Table 2. Interim vaccine effectiveness (VE) against all laboratory-confirmed influenza, influenza A, A(H1N1)pdm09, A(H3N2) and B, by age group, target group for vaccination and by study, six European studies, influenza season 2019/20.
Influenza (sub)type and study | Setting | Study populationa | Cases | Controls | VEb | 95% CI | ||||
---|---|---|---|---|---|---|---|---|---|---|
All | Vacc | % | All | Vacc | % | |||||
All influenza (A and B) | ||||||||||
DK-PCc | PC | All ages | 1,715 | 119 | 7 | 11,127 | 1,349 | 12 | 56 | 46 to 65 |
0–17 years | 669 | 1 | < 1 | 3,793 | 669 | 18 | 95 | 67 to 99 | ||
18–64 years | 862 | 48 | 6 | 5,436 | 480 | 9 | 58 | 43 to 69 | ||
≥ 65 years | 184 | 70 | 38 | 1,898 | 808 | 43 | 40 | 18 to 57 | ||
ES-PC | PC | All ages | 955 | 46 | 5 | 843 | 79 | 9 | 61 | 37 to 76 |
0–14 years | 416 | 14 | 3 | 298 | 15 | 5 | 67 | 18 to 87 | ||
15–64 years | 513 | 19 | 4 | 473 | 27 | 6 | 55 | 10 to 77 | ||
Target groupd | 105 | 27 | 26 | 181 | 57 | 31 | 60 | 22 to 79 | ||
EU-PC | PC | All ages | 1,052 | 76 | 7 | 1,935 | 211 | 11 | 53 | 34 to 67 |
0–17 years | 419 | 12 | 3 | 810 | 28 | 4 | 64 | 16 to 85 | ||
18–64 years | 566 | 33 | 6 | 920 | 81 | 9 | 51 | 21 to 70 | ||
Target groupd | 197 | 52 | 26 | 509 | 158 | 31 | 53 | 26 to 70 | ||
UK-PC | PC | All ages | 782 | 114 | 15 | 1,766 | 308 | 17 | 29 | 4 to 48 |
2–17 years | 303 | 24 | 8 | 358 | 28 | 8 | 37 | −21 to 67 | ||
18–64 years | 379 | 44 | 12 | 937 | 119 | 13 | 36 | 1 to 58 | ||
≥ 65 years | 72 | 46 | 64 | 281 | 161 | 57 | 26 | −44 to 62 | ||
DK-Hc | H | All ages | 658 | 168 | 26 | 10,103 | 2,745 | 27 | 40 | 27 to 51 |
18–64 years | 237 | 30 | 13 | 3,397 | 533 | 16 | 48 | 22 to 65 | ||
≥ 65 years | 315 | 134 | 43 | 5,008 | 2,166 | 43 | 35 | 17 to 49 | ||
EU-Hc | H | ≥ 65 years | 128 | 54 | 42 | 473 | 312 | 66 | 60 | 39 to 74 |
Influenza A | ||||||||||
DK-PC | PC | All ages | 1,540 | 115 | 8 | 11,127 | 1,349 | 12 | 54 | 43 to 63 |
0–17 years | 579 | 1 | < 1 | 3,793 | 61 | 2 | 95 | 63 to 99 | ||
18–64 years | 786 | 47 | 6 | 5,436 | 480 | 9 | 54 | 38 to 67 | ||
≥ 65 years | 175 | 67 | 38 | 1,898 | 808 | 43 | 41 | 18 to 57 | ||
ES-PC | PC | All ages | 670 | 40 | 6 | 843 | 79 | 9 | 60 | 34 to 76 |
0–14 years | 244 | 12 | 5 | 298 | 15 | 5 | 48 | −39 to 81 | ||
15–64 years | 400 | 15 | 4 | 473 | 27 | 6 | 62 | 20 to 82 | ||
Target groupd | 90 | 23 | 26 | 181 | 57 | 31 | 62 | 24 to 82 | ||
EU-PC | PC | All ages | 746 | 67 | 9 | 1,906 | 210 | 11 | 53 | 32 to 67 |
0–17 years | 261 | 10 | 4 | 800 | 28 | 4 | 53 | −19 to 81 | ||
18–64 years | 426 | 27 | 6 | 903 | 81 | 9 | 60 | 32 to 76 | ||
Target groupd | 161 | 46 | 29 | 503 | 157 | 31 | 49 | 16 to 69 | ||
UK-PC | PC | All ages | 756 | 110 | 15 | 1,766 | 308 | 17 | 30 | 4 to 49 |
2–17 years | 294 | 23 | 8 | 358 | 28 | 8 | 39 | −19 to 69 | ||
18–64 years | 364 | 42 | 12 | 937 | 119 | 13 | 38 | 3 to 60 | ||
≥ 65 years | 70 | 45 | 64 | 281 | 161 | 57 | 24 | −49 to 61 | ||
DK-H | Hospital | All ages | 629 | 162 | 26 | 10,103 | 2,745 | 27 | 41 | 27 to 52 |
18–64 years | 226 | 29 | 13 | 3,397 | 533 | 16 | 47 | 21 to 65 | ||
≥ 65 years | 306 | 129 | 42 | 5,008 | 2,166 | 43 | 37 | 19 to 50 | ||
EU-Hc | Hospital | ≥ 65 years | 122 | 50 | 41 | 473 | 312 | 66 | 62 | 41 to 76 |
Influenza A(H1N1)pdm09 | ||||||||||
DK-PC | PC | All ages | 373 | 14 | 4 | 11,127 | 1,349 | 12 | 75 | 57 to 86 |
18–64 years | 229 | 10 | 4 | 5,436 | 480 | 9 | 67 | 38 to 83 | ||
≥ 65 years | 28 | 4 | NC | 1,898 | 808 | 43 | 79 | 37 to 93 | ||
ES-PC | PC | All ages | 566 | 30 | 5 | 843 | 79 | 9 | 69 | 46 to 82 |
0–14 years | 198 | 10 | 5 | 298 | 15 | 5 | 51 | −45 to 83 | ||
15–64 years | 349 | 12 | 3 | 473 | 27 | 6 | 68 | 28 to 86 | ||
Target groupd | 76 | 17 | 22 | 181 | 57 | 31 | 73 | 40 to 88 | ||
EU-PC | PC | All ages | 487 | 33 | 7 | 1,906 | 210 | 11 | 48 | 18 to 68 |
0–17 years | 172 | 9 | 5 | 786 | 27 | 3 | 46 | −51 to 80 | ||
18–64 years | 292 | 14 | 5 | 903 | 81 | 9 | 49 | 1 to 74 | ||
DK-H | Hospital | All ages | 132 | 22 | 17 | 10,103 | 2,745 | 27 | 54 | 24 to 72 |
18–64 years | 68 | 8 | 12 | 3,397 | 533 | 16 | 55 | 3 to 79 | ||
≥ 65 years | 44 | 12 | NC | 5,008 | 2,166 | 43 | 51 | 4 to 75 | ||
EU-Hc | Hospital | ≥ 65 years | 98 | 42 | 43 | 445 | 303 | 68 | 63 | 40 to 77 |
Influenza A(H3N2) | ||||||||||
DK-PC | PC | All ages | 418 | 45 | 11 | 11,127 | 1,349 | 12 | 27 | −4 to 49 |
18–64 years | 190 | 17 | 9 | 5,436 | 480 | 9 | 29 | −19 to 57 | ||
≥ 65 years | 55 | 27 | NC | 1,898 | 808 | 43 | 12 | −53 to 49 | ||
ES-PC | PC | All ages | 75 | 10 | 13 | 799 | 79 | 10 | −58 | −338 to 43 |
EU-PC | PC | All ages | 244 | 33 | 14 | 1,772 | 180 | 10 | 57 | 27 to 75 |
18–64 years | 125 | 12 | 10 | 834 | 75 | 9 | 71 | 37 to 87 | ||
Target groupd | 70 | 28 | 40 | 431 | 126 | 29 | 38 | −21 to 69 | ||
UK-PC | PC | All ages | 675 | 103 | 15 | 1,766 | 308 | 17 | 25 | −3 to 46 |
2–17 years | 273 | 22 | 8 | 358 | 28 | 8 | 39 | −21 to 69 | ||
18–64 years | 308 | 38 | 12 | 937 | 119 | 13 | 31 | −8 to 56 | ||
≥ 65 years | 66 | 43 | 65 | 281 | 161 | 57 | 21 | −56 to 60 | ||
DK-H | Hospital | All ages | 154 | 59 | 38 | 10,103 | 2,745 | 27 | −13 | −58 to 19 |
≥ 65 years | 89 | 53 | 60 | 5,008 | 2,166 | 43 | −16 | −80 to 25 | ||
EU-Hc | Hospital | ≥ 65 years | 12 | 4 | NC | 313 | 199 | 64 | 60 | −69 to 90 |
Influenza B | ||||||||||
DK-PC | PC | All ages | 183 | 4 | 2 | 11,127 | 1,349 | 12 | 83 | 51 to 94 |
ES-PC | PC | All ages | 285 | 6 | 2 | 843 | 79 | 9 | 66 | 7 to 87 |
EU-PC | PC | All ages | 305 | 9 | 3 | 1,373 | 169 | 12 | 62 | 17 to 83 |
18–64 years | 138 | 6 | 4 | 658 | 64 | 10 | 12 | −135 to 67 | ||
Influenza B Victoria | ||||||||||
EU-PCc | PC | All ages | 209 | 5 | 2 | 1,190 | 141 | 12 | 60 | −12 to 86 |
CI: confidence interval; DK-PC: Denmark primary care study; DK-H: Denmark hospital study; ES-PC: Spain primary care study; EU-H: European Union hospital multicentre I-MOVE study; EU-PC: European Union primary care multicentre I-MOVE study; I-MOVE: Influenza - Monitoring Vaccine Effectiveness in Europe; LAIV4: quadrivalent live attenuated influenza vaccine; NC: not calculated (percentages not shown where denominators < 60); PC: primary care; UK-PC: United Kingdom primary care study; Vacc: vaccinated; VE: vaccine effectiveness.
Countries included in EU-H analysis for any influenza, influenza A and influenza A(H3N2): Romania and Spain. For analysis against influenza A(H1N1)pdm09: Spain only.
Countries included in EU-PC analysis for all influenza, influenza A and A(H1N1)pdm09: France, Germany, Ireland, the Netherlands, Portugal, Romania, Spain and Sweden. For analysis against influenza A(H3N2): France, Germany, Ireland, the Netherlands, Romania, Spain and Sweden are included. For analysis against influenza B: France, Germany, Ireland, Portugal, Romania, Spain and Sweden. For analysis against influenza B/Victoria: France, Germany, Ireland, Portugal, Romania and Sweden.
a Age-specific or target group-specific VE was not included for overall or (sub)type-specific VE in some study sites, where sample size did not allow estimation of VE.
b For details of adjustment variables, see Table 1.
c Some records with missing values were dropped from this analysis.
d Groups targeted by seasonal influenza vaccination as defined locally in the studies and study sites.