Evidence map›Paper›PMID 33378531›Full record

ArticleThe Journal of infectious diseases2021

Influenza Vaccine Effectiveness Against Hospitalization in the United States, 2019-2020.

Mark W Tenforde, H Keipp Talbot, Christopher H Trabue, Manjusha Gaglani, Tresa M McNeal, Arnold S Monto, Emily T Martin, Richard K Zimmerman, Fernanda P Silveira, Donald B Middleton and 6 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Vaccination status as a determinant of hospitalization in influenza: Insights from emergency department data.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Observational
  3. Severity of Clinical Presentation and Outcomes in Hospitalized Adult People With Influenza by Type and Subtype, United States-2017-2020.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Mapping climate change-driven epidemics.Frontiers in epidemiology · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 2019-20 H1N1 clade A5a.1 viruses have betterbioRxiv : the preprint server for biology · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Mark W TenfordeInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-8702-8393
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennessee, USA.
Christopher H TrabueUniversity of Tennessee Health Science Center, Saint Thomas Health, Nashville, Tennessee, USA.
Manjusha GaglaniBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas, USA.
Tresa M McNealBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas, USA.
Arnold S MontoUniversity of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Emily T MartinUniversity of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Richard K ZimmermanUniversity of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Fernanda P SilveiraUniversity of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Donald B MiddletonUniversity of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Samantha M OlsonInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Rebecca J Garten KondorInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
John R BarnesInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jill M FerdinandsInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Manish M PatelInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN) Investigators

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Flu vaccine effectiveness in thosehospitalized in a large diverse health systemU01IP000969 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2015 to 2019
$4.5M
US Hospital Vaccine Effectiveness (VE) Network - SupplementU01IP000974 · IP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONTO, ARNOLD S · 2015 to 2019
$4.5M
Core_Apt Measure of PCR-based Influenza Vaccine Effectiveness in Inpatient AdultsU01IP000972 · IP · SCOTT AND WHITE MEMORIAL HOSPITAL · PI GAGLANI, MANJUSHA · 2015 to 2019
$3.5M
EPA EP-C-15-002NCATS NIH HHS UL1 TR001857NCATS NIH HHS UL1 TR002243NCIRD CDC HHS U01 IP000969NCIRD CDC HHS U01 IP000972NCIRD CDC HHS U01 IP000974
6 · The paper itself

Abstract

backgroundInfluenza causes significant morbidity and mortality and stresses hospital resources during periods of increased circulation. We evaluated the effectiveness of the 2019-2020 influenza vaccine against influenza-associated hospitalization in the United States.

methodsWe included adults hospitalized with acute respiratory illness at 14 hospitals and tested for influenza viruses by reserve-transcription polymerase chain reaction. Vaccine effectiveness (VE) was estimated by comparing the odds of current-season influenza vaccination in test-positive influenza cases vs test-negative controls, adjusting for confounders. VE was stratified by age and major circulating influenza types along with A(H1N1)pdm09 genetic subgroups.

resultsA total of 3116 participants were included, including 18% (n = 553) influenza-positive cases. Median age was 63 years. Sixty-seven percent (n = 2079) received vaccination. Overall adjusted VE against influenza viruses was 41% (95% confidence interval [CI], 27%-52%). VE against A(H1N1)pdm09 viruses was 40% (95% CI, 24%-53%) and 33% against B viruses (95% CI, 0-56%). Of the 2 major A(H1N1)pdm09 subgroups (representing 90% of sequenced H1N1 viruses), VE against one group (5A + 187A,189E) was 59% (95% CI, 34%-75%) whereas no VE was observed against the other group (5A + 156K) (-1% [95% CI, -61% to 37%]).

conclusionsIn a primarily older population, influenza vaccination was associated with a 41% reduction in risk of hospitalized influenza illness.

Indexed as

Vaccine EfficacyAdolescentAdultAgedAged, 80 and overCase-Control StudiesFemaleHospitalizationHumansImmunocompromised HostInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesMaleMiddle AgedInfluenza Vaccineselderlyhospitalizationimmunocompromisedinfluenzavaccine effectiveness

Identifiers

PMID33378531
PMCPMC8408767

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.