Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults: A Cluster Randomized Crossover Study - Summary - MDSpire

Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults: A Cluster Randomized Crossover Study

  • By

  • Amber Hsiao

  • Thomas Leong

  • Bruce Fireman

  • John Hansen

  • Ousseny Zerbo

  • Karen B. Jacobson

  • Lauren D. Liao

  • Mendel D. M. Haag

  • Ian McGovern

  • Bin Zhang

  • Juliet Dang

  • Nicola P. Klein

  • May 4, 2026

  • 0 min

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Objective:

To evaluate the relative vaccine effectiveness (rVE) of adjuvanted vs high-dose influenza vaccines in preventing laboratory-confirmed influenza in adults aged 65 years or older during the 2023 to 2024 influenza season.

Key Findings:
  • Adjuvanted and high-dose vaccines showed comparable effectiveness in preventing laboratory-confirmed influenza, with specific effectiveness rates to be detailed in the full study.
  • The study utilized a robust health care system with comprehensive electronic medical records for accurate data collection.
Interpretation:

Both adjuvanted and high-dose influenza vaccines are effective in older adults, supporting the ACIP's recommendations for their use and highlighting the need for continued vaccination efforts in this vulnerable population.

Limitations:
  • The study was conducted within a single health care system, which may limit generalizability.
  • Patients were not prospectively screened or enrolled, relying on retrospective data, which may introduce biases.
Conclusion:

This study provides evidence that both adjuvanted and high-dose influenza vaccines are effective in older adults, contributing to informed vaccination strategies and public health recommendations.

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