Influenza: how do previous vaccination and infection moderate risk?

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Takeaway

  • Prior season influenza vaccination reduced vaccine effectiveness (VE), but not in patients with previous season infection.

Why this matters

  • Accumulating evidence indicates repeated influenza vaccination negatively affects VE; however, this has not been examined in the context of previous influenza infection.

Study design

  • Prospective, population-based, single-center.
  • Outpatients with influenza-like illness (ILI) over 3 consecutive seasons (2009-2012).
  • Prior trivalent inactivated influenza vaccination (TIV) and medically attended influenza A (MA-fluA) status collected.
  • Test-negative case-control design to estimate VE of current-season TIV against MA-fluA in the context of prior season infection.
  • Funding: JSPS KAKENHI Grant-in-Aid for Young Scientists.

Key results

  • 5838 ILI episodes (4127 part...