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. 2021 Aug 12;26(32):2001099. doi: 10.2807/1560-7917.ES.2021.26.32.2001099

Table 4. Simplest recommended model for estimating the influenza vaccination effect according to the modifying effect and bias from influenza vaccination history.

Modifying effect Bias ± 5% or more Relevant bias ± 10% or more Simplest model recommended
All patients No Yes No Summarised model with one previous seasona,b
Primary healthcare patients Yes Yes No Full model with three previous seasonsc
Hospitalised patients No Yes Yes Summarised model with one previous seasona
Age 9–64 years Yes No No Full model with three previous seasonsc
Age ≥ 65 years No Yes Yes Summarised model with one previous seasona
Influenza A(H1N1) No Yes No Summarised model with one previous seasona,b
Influenza A(H3N2) No Yes Yes Summarised model with one previous seasona
Influenza B Yes Yes No Full model with three previous seasonsc

a Summarised model categories: current-season vaccination regardless of prior doses, no current-season vaccination but any prior doses and no current-season vaccination or prior doses as reference category.

b If only relevant bias is considered (± 10% or more), the only-current-season model would be sufficient.

c Full model categories: current-season vaccination and three prior doses, current-season vaccination and one to two prior doses, current-season vaccination and no prior doses, no current-season vaccination and three prior doses, no current-season vaccination and one to two prior doses, and no current-season vaccination and no prior doses as reference category.