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NousEvidenceInvestigational Prophylactic

Influenza in U.S. High-Risk Populations · Systematic Evidence Curation 2016–2026

Live · 2026-07-09
§ 222 studies
1523 endpoints
Investigational Prophylactic lens
Living Evidence

US RWE Corpus 2016–2026

Continuously curated publications on influenza burden and vaccine performance in US high-risk populations. Every study is 1 click from PubMed.

Studies
111
Recent (2024+)
31
+66% vs 2020–22
Open access
44
39% full-text
Endpoints
914
Clinical + Economic
IC studies
1 of 112
99.1% evidence void
Data provenance
Curated from a targeted PubMed / Embase / CCTR search (June 7, 2026 run). Only US-population RWE with observational/registry/surveillance design. Grey lit included from RSVVW, RTI, ESWI, ISRV, IDWeek. In production, an auto-updating PubMed E-utilities poller keeps this current every 24h.

Publications over time

US corpus by year

PRISMA flow

Identified → screened → verified → extracted

Identified · 999Deduplicated · 599In corpus · 333AI proposed include · 112Verified include · 112Extracted · 111Duplicates: 400Off-topic (AI): 213Uncertain: 7

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Filter, sort, and search the full 111 US publications. Click any row to open the citation drawer.

112 of 112
YearTitleDesignNTierData sourceRigorPMID
2026Influenza Activity and Estimated Vaccine Effectiveness During the 2025-2026 Influenza SeasonSurveillance168,658clinical laboratories; public health lab★★★★★
2026Interim Estimates of 2025-26 Seasonal Influenza Vaccine Effectiveness - United States, September 2025-February 2026Test-negative CC142,494New Vaccine Surveillance Network (NVSN),★★★★
2026Maximizing public health benefits: Policy perspectives on coverage and cell-based influenza vaccines in the USModelingDecision-tree model projections★★★★★
2026Comparative Effectiveness of Different Influenza Vaccine Formulations among Patients Undergoing Maintenance HemodialysisCohort578,232United States Renal Data System database★★★★
2026Severity of Clinical Presentation and Outcomes in Hospitalized Adult People With Influenza by Type and Subtype, United States-2017-2020SurveillanceHospitalized adults aged ≥18 years in 4 ★★★★★
2026Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults: A Cluster Randomized Crossover StudyRCT429,595T3 ≥65Kaiser Permanente Northern California★★★★★
2026Differences in influenza vaccine effectiveness by sex among adults hospitalized with acute respiratory illness-IVY network, January 24, 2022-September 1, 2024Test-negative CCIVY network★★★★
2025Vaccine Effectiveness Against Influenza A(H1N1), A(H3N2), and B-Associated Hospitalizations, United States, 1 September 2023 to 31 May 2024Test-negative CC7,690multistate sentinel surveillance network★★★★
2025Comparable effectiveness of MF59®-adjuvanted and high-dose quadrivalent inactivated influenza vaccines for prevention of test-confirmed influenza during the 2022-2023 influenza seasonTest-negative CC30,911T3 ≥65Optum Market Clarity database★★★★
2025Estimated impact of 2022-2023 influenza vaccines on annual hospital burden in the United StatesModelingDecision-tree model projections★★★★★
2025Vaccine effectiveness against influenza-associated hospitalizations in adults with liver disease, 2015-2020: US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN)Test-negative CC12,704US Hospitalized Adult Influenza Vaccine ★★★★
2025Identification and characterisation of clinically distinct subgroups of adults hospitalised with influenza in the USA: a repeated cross-sectional studySurveillance15,873FluSurv-NET★★★★★
2025Influenza Vaccine Effectiveness Against Hospitalizations and Emergency Department or Urgent Care Encounters for Children, Adolescents, and Adults During the 2023-2024 Season, United StatesTest-negative CC341,606healthcare encounters data from health s★★★★
2025Interim Estimates of 2024-2025 Seasonal Influenza Vaccine Effectiveness - Four Vaccine Effectiveness Networks, United States, October 2024-February 2025Test-negative CC185,141IVY; NVSN; U.S. Flu VE; VISION★★★★
2025Influenza-Associated Hospitalizations During a High Severity Season - Influenza Hospitalization Surveillance Network, United States, 2024-25 Influenza SeasonSurveillance38,960FluSurv-NET★★★★★
2025Recombinant vs Egg-Based Quadrivalent Influenza Vaccination for Nursing Home Residents: A Cluster Randomized TrialRCT144,565T3 ≥65Medicare claims data★★★★★
2024Influenza Vaccine Effectiveness Against Influenza A-Associated Emergency Department, Urgent Care, and Hospitalization Encounters Among US Adults, 2022-2023Test-negative CC105,140NR★★★★
2024A clinical and economic assessment of adjuvanted trivalent versus standard egg-derived quadrivalent influenza vaccines among older adults in the United States during the 2018-19 and 2019-20 influenza seasonsCohort2,187,237T3 ≥65deidentified US hospital data linked to ★★★★
2024Comparative Effectiveness of Licensed Influenza Vaccines in Preventing Influenza-related Medical Encounters and Hospitalizations in the 2022-2023 Influenza Season Among Adults ≥65 Years of AgeCohort495,119T3 ≥65Kaiser Permanente Southern California★★★★
2024Influenza Vaccine Effectiveness Pre-pandemic Among Adults Hospitalized With Congestive Heart Failure or Chronic Obstructive Pulmonary Disease and Older AdultsTest-negative CC1,515Prospective enrollment at 2 US hospitals★★★★
2024Relative Effectiveness of the MF59-Adjuvanted Influenza Vaccine Versus High-Dose Influenza Vaccine in Older Adults With Influenza Risk Factors During the 2019-2020 US Influenza Seasonretrospective cohort3,677,443Veradigm Network EHR, linked with Komodo★★★★★
2024The Potential Benefits of Delaying Seasonal Influenza Vaccine Selections for the Northern Hemisphere: A Retrospective Modeling Study in the United StatesModelingSEIR (susceptible-exposed-infectious-rec★★★★★
2024Estimating the Burden of Influenza Hospitalizations Across Multiple Seasons Using Capture-RecaptureSurveillanceEmerging Infections Program (EIP), Hospi★★★★★
2024Relative vaccine effectiveness of MF59-adjuvanted vs high-dose trivalent inactivated influenza vaccines for prevention of test-confirmed influenza hospitalizations during the 2017-2020 influenza seasonsTest-negative CCT3 ≥65NR★★★★
2024Economic burden and secondary complications of influenza-related hospitalization among adults in the US: a retrospective cohort studyretrospective claims analysisPINC AI Healthcare Database★★★★★
2024Incidence of Influenza-related Medical Encounters and the Associated Healthcare Resource Use and Complications Across Adult Age Groups in the United States During the 2015-2020 Influenza Seasonsretrospective claims analysisVeradigm Network EHR linked to closed me★★★★★
2024The association between influenza vaccination uptake and influenza and pneumonia-associated deaths in the United StatesModeling480,111publicly available data★★★★★
2024Relative effectiveness of adjuvanted versus non-adjuvanted influenza vaccines in older adults with risk factors for influenza complications during the 2019-2020 U.S. influenza seasonCohort1,673,832T3 ≥65Veradigm Network EHR linked to insurance★★★★
2024High-Dose vs. Standard-Dose Influenza Vaccine and Cardiopulmonary Hospitalization or Mortality: Emulating the INVESTED Trial Using Insurance Claims Dataretrospective claims analysis106,786Medicare claims data★★★★★
2024Relative Effectiveness of the MF59®-Adjuvanted Influenza Vaccine Versus High-Dose and Non-Adjuvanted Influenza Vaccines in Preventing Cardiorespiratory Hospitalizations During the 2019-2020 US Influenza Seasonretrospective cohort4,299,594T3 ≥65Veradigm Health Insights electronic medi★★★★★
2024Social Vulnerability, Intervention Utilization, and Outcomes in US Adults Hospitalized With Influenzaretrospective claims analysis57,964FluSurv-NET★★★★★
2023High-Dose Influenza Vaccine Is Associated With Reduced Mortality Among Older Adults With Breakthrough Influenza Even When There Is Poor Vaccine-Strain Matchretrospective cohort44,456T3 ≥65Optum's deidentified Clinformatics Data ★★★★★
2023Temporal Association Among Influenza-Like Illness, Cardiovascular Events, and Vaccine Dose in Patients With High-Risk Cardiovascular Disease: Secondary Analysis of a Randomized Clinical TrialRCT3,094T2 ComorbidINVESTED trial★★★★★
2023Vaccine Effectiveness Against Influenza A(H3N2)-Associated Hospitalized Illness: United States, 2022Test-negative CC2,334multistate sentinel surveillance network★★★★
2023Vaccine effectiveness of recombinant and standard dose influenza vaccines against influenza related hospitalization using a retrospective test-negative designTest-negative CC14,590hospital system electronic medical recor★★★★
2023Modeling the potential health impacts of delayed strain selection on influenza hospitalization and mortality with mRNA vaccinesModelingT3 ≥65Decision-tree model projections★★★★★
2023Additional Burden Averted in the United States From Use of MF59-Adjuvanted Seasonal Influenza Vaccine Compared With Standard Seasonal Influenza Vaccine Among Adults ≥65 YearsModeling52,788,000T3 ≥65CDC model★★★★★
2023High Clinical Burden of Influenza Disease in Adults Aged ≥ 65 Years: Can We Do Better? A Systematic Literature ReviewSurveillance156,198,287T3 ≥65Systematic literature review of 99 publi★★★★★
2023The Impact of Adjuvanted Influenza Vaccine on Disease Severity in the US: A Stochastic ModelModelingT3 ≥65Decision-tree model projections★★★★★
2022Influenza Vaccine Uptake and Missed Opportunities Among the Medicare-Covered Population With High-Risk Conditions During the 2018 to 2019 Influenza Season : A Retrospective Cohort Studyretrospective claims analysis31,600,000Medicare fee-for-service claims★★★★★
2022High-dose influenza vaccines for the prevention of hospitalization due to cardiovascular events in older adults in the nursing home: Post-hoc analysis of a cluster-randomized trialRCTT3 ≥65Medicare-enrolled long-stay residents in★★★★★
2022Influenza vaccine in chronic obstructive pulmonary disease among elderly male veteransCohort1,690,585VHA electronic medical records and Medic★★★★
2022Relative Effectiveness of Cell-Based Versus Egg-Based Quadrivalent Influenza Vaccines in Adults During the 2019-2020 Influenza Season in the United StatesCohort5,625,478Veradigm Health Insights Ambulatory data★★★★
2022Comparative effectiveness of adjuvanted versus high-dose seasonal influenza vaccines for older adults: a systematic review and meta-analysisretrospective cohortT3 ≥65NR★★★★★
2022Relationships Between Community Virus Activity and Cardiorespiratory Rehospitalizations From Post-Acute Careretrospective cohort5,053,231T3 ≥65Medicare Provider Analysis and Review cl★★★★★
2021A retrospective cohort study assessing relative effectiveness of adjuvanted versus high-dose trivalent influenza vaccines among older adults in the United States during the 2018-19 influenza seasonCohort2,234,094T3 ≥65claims and hospital data★★★★
2021Seasonal influenza vaccination is associated with reduced risk of death among Medicare beneficiaries(☆)retrospective claims analysis26,000,000T3 ≥65US Center for Medicare and Medicaid Serv★★★★★
2021Effectiveness of Influenza Vaccine for Preventing Laboratory-Confirmed Influenza Hospitalizations in Immunocompromised AdultsTest-negative CC3,524T1b Mod ICelectronic medical record data★★★★
2021Cluster-randomized Trial of Adjuvanted Versus Nonadjuvanted Trivalent Influenza Vaccine in 823 US Nursing HomesRCT50,012T3 ≥65Cluster-randomized trial of US NH reside★★★★★
2021Estimating public health and economic benefits along 10 years of Fluzone® High Dose in the United StatesModelingT3 ≥65Budget impact model using a decision tre★★★★★
2021Comparative Effectiveness of Influenza Vaccines Among US Medicare Beneficiaries Ages 65 Years and Older During the 2019-2020 SeasonCohort12,700,000T3 ≥65Medicare★★★★
2021Geographic variation in influenza vaccination among U.S. nursing home residents: A national studyCohort2,817,217T3 ≥65100% of 2013-2015 fee-for-service Medica★★★★
2021Cost-benefit analysis of vaccination against four preventable diseases in older adults: Impact of an aging populationCEAT3 ≥65Decision-tree model projections★★★★★
2021Vaccine Effectiveness Against Influenza-Associated Hospitalizations Among Adults, 2018-2019, US Hospitalized Adult Influenza Vaccine Effectiveness NetworkTest-negative CC2,863US Hospitalized Adult Influenza Vaccine ★★★★
2021Comparing the Clinical and Economic Outcomes Associated with Adjuvanted versus High-Dose Trivalent Influenza Vaccine among Adults Aged ≥ 65 Years in the US during the 2019-20 Influenza Season-A Retrospective Cohort Analysisretrospective cohort2,452,417T3 ≥65IQVIA's New Data Warehouse: Professional★★★★★
2021Optimizing antiviral treatment for seasonal influenza in the USA: a mathematical modeling analysisModelingweekly influenza data from Texas, Califo★★★★★
2021Relative and Absolute Effectiveness of High-Dose and Standard-Dose Influenza Vaccine Against Influenza-Related Hospitalization Among Older Adults-United States, 2015-2017Test-negative CC1,487T3 ≥65United States Hospitalized Adult Influen★★★★
2021Economic evaluation of high-dose inactivated influenza vaccine in adults aged ≥65 years: A systematic literature review★★★★★
2021Sociodemographic Disparities in Influenza Vaccination Among Adults With Atherosclerotic Cardiovascular Disease in the United Statesretrospective claims analysis19,793T2 ComorbidMedical Expenditure Panel Survey★★★★★
2021Influenza Vaccine Effectiveness for Prevention of Severe Influenza-Associated Illness Among Adults in the United States, 2019-2020: A Test-Negative StudyTest-negative CC638intensive care unit (ICU) network at 10 ★★★★
2021Effect of High-Dose Trivalent vs Standard-Dose Quadrivalent Influenza Vaccine on Mortality or Cardiopulmonary Hospitalization in Patients With High-risk Cardiovascular Disease: A Randomized Clinical TrialRCT5,260T2 ComorbidPragmatic multicenter, double-blind, act★★★★★
2021Influenza Vaccine Effectiveness Against Hospitalization in the United States, 2019-2020Test-negative CC3,11614 hospitals★★★★
2020Comparative Effectiveness of High-Dose Versus Standard-Dose Influenza Vaccine Among Patients Receiving Maintenance HemodialysisCohort507,552T2 ComorbidUS Renal Data System★★★★
2020High-dose influenza vaccination and mortality among predominantly male, white, senior veterans, United States, 2012/13 to 2014/15Cohort569,552T3 ≥65Veterans Health Administration (VHA) and★★★★
2020Outcomes of Immunocompromised Adults Hospitalized With Laboratory-confirmed Influenza in the United States, 2011-2015Surveillance35,348CDC's Influenza Hospitalization Surveill★★★★★
2020Interim Estimates of 2019-20 Seasonal Influenza Vaccine Effectiveness - United States, February 2020Test-negative CC4,112U.S. Influenza Vaccine Effectiveness Net★★★★
2020A real-world study evaluating the relative vaccine effectiveness of a cell-based quadrivalent influenza vaccine compared to egg-based quadrivalent influenza vaccine in the US during the 2017-18 influenza seasonretrospective claims analysis3,084,062IQVIA PharMetrics Plus® database★★★★★
2020Varying Vaccination Rates Among Patients Seeking Care for Acute Respiratory Illness: A Systematic Review and Meta-analysisModeling46,462US Flu Vaccine Effectiveness Network★★★★★
2020Relative effectiveness of high dose versus standard dose influenza vaccines in older adult outpatients over four seasons, 2015-16 to 2018-19Test-negative CC3,861T3 ≥65US Influenza VE Network★★★★
2020Influenza in hospitalised patients with malignancy: a propensity score matching analysisretrospective claims analysis13,186,849National Inpatient Sample★★★★★
2020Waning of Influenza Vaccine Protection: Exploring the Trade-offs of Changes in Vaccination Timing Among Older AdultsModelingT3 ≥65health state transition model★★★★★
2020Annual Wellness Visits and Influenza Vaccinations among Older Adults in the USCohort4,999T3 ≥65Health and Retirement Study (HRS) linked★★★★
2020Relative vaccine efficacy of high-dose versus standard-dose influenza vaccines in preventing probable influenza in a Medicare Fee-for-Service populationretrospective claims analysis11,475,752T3 ≥65Medicare Fee-for-Service enrollees★★★★★
2020Evaluating the Relative Vaccine Effectiveness of Adjuvanted Trivalent Influenza Vaccine Compared to High-Dose Trivalent and Other Egg-Based Influenza Vaccines among Older Adults in the US during the 2017-2018 Influenza SeasonCohort1,822,946T3 ≥65IQVIA databases: Professional Fee Claims★★★★
2020Projected Population Benefit of Increased Effectiveness and Coverage of Influenza Vaccination on Influenza Burden in the United StatesModelingmathematical model★★★★★
2020Acute Cardiovascular Events Associated With Influenza in Hospitalized Adults : A Cross-sectional StudySurveillance80,261U.S. Influenza Hospitalization Surveilla★★★★★
2020Comparative effectiveness of high dose versus adjuvanted influenza vaccine: A retrospective cohort studyretrospective claims analysis2,124,713T3 ≥65Optum's Clinformatics® Data Mart★★★★★
2020Influenza vaccination coverage among adults with diabetes, United States, 2007-08 through 2017-18 seasonsSurveillanceT2 ComorbidNational Health Interview Surveys★★★★★
2019Restriction of Pharmacoepidemiologic Cohorts to Initiators of Medications in Unrelated Preventive Drug Classes to Reduce Confounding by Frailty in Older AdultsCohortT3 ≥65US Medicare beneficiaries★★★★
2019Economic assessment of a high-dose versus a standard-dose influenza vaccine in the US Veteran population: Estimating the impact on hospitalization cost for cardio-respiratory diseaseCEA3,658,636T3 ≥65Veteran's Health Administration (VHA) an★★★★★
2019Future epidemiological and economic impacts of universal influenza vaccinesModelingtransmission model of influenza A subtyp★★★★★
2019Cost-effectiveness of increased influenza vaccination uptake against readmissions of major adverse cardiac events in the USCEA705,357T2 ComorbidDecision-tree model projections★★★★★
2019Assessing Residual Bias in Estimating Influenza Vaccine Effectiveness: Comparison of High-dose Versus Standard-dose Vaccinesretrospective claims analysis350,921T2 ComorbidMedicare data from the United States end★★★★★
2019Effect of Age on Relative Effectiveness of High-Dose Versus Standard-Dose Influenza Vaccines Among US Medicare Beneficiaries Aged ≥65 YearsCohort19,000,000T3 ≥65Medicare★★★★
2019Prevention of Influenza Hospitalization Among Adults in the United States, 2015-2016: Results From the US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN)Test-negative CC1,467US Hospitalized Adult Influenza Vaccine ★★★★
2019Interim Estimates of 2018-19 Seasonal Influenza Vaccine Effectiveness - United States, February 2019Test-negative CC3,254U.S. Influenza Vaccine Effectiveness Net★★★★
2019Seasonal Influenza Vaccination Coverage Trends Among Adult Populations, U.S., 2010-2016Surveillance29,345National Health Interview Survey★★★★★
2019Comparison of vaccine effectiveness against influenza hospitalization of cell-based and egg-based influenza vaccines, 2017-2018Test-negative CC8,132Kaiser Permanente Southern California★★★★
2019Hospitalization following outpatient medical care for influenza: US influenza vaccine effectiveness network, 2011-12-2015-16Surveillance7,813US Influenza Vaccine Effectiveness (Flu ★★★★★
2019Update: Influenza Activity - United States, September 30, 2018-February 2, 2019Surveillance536,301CDC influenza surveillance system★★★★★
2018Severe morbidity among hospitalised adults with acute influenza and other respiratory infections: 2014-2015 and 2015-2016Cohort1,119Electronic medical records of University★★★★
2018Influenza in older patients: a call to action and recent updates for vaccinationsModelingT3 ≥65★★★★★
2018Vaccines for preventing influenza in the elderlyRCT5,000T3 ≥65Cochrane Central Register of Controlled ★★★★★
2018Interim Estimates of 2017-18 Seasonal Influenza Vaccine Effectiveness - United States, February 2018Test-negative CC4,562U.S. Influenza Vaccine Effectiveness Net★★★★
2018Update: Influenza Activity in the United States During the 2017-18 Season and Composition of the 2018-19 Influenza VaccineSurveillance1,210,053U.S. WHO Collaborating Laboratories; Nat★★★★★
2018High-Dose Seasonal Influenza Vaccine in Patients Undergoing DialysisCohortT2 Comorbidnational database★★★★
2018Effective Immunization of Older Adults Against Seasonal InfluenzaModelingT3 ≥65NR★★★★★
2018Influenza vaccination coverage estimates in the fee-for service Medicare beneficiary population 2006 - 2016: Using population-based administrative data to support a geographic based near real-time toolretrospective claims analysisT3 ≥65Medicare fee-for-service administrative ★★★★★
2018Feasibility of a cluster-randomized influenza vaccination trial in U.S. nursing homes: Lessons learnedRCT2,957T3 ≥65Minimum Data Set (MDS) 3.0 and Vital Sta★★★★★
2018Economic burden of seasonal influenza in the United StatesModelingDecision-tree model projections★★★★★
2018Within-season influenza vaccine waning suggests potential net benefits to delayed vaccination in older adults in the United StatesModelingT3 ≥65historical data (2010/2011-2015/2016, in★★★★★
2018Cost-effectiveness of increasing vaccination in high-risk adults aged 18-64 Years: a model-based decision analysisModelingDecision-tree model projections★★★★★
2018Optimizing the impact of low-efficacy influenza vaccinesModelingmathematical model of influenza transmis★★★★★
2018Influenza vaccine for chronic obstructive pulmonary disease (COPD)RCT6,750Cochrane Airways Trials Register★★★★★
2017Controlling confounding by frailty when estimating influenza vaccine effectiveness using predictors of dependency in activities of daily livingCohort2,235,140T3 ≥65Medicare claims data★★★★
2017Comparative Effectiveness of High-Dose Versus Standard-Dose Influenza Vaccines Among US Medicare Beneficiaries in Preventing Postinfluenza Deaths During 2012-2013 and 2013-2014retrospective claims analysis6,108,412T3 ≥65Medicare beneficiaries★★★★★
2017Cost-effectiveness of seasonal quadrivalent versus trivalent influenza vaccination in the United States: A dynamic transmission modeling approachModeling313,914,040Decision-tree model projections★★★★★
2017Influenza Vaccination Modifies Disease Severity Among Community-dwelling Adults Hospitalized With InfluenzaCohortInfluenza Hospitalization Surveillance N★★★★
2017Influenza vaccination status and outcomes among influenza-associated hospitalizations in Columbus, Ohio (2012-2015)Surveillance2,071FluSurv-NET★★★★★
2016A cluster randomized controlled trial comparing relative effectiveness of two licensed influenza vaccines in US nursing homes: Design and rationaleRCT53,035T3 ≥65Medicare inpatient hospitalization claim★★★★★
2016Case-Control Study of Vaccine Effectiveness in Preventing Laboratory-Confirmed Influenza Hospitalizations in Older Adults, United States, 2010-2011Test-negative CC1,141Emerging Infections Program surveillance★★★★
2016Fluzone® High-Dose Influenza VaccineCEAT3 ≥65★★★★★
Design distribution:test negative case control 24modeling study 20cohort study 19surveillance study 14retrospective claims analysis 14randomized controlled trial 10retrospective cohort 6cost effectiveness analysis 4