Influenza Vaccination Trends Among Children and Adolescents, 2017-2023 - Report - MDSpire

Influenza Vaccination Trends Among Children and Adolescents, 2017-2023

  • By

  • Madhura S. Rane

  • Geetha Gopalan

  • Joseph Nahmias

  • Michael L. Rinke

  • Chloe A. Teasdale

  • June 8, 2026

  • 0 min

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Trends in Influenza Vaccination Rates for Children and Adolescents from 2017 to 2023

Overview

This study analyzed influenza vaccination coverage among children and adolescents in the Bronx from 2017 to 2023, revealing a decrease in vaccination rates during the COVID-19 pandemic. The findings indicate a 12.9% drop in coverage from the 2019-2020 season to the 2022-2023 season, particularly affecting school-aged children.

Background

Influenza vaccination is crucial for preventing severe disease and hospitalization in children. The COVID-19 pandemic disrupted routine vaccination schedules, leading to varying catch-up rates. Understanding trends in influenza vaccination is important.

Data Highlights

SeasonVaccination Coverage
2017-20187.4%
2019-2020Specific data needed
2022-2023Decreased by 12.9%

Key Findings

  • Influenza vaccination coverage increased from 2017-2018 to 2019-2020 but decreased by 12.9% by 2022-2023.
  • Coverage decreased 16% among 10- to 14-year-olds and 15% among 5- to 9-year-olds compared to 2017-2018.
  • Children using self-pay had 20% lower coverage, while those on Medicaid had 12% lower coverage in 2022-2023.
  • Differences in vaccination coverage were noted by age and insurance type.
  • The study included 138,500 unique children and analyzed data from over 1.4 million visits.

Clinical Implications

Healthcare providers should be aware of the declining trends in influenza vaccination among children, particularly in specific age groups and insurance categories. Targeted outreach may be necessary to improve vaccination rates in these populations.

Conclusion

The study highlights a concerning decline in influenza vaccination rates among children and adolescents during and after the COVID-19 pandemic, emphasizing the need for continued monitoring and intervention.

Related Resources & Content

  1. conexiant, Conexiant, 2025 -- Flu Vaccine Cut Hospitalizations Despite Drifted H3N2 Strain
  2. Open Forum Infectious Diseases, Open Forum Infectious Diseases, 2025 -- A Classification System for Analyzing Trends in Influenza-Related Hospital Admissions in the United States
  3. The Journal of Infectious Diseases, The Journal of Infectious Diseases, 2025 -- A Potential Platform for Future Vaccine Trials Identifies a High Incidence of Symptomatic and Asymptomatic Influenza Infection Among Children Aged 6 to 23 Months in South Africa
  4. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices -- United States, 2025–26 Influenza Season | MMWR
  5. The Journal of Infectious Diseases — Influenza Vaccine-Averted Illness in Chile, Guyana, and Paraguay During 2013–2018: A Standardized Approach to Assess the Value of Vaccination
  6. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2025–26 Influenza Season | MMWR
  7. Interim Estimates of 2025–26 Seasonal Influenza Vaccine Effectiveness —
  8. Full article: Real-world effectiveness of live attenuated influenza vaccines (LAIV) and inactivated influenza vaccines (IIV) in children from 2003 to 2023: a systematic literature review and network meta-analysis

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