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March 15, 2026MMWR Morbidity and Mortality Weekly Report9 citationsOpen Access

Interim Estimates of 2025–26 Seasonal Influenza Vaccine Effectiveness — United States, September 2025–February 2026

PMPatrick MaloneyEREmily L. ReevesKWKristina Wielgosz

Key Points

  • The aim is to evaluate the effectiveness of the influenza vaccine during the 2025-26 season among various age groups in the U.S.
  • Utilized a test-negative case-control design
  • Analyzed outpatient visits and hospitalizations for acute respiratory illness
  • Gathered data from three U.S. respiratory virus VE networks
  • Vaccine effectiveness (VE) was 38%-41% for children and adolescents against outpatient visits
  • VE was 22%-34% for adults against outpatient visits
  • VE against influenza A for children was 37%-42% and for adults was 30%-34%
  • VE against influenza B outpatient visits ranged from 45%-71% for children and was 63% for adults
  • Air flu vaccination offers protection despite lower effectiveness than in previous seasons.

Abstract

In the United States, annual influenza vaccination has been recommended for all persons aged ≥6 months, including during the 2025-26 season. Interim influenza vaccine effectiveness (VE) estimates were calculated for patients with acute respiratory illness-associated outpatient visits and hospitalizations from three U.S. respiratory virus VE networks during the 2025-26 influenza season, using a test-negative case-control design. Among children and adolescents aged <18 years, VE was 38%-41% against influenza outpatient visits and 41% against influenza-associated hospitalization. Among adults aged ≥18 years, VE was 22%-34% against influenza outpatient visits and 30% against influenza-associated hospitalization. Among children and adolescents, VE against influenza A ranged from 37% (against outpatient visits) to 42% (against hospitalization) across settings; among adults, VE against influenza A ranged from 30% (against hospitalization) to 34% (against outpatient visits) across settings. Among children and adolescents, VE against influenza A(H3N2)-associated outpatient visits was 35% and against influenza A(H3N2)-associated hospitalization was 38%. VE against influenza B outpatient visits ranged from 45%-71% among children and adolescents and was 63% among adults. Other estimates of VE were not statistically significant or were not reportable. Although interim influenza VE is lower during the 2025-26 influenza season than it was during recent influenza seasons, these findings demonstrate that influenza vaccination still provides protection against influenza. CDC recommends influenza vaccination; U.S. influenza vaccines remain available for persons aged ≥6 months.

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Cite This Study

Maloney et al. (2026) studied this question.

synapsesocial.com/papers/69b64ccdb42794e3e660df5bhttps://doi.org/10.15585/mmwr.mm7509a2
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