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1 1 (November 23, 2020)

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              SConr essional
              Research Servik






Supply Chain Considerations for COVID-19

Vaccine Manufacturing



November 23, 2020
The development of a vaccine for the Coronavirus Disease 2019 (COVID-19) pandemic has been of
concern to Congress, as vaccination can be one of the most effective methods of preventing disease
spread. On November 18, 2020, Pfizer/BioNTech announced that an interim analysis found its newly
developed vaccine to be 95% effective against COVID-19 and has since filed for an Emergency Use
Authorization (EUA) from the U.S. Food and Drug Administration. On November 16, 2020, Moderna
announced that its vaccine, tentatively evaluated as 94.5% effective, will also be submitted for an EUA.
According to media reports, Moderna said it would have 20 million doses ready by the end of 2020;
Pfizer said it would have about 50 million by then. Providing COVID-19 vaccines-complex, specially
manufactured and distributed products-involves significant supply chain considerations. Needed
supplies may be limited in quantity and face global competition. This Insight provides an overview of
selected supplies required to manufacture vaccines and ancillary vaccination materials that may pose
supply chain challenges and describes the federal government's role in this process. It does not cover
particular contracts issued, or supplies potentially required for transportation, distribution, and
administration of eventual vaccines.

Federal  Role in COVID-19 Vaccine Manufacturing
Through Operation Warp Speed (OWS), a public-private partnership engaged in deploying
countermeasures against COVID-19, the federal government has entered into contractual agreements with
medical supply and pharmaceutical companies to procure necessary supplies for countermeasure
manufacturing. OWS has also invested in manufacturers' production capabilities, partly by financing new
factory construction. While investigational vaccines are still undergoing late-stage clinical trials,
production of vaccination supplies has begun. Any shortages may hamper vaccine distribution efforts and
delay the vaccination campaign timeline. Materials of concern include those used to contain the vaccine,
inject it into the body, increase the body's immune response, and ensure vaccine safety. Vaccine
manufacturers stated in a congressional hearing, we believe we have a path to be able to have all the
necessary materials for a vaccine program, should we be successful. Yet, throughout the pandemic,
transparent, up-to-date reporting on the medical supply chain to federal agencies has, in general, been an
issue, particularly for drug ingredients or supplies required for manufacturing.

                                                                Congressional Research Service
                                                                  https://crsreports.congress. gov
                                                                                      IN11544

CRS INS GHT
Prepared for Members and
Cornmttees oi Conqres3------------------------------------------------------------------------------------

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