Low RSV and COVID vaccine usage is in line with investor expectations, but concerning: Jefferies

Oct 7, 2024 at 2:59 PM

Navigating the Evolving Vaccine Landscape: Decoding the Post-Pandemic Outlook

The world of vaccines is in a state of flux, as manufacturers and analysts grapple with the uncertainties of a post-pandemic era. While the uptake of COVID-19 and RSV (respiratory syncytial virus) vaccines has seen a decline compared to last year, the industry is closely watching for any signs of a resurgence or a shift in consumer behavior.

Decoding the Vaccine Demand Dynamics in a Changing Landscape

Waning Vaccine Uptake: A Cause for Concern?

The data reveals a concerning trend, with fewer COVID-19 and RSV vaccines being administered this year compared to the same period in 2022. Jefferies analyst Michael Yee's note highlights that COVID-19 vaccine doses from Pfizer and Moderna have totaled around 2.5 million per week as of October 4th, a slight increase from the previous week's 2.4 million. However, the RSV vaccine doses, including those from Pfizer, Moderna, and GSK, have seen a 40% year-over-year decline.The COVID-19 vaccine rollout started strong at the end of August but has since slowed down, leaving Wall Street anxiously waiting to see if there will be any pickup in demand leading up to the holidays. If the downward trend continues, it could signal poor sales for both Moderna and Pfizer in the year ahead. The data shows that there have been roughly 2.5 million prescriptions written for COVID-19 vaccines, with Moderna accounting for 1 million and Pfizer for 1.5 million.

Moderna's Pivotal Shift: Diversifying Beyond a Single-Product Company

Moderna, the company that pioneered the mRNA technology during the pandemic, has faced the most scrutiny as it navigates the post-pandemic landscape. Investors have been closely monitoring the vaccine sales to understand if they will continue to contribute significantly to the manufacturers' bottom lines and at what level they will eventually stabilize.Jefferies' analysis reveals that Moderna's market share in the RSV vaccine segment is "immaterial," holding less than 1% of the market. In the COVID-19 vaccine market, Moderna's share has declined from 48% last year to around 40% currently. This shift underscores the company's efforts to diversify its portfolio beyond its reliance on a single product.Moderna's remarkable success during the pandemic is evident in its financial performance, with nearly $38 billion in sales from the COVID-19 vaccine in 2021 and 2022. However, this figure has since declined to just $6.8 billion last year, highlighting the need for the company to explore new avenues for growth.

The RSV Vaccine Market: Navigating Expectations and Realities

The RSV vaccine market was expected to be weaker this year compared to the previous season, which was the first with shots on the market. Jefferies had predicted that RSV vaccine doses would be about 15%-20% lower than the 2023 season, which saw $2 billion in sales and around 10 million shots administered. The firm's forecast for 2024 was around 8 million shots.However, the reality on the ground paints a different picture. Six weeks into the current season, there have only been 900,000 prescriptions, compared to 1.5 million in the same period last year, representing a 40% year-over-year decline. This significant drop-off has left investors and industry analysts closely monitoring the situation, as they await updates from the companies on their 2024 outlook.

Shifting Sands: The Evolving COVID-19 Vaccine Landscape

The COVID-19 vaccine market is also undergoing a transformation, with some debate surrounding the potential for lower vaccination rates in the coming seasons. Moderna has already reduced its 2024 outlook from $4 billion in sales to a range of $3 billion to $3.5 billion, alluding to assumptions around lower vaccination rates in 2025.In contrast, Pfizer has taken a different approach, raising its outlook earlier this year after several cost-cutting measures. The company now expects revenue in the range of $59.5 billion to $62.5 billion, up from $58.5 billion to $61.5 billion, with a combined $8.5 billion expected from the COVID-19 vaccine and the COVID-19 treatment Paxlovid.These divergent strategies and outlooks highlight the complexities and uncertainties that vaccine manufacturers are navigating in the post-pandemic era. As the industry continues to evolve, investors and analysts will be closely monitoring the companies' performance and their ability to adapt to the changing market dynamics.