Flu Vaccine Effectiveness (VE) Data for 2022-2023

CDC References (severe flu outcomes): NVSN (preliminary): February 2023 ACIP Presentation [4.5 MB, 25 pages]; VISION: Adams, et al., 2024; Tenforde, et al., 2023; IVY: Lewis, et al., 2023

External Reference (medically attended flu illness): Marshfield, WI (preliminary)McLean, et al., 2023

Inclusion Dates by Network

Network

Network

Network

Dates

Dates

Dates

September 2022 – January 2023

Dates

September 2022 – January 2023

Flu Vaccine Effectiveness for Children

TABLE 1. Number and percentage of children (6 months to 17 years) receiving seasonal influenza vaccine and vaccine effectiveness* by influenza type and subtype†— two networks, United States, 2022–23 influenza season
Network (Setting) Influenza positive N vaccinated / Total (%) Influenza negative N vaccinated / Total (%) VE (95% CI)
Any Influenza A
NVSN (Outpatient & Inpatient)*** 123/640 (19%) 750/2256 (33%) 49 (36–60)
NVSN (Outpatient)*** 104/507 (21%) 461/1330 (35%) 42 (25–56)
VISION (Outpatient) 2058/13547 (15%) 8459/31240 (27) 48 (44–52)
NVSN (Inpatient)*** 19/131 (15%) 288/913 (32%) 68 (46–81)
VISION (Inpatient) 46/263 (17) 534/1599 (33) 40 (6–61)
Influenza A(H1N1)pdm09
NVSN (Outpatient & Inpatient)*** 23/139 (17%) 750/2256 (33%) 56 (28–72)
Influenza A(H3N2)
NVSN (Outpatient & Inpatient)*** 98/478 (21%) 750/2256 (33%) 45 (29–58)

*VE was estimated using the test-negative design comparing vaccination odds among persons who tested positive for influenza to vaccination odds among persons who tested negative for any influenza and SARS-CoV-2. Calculated as (1 − adjusted OR ) × 100%; ORs were estimated using logistic regression.

Subtype was not available for VISION.

All networks adjusted for geographic region, age, calendar time. VISION adjusted for sex and race/ethnicity. VE estimates with fewer than 50 cases or from models that did not converge are not presented and are represented with a “—”

††Outpatient is defined as emergency departments for NVSN. Outpatient is defined as urgent care and emergency departments for VISION.

***NVSN data are preliminary.

Flu Vaccine Effectiveness for Adults

TABLE 2. Number and percentage of adults (≥18 years) receiving seasonal influenza vaccine and vaccine effectiveness* by influenza type and subtype†— two networks, United States, 2022–23 influenza season
Network (Setting) Influenza positive N vaccinated / Total (%) Influenza negative N vaccinated / Total (%) Adjusted VE (95% CI)
All adults (aged ≥18 years)
Any Influenza A
VISION (Outpatient) 3492/14484 (24%) 28760/70905 (41%) 44 (40–47)
IVY (Inpatient) 235/714 (33%) 1462/2993 (49%) 37 (27–46)
VISION (Inpatient) 733/1874 (39%) 9700/17877 (54%) 35 (27–43)
Influenza A(H1N1)pdm09
IVY (Inpatient) 44/145 (30%) 1462/2993 (49%) 47 (23–64)
Influenza A(H3N2)
IVY (Inpatient) 96/286 (34%) 1462/2993 (49%) 29 (6–46)
Adults (aged 18–64 years)
Any Influenza A
VISION (Outpatient) 1728/10917 (16%) 12289/44506 (28%) 45 (41–48)
IVY (Inpatient) 90/383 (23%) 579/1415 (41%) 47 (30–60)
VISION (Inpatient) 161/661 (24%) 1756/5133 (34%) 23 (4–39)
Older adults (aged ≥65 years)
Any Influenza A
VISION (Outpatient) 1764/3567 (49%) 16471/26399 (62%) 41 (36–46)
IVY (Inpatient) 145/331 (44%) 883/1578 (56%) 27 (10–43)
VISION (Inpatient) 572/1213 (47%) 7944/12744 (62%) 41 (33–48)
Immunocompromised Adults
Any Influenza A
IVY (Inpatient)1 41/103 (40%) 281/500 (56%) 49 (19–68)
VISION (Outpatient)2 65/185 (35%) 1109/2381 (47%) 38 (10–58)
VISION (Inpatient)2 141/314 (45%) 2562/4414 (58%) 32 (11–48)

*VE was estimated using the test-negative design comparing vaccination odds among persons who tested positive for influenza to vaccination odds among persons who tested negative for any influenza and SARS-CoV-2. Calculated as (1 − adjusted OR) × 100%; ORs were estimated using logistic regression.

Subtype was not available for VISION.

All networks adjusted for geographic region, age, calendar time. IVY and VISION, adjusted for sex and race/ethnicity. VE estimates with fewer than 50 cases or from models that did not converge are not presented and are represented with a “—”

**Outpatient is defined as urgent care and emergency departments for VISION.

Includes active solid-organ cancer, active hematologic cancer, solid-organ transplant, bone marrow/stem cell transplant, HIV infection, congenital immunodeficiency syndrome, use of an immunosuppressive medication within the last 30 days, splenectomy, graft-versus-host disease (currently or in the past), or any other condition that causes moderate or severe immunosuppression.

2Defined as at least one discharge diagnosis for solid malignancy, hematologic malignancy, rheumatologic or inflammatory disorder, other intrinsic immune condition or immunodeficiency, or organ or stem cell transplant.

Related Publications

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.