Table 3.
Age range (years) |
||||||||
---|---|---|---|---|---|---|---|---|
0–2 | 3–4 | 5–17 | 18–49 | 50–64 | 65–74 | ≥75 | Sources | |
Vaccine acquisition cost per dose ($)a | 37 | |||||||
IIV3, public cost | 7.75 | 7.75 | 7.75 | 7.52 | 7.52 | 7.52 | 7.52 | |
IIV3, private sector cost | 10.69 | 11.30 | 11.30 | 11.90 | 11.90 | 11.90 | 11.90 | |
IIV4, public cost | 15.29 | 13.65 | 13.65 | 12.22 | 12.22 | 12.22 | 12.22 | |
IIV4, private sector cost | 18.62 | 16.15 | 16.15 | 16.15 | 16.15 | 16.15 | 16.15 | |
Vaccine administration cost ($) | 38 | |||||||
Visit costb | 46.57 | 46.57 | 46.57 | 46.57 | 46.57 | 46.57 | 46.57 | |
Administration costc | 25.08 | 25.08 | 25.08 | 25.08 | 25.08 | 25.08 | 25.08 | |
Cost per vaccine-related AE ($)d | 39,41,43 | |||||||
Anaphylaxis | 3,864 | 3,864 | 3,864 | 592 | 636 | 629 | 629 | |
Guillain-Barre syndrome | 33,427 | 33,427 | 33,427 | 86,237 | 86,237 | 86,237 | 86,237 | |
Vaccine efficacies (IIV3 and IIV4) (%) | 8,9,16,44-46 | |||||||
Type A | 59.0 | 59.0 | 59.0 | 61.0 | 61.0 | 58.0 | 58.0 | |
Type B included in vaccine | 66.0 | 66.0 | 77.0 | 77.0 | 73.0 | 69.0 | 66.0 | |
Type B not included in vaccine | 44.0 | 44.0 | 52.0 | 52.0 | 49.0 | 47.0 | 44.0 |
AE, adverse event; IIV3, trivalent inactivated influenza vaccine; IIV4, quadrivalent inactivated influenza vaccine.
The median public and median private cost for IIV3 and IIV4 indicated for each age group are shown. The model used the weighted average of public and private costs (2014 US dollars), assuming public costs were incurred for 63.2% of those aged <1 year, 55.8% for 1–2 years, 50.9% for 3–6 years, 41.7% for 7–17 years, and 0% for adults (personal communication [unpublished data]: 2010 VFC Eligible Children. Centers for Medicare & Medicaid Services. VFC Comparison of Regional Maximum Rate for Vaccine Administration to Current State Rate. “2010PES_final_8/18/09”).
Visit cost based on the average of CPT codes 99213 (physician, $73.08) and 99211 (nurse, $20.06).38
Vaccine administration cost based on CPT codes 90460 (children) and 90471 (adults).38
Inflated to 2013 US dollars.43