CVR - Coronavirus Vaccines R&D Roadmap

Milestone
5.1.a

Value case for vaccines

In progress
High priority

Develop and disseminate a detailed case for coronavirus vaccines through a full value of vaccine assessment (FVVA) or a series of analyses that evaluate the economic, societal, and security costs and benefits of vaccines from SARS-CoV-2 variant-specific vaccines to rapidly deployable or broadly protective coronavirus vaccines. These assessments would include a review of direct and indirect costs and benefits (e.g., burden to health systems, healthcare costs, societal and economic impact, security, population health) at a number of levels (e.g., global, national, regional).

Progress Highlights

In May 2025, Africa CDC conducted a regional prioritization and risk-ranking exercise for epidemic-prone diseases in Northern Africa, identifying coronavirus diseases among the top threats. Using multi-criteria decision analysis, the exercise informs investment and preparedness planning, reinforcing the need for sustained development of coronavirus vaccines as part of regional and global health security strategies.

Gavi’s Vaccine Innovation Prioritisation Strategy (VIPS) ranks high-impact vaccine innovations to guide investment and market-shaping efforts. Several prioritized innovations relate specifically to COVID-19 vaccines, underscoring the importance of continued investment in next-generation coronavirus vaccine technologies and delivery approaches.

Hasso-Agopsowicz 2024 describes the Pathogens prioritization: a scientific framework for epidemic and pandemic research preparedness, issued by the WHO’s R&D Blueprint for Epidemics in June 2024, which identified Coronaviridae as one of the priority viral families to target for R&D for vaccines and other medical countermeasures for global preparedness and response. 

Broadly protective coronavirus vaccines

Carnell 2025 released a preprint modeling study on the potential human and economic benefits of a broadly protective betacoronavirus vaccine. The authors ran simulations on the impact of vaccines being at various stages of clinical trials or stockpiling when needed and determined broadly protective coronavirus vaccines could significantly reduce economic and human impacts of new betacoronavirus outbreaks. 

Whittaker 2025 conducted a modeling study to test ring and spatial vaccination (with and without quarantine) with a broadly protective sarbecovirus vaccine (BPSV) to simulate early mass vaccination of high-risk adults (60 years and older), varying R₀, surveillance sensitivity, vaccine efficacy and delay-to-protection, rollout speed, and timelines to a virus-specific vaccine (100 vs 250 days). They found that ring/spatial BSPV vaccination alone could not contain a SARS-CoV-2-like virus unless implementation was near-immediate, and paired with rapid isolation. However, they found that BPSV utilization alone could help contain a SARS-CoV-1-like virus. Modeled BPSV use reduced effective reproduction number, slowed growth, cut required non-pharmaceutical intervention (NPI) days (fewer work/school disruptions, preserved routine care capacity, lower hospital surge, etc.), and if stockpiled to protect older adults, could have theoretically averted ~21-78% of first-year COVID-19 deaths.

Bartsch 2024 demonstrated in a modelling study that a pan-coronavirus vaccine would be cost-saving in the US as a standalone intervention. For every 1% increase in efficacy between 10% and 50%, with uptake ≥10%, an additional 395,000 infections would be averted, and save ≥$1 billion in medical costs and productivity losses. 

COVID-19 vaccines

Schmetz 2026 analyzed real-world data from Germany (September 2022–March 2024) to assess the clinical and economic benefits of seasonal COVID-19 vaccination, finding that vaccination was associated with reductions in hospitalizations, mortality, long COVID diagnoses, and healthcare costs, as well as decreased productivity losses, supporting the value of continued vaccination in the endemic phase.

Green 2025 conducted a systematic review and meta-analysis on the impact of COVID-19 vaccination on long COVID, finding that vaccination is associated with a reduced risk of developing long COVID, reinforcing the role of vaccination in lowering longer-term morbidity and strengthening its value beyond prevention of acute severe disease.

Le 2025 used dynamic transmission and cost-effectiveness modeling to assess COVID-19 booster vaccination strategies in the early post-Omicron era, finding that ongoing vaccination remains important for reducing severe disease and is most likely to be cost-effective when targeted to older adults and higher-risk populations, with cost-effectiveness varying by country income level, population age structure, and immune landscape.

Miranda 2025 conducted a cost-utility analysis of COVID-19 vaccination strategies in Canada, finding that annual vaccination of adults ≥65 years is cost-effective, while expansion to younger populations is sensitive to assumptions around vaccine effectiveness and disease burden.

Prosser 2025 conducted a decision-analytic modeling study in the United States, evaluating the cost-effectiveness of 2023–2024 COVID-19 mRNA vaccination. Vaccination was found to be cost-saving for adults aged ≥65 years and cost-effective for those aged 50–64 years, while results for younger adults were more sensitive to assumptions around vaccine effectiveness, cost, and disease burden.

Srinivasan 2025 presented updated economic analyses of COVID-19 vaccination strategies, finding that vaccination of adults ≥65 years is cost-saving, while broader adult vaccination may be cost-effective depending on assumptions around vaccine effectiveness, uptake, and timing.

COVID-19

The Institute for Clinical and Economic Review initiated a 2025–2026 value assessment of COVID-19 vaccines, applying a standardized health technology assessment framework to evaluate comparative clinical effectiveness and cost-effectiveness, with results expected to inform future policy and investment decisions.

El Banhawi 2025 assessed the ongoing economic burden of COVID-19 across several high-income countries (UK, Netherlands, Japan, Australia) finding that productivity losses exceed healthcare costs and that COVID-19 continues to impose a substantial annual burden (~0.26–0.97% of GDP without vaccination). While current vaccination strategies reduce healthcare costs, expanding vaccination to working-age populations could yield greater economic benefits by reducing absenteeism, long COVID, and workforce losses, supporting sustained and broader vaccination policies.

Pandemic preparedness

The Pandemic Fund, a multilateral financing mechanism hosted by the World Bank, was launched in late 2022 and dedicated to strengthening pandemic preparedness and response with a focus on low- and middle-income countries (LMICs). Their investment case details the economic and human costs of the COVID-19 pandemic, highlighting vaccines and other preparedness measures as insurance for global health security. The Pandemic Fund estimates that $1 invested in pandemic preparedness yields an estimated $14 in health and economic returns. As of February 2026, the Fund’s portfolio reached nearly $11.5 billion across 128 countries, reflecting the transition from investment case to implementation.

Gavi 6.0 Strategy (2026–2030) outlines the economic and societal value of immunization and pandemic preparedness, including sustained investment in vaccine access, stockpiling, and outbreak response as core components of global health security. 

The CEPI 3.0 Investment Case presents the economic and public health rationale for sustained investment in epidemic and pandemic vaccines, including broadly protective coronavirus vaccines, emphasizing the value of reducing time to vaccine development and deployment.

The Global Health Investment Corporation, a nonprofit organization, has forged multiple investment strategies, including public-private partnerships and use of venture capital investment, to accelerate development and commercialization of vaccines and other technologies that prevent or respond to pandemics and other public health emergencies.