immune Evasion · mRNA Cap Analogs (CleanCap, co-transcriptional)

Replaceability

Substitutability 20% · 12 mo to replace

Business segments

  • CleanCap® mRNA Capping Technology52% rev
  • Modified Nucleotides (m1Ψ, pseudoUTP, 5mC-UTP)20% rev
  • Custom mRNA CDMO Manufacturing15% rev
  • Research Reagents & Diagnostic Reference Standards13% rev

San Diego-based producer of quillaja and yucca saponin extracts; operates Natural Response S.A. forestry and extraction facility in Quilpue, Chile; world's largest producer of QS-21 raw material; critical components in 5 globally approved vaccines including Shingrix (GSK) and Nuvaxovid (Novavax); Desert King is Novavax's sole quillay extract supplier

Supplies these inputs

AS01B Adjuvant System (GSK proprietary)

Replaceability

Substitutability 15% · 24 mo to replace

Business segments

  • Pharmaceutical Quillaja Extracts (QS-21)60% rev
  • Food & Beverage Quillaja25% rev
  • Yucca Saponins10% rev
  • Forestry & Sustainability5% rev
GSK (GlaxoSmithKline) Vaccines →
HQ GB55% shareSOLE SUPPLIER

Developer and sole manufacturer of RTS,S/AS01 (Mosquirix) malaria vaccine; Rixensart Belgium production; 30+ years development; licensed at non-profit price for Africa

Supplies these inputs

Malaria Vaccine (R21/Matrix-M, RTS,S)

Replaceability

Substitutability 20% · 36 mo to replace

Business segments

  • Malaria Vaccine (RTS,S/AS01, Mosquirix)10% rev
  • Shingles Vaccine (Shingrix)35% rev
  • Influenza & Respiratory Vaccines25% rev
  • Pediatric & Travel Vaccines30% rev

Parent of TriLink BioTechnologies; dominant supplier of GMP modified nucleotides (m1Ψ-UTP) and the CleanCap 5-prime cap analog for mRNA.

Supplies these inputs

N1-Methylpseudouridine (m1Ψ-UTP) — mRNA Immune Evasion

Replaceability

Substitutability 30%

Business segments

  • Nucleic Acid Production (TriLink)
  • Biologics Safety Testing

Life sciences tools company (Marlborough, MA; wholly-owned by Danaher Corporation since $21.4B acquisition of GE Healthcare Life Sciences in 2020) that manufactures Whatman membrane filter papers and sterile filtration products alongside its dominant chromatography resin (Capto, Sephadex, Sepharose series) and bioreactor (WAVE, XDR) platforms. Cytiva is the successor to GE Healthcare Life Sciences and Amersham Biosciences. Whatman-branded products include nitrocellulose and mixed cellulose ester membranes used in sterile filtration, diagnostics, and laboratory applications. Cytiva's role in sterile filtration is secondary to Merck KGaA and Pall — Whatman filters are more prevalent in laboratory/QC applications than primary pharmaceutical manufacturing sterilization — but Cytiva's ownership alongside Pall within Danaher creates the world's most concentrated supply position in biopharmaceutical manufacturing consumables. Danaher's combined Pall + Cytiva platform spans filtration, chromatography, bioreactors, and cell culture media — covering essentially every critical consumable step in a biologics manufacturing process.

Supplies these inputs

Bioprocess Chromatography Resins

Replaceability

Substitutability 10% · 36 mo to replace

Business segments

  • Protein A Chromatography Resins (World Dominant)35% rev
  • Single-Use Bioreactors + Cell Culture30% rev
  • Filtration (Whatman + Sterile)20% rev
  • Laboratory Instruments + Services15% rev
Sartorius AG →(SRT)
HQ DE38% share

German life sciences company that manufactured the world's first industrial nitrocellulose membrane in 1960 in Göttingen. Its Unisart® CN series is one of the two dominant global LFA membrane brands. Key OEM supplier to virtually every major rapid test manufacturer.

Supplies these inputs

Single-Use Bioreactor Bags (Cellbag)

Business segments

  • Bioprocess Solutions (Single-Use Bioreactors & Filtration)58% rev
  • Nitrocellulose Membranes (Lateral Flow Assay)12% rev
  • Lab Products & Precision Instruments30% rev
Agenus Inc. →
HQ US35% share

Lexington MA biopharma; original developer and sole US FDA-approved manufacturer of pharmaceutical-grade QS-21 adjuvant; licensed QS-21 exclusively to GSK for use in AS01-adjuvanted human vaccines including Shingrix and RTS,S malaria vaccine

Supplies these inputs

AS01B Adjuvant System (GSK proprietary)

Replaceability

Substitutability 15% · 18 mo to replace

Business segments

  • QS-21 Adjuvant Manufacturing & Licensing40% rev
  • Checkpoint Inhibitor Antibodies40% rev
  • Heat Shock Protein (HSP) Programs20% rev

Evonik Industries AG (XETRA: EVK; Essen Germany; MDAX listed); world's largest DL-methionine producer under the MetAMINO brand. Total DL-methionine capacity exceeds 700,000 MT/year across three continental hubs: Jurong Island Singapore (~340,000 MT/year — world's largest single methionine complex, expanded +40k MT August 2024), Theodore Mobile County Alabama USA (~245,000 MT/year), and Antwerp Belgium (~120,000 MT/year). The Wesseling Germany DL-Met line closed Q1 2021 as Evonik consolidated production to the three-hub network. Evonik first commercialized DL-methionine synthesis in the 1950s under predecessor Degussa. MetAMINO is Evonik's largest single product. ~30-32% global market share. In February 2022 Evonik announced a $176.5M investment in a new methyl mercaptan (MMP intermediate feedstock) plant at the Alabama site.

Supplies these inputs

Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type)

Replaceability

Substitutability 15% · 18 mo to replace

Business segments

  • Nutrition & Care — Animal Nutrition22% rev
  • Nutrition & Care — Health Care15% rev
  • Nutrition & Care — Care Solutions10% rev
  • Smart Materials — Silica18% rev
Merck & Co. (MSD) →
HQ US35% share

US pharma/vaccine maker (MSD ex-US); Vaxneuvance PCV15, the second US pneumococcal conjugate vaccine.

Supplies these inputs

Pneumococcal Conjugate Vaccine (PCV13/PCV20)

Replaceability

Substitutability 40%

Business segments

  • Oncology & Pharmaceuticals
  • Vaccines
  • Animal Health
CordenPharma →
HQ CH30% share

Swiss CDMO operating European and US API manufacturing sites; primary lipid partner for Moderna; manufactures SM-102 and full LNP lipid component portfolio including ionizable, PEGylated, phosphocholine, and plant sterols; claims largest complex lipid capacity globally

Supplies these inputs

Ionizable Lipids for LNP Delivery (ALC-0315 / SM-102 type)

Replaceability

Substitutability 15% · 18 mo to replace

Business segments

  • Lipids for LNP mRNA Drug Delivery28% rev
  • Therapeutic Peptide APIs (GLP-1, Oncology)25% rev
  • Small Molecule APIs (Carbohydrate & Fatty Acid Chemistry)22% rev
  • Beta-Lactam Antibiotics & HPAPIs25% rev
Hongene Biotech →
HQ CN30% share

Chinese maker of modified nucleotides and oligonucleotide building blocks (incl. m1Ψ).

Supplies these inputs

N1-Methylpseudouridine (m1Ψ-UTP) — mRNA Immune Evasion

Replaceability

Substitutability 35%

Business segments

  • mRNA Raw Materials
  • Oligonucleotide & Nucleoside Building Blocks

Supplies these inputs

Bioprocess Chromatography Resins · Single-Use Bioreactor Bags (Cellbag)

Business segments

  • Laboratory Products and Biopharma Services34% rev
  • Life Sciences Solutions25% rev
  • Analytical Instruments16% rev
  • Specialty Diagnostics10% rev
CSL Seqirus →
HQ AU28% share

World's largest cell-based influenza vaccine manufacturer; Holly Springs, NC facility produces 150 million flu doses/year and is US government-designated pandemic-ready. Also sole producer of MF59 adjuvant used in pandemic flu and aging-population flu vaccines.

Supplies these inputs

Seasonal Influenza Vaccine (Cell-Based Quadrivalent) · Squalene — MF59 Adjuvant Base (Shark / Plant-Derived) · AS01B Adjuvant System (GSK proprietary)

Replaceability

Substitutability 50% · 6 mo to replace

Business segments

  • Seasonal Influenza Vaccines65% rev
  • MF59 Adjuvant Technology12% rev
  • US Pandemic Preparedness (BARDA)15% rev
  • Other Vaccines & Pipeline8% rev

German pharmaceutical glass specialist (FRA: 1SXP; IPO September 2023 at ~€3.6B market cap); subsidiary of SCHOTT AG, which is wholly owned by the Carl Zeiss Foundation — a non-profit foundation structure that has owned SCHOTT since 1884. SCHOTT Pharma is the world's largest manufacturer of pharmaceutical primary packaging glass, holding an estimated 35-45% of the global pharmaceutical borosilicate glass tubing market from which vials, ampoules, and syringes are drawn. Type I borosilicate glass has been SCHOTT's core product since founder Otto Schott invented borosilicate glass composition in 1884, and SCHOTT has the longest continuous manufacturing history of any pharmaceutical glass maker. Key pharmaceutical glass vial production plants in Müllheim (Germany), Jena (Germany), Schweinfurt (Germany), and multiple international sites. Supplied hundreds of millions of vials for COVID-19 vaccine programs including BioNTech/Pfizer mRNA vaccines.

Supplies these inputs

Borosilicate Glass Tubing (Type I)

Replaceability

Substitutability 25% · 24 mo to replace

Business segments

  • Pharmaceutical Glass Tubing (Type I Borosilicate)40% rev
  • Formed Packaging (Vials + Syringes + Cartridges)55% rev
  • Specialty Containers5% rev

Second-largest single-use bioreactor bag producer; ~25–30% global market share. Revenue ~€3.5B (2024). Produces Biostat STR and Ambr bioreactor systems with proprietary bag technology. Manufacturing in Goettingen (Germany) and Aubagne (France). A publicly traded subsidiary of Sartorius AG. Sartorius Stedim expanded bioreactor bag capacity significantly during COVID-19 and has been the fastest-growing supplier since. Also manufactures filtration membranes and chromatography media for the same biopharma customers.

Supplies these inputs

Single-Use Bioreactor Bags (Cellbag)

Replaceability

Substitutability 35% · 10 mo to replace

Business segments

  • Single-Use Bioprocessing (Biostat/Ambr)40% rev
  • Filtration (Sartorius)30% rev
  • Chromatography & Cell Culture20% rev
  • Lab Instruments (Sartorius AG core)10% rev

Where it's made

Facilities

20 facilities producing inputs that feed vaccines.

Agenus – Lexington GMP Facility →

US

Agenus Inc. · Massachusetts

Agenus GMP manufacturing site in Lexington, MA; sole US FDA-approved manufacturer of pharmaceutical-grade QS-21; produces under exclusive license to GSK for Shingrix and malaria vaccine programs

Aldevron – Fargo GMP Campus →

US

Aldevron · North Dakota

Aldevron's main US GMP campus in Fargo, ND; produces plasmid DNA, mRNA, and nucleic acid materials; as of February 2025 licensed to produce CleanCap cap analogs for mRNA clinical programs up to Phase III

CSL Seqirus Holly Springs →

US

CSL Seqirus · Holly Springs, NC · cell-based flu vaccine manufacturing

World's largest cell-based influenza vaccine facility; 150M doses/year capacity; US government designated pandemic-ready; $1B federal investment. Also produces MF59 adjuvant for US market.

CSL Seqirus Holly Springs, North Carolina (cell-based) →

US

CSL Seqirus · North Carolina · vaccine_cell_based

CordenPharma Boulder Lipids →

US

CordenPharma · Boulder, CO · lipid synthesis

Primary US production site for SM-102 ionizable lipid and LNP components for Moderna. One of 2-3 global facilities capable of commercial-scale ionizable lipid synthesis.

Corning Harrodsburg Glass Fab (Kentucky) →

US

Corning · Kentucky · fab

Corning Incorporated's primary display glass substrate manufacturing plant in Harrodsburg, Mercer County, Kentucky. Produces Corning Lotus NXT and Eagle XG glass substrates used as the base for virtually all LCD and OLED display panels. Corning holds approximately 60% of global display glass substrate supply; the Harrodsburg plant is Corning's largest U.S. display glass facility. Display glass must be made near-zero impurities (5 parts per billion iron), thermally stable, and ultra-flat — Corning's fusion draw process is the only method capable of meeting these specifications at scale. Without Corning's glass substrates, all major display panel fabs (BOE, AUO, Innolux, LG Display) would halt production within weeks. Source: https://www.corning.com/worldwide/en/innovation/corning-emerging-innovations/corning-lotus-nxt-glass.html

Croda / Avanti Polar Lipids – Alabaster →

US

Croda International plc · Alabama

Avanti Polar Lipids acquired by Croda International in 2021; Alabaster, AL GMP manufacturing facility; produces ALC-0315 and research/commercial-grade ionizable lipids for mRNA vaccine supply chain

Cytiva Logan (Utah) Bioreactor Bag Plant →

US

Cytiva (formerly GE Healthcare Life Sciences) · Logan, Utah · manufacturing

Primary Cytiva US bioreactor bag manufacturing facility. Produces WAVE Cellbag and Xcellerex single-use bags. During COVID-19 (2020–21), this facility operated 24/7 with a 12–18 month backlog for bags needed for mRNA vaccine production. The polyethylene film used here must meet USP Class VI / ISO 10993 biocompatibility standards — a small number of film suppliers qualify.

Cytiva Umeå Bioreactor Bag Plant (Sweden) →

SE

Cytiva (formerly GE Healthcare Life Sciences) · Umeå, Sweden · manufacturing

Cytiva European bioreactor bag manufacturing in Sweden. Serves European biopharma customers (Novartis, Roche, AstraZeneca). Together with Logan UT, these two plants produce the majority of global Cellbag supply. Swedish facility also produces Sephadex and Sepharose chromatography resin.

Cytiva Uppsala Manufacturing & R&D →

SE

Cytiva (Danaher) · Uppsala, Sweden · resin_manufacturing

Primary manufacturing site for Capto and Sephadex chromatography resins. Includes 3D printing (additive manufacturing) center for bioprocess hardware. Resins shipped globally to all major insulin and biologic manufacturers.

Evonik Hanau Pharma Lipids Site →

DE

Evonik Industries AG · Hanau, Germany · lipid synthesis and formulation

Primary ionizable lipid synthesis facility for BioNTech partnership. Produces ALC-0315 type lipids and PEG-lipids for mRNA LNP formulations. One of two German production sites for pharmaceutical lipids.

GSK Vaccines – Wavre Campus →

BE

GSK · Walloon Brabant

GSK's main global vaccine manufacturing campus in Wavre, Belgium; produces Shingrix (herpes zoster) and other adjuvanted vaccines including AS01B formulation; one of the world's largest vaccine production facilities

Gerresheimer Wackersdorf Glass Plant →

DE

Gerresheimer AG · Wackersdorf, Bavaria · glass_vials

Key German vial and ampoule production facility. Part of Gerresheimer's 15+ global manufacturing sites for pharmaceutical glass.

Jena Bioscience – Jena Facility →

DE

Jena Bioscience · Thuringia

Jena Bioscience GMP-grade nucleotide manufacturing site; produces ARCA cap analogs, CleanCap alternatives, and modified NTPs for pharmaceutical mRNA programs; supplies European mRNA manufacturers

NOF Corporation – Kawasaki Plant →

JP

NOF Corporation · Kanagawa

Primary NOF manufacturing site for specialty lipids including PEGylated lipids and COATSOME SA ionizable lipid series for LNP delivery systems

Natural Response S.A. – Quilpue →

CL

Desert King International · Valparaiso

Desert King's Chilean extraction and forestry operation (branded Natural Response S.A.); located in Quilpue, Valparaiso Region; extracts quillaja saponins from Q. saponaria bark; integrated supply chain from forest management to purified QS-21 intermediate; also runs Casablanca plantation as Novavax's sole supplier

Sartorius Goettingen Bioprocessing Plant →

DE

Sartorius Stedim Biotech · Goettingen, Lower Saxony · manufacturing

Sartorius Stedim primary manufacturing hub. Produces bioreactor bags, filtration membranes, and fermenters. Goettingen is Sartorius's global R&D and manufacturing center. Expanded significantly during COVID-19 with new production lines. Also manufactures balance weighing equipment at this site (the other Sartorius business unit).

Schott Pharma Mainz Headquarters & Production →

DE

SCHOTT Pharma AG & Co. KGaA · Mainz, Rhineland-Palatinate · glass_tubing_and_vials

Primary R&D and production facility. Produces borosilicate glass tubing (Fiolax) and finished primary packaging.

Thermo Fisher Logan Bioprocessing Plant →

US

Thermo Fisher Scientific (Bioprocessing) · Logan, Utah · manufacturing

Thermo Fisher HyPerforma bioreactor bag manufacturing. Co-located in Logan UT with Cytiva operations (different facilities). Logan, UT has emerged as a cluster for single-use bioprocessing manufacturing due to its proximity to Cache Valley water supply and established life science workforce.

TriLink BioTechnologies San Diego →

US

TriLink BioTechnologies · San Diego, CA · mRNA reagent manufacturing

Primary production site for CleanCap cap analogs and mRNA synthesis reagents. Near-monopoly supply point for mRNA cap analogs used in all major approved mRNA COVID vaccines.