How well does the flu vaccine work?
Flu vaccination typically reduces the risk of flu illness by between 40% and 60% during seasons when the flu viruses are well-matched to the flu vaccine. But if you are infected with the virus, the vaccine reduces your chances of getting the flu and passing it on to others, and lessens the severity of symptoms, hospitalizations and death.
It's important to know that each year the flu vaccine is never 100% effective in preventing flu. Vaccine effectiveness varies from year to year, based on the match of the circulating flu types to the strains contained in the vaccine.
- Results from the 2023-2024 U.S. flu season show that in adults vaccine effectiveness against hospitalization ranged from 41% to 44%. Specifically for children and teens less than 18 years, the flu vaccine was 71% effective for preventing symptomatic influenza A illness.
- All vaccines in the 2022-2023 flu season were quadrivalent, meaning they targeted 4 strains of the flu, 2 type A flu viruses (H1N1 and H3N2) and 2 type B flu viruses (Victoria and Yamagata lineage) and were well-matched to the circulating viruses. Each year, flu viruses may mutate, meaning new vaccine components will be needed.
- The current 2024-2025 season vaccines are all trivalent. The influenza B/Yamagata vaccine component is being removed because those viruses have not been detected by global flu surveillance since March 2020.
Commonly used flu vaccines include:
- Afluria
- Flublok
- Fluarix
- FluLaval
- Fluzone, Fluzone High Dose
- Flucelvax
- FluMist (nasal)
Not all vaccines are appropriate for all age groups, so check with your healthcare provider. For example, older people 65 years of age and older should use a vaccine for that age group, when available. FluMist is only approved for people 2 through 49 years of age.
FluMist for self- or caregiver administration (which means you could give it at home), was approved in Sept. 2024, but is not expected to be available until the 2025-2026 influenza season. It will still require a prescription.
Annual influenza vaccination is the best strategy for preventing influenza and its complications. Strains can change from year-to-year, and that's one reason why you need the latest flu vaccine each fall.
The U.S. Centers for Disease Control (CDC) recommends that eligible persons aged 6 months and older receive a yearly flu vaccine. The best time is typically in the early fall (Sept or Oct), but if you miss this window it's never too late to get as flu season often goes through Spring in the U.S.
This is not all the information you need to know about the flu vaccine for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider.
References
- Frutos AM, Price AM, Harker E, et al. Interim Estimates of 2023–24 Seasonal Influenza Vaccine Effectiveness — United States. MMWR Morb Mortal Wkly Rep 2024;73:168–174. DOI: http://dx.doi.org/10.15585/mmwr.mm7308a3
- Influenza Vaccine for 2024-2025. Med Lett Drugs Ther. 2024 Sep 16;66(1711):145-50. Accessed Oct 31, 2024 at doi:10.58347/tml.2024.1711a
- McLean HQ, Petrie JG, Hanson KE, et al. Interim Estimates of 2022–23 Seasonal Influenza Vaccine Effectiveness — Wisconsin, October 2022–February 2023. MMWR Morb Mortal Wkly Rep 2023;72:201–205. DOI: http://dx.doi.org/10.15585/mmwr.mm7208a1
- Influenza Vaccine for the 2022-2023 Season. US Food and Drug Administration (FDA). Accessed June 12, 2023 at https://www.fda.gov/vaccines-blood-biologics/lot-release/influenza-vaccine-2022-2023-season
- Influenza. 2022-2023 Season. Dec. 27, 2023. US Centers for Disease Control and Prevention (CDC). Accessed Oct 23, 2024 at https://www.cdc.gov/flu/season/2022-2023.html
- Benefits of the Flu Vaccine Centers for Disease Control and Prevention (CDC). April 14, 2024. Accessed Oct 31, 2024 at https://www.cdc.gov/flu-vaccines-work/benefits/
- Summary: Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2024-25. Centers for Disease Control and Prevention (CDC). Sept 17, 2024. Accessed Oct 23, 2024 at https://www.cdc.gov/flu/hcp/acip/
Read next
How and where is a flu shot injection given?
The flu shot is usually given as an intramuscular (IM) needle injection into the upper, outer arm muscle called the deltoid muscle in people 3 years of age and older. The preferred injection site for infants and young children is the front, outer area of the thigh. The CDC recommends that everyone 6 months of age and older receive a flu vaccine every year, typically in Sept. or Oct. Continue reading
What flu vaccine can I use with an egg allergy?
Egg-free vaccines include Flublok Quadrivalent, for people 18 years and older and Flucelvax Quadrivalent for people 6 months and older. The CDC now states that people with egg-allergy may receive any flu vaccine appropriate for their age and health status. Continue reading
FluMist or Flu Shot: Which is more effective?
Both FluMist nasal flu vaccine and the flu shot offer good protection against influenza when vaccines are well-matched to the year’s circulating virus. In 2023-2024, the flu vaccine was 52% to 61% effective in preventing hospitalization in children 6 months to 17 years and 41% to 44% effective in preventing hospitalization in adults ages 18 years and older. Continue reading
Related medical questions
- Where can I get the flu vaccine right now?
- How can I get a flu vaccine without a needle?
- Which flu vaccines are available?
- Can I get FluMist and the COVID vaccine at the same time?
- When is the best month to get the flu vaccine?
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