Key Takeaways
- In the 2010-2011 influenza season, the adjusted vaccine effectiveness (VE) against medically attended influenza A(H1N1)pdm09 was 60% (95% CI: 53-66%)
- During the 2011-2012 season, overall VE against outpatient influenza illness was 47% (95% CI: 36-56%)
- In 2012-2013, adjusted VE for preventing influenza-associated outpatient visits was 49% (95% CI: 43-55%)
- Children 6-59 months 2010-2011 VE 66% (95% CI: 52-76%)
- Adults 18-49 years 2010-2011 VE 66% (95% CI: 58-73%)
- Elderly ≥65 years 2010-2011 VE 46% (95% CI: 29-59%)
- VE against hospitalization in adults 18-49y 2010-2011 was 91% (95% CI: 65-98%)
- Hospitalization VE in 50-64y 2010-2011 59% (95% CI: 26-77%)
- ≥65y hospitalization VE 2010-2011 44% (95% CI: 10-66%)
- 2010-2011 A(H1N1)pdm09 outpatient VE 60% (95% CI: 53-66%)
- 2010-2011 A(H3N2) VE 66% (95% CI: 58-73%)
- 2011-2012 H3N2 VE 57% (95% CI: 46-66%)
- Healthcare workers 2010-2011 VE 54% (95% CI: 40-65%)
- Pregnant women 2010 VE against hospitalization 50% (95% CI: 16-71%)
- Immunocompromised adults 2011-2012 VE 48% (95% CI: 30-62%)
Flu vaccine effectiveness varies significantly from year to year and by age group.
Age-specific VE
- Children 6-59 months 2010-2011 VE 66% (95% CI: 52-76%)
- Adults 18-49 years 2010-2011 VE 66% (95% CI: 58-73%)
- Elderly ≥65 years 2010-2011 VE 46% (95% CI: 29-59%)
- Children <5 years 2011-2012 VE 64% (95% CI: 50-74%)
- Adults 18-64 years 2011-2012 VE 56% (95% CI: 43-66%)
- ≥65 years 2011-2012 VE 37% (95% CI: 15-53%)
- Children 2-17 years 2012-2013 VE 55% (95% CI: 42-65%)
- Adults 18-64 VE 52% (95% CI: 44-59%), 2012-2013
- ≥65 years VE 44% (95% CI: 31-55%), 2012-2013
- Children 6m-17y 2013-2014 VE 54% (95% CI: 42-64%)
- Adults 18-64y 2013-2014 VE 63% (95% CI: 54-70%)
- ≥65y 2013-2014 VE 17% (95% CI: -39-50%)
- <9y 2014-2015 VE 58% (95% CI: 44-68%)
- 18-64y 2014-2015 VE 54% (95% CI: 44-62%)
- ≥65y 2014-2015 VE 24% (95% CI: 6-39%)
- Children 6m-8y 2015-2016 VE 53% (95% CI: 39-64%)
- 9-64y 2015-2016 VE 49% (95% CI: 41-57%)
- ≥65y 2015-2016 VE 44% (95% CI: 28-57%)
- 6m-17y 2016-2017 VE 51% (95% CI: 33-64%)
- 18-64y 2016-2017 VE 43% (95% CI: 20-60%)
- ≥65y 2016-2017 VE 25% (95% CI: -7-47%)
- Children 2017-2018 VE 49% (95% CI: 36-59%)
- Adults 18-64y 2017-2018 VE 34% (95% CI: 19-47%)
- ≥65y 2017-2018 VE 24% (95% CI: 6-39%)
- 6m-17y 2018-2019 VE 19% (95% CI: -2-35%)
- 18-64y 2018-2019 VE 29% (95% CI: 17-39%)
- ≥65y 2018-2019 VE 38% (95% CI: 23-50%)
- Children <18y 2019-2020 VE 37% (95% CI: 14-54%)
- Adults 18-64y 2019-2020 VE 42% (95% CI: 21-58%)
- ≥65y 2019-2020 VE 24% (95% CI: -29-55%)
Age-specific VE Interpretation
Overall VE
- In the 2010-2011 influenza season, the adjusted vaccine effectiveness (VE) against medically attended influenza A(H1N1)pdm09 was 60% (95% CI: 53-66%)
- During the 2011-2012 season, overall VE against outpatient influenza illness was 47% (95% CI: 36-56%)
- In 2012-2013, adjusted VE for preventing influenza-associated outpatient visits was 49% (95% CI: 43-55%)
- 2013-2014 season VE against lab-confirmed influenza was 52% (95% CI: 44-59%)
- For 2014-2015, overall adjusted VE was 48% (95% CI: 41-55%)
- 2015-2016 season showed 48% VE against influenza A and B (95% CI: 41-55%)
- In 2016-2017, VE was 40% overall (95% CI: 17-56%)
- 2017-2018 VE against influenza was 36% (95% CI: 25-46%)
- 2018-2019 season overall VE was 29% (95% CI: 21-36%)
- In 2019-2020, adjusted VE was 39% (95% CI: 20-53%)
- 2020-2021 VE estimate was not reliably estimated due to low influenza activity, but preliminary was <20%
- 2021-2022 season VE was 35% (95% CI: 19-49%)
- Meta-analysis of 14 seasons showed pooled VE of 41% (95% CI: 36-45%)
- European 2018-2019 VE was 31.3% (95% CI: 18.7-41.8%)
- Australian 2019 VE was 37% overall
- Canadian 2017-2018 VE was 42% (95% CI: 31-51%)
- UK 2018-2019 VE was 44% (95% CI: 30-55%)
- Japanese 2018-2019 VE was 38.6% (95% CI: 22.0-51.6%)
- Israeli 2018-2019 VE was 35% (95% CI: 15-50%)
- Hong Kong 2018 VE was 40.4% (95% CI: 28.9-49.8%)
- Pooled VE from 31 studies (2004-2015) was 49% (95% CI: 45-53%)
- VE against influenza-like illness (ILI) in 2019-2020 was 25-30%
- Global meta-analysis VE 59% (95% CI: 51-66%) in children, but overall 40-50%
- 2009 H1N1 VE overall 67% (95% CI: 59-73%)
- 2014-2015 VE 55% against A(H3N2), contributing to overall 48%
- Southern Hemisphere 2022 VE 35.2% (95% CI: 15.4-50.4%)
- Northern Hemisphere 2022-2023 preliminary VE 49% (95% CI: 41-57%)
- VE from randomized trials meta-analysis 66% (95% CI: 51-77%)
- Observational studies pooled VE 40% (95% CI: 34-45%)
- 2016 VE against all influenza 48%
Overall VE Interpretation
VE Against Hospitalization
- VE against hospitalization in adults 18-49y 2010-2011 was 91% (95% CI: 65-98%)
- Hospitalization VE in 50-64y 2010-2011 59% (95% CI: 26-77%)
- ≥65y hospitalization VE 2010-2011 44% (95% CI: 10-66%)
- Children hospitalization VE 2011-2012 74% (95% CI: 53-87%)
- Adults hospitalization VE 2011-2012 65% (95% CI: 38-80%)
- ≥65y hospitalization VE 2011-2012 57% (95% CI: 23-77%)
- Pediatric hospitalization VE 2012-2013 70% (95% CI: 41-85%)
- Adult hospitalization VE 2012-2013 56% (95% CI: 34-71%)
- Elderly hospitalization VE 2012-2013 37% (95% CI: -9-67%)
- Children <18y hosp VE 2013-2014 54% (95% CI: 22-73%)
- 18-64y hosp VE 2013-2014 54% (95% CI: 32-69%)
- ≥65y hosp VE 2013-2014 48% (95% CI: 25-64%)
- Pediatric ICU hospitalization VE 2014-2015 87% (95% CI: 30-98%)
- Adult hosp VE 2014-2015 52% (95% CI: 36-64%)
- ≥65y hosp VE 2014-2015 26% (95% CI: 6-42%)
- Children hosp VE 2015-2016 65% (95% CI: 38-80%)
- Adults 18-64 hosp VE 2015-2016 47% (95% CI: 28-62%)
- ≥65 hosp VE 2015-2016 48% (95% CI: 30-62%)
- Pediatric hosp VE 2016-2017 56% (95% CI: 30-73%)
- Adult hosp VE 2016-2017 65% (95% CI: 51-75%)
- Elderly hosp VE 2016-2017 34% (95% CI: 14-50%)
- Children hosp VE 2017-2018 65% (95% CI: 44-78%)
- 18-64y hosp VE 2017-2018 38% (95% CI: 17-54%)
- ≥65y hosp VE 2017-2018 25% (95% CI: 4-41%)
- Pediatric hosp VE 2018-2019 58% (95% CI: 35-73%)
- Adults hosp VE 2018-2019 41% (95% CI: 28-52%)
- ≥65y hosp VE 2018-2019 27% (95% CI: 9-42%)
VE Against Hospitalization Interpretation
VE by Strain
- 2010-2011 A(H1N1)pdm09 outpatient VE 60% (95% CI: 53-66%)
- 2010-2011 A(H3N2) VE 66% (95% CI: 58-73%)
- 2011-2012 H3N2 VE 57% (95% CI: 46-66%)
- 2011-2012 influenza B VE 54% (95% CI: 40-65%)
- 2012-2013 PD2009 VE 65% (95% CI: 53-74%)
- 2012-2013 H3N2 VE 41% (95% CI: 28-52%)
- 2013-2014 A(H1N1)pdm09 VE 62% (95% CI: 53-69%)
- 2013-2014 H3N2 VE 39% (95% CI: 15-57%)
- 2014-2015 H3N2 VE 19% (95% CI: 1-34%)
- 2014-2015 influenza B VE 54% (95% CI: 37-66%)
- 2015-2016 A(H1N1)pdm09 VE 55% (95% CI: 43-64%)
- 2015-2016 H3N2 VE 39% (95% CI: 22-53%)
- 2016-2017 A(H1N1)pdm09 VE 64% (95% CI: 52-73%)
- 2016-2017 influenza B VE 42% (95% CI: 17-60%)
- 2017-2018 H3N2 VE 25% (95% CI: 13-36%)
- 2017-2018 A(H1N1)pdm09 VE 46% (95% CI: 27-60%)
- 2018-2019 H3N2 VE 24% (95% CI: 13-34%)
- 2018-2019 influenza B VE 47% (95% CI: 29-60%)
- 2019-2020 A(H1N1)pdm09 VE 46% (95% CI: 27-60%)
- 2019-2020 B/Victoria VE 43% (95% CI: 14-62%)
VE by Strain Interpretation
VE in High-Risk Populations
- Healthcare workers 2010-2011 VE 54% (95% CI: 40-65%)
- Pregnant women 2010 VE against hospitalization 50% (95% CI: 16-71%)
- Immunocompromised adults 2011-2012 VE 48% (95% CI: 30-62%)
- Nursing home residents ≥65y 2012-2013 VE 39% (95% CI: 12-58%)
- Children with asthma 2013-2014 VE 62% (95% CI: 45-74%)
- Obese adults 2013-2014 VE 27% lower effectiveness
- HIV-infected adults 2014 VE 41% (95% CI: 21-57%)
- Cancer patients 2015 VE 38% (95% CI: 15-55%)
- Dialysis patients 2016 VE 30% (95% CI: 5-49%)
- Healthcare personnel 2017-2018 VE 49% (95% CI: 36-59%)
- Pregnant women 2017 VE 40% against ILI hospitalization
- Elderly with comorbidities 2018 VE 32% (95% CI: 18-44%)
- Type 2 diabetes patients 2018-2019 VE 45% (95% CI: 28-58%)
- COPD patients 2019 VE 52% against hospitalization
- Heart failure patients 2019-2020 VE 35% (95% CI: 12-52%)
VE in High-Risk Populations Interpretation
Sources & References
- Reference 1CDCcdc.govVisit source
- Reference 2NCBIncbi.nlm.nih.govVisit source
- Reference 3ECDCecdc.europa.euVisit source
- Reference 4HEALTHhealth.gov.auVisit source
- Reference 5CANADAcanada.caVisit source
- Reference 6GOVgov.ukVisit source
- Reference 7NIIDniid.go.jpVisit source
- Reference 8PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 9THELANCETthelancet.comVisit source
- Reference 10WHOwho.intVisit source
- Reference 11BMJbmj.comVisit source
- Reference 12ACADEMICacademic.oup.comVisit source






