Evidence map›Paper›PMID 40359401›Full record

ArticleThe Journal of infectious diseases2025

Estimating Influenza Vaccine Effectiveness Against Laboratory-Confirmed Influenza Using Linked Public Health Information Systems, California, 2023-2024 Season.

Sophie Zhu, Joshua Quint, Tomás M León, Monica Sun, Nancy J Li, Cynthia Yen, Mark W Tenforde, Brendan Flannery, Seema Jain, Robert Schechter and 2 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

12 authors.

Sophie ZhuEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-8694-4058
Joshua QuintCalifornia Department of Public Health, Richmond, California, USA.
Tomás M LeónCalifornia Department of Public Health, Richmond, California, USA.
Monica SunCalifornia Department of Public Health, Richmond, California, USA.ORCID 0000-0001-9260-1038
Nancy J LiCalifornia Department of Public Health, Richmond, California, USA.ORCID 0000-0001-8533-7304
Cynthia YenCalifornia Department of Public Health, Richmond, California, USA.ORCID 0009-0006-3200-2133
Mark W TenfordeNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Brendan FlanneryNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-5041-308X
Seema JainCalifornia Department of Public Health, Richmond, California, USA.
Robert SchechterCalifornia Department of Public Health, Richmond, California, USA.
Cora HooverCalifornia Department of Public Health, Richmond, California, USA.
Erin L MurrayCalifornia Department of Public Health, Richmond, California, USA.ORCID 0000-0002-6674-4868

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundMandatory public health reporting of influenza laboratory results and vaccine doses administered in the state of California can provide estimates of seasonal influenza vaccine effectiveness (VE).

methodsWe analyzed linked influenza immunization registry and laboratory reporting data among California residents aged ≥6 months tested for influenza during the 2023-2024 influenza season (October 2023 to June 2024). Individually linked laboratory reporting included influenza molecular or viral culture test result. Odds ratios (OR) and 95% confidence intervals (CI) contrasted odds of documented 2023-2024 vaccination among persons with influenza-positive tests versus persons with negative influenza tests. VE was calculated as (1 - adjusted OR) × 100 using logistic regression, adjusting for patient age, race, ethnicity, week of specimen collection, and county of residence.

resultsAmong 1 382 142 laboratory reports, 129 253 persons (9%) had a positive influenza test result, of whom 415 390 (30%) had documented influenza vaccination ≥ 14 days before test date. VE against laboratory-confirmed influenza was 41% (95% CI, 40%-42%). VE was 32% (95% CI, 31%-33%) against influenza A, 68% (95% CI, 66%-69%) against influenza B, and 26% (95% CI, 24%-29%) among adults aged ≥ 65 years.

conclusionsInfluenza vaccination was associated with prevention of laboratory-confirmed influenza. Results demonstrated the feasibility of assessing seasonal influenza VE using linked immunization and laboratory data from public health surveillance systems.

Indexed as

Influenza, HumanInfluenza VaccinesVaccine EfficacyAdolescentAdultAgedAged, 80 and overCaliforniaChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPublic HealthInfluenza Vaccinescase controlimmunization registryinfluenzasurveillancevaccine effectiveness

Identifiers

PMID40359401
PMCPMC12353657

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.