List of Contents

Live Attenuated Vaccines Market Size, Share and Trends 2025 to 2034

The global live attenuated vaccines market size is calculated at USD 32.17 billion in 2025 and is forecasted to reach around USD 82.63 billion by 2034, accelerating at a CAGR of 11.05% from 2025 to 2034. The market sizing and forecasts are revenue-based (USD Million/Billion), with 2024 as the base year.

  • Last Updated : 17 Apr 2025
  • Report Code : 5944
  • Category : Healthcare

Live Attenuated Vaccines Market Size and Forecast 2025 to 2034

The global live attenuated vaccines market size was estimated at USD 28.97 billion in 2024 and is predicted to increase from USD 32.17 billion in 2025 to approximately USD 82.63 billion by 2034, expanding at a CAGR of 11.05% from 2025 to 2034. The demand for market is increasing because of the surge in infectious diseases, worldwide vaccination initiatives and a transition to preventive healthcare. The market is anticipated to grow with an emphasis on non-invasive techniques such as intranasal vaccines.

Live Attenuated Vaccines Market Size 2025 to 2034

Live Attenuated Vaccines Market Key Takeaways

  • North America dominated the live attenuated vaccines market in 2024.
  • Asia-Pacific region is anticipated to grow at the fastest CAGR during the forecast period.
  • By vaccine type, the monovalent segment held a dominant presence in 2024.
  • By vaccine type, the multivalent segment is projected to expand rapidly during the forecast period.
  • By indication, the Measles, Mumps & Rubella (MMR) segment dominated the market with the largest share in 2024.
  • By indication, the influenza segment is expected to witness the fastest rate of growth during the predicted timeframe.
  • By route of administration, the intranasal administration dominated and expected to sustain as a leader in the live attenuated vaccines market.
  • By route of administration, the oral administration observed to be the fastest-growing segment during the forecast period.
  • By age group, the pediatrics segment held a significant market share in 2024.
  • By age group, the geriatric patients’ segment is seen to grow at the fastest CAGR in the upcoming years.
  • By end-user, the hospitals segment captured the biggest market share in 2024.
  • By end-user, the clinics are observed to be the significantly growing segment during the forecast period.

Artificial Intelligence Transforming the Vaccine Development

Artificial Intelligence is altering the live attenuated vaccines market by improving the processes of vaccine development, distribution and administration. AI-powered models examine genomic and proteomic data to discover possible antigens and epitopes, reducing time and costs. 
AI algorithms forecast disease outbreaks, improve clinical trials and refine distribution strategies. AI tracks genetic changes in pathogens over time, guaranteeing that vaccines remain effective against changing strains. Machine learning models forecast immune reactions, enhance vaccine development and improve designs for clinical trials. In general, AI is transforming the vaccine sector.

  • In October 2024, the PRISM study employs AI to evaluate the effectiveness of live attenuated influenza vaccines in both children and adults, with the goal of enhancing long-term immunity to influenza.

Market Overview

Live attenuated vaccines are weakened pathogens utilized to safeguard against infectious illnesses such as measles, mumps, rubella, yellow fever, varicella and specific strains of influenza. These vaccines stimulate both humoral and cell-mediated immunity, simulating a natural infection while preventing the disease. They are commonly utilized for vaccination against illnesses such as measles, mumps, rubella, yellow fever and chickenpox. LAVs are created using methods such as serial passage in different hosts or genetic alterations to decrease the harmfulness of pathogens while preserving their ability to provoke an immune response.

The market is growing because of their efficacy and global prevalence. These vaccines are essential for managing infectious diseases in developing economies where the market is led by established pharmaceutical and biotechnology firms, governmental programs and continuous research aimed at broadening vaccine collections.

Live Attenuated Vaccines Market Growth Factors

  • Increasing Prevalence of Infectious Diseases: The increasing prevalence of infectious diseases globally has strengthened demand for live attenuated vaccines and effective vaccination programs in emerging markets where disease burden is more.
  • Innovations in the Vaccine Development: Innovations in biotechnology and genetic engineering such as improved attenuation methods and novel delivery systems have augmented vaccine efficacy, safety and patient compliance.
  • Public Awareness and Healthcare Expenditure: Increased public awareness about the benefits of vaccination, coupled with increasing healthcare expenditures in emerging economies contribute to the market growth across the different demographics.
  • Global Immunization Programs: Initiatives for proactive immunization programs by organizations like the World Health Organization (WHO), GAVI and UNICEF to enhance immunization coverage boost market growth.
  • Emergence of Pandemics and Epidemics: Outbreaks such as COVID-19 emphasize the requirement for effective vaccines, prompting investments in live attenuated vaccine research and production, coupled with streamlined regulatory pathways and incentives for vaccine manufacturers encourage product launches.

Market Scope

Report Coverage  Details
Market Size by 2034 USD 82.63 Billion
Market Size in 2025 USD 32.17 Billion
Market Size in 2024 USD 28.97 Billion
Market Growth Rate from 2025 to 2034 CAGR of 11.05%
Dominated Region North America
Fastest Growing Market Asia Pacific
Base Year 2024
Forecast Period 2025 to 2034
Segments Covered Vaccines Type, Indication, Route of Administration, Age Group, End-User, and Regions
Regions Covered North America, Europe, Asia-Pacific, Latin America and Middle East & Africa

Market Dynamics

Drivers

Rising Global Prevalence of Infectious Diseases

The live attenuated vaccines market is propelled by the rising global prevalence of infectious diseases such as measles, mumps, rubella and influenza. Public health organizations focus on vaccination rates to address these outbreaks, highlighting the essential function of live attenuated vaccines in delivering robust and enduring immunity. Live attenuated vaccines are pulled for their capability to generate robust and enduring immune responses by rendering them crucial in the fight against infectious diseases.

  • In January 2024, Bharat Biotech gained approval from CDSCO to create an oral rotavirus vaccine that is live attenuated and free from antibiotics, with the goal of improving child immunization initiatives in India since rotavirus is a major contributor to severe diarrhea.

Restraint

Growing Safety Concern and Cost Related to Vaccine Development 

Live attenuated vaccines cause safety concern due to the potential for weakened pathogens to revert to their virulent states, which may lead to negative effects, particularly in those with compromised immune systems. This reluctance impacts vaccination statistics and public health results. The market is additionally complicated by strict regulatory requirements, cold chain logistics and the necessity for cold chain logistics, which increases complexity and costs related to vaccine development and distribution. Regardless of these risks, the application of live attenuated vaccines continues to be a major issue for both healthcare professionals and the public.

Opportunity

Development of Multivalent Vaccines

The live attenuated vaccines market is set to expand due to the development of multivalent vaccines, which provide immunity against several diseases within one formulation. This trend corresponds with the enhancing need for combination vaccines, which diminish the complexity and expense of administering individual vaccines for each illness by streamlining immunization schedules and enhancing patient compliance.

  • In February 2025, Zydus introduced VaxiFlu-4, the first quadrivalent influenza vaccine in India for the 2025 flu season. Developed at the Vaccine Technology Centre in Ahmedabad, it provides defense against four influenza strains, minimizing vaccine mismatch chances and increasing the effectiveness of seasonal flu vaccinations.

Vaccine Type Insights

The monovalent segment held a dominant presence in the market in 2024. This is due to their focused approach towards combating pathogens, enhancing their efficiency and usage rate. Additionally, it prevents the potential for antigen interference that might occur with multivalent vaccines, thus ensuring a more predictable immune response. Requirements of lower resources and fewer complicating factors during the manufacturing process, results in their cost effectiveness, desirability and enhanced market position.

  • In November 2023, the FDA approved IXCHIQ for preventing chikungunya virus-related diseases in individuals aged 18 and older, who are at increased risk of exposure.

The multivalent segment is projected to expand rapidly in the live attenuated vaccines market, because they offer broad protection against multiple strains or variants of a pathogen by providing broader protection than monovalent vaccines that target only one strain, a crucial advantage in a world where pathogens evolve and mutate. This approach is particularly effective against diseases with high mutation rates, like influenza and SARS-CoV-2 coupled with a higher level of protection compared to single-antigen vaccines.

Indication insights

The Measles, Mumps & Rubella (MMR) segment dominated the market with the largest share in 2024, due to its high efficacy, long-lasting immunity and safety profile with fewer side effects, making it a cornerstone of global immunization programs. Additionally, it combines three separate vaccines into one, reducing the number of injections needed and improving patient compliance in cost effective way.  Recent advancements in MMR vaccine research and development, such as the integration of varicella to create MMRV vaccines, further contribute to its dominance.

  • In January 2023, American Red Cross, U.S. Centers for Disease Control and Prevention, the United Nations Foundation, UNICEF and the World Health Organization (WHO) agreed to include rubella elimination under a new name, the Measles and Rubella Initiative (M&RI).

The influenza segment is expected to witness the fastest rate of growth during the predicted timeframe. This is because of its advantages like stimulating a more natural immune response by mimicking natural infection and potentially providing broader protection against different influenza strains. Recent advancements focus on optimizing live attenuated influenza vaccines backbone viruses and developing new strategies for rapid vaccine development, especially during pandemics.

Route of Administration Insights

The Intranasal administration dominated and expected to sustain as a leader in the live attenuated vaccines market, due to its ability to produce both mucosal and systemic immunity, a non-invasive and painless delivery method and its potential for mass vaccination efforts along with broader protection. These advantages are particularly valuable in developing countries and during outbreaks where ease of administration and reduced costs are crucial.

  • In September 2024, the U.S. Food and Drug Administration approved FluMist for self- or caregiver-administration. FluMist is approved for the prevention of influenza disease caused by influenza virus subtypes A and B and it is sprayed into the nose and has been used safely and effectively for many years.

The oral administration observed to be the fastest-growing segment during the forecast period, because of its affordability, convenience of administration, high compliance rates and suitability for extensive vaccination programs. Oral vaccination is available in low resources environments since they do not require skilled medical personnel. Additionally, they are ideal for mass immunization campaigns like those aimed at preventing rotavirus and polio.

Age Group Insights

The pediatrics segment in the live attenuated vaccines market held significant share in 2024, due to the high susceptibility of children to infectious diseases due to their immature immune systems and the importance of vaccination in preventing serious complications and transmission. Public health initiatives and school vaccination needs guarantee high vaccination coverage in this age group pushing market demand.

  • In August 2023, the FDA approved Abrysvo (Pfizer) and Arexvy (GSK) to prevent lower respiratory tract disease caused by Respiratory Syncytial Virus (RSV) in specific populations: infants from birth to 6 months, adults 60 years and older and pregnant individuals for the protection of their infants.

The geriatric patients’ segment is seen to grow at the fastest rate in the upcoming years, because of heightened vulnerability to infections a growing geriatric population, improvement in vaccine formulations and proactive healthcare programs. These elements encompass immunosenescence the necessity for vaccines design call Enderle for elderly health requirements high dose and multivalent vaccines as well as the advocacy for preventive initiatives by government and healthcare organizations.

End-User Insights

The hospitals segment held a significant share in the live attenuated vaccines in 2024, due to rising burden of disease, outbreaks of vaccine preventable diseases, public health guidelines and advancements in vaccine technology and manufacturing. As hospital place a greater emphasis on patient safety and disease prevention, live attenuated vaccines will continue to play a larger role in the healthcare industry and gain more acceptance.

  • In October 2023, Pfizer India partner with Krishna Institute of Medical Sciences (KIMS) hospital in Hyderabad to establish a Centre of Excellence for adult vaccination.

The clinics are observed to be the significantly growing segment during the forecast period. This is due to their enhanced accessibility support for national health programs, cost effectiveness, patient education and advancement in technology this factor enhance vaccine delivery and coverage by positioning clinics as an important contributor for the global immunization efforts.

Regional Insights

Advancements In Vaccine Development: What to Expect in North America?

North America dominated the live attenuated vaccines market in 2024, due to a combination of factors including strong government support for vaccine development, a robust healthcare infrastructure and a high rate of immunization coverage. This is further bolstered by the presence of major pharmaceutical players and advancements in vaccine production technology and strong regulatory frameworks, like those maintained by the FDA in the United States ensure the safety and efficacy of vaccines, fostering public confidence and driving innovation. Moreover, the significant investment in vaccine research and development by the United States government, as well as rapid advancements in biotechnology and vaccine production technologies such as mRNA technology, have significantly improved vaccine development and efficiency.

  • In June 2023, GSK obtained FDA approval for Priorix, a live attenuated MMR vaccine, broadening vaccination choices for people aged 12 months and older.

The U.S. Live Attenuated Vaccines Market Trends

The U.S. occupies a leading role in the North America region for the live attenuated vaccines market because of its sophisticated healthcare framework, considerable government 

funding and strong pharmaceutical sector. Top pharmaceutical firms such as Pfizer, Moderna and Merck heavily invest in vaccine research and development, with the government initiatives and funding aiding vaccine development. Regulatory backing from the organization such as the FDA and CDC guarantee safety and effectiveness.

Leading Pharmaceutical Companies Propelling market in Asia Pacific

Asia-Pacific region is anticipated to grow at the fastest rate in the market during the forecast period, due to its large population base, particularly in countries like China and India, increasing incidence of infectious diseases and a growing focus on public health initiatives, including immunization programs to improve vaccine coverage, especially in rural and underserved areas. This is further fueled by strategic expansions of leading pharmaceutical companies such as GSK, Merck & Co., Pfizer, Sanofi and Astrazeneca by accessing the potential of emerging markets and investing in research and development. Thus, Asia Pacific established itself as significant regional players in vaccine manufacturing and export by leveraging their large production capacities and competitive pricing.

  • In August 2024, Indian Immunologicals Ltd (IIL), a Hyderabad-headquartered vaccine manufacturer in partnership with Griffith University, Australia has developed a needle-free intra-nasal booster vaccine against SARS-CoV-2.

China: A Key Force in the Live Attenuated Vaccines Market

China plays a significant role in the live attenuated vaccines market, owing to its large population leads to a significant burden of infectious diseases by prompting widespread immunization efforts and strong government commitment to public health. The Chinese government has implemented extensive immunization programs, such as the Expanded Program on Immunization which includes vaccines for measles, mumps, rubella and other infectious diseases. Also, the robust biotechnology and pharmaceutical industry of china supported by significant investments in research and development, contributes to the production, distribution and innovation of live attenuated vaccines.

Robust Healthcare Infrastructure of India Uplifting the Market

India is a crucial player in the market for live attenuated vaccines due to its massive population and high burden of infectious diseases, necessitating extensive vaccination programs. The Indian government, through initiatives like the Universal Immunization Programme and initiatives like Mission Indradhanush provides free vaccines for various diseases, including measles, mumps and rubella, to millions of children nationwide. The growing healthcare infrastructure of India coupled with efforts to increase vaccination rate and public awareness bolster up the market expansion.

Europe: A Notable Region in the Live Attenuated Vaccines Market 

Europe plays a crucial role in the worldwide live attenuated vaccines market because of its strong healthcare infrastructure, active immunization strategies and noteworthy progress in vaccine development. The immunization initiatives of the European Union seek to increase vaccine acceptance and avoid diseases that can be prevented by vaccines. The robust research and development framework of Europe backed by significant financial support, encourages advancement in vaccine technologies. The European Medical Agency (EMA) accelerates the assessment and authorization of vaccine targeting urgent health demands enabling faster access to vaccines for the public.

  • In February 2025, the European medicines agency (EMA) sanctioned Vimkunya, a chikungunya vaccine created by Bavarian Nordic A/S, for those aged twelve and above accelerating the stock of vaccines of europe for emerging infectious diseases

Live Attenuated Vaccines Market Companies

Live Attenuated Vaccines Market Companies
  • Merck & Co., Inc.
  • GlaxoSmithKline plc
  • Pfizer Inc.
  • Sanofi
  • Astellas Pharma
  • Johnson & Johnson
  • CSL Limited
  • Serum Institute of India Pvt. Ltd.
  • CARITAS

Leaders’ Announcements

  • In July 2024, Moderna received USD 590 million in federal support to develop its influenza vaccine initiatives, emphasizing mRNA-based vaccines, which marks a shift from conventional live attenuated vaccines.
    In October 2024, Sanofi, GSK and CSL partnered with the U.S. government to boost the availability of the U.S. bird flu vaccine.

Recent Developments

  • In July 2024, the World Health Organization (WHO) endorsed nOPV2, a live attenuated oral polio vaccine created by Biological E. Limited, based in Hyderabad, to lower the risk of outbreaks caused by circulating vaccine-derived poliovirus type 2.
  • In November 2023, Indian Immunologicals Limited (IIL) introduced Mabella, a live attenuated vaccine for measles and rubella aimed at children, in partnership with the Polyvac Institute of Vietnam, coinciding with the 25th anniversary festivities.
  • In March 2025, Codagenix and the Serum Institute of India plan to create a live attenuated intranasal COVID-19 vaccine, employing viral gene deoptimization technology to generate an immunogenic and weakened vaccine.

Segments covered in the Report

By Vaccines Type

  • Monovalent 
  • Multivalent 

By Indication

  • Influenza
  • Measles, Mumps & Rubella (MMR)
  • Polio
  • Chickenpox
  • Shingles
  • Rotavirus
  • Other 

By Route of Administration

  • Intramuscular 
  • Subcutaneous 
  • Oral Attenuated 
  • Intranasal Attenuated 

By Age Group

  • Pediatrics
  • Adolescents
  • Adults
  • Geriatric patients

By End-User

  • Hospitals
  • Clinics
  • Other

By Region

  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East and Africa

For inquiries regarding discounts, bulk purchases, or customization requests, please contact us at sales@precedenceresearch.com

Frequently Asked Questions

The global live attenuated vaccines market size is expected to grow from USD 28.97 billion in 2024 to USD 82.63 billion by 2034.

The live attenuated vaccines market is anticipated to grow at a CAGR of 11.05% between 2025 and 2034.

The major players operating in the live attenuated vaccines market are Merck & Co., Inc., GlaxoSmithKline plc, Pfizer Inc., Sanofi, Astellas Pharma, Johnson & Johnson, CSL Limited, Serum Institute of India Pvt. Ltd., CARITAS, and Others.

The driving factors of the live attenuated vaccines market are the increasing because of the surge in infectious diseases, worldwide vaccination initiatives and a transition to preventive healthcare. The market is anticipated to grow with an emphasis on non-invasive techniques such as intranasal vaccines.

North America region will lead the global live attenuated vaccines market during the forecast period 2025 to 2034.

Ask For Sample

No cookie-cutter, only authentic analysis – take the 1st step to become a Precedence Research client

Meet the Team

Deepa Pandey, one of our esteemed authors, plays a crucial role in shaping the high-quality content that defines our research reports. Deepa holds a Master's in Pharmacy with a specialization in Pharmaceutical Quality Assurance, equipping her with an in-depth understanding of the healthcare industry's regulatory, quality, and operational nuances. With 2+ years of experience in market research, Deepa has made

Learn more about Deepa Pandey

With over 14 years of experience, Aditi is the powerhouse responsible for reviewing every piece of data and content that passes through our research pipeline. She is not just an expert—she’s the linchpin that ensures the accuracy, relevance, and clarity of the insights we deliver. Aditi’s broad expertise spans multiple sectors, with a keen focus on ICT, automotive, and various other cross-domain industries.

Learn more about Aditi Shivarkar

Related Reports