On 22 August 2025, the US FDA’s Center for Biologics Evaluation and Research has suspended the biologics license for Valneva Austria GmbH’s live-attenuated IXCHIQ vaccine.
This vaccine was initially approved by the FDA under the accelerated approval pathway in November of 2023 for the prevention of disease caused by the chikungunya virus (CHIKV) in individuals 18 years of age and older who are at increased risk of exposure to CHIKV. CBER’s decision is based on serious safety concerns related to the vaccine, which appears to be causing chikungunya-like illness in vaccine recipients. There has been one death from encephalitis directly attributable to the vaccine (CSF PCR was + for the vaccine strain of the virus) and over 20 reported serious adverse events that were consistent with chikungunya-like illness. Reported serious adverse events have included 21 hospitalizations and 3 deaths. Furthermore, the clinical benefit of the vaccine has not yet been verified in confirmatory clinical studies. CBER’s benefit-risk analysis broadly shows the vaccine does not have benefits outweighing risks, under most plausible scenarios. For these reasons, CBER believes this vaccine is not safe and that continued administration to the public would pose a danger to health.
The FDA’s decision contrasts with that of the European Medicines Agency (EMA), which on 16 July 2025 lifted the temporary restriction on the Ixchiq® Chikungunya vaccine for individuals aged 65 years and older after reviewing reports of serious side effects.
Following its assessment, the EMA’s safety committee (PRAC) concluded that, for people of all ages, the Ixchiq® vaccine should only be given when there is a significant risk of chikungunya infection and after a careful consideration of the benefits and risks.