Evidence map›Paper›PMID 40198276›Full record

ArticleThe Journal of infectious diseases2025

Vaccine Effectiveness Against Influenza A(H1N1), A(H3N2), and B-Associated Hospitalizations, United States, 1 September 2023 to 31 May 2024.

Nathaniel M Lewis, Elizabeth J Harker, Seana Cleary, Yuwei Zhu, Carlos G Grijalva, James D Chappell, Jillian P Rhoads, Adrienne Baughman, Jonathan D Casey, Paul W Blair and 37 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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
  6. Article
  7. Article
  8. Article
  9. Estimated Vaccine Effectiveness for Respiratory Syncytial Virus-Related Acute Respiratory Illness in Older Adults: Findings From the First Postlicensure Season.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  10. Article
  11. medRxiv : the preprint server for health sciences · 2025
    Article
  12. Review
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

47 authors.

Nathaniel M LewisInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-7088-9640
Elizabeth J HarkerInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-2010-4379
Seana ClearyInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0009-0002-8507-7607
Yuwei ZhuSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.ORCID 0000-0001-9849-1634
Carlos G GrijalvaSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
James D ChappellSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Jillian P RhoadsSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Adrienne BaughmanSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Jonathan D CaseySchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Paul W BlairSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.ORCID 0000-0002-3817-5987
Ian D JonesSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Cassandra A JohnsonSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Natasha B HalasaSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Adam S LauringMichigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-2906-8335
Emily T MartinMichigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-5771-8895
Manju GaglaniSection of Infectious Diseases, Baylor Scott and White Health, Temple, Texas, USA.
Shekhar GhamandeCenter for Research in Vaccines and Infections, Baylor College of Medicine, Temple, Texas, USA.ORCID 0000-0001-6924-9494
Cristie ColumbusCenter for Research in Vaccines and Infections, Baylor College of Medicine, Temple, Texas, USA.ORCID 0000-0001-5859-4786
Jay S SteingrubDepartment of Critical Care Medicine, Baystate Medical Center, Springfield, Massachusetts, USA.
Abhijit DuggalDepartment of Critical Care, Cleveland Clinic, Cleveland, Ohio, USA.
Jamie R FelzerSchool of Medicine, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-9317-950X
Matthew E PrekkerDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Ithan D PeltanSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-1730-234X
Samuel M BrownSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-1206-6261
David N HagerDepartment of Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-5148-4872
Michelle N GongMontefiore Medical Center, Albert Einstein College of Medicine, New York, New York, USA.
Amira MohamedMontefiore Medical Center, Albert Einstein College of Medicine, New York, New York, USA.ORCID 0009-0002-8381-1265
Matthew C ExlineCritical Care Department, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0001-6797-158X
Akram KhanDivision of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.ORCID 0000-0003-3091-632X
Samantha A N FergusonSchool of Medicine, Stanford University, Stanford, California, USA.ORCID 0000-0003-4685-7387
Jarrod MosierDepartment of Emergency Medicine, College of Medicine, University of Arizona, Tucson, Arizona, USA.ORCID 0000-0002-5371-0845
Nida QadirRonald Reagan Medical Center, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0001-7791-049X
Steven Y ChangRonald Reagan Medical Center, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-7365-5265
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Anne ZepeskiDepartment of Emergency Medicine, Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0001-6309-6554
Christopher MallowDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Miami School of Medicine, Miami, Florida, USA.ORCID 0000-0002-8211-7629
Estelle S HarrisSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.
Nicholas J JohnsonDepartment of Emergency Medicine, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-9915-0591
Kevin W GibbsDepartment of Pulmonary, Critical Care, Allergy, and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-5272-2289
Jennie H KwonDepartment of Medicine, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0009-0007-9774-6835
Ivana A VaughnDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0002-7201-0289
Mayur RameshDepartment of Internal Medicine/Infectious Diseases, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0002-1677-3994
Basmah SafdarDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-9640-7133
Diya SurieDivision of COVID-19 and Other Respiratory Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Fatimah S DawoodDivision of COVID-19 and Other Respiratory Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sascha EllingtonInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-5584-5006
Wesley H SelfSchool of Medicine, Vanderbilt University, Nashville, Tennessee, USA.ORCID 0000-0002-9300-3045

Funding

Measuring and Learning from Care Variation in SepsisR35GM151147 · NIGMS · IHC HEALTH SERVICES, INC. · PI Ithan Daniel Peltan · 2023 to 2026
$1.5M
Mentoring in transmission of influenza and strategies for preventionK24AI148459 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2020 to 2024
$893k
CDC HHSIntramural CDC HHS CC999999NCIRD CDC HHS 75D30122C12914NCIRD CDC HHS 75D30122C14944NIAID NIH HHS K24 AI148459NIGMS NIH HHS R35 GM151147
6 · The paper itself

Abstract

backgroundThe 2023-2024 influenza season included sustained elevated activity from December 2023 to February 2024 and continued activity through May 2024. Influenza A(H1N1), A(H3N2), and B viruses circulated during the season.

methodsDuring 1 September 2023 to 31 May 2024, a multistate sentinel surveillance network of 24 medical centers in 20 US states enrolled adults aged ≥18 years hospitalized with acute respiratory illness. Consistent with a test-negative design, cases tested positive for influenza viruses by molecular or antigen test, and controls tested negative for influenza viruses and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Vaccine effectiveness (VE) against influenza-associated hospitalization was calculated as (1 - adjusted odds ratio for vaccination) × 100%.

resultsAmong 7690 patients, including 1170 influenza cases (33% vaccinated) and 6520 controls, VE was 40% (95% confidence interval [CI], 31%-48%) with varying estimates by age: 18-49 years, 53% (95% CI, 34%-67%); 50-64 years, 47% (95% CI, 31%-60%); ≥ 65 years, 31% (95% CI, 16%-43%). Protection was similar among immunocompetent patients (40%; 95% CI, 30%-49%) and immunocompromised patients (32%; 95% CI, 7%-50%). VE was statistically significant against influenza B (67%; 95% CI, 35%-84%) and A(H1N1) (36%; 95% CI, 21%-48%) and crossed the null against A(H3N2) (19%; 95% CI, -8% to 39%). VE was higher for patients 14-60 days from vaccination (54%; 95% CI, 40%-65%) than >120 days (18%; 95% CI, -1% to 33%).

conclusionsDuring 2023-2024, influenza vaccination reduced the risk of influenza A(H1N1)- and influenza B-associated hospitalizations among adults; effectiveness was lower in patients vaccinated >120 days prior to illness onset compared with those vaccinated 14-60 days prior.

Indexed as

HospitalizationInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusInfluenza, HumanInfluenza VaccinesVaccine EfficacyAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedSentinel SurveillanceInfluenza Vaccineshospitalizationseasonal influenzasevere influenzavaccine effectivenesswaning

Identifiers

PMID40198276
PMCPMC13196694

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.