SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                  SCHEDULE 13G
                                 (RULE 13d-102)

   Information to be Included in Statements Filed Pursuant to ss.240.13d-1(b),
        (c) and (d) and Amendments Thereto Filed Pursuant to ss.240.13d-2

                    Under the Securities Exchange Act of 1934

                               (Amendment No. 1)*


                           Vanda Pharmaceuticals Inc.
                         ------------------------------
                                (Name of Issuer)

                                  Common Stock
                         ------------------------------
                         (Title of Class of Securities)

                                    921659108
                         ------------------------------
                                 (CUSIP Number)

                                December 31, 2009
             -------------------------------------------------------
             (Date of Event Which Requires Filing of this Statement)

            Check the appropriate box to designate the rule pursuant
                        to which this Schedule is filed:

                                (x) Rule 13d-1(b)
                                ( ) Rule 13d-1(c)
                                ( ) Rule 13d-1(d)

----------------
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
                        (Continued on following page(s))


1.  NAME OF REPORTING PERSONS

    TIAA-CREF Investment Management, LLC

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ( )
                                                     (b) ( )

3.  SEC USE ONLY

4.  CITIZENSHIP OR PLACE OF ORGANIZATION

    Delaware

NUMBER OF SHARES BENEFICIALLY OWNED
BY EACH REPORTING PERSON WITH:

    5. SOLE VOTING POWER                             1,769,876

    6. SHARED VOTING POWER                           0

    7. SOLE DISPOSITIVE POWER                        1,769,876

    8. SHARED DISPOSITIVE POWER                      0

9.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                                     1,769,876

10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
    SHARES ( )

11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
                                                     6.51%

12. TYPE OF REPORTING PERSON
                                                     IA



1.  NAME OF REPORTING PERSONS

    College Retirement Equities Fund- Stock Account

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ( )
                                                     (b) ( )

3.  SEC USE ONLY

4.  CITIZENSHIP OR PLACE OF ORGANIZATION

    New York

NUMBER OF SHARES BENEFICIALLY OWNED
BY EACH REPORTING PERSON WITH:

    5. SOLE VOTING POWER                             0

    6. SHARED VOTING POWER                           1,439,858

    7. SOLE DISPOSITIVE POWER                        0

    8. SHARED DISPOSITIVE POWER                      1,439,858

9.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                                     1,439,858

10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
    SHARES ( )

11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
                                                     5.29%

12. TYPE OF REPORTING PERSON
                                                     IV



1.  NAME OF REPORTING PERSONS

    Teachers Advisors, Inc.

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ( )
                                                     (b) ( )

3.  SEC USE ONLY

4.  CITIZENSHIP OR PLACE OF ORGANIZATION

    Delaware

NUMBER OF SHARES BENEFICIALLY OWNED
BY EACH REPORTING PERSON WITH:

    5. SOLE VOTING POWER                             916,669

    6. SHARED VOTING POWER                           0

    7. SOLE DISPOSITIVE POWER                        916,669

    8. SHARED DISPOSITIVE POWER                      0

9.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                                     916,669

10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
    SHARES ()

11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
                                                     3.37%

12. TYPE OF REPORTING PERSON
                                                     IA



ITEM 1(a).     NAME OF ISSUER:

                    Vanda Pharmaceuticals Inc.

ITEM 1(b).     ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:

                    9620 Medical Center Drive
                    Suite 300
                    Rockville, MD 20850

ITEMS 2(a)-2(c).    NAME, ADDRESS OF PRINCIPAL BUSINESS OFFICE, AND CITIZENSHIP
                    OF PERSONS FILING:

                    TIAA-CREF Investment Management, LLC ("Investment
                    Management")
                    730 Third Avenue
                    New York, NY 10017-3206
                    Citizenship:  Delaware

                    College Retirement Equities Fund-Stock Account ("CREF Stock
                    Account")
                    730 Third Avenue
                    New York, NY 10017-3206
                    Citizenship:  New York

                    Teachers Advisors, Inc. ("Advisors")
                    730 Third Avenue
                    New York, NY 10017-3206
                    Citizenship:  Delaware


ITEM 2(d).     TITLE OF CLASS OF SECURITIES:

                    Common Stock

ITEM 2(e).     CUSIP NUMBER:

                    921659108

ITEM 3.        IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR
               13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A:


INVESTMENT MANAGEMENT

(a) ( )        Broker or dealer registered under Section 15 of the Exchange Act.

(b) ( )        Bank as defined in Section 3(a)(6) of the Exchange Act.

(c) ( )        Insurance Company as defined in Section 3(a)(19) of the Exchange
               Act.

(d) ( )        Investment Company registered under Section 8 of the Investment
               Company Act of 1940.

(e) (x)        An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).

(f) ( )        An employee benefit plan or endowment fund in accordance with
               Rule 13d-1(b)(1)(ii)(F).

(g) ( )        A parent holding company or control person in accordance with
               Rule 13d-1(b)(1)(ii)(G).

(h) ( )        A savings association as defined in Section 3(b) of the Federal
               Deposit Insurance Act.



(i) ( )        A church plan that is excluded from the definition of an
               investment company under Section 3(c)(14) of the Investment
               Company Act of 1940.

(j) ( )        Group, in accordance with Rule 13d-1(b)(1)(ii)(J).


CREF STOCK ACCOUNT

(a) ( )        Broker or dealer registered under Section 15 of the Exchange Act.

(b) ( )        Bank as defined in Section 3(a)(6) of the Exchange Act.

(c) ( )        Insurance Company as defined in Section 3(a)(19) of the Exchange
               Act.

(d) (x)        Investment Company registered under Section 8 of the Investment
               Company Act of 1940.

(e) ( )        An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).

(f) ( )        An employee benefit plan or endowment fund in accordance with
               Rule 13d-1(b)(1)(ii)(F).

(g) ( )        A parent holding company or control person in accordance with
               Rule 13d-1(b)(1)(ii)(G).

(h) ( )        A savings association as defined in Section 3(b) of the Federal
               Deposit Insurance Act.

(i) ( )        A church plan that is excluded from the definition of an
               investment company under Section 3(c)(14) of the Investment
               Company Act of 1940.

(j) ( )        Group, in accordance with Rule 13d-1(b)(1)(ii)(J).


ADVISORS

(a) ( )        Broker or dealer registered under Section 15 of the Exchange Act.

(b) ( )        Bank as defined in Section 3(a)(6) of the Exchange Act.

(c) ( )        Insurance Company as defined in Section 3(a)(19) of the Exchange
               Act.

(d) ( )        Investment Company registered under Section 8 of the Investment
               Company Act of 1940.

(e) (x)        An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).

(f) ( )        An employee benefit plan or endowment fund in accordance with
               Rule 13d-1(b)(1)(ii)(F).

(g) ( )        A parent holding company or control person in accordance with
               Rule 13d-1(b)(1)(ii)(G).

(h) ( )        A savings association as defined in Section 3(b) of the Federal
               Deposit Insurance Act.

(i) ( )        A church plan that is excluded from the definition of an
               investment company under Section 3(c)(14) of the Investment
               Company Act of 1940.

(j) ( )        Group, in accordance with Rule 13d-1(b)(1)(ii)(J).


If this statement is filed pursuant to Rule 13d-1(c), check this box. ( )



ITEM 4.        OWNERSHIP

               (a) Aggregate amount beneficially owned: 2,686,545 (See Exhibit A
                   attached)

               (b) Percent of class: 9.88%

               (c) Number of shares as to which person has:




                              INVESTMENT MANAGEMENT     CREF- STOCK ACCOUNT          ADVISORS
                              ---------------------     -------------------          --------
                                                                            
Sole Voting Power:            1,769,876                 0                            916,669

Shared Voting Power:          0                         1,439,858                    0

Sole Dispositive Power:       1,769,876                 0                            916,669

Shared Dispositive Power:     0                         1,439,858                    0


ITEM 5.        OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.

               If this statement is being filed to report the fact that as of
               the date hereof the reporting person has ceased to be the
               beneficial owner of more than five percent of the class of
               securities, check the following ( ).

ITEM 6.        OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.

               See Exhibit A attached

ITEM 7.        IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
               ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
               COMPANY.

               Not Applicable

ITEM 8.        IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.

               Not Applicable

ITEM 9.        NOTICE OF DISSOLUTION OF GROUP.

               Not Applicable



ITEM 10.       CERTIFICATIONS.

               By signing below I certify that, to the best of my knowledge and
               belief, the securities referred to above were acquired and are
               held in the ordinary course of business and were not acquired and
               are not held for the purpose of or with the effect of changing or
               influencing the control of the issuer of the securities and were
               not acquired and are not held in connection with or as a
               participant in any transaction having that purpose or effect.

               SIGNATURE.

               After reasonable inquiry and to the best of my knowledge and
               belief, I certify that the information set forth in this
               statement is true, complete and correct.

               Date: February 12, 2010

                                                 TIAA-CREF INVESTMENT
                                                 MANAGEMENT, LLC

                                                 By: /s/ MICHAEL ALBERT
                                                     ---------------------------
                                                 Michael Albert
                                                 Managing Director

                                                 COLLEGE RETIREMENT EQUITIES
                                                 FUND-STOCK ACCOUNT

                                                 By: /s/ MICHAEL ALBERT
                                                     ---------------------------
                                                 Michael Albert
                                                 Managing Director

                                                 TEACHERS ADVISORS, INC.

                                                 By: /s/ MICHAEL ALBERT
                                                     ---------------------------
                                                 Michael Albert
                                                 Managing Director



                                    EXHIBIT A
                                    ---------

ITEM 6. OWNERSHIP.

TIAA-CREF Investment Management, LLC ("Investment Management") is the investment
adviser to the College Retirement Equities Fund ("CREF"), a registered
investment company, and may be deemed to be a beneficial owner of 1,769,876
shares of Issuer's common stock owned by CREF. Teachers Advisors, Inc.
("Advisors") is the investment adviser to three registered investment companies,
TIAA-CREF Funds ("Funds"), TIAA-CREF Life Funds ("Life Funds"), and TIAA
Separate Account VA-1 ("VA-1"), as well as the TIAA-CREF Asset Management
Commingled Funds Trust I ("TCAM Funds"), and may be deemed to be a beneficial
owner of 916,669 shares of Issuer's common stock owned separately by Funds, Life
Funds, VA-1 and TCAM Funds. Investment Management and Advisors are reporting
their combined holdings for the purpose of administrative convenience. These
shares were acquired in the ordinary course of business, and not with the
purpose or effect of changing or influencing control of the Issuer. Each of
Investment Management and Advisors expressly disclaims beneficial ownership of
the other's securities holdings and each disclaims that it is a member of a
"group" with the other.