Coronavirus disease 2019, abbreviated as COVID-19, is caused by a
new strain of coronavirus called severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2). It started in late December
2019 in Wuhan, China, and by mid-March 2020, the disease had
spread globally. As of July 17, 2020, this pandemic virus has
infected 13.9 million people and claimed the life of
approximately 593 000 people globally, and the numbers
continue to climb. An unprecedented effort is underway to
develop therapeutic and prophylactic strategies against this
disease. Various drugs and vaccines are undergoing rapid
development, and some of these are already in phase III clinical
trials. Although Russia was the first to release a vaccine by
skipping phase III clinical trials, there is no evidence of
large-scale clinical trials, and the safety and efficacy of the
vaccine are still a concern. Nevertheless, critical lessons can
be learned and data garnered for developing promising vaccines
against this rapidly emerging virus or other similar pathogens
in the future. In this overview, we cover the available
information on the various vaccine development initiatives by
different companies, the potential strategies adopted for
vaccine design, and the challenges and clinical impact expected
from these vaccines. We also briefly discuss the possible role
of these vaccines and the specific concerns for their use in
patients with pre-existing disease conditions such as
cardiovascular, lung, kidney, and liver diseases, cancer
patients who are receiving immunosuppressive medications,
including anticancer chemotherapies, and many other sensitive
populations, such as children and the elderly.