Evidence map›Paper›PMID 39761230›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Influenza Vaccine Effectiveness Against Medically Attended Outpatients Illness, United States, 2023-2024 Season.

Jessie R Chung, Ashley M Price, Richard K Zimmerman, Krissy Moehling Geffel, Stacey L House, Tara Curley, Karen J Wernli, C Hallie Phillips, Emily T Martin, Ivana A Vaughn and 13 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
  2. Observational
  3. Influenza vaccine effectiveness against outpatient acute respiratory illness with laboratory-confirmed influenza, United States, 2024-25 season.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Influenza vaccine effectiveness from nine studies during drifted A(H3N2) subclade K predominance, Europe, September 2025 to January 2026.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Effectiveness of Cell Culture-Based Influenza Vaccine, 2023-2024.Journal of the Pediatric Infectious Diseases Society · 2025
    Article
  19. Article
  20. Influenza vaccine effectiveness in Europe and the birth cohort effect against influenza A(H1N1)pdm09: VEBIS primary care multicentre study, 2023/24.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Jessie R ChungInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-5205-966X
Ashley M PriceInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Richard K ZimmermanDepartment of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-5941-6092
Krissy Moehling GeffelDepartment of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-2103-4096
Stacey L HouseDepartment of Emergency Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Tara CurleyDepartment of Emergency Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Karen J WernliKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.ORCID 0000-0001-7945-0327
C Hallie PhillipsKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Emily T MartinDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Ivana A VaughnDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0002-7201-0289
Vel MuruganBiodesign Center for Personalized Diagnostics and College of Health Solutions, Arizona State University, Tempe, Arizona, USA.ORCID 0000-0002-7368-7742
Matthew ScotchBiodesign Center for Personalized Diagnostics and College of Health Solutions, Arizona State University, Tempe, Arizona, USA.ORCID 0000-0001-5100-9724
Elie A SaadeDivision of Infectious Diseases and HIV Medicine and Department of Emergency Medicine, University Hospitals of Cleveland, Cleveland, Ohio, USA.ORCID 0000-0002-2514-3820
Kiran A FaryarDivision of Infectious Diseases and HIV Medicine and Department of Emergency Medicine, University Hospitals of Cleveland, Cleveland, Ohio, USA.ORCID 0000-0001-8466-9796
Manjusha GaglaniCenter for Research in Vaccines and Infections, Baylor Scott & White Health, Temple, Texas, USA.ORCID 0000-0002-3952-9230
Jason D RammCenter for Research in Vaccines and Infections, Baylor Scott & White Health, Temple, Texas, USA.
Olivia L WilliamsDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Emmanuel B WalterDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Marie K KirbyInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-0859-9604
Lisa M KeongInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-8211-659X
Rebecca KondorInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sascha R EllingtonInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-5584-5006
Brendan FlanneryInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-5041-308X

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Intramural CDC HHS CC999999NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP001180NCIRD CDC HHS U01 IP001181NCIRD CDC HHS U01 IP001182NCIRD CDC HHS U01 IP001184NCIRD CDC HHS U01 IP001189NCIRD CDC HHS U01 IP001191NCIRD CDC HHS U01 IP001193NCIRD CDC HHS U01 IP001194NIH HHS UL1TR001857US Centers for Disease Control and Prevention 1U01 IP001180-01US Centers for Disease Control and Prevention 1U01 IP001181-01US Centers for Disease Control and Prevention 1U01 IP001182-01US Centers for Disease Control and Prevention 1U01 IP001184-01US Centers for Disease Control and Prevention 1U01 IP001189-01US Centers for Disease Control and Prevention 1U01 IP001191-01US Centers for Disease Control and Prevention 1U01 IP001193-01US Centers for Disease Control and Prevention 1U01 IP001194-01
6 · The paper itself

Abstract

backgroundThe 2023-2024 US influenza season was characterized by a predominance of A(H1N1)pdm09 virus circulation with cocirculation of A(H3N2) and B/Victoria viruses. We estimated vaccine effectiveness (VE) in the United States against mild-to-moderate medically attended influenza illness in the 2023-2024 season.

methodsWe enrolled outpatients aged ≥8 months with acute respiratory illness in 7 states. Respiratory specimens were tested for influenza type/subtype by reverse-transcriptase polymerase chain reaction. Influenza VE was estimated with a test-negative design comparing odds of testing positive for influenza among vaccinated versus unvaccinated participants. We estimated VE by virus subtype/lineage and A(H1N1)pdm09 genetic subclades.

resultsAmong 6629 enrolled patients, 1780 (27%) tested positive for influenza, including 806 with A(H1N1)pdm09, 567 with B/Victoria, and 328 with A(H3N2). VE against any influenza illness was 44% (95% confidence interval, 36%-51%): 29% (15%-41%) against influenza A(H1N1)pdm09, 74% (65%-81%) against B/Victoria, and 30% (8%-47%) against A(H3N2). Statistically significant protection against any influenza was found for all age groups except adults aged 50-64 years. Lack of protection in this age group was specific to influenza A-associated illness. We observed differences in VE by birth cohort and A(H1N1)pdm09 virus genetic subclade.

conclusionsVaccination reduced outpatient medically attended influenza overall by 44% and provided protection overall against circulating influenza A and B viruses. Serologic studies would help inform differences observed by age groups.

Indexed as

Influenza, HumanInfluenza VaccinesVaccine EfficacyAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusMaleInfluenza Vaccinescase controlinfluenzatest-negative designvaccinationvaccine effectiveness

Identifiers

PMID39761230
PMCPMC12287938

What OpenQuestion holds

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Registered trials

None linked

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.