Most FDA-approved vaccines require cold storage at 2 to 8 °C, and some must even be frozen at colder temperatures to maintain their efficacy. The associated complex logistics of the cold chain for transport, distribution and storage make mass vaccination campaigns costly. There is also a risk of vaccines being wasted due to improper storage. In addition, almost all vaccines are administered by injection, which requires trained health workers, sterility, and proper disposal of sharps. An important strategy to prevent a pandemic is to stockpile stable vaccines for rapid intervention in the event of a disease outbreak. Drying technologies are suitable for producing thermostable vaccines. The conventional method for converting liquid vaccines into a thermostable dry solid form is freeze drying. In comparison, aseptic spray drying offers an economical alternative with fast drying, scalability, and high capacity to overcome bottlenecks in production. The stable powder form and particle design enable new routes of administration by inhalation, nasal, dermal, oral, or injection (after reconstitution). Challenges include thermal stress, residual moisture content, aseptic processing, and powder filling. This study provides a review of the current state of the art in stabilizing vaccines by spray drying.