MRNA COVID-19 vaccines are delivered intramuscularly to optimize immune response generation
Standard mRNA COVID-19 vaccines are administered intramuscularly to safely and effectively generate systemic immune responses against SARS-CoV-2.
The retrieved papers consistently state that current approved COVID-19 vaccines, including mRNA platforms, are administered via the intramuscular route to induce robust systemic immunity.
P. van der Ley, A. Zariri, E. van Riet, D. Oosterhoff, C. Kruiswijk. An Intranasal OMV-Based Vaccine Induces High Mucosal and Systemic Protecting Immunity Against a SARS-CoV-2 Infection. 2021. https://doi.org/10.3389/fimmu.2021.781280
Notes that currently all registered COVID-19 vaccines are intramuscularly administered, targeting the induction of systemic immunity.
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T. Wong, Katherine S. Lee, B. Russ, A. Horspool, Jason Kang, Michael T. Winters, M. Allison Wolf, Nathaniel A. Rader, Olivia A. Miller, Morgane Shiflett, Jerilyn R Izac, D. Varisco, Emel Sen-Kilic, Casey Cunningham, Melissa Cooper, H. Cyphert, M. Barbier, I. Martinez, J. Bevere, R. Ernst, F. Damron. Intranasal administration of BReC-CoV-2 COVID-19 vaccine protects K18-hACE2 mice against lethal SARS-CoV-2 challenge. 2022. https://doi.org/10.1038/s41541-022-00451-7
Indicates that all current WHO-approved COVID-19 vaccines are administered through the muscular route.
S. Beitari, Gerard Agbayani, Melissa Hewitt, D. Duque, J. Bavananthasivam, J. Sandhu, Bassel Akache, I. Hadžisejdić, A. Tran. Effectiveness of VSV vectored SARS-CoV-2 spike when administered through intranasal, intramuscular or a combination of both. 2023. https://doi.org/10.1038/s41598-023-48397-7
States that most vaccine platforms used at the forefront are administered by intramuscular injection.
Xu X, Cui L, Zhang Y, Gu J. Deciphering the biological fate of mRNA-LNP-based biologics: A perspective from tissue to intracellular distribution.. 2026. https://doi.org/10.1016/j.apsb.2025.11.023
Discusses the clinical success and biological fate of mRNA-LNP-based vaccines which are administered parenterally.
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