May 7, 2025 Charles Wagner Executive Vice President and Chief Financial Officer Vertex Pharmaceuticals, Inc. 50 Northern Avenue Boston, MA 02210 Re: Vertex Pharmaceuticals, Inc. Form 10-K for Fiscal Year Ended December 31, 2024 File No. 0-19319 Dear Charles Wagner: We have completed our review of your filing. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Sincerely, Division of Corporation Finance Office of Life Sciences