Seasonal vaccine effectiveness by type and subtype measured by test-negative design studies in Australia [24,25,26], Canada [27,28,29,30,31,32,33,34], Europe [35], and the United States [36,37,38,39,40,41,42,43] from the 2009–2010 season to the 2016–2017 season. European VEs include data from study sites in Germany, Spain, France, Croatia, Hungary, Ireland, Italy, the Netherlands, Poland, Portugal, Romania, and Sweden. Error bars show 95% CIs. VE in the United States measures effectiveness against medically attended ARI caused by influenza. Elsewhere, VE measures effectiveness against medically attended ILI caused by influenza. European studies enroll individuals over nine years old, while other studies also enroll individuals from younger age groups.