VaccinesFlu vaccine — does it really protect seniors?
- Stowarzyszenie STOP NOP — Szczepienia – poznaj ich ryzyko i skuteczność – Ogólnopolskie Stowarzyszenie Wiedzy o Szczepieniach "STOP NOP"
- Jerzy Zięba — Czy Nowy da radę? Jerzy Zięba
- Jerzy Zięba — C – witamina ciężkiej wagi
- Jerzy Jaśkowski — Słoneczny dar natury - witamina D3
- High-dose influenza vaccine in older adults by age and seasonal characteristics: Systematic review and meta-analysis update. · Vaccine X 2023
- The relative vaccine effectiveness of high-dose vs standard-dose influenza vaccines in preventing hospitalization and mortality: A meta-analysis of evidence from randomized trials. · J Infect 2024
- Influenza vaccine effectiveness against influenza-related medical visits, hospitalization and death among adults aged 65 years and older in Taiwan: interim 2024-2025 season result using standard-dose inactivated influenza vaccine. · Vaccine 2026
- Efficacy of high-dose versus standard-dose influenza vaccine in older adults. · N Engl J Med 2014
- Orthomolecular Medicine News Service — "The End of Illness" Needs a Dose of Vitamin D
- Orthomolecular Medicine News Service — How to Prevent Sepsis Mortality: Part 2
- Orthomolecular Medicine News Service — VACCINATIONS: To Be or Not to Be
The STOP NOP Association reports that the vaccine’s effectiveness in the 2012/2013 season was 9–56%, and that protection against the H3N2 strain was weak or nonexistent in seniors.
- The STOP NOP Association notes that vaccination does not always prevent infection, and that its effectiveness depends, among other things, on age and health.
- Jerzy Zięba claims that the flu vaccine has not undergone clinical trials and that its effectiveness and safety have not been demonstrated.
- Jerzy Zięba and Jerzy Jaśkowski question the need for flu vaccination; Jerzy Jaśkowski claims that vitamin D works better and costs less.
What the authors write
In the 2012/2013 season, the vaccine’s effectiveness ranged from 9–56%, depending on the strain, and older people had weak or no immunity to H3N2.
The flu vaccine may not prevent infection, and protection depends partly on a person’s age and health.
Vaccines may not even provide temporary protection, and fully vaccinated people can spread the flu.
Jerzy Zięba claims that the flu vaccine has not undergone clinical trials and was not required to demonstrate its effectiveness or safety.
Jerzy Zięba believes that if the body were properly prepared for autumn and winter, flu vaccines would be unnecessary.
Jerzy Jaśkowski claims that maintaining a proper level of vitamin D is cheaper and more effective than flu vaccination.
Jerzy Jaśkowski points out that vitamin D supplementation in older people is being overlooked.
Research from PubMed · Europe PMC
We selected 4 studies with the best, positive results. This is a selection, not a full review of all research.
Total number of studies on this topic in PubMed: 3 508.
A meta-analysis found that the high-dose vaccine provided better protection than the standard-dose vaccine against influenza-like illness and hospitalizations in seniors.
Aim of the study: This updated systematic review and meta-analysis of randomized and observational studies published up to April 2023 assessed the relative performance of high-dose inactivated influenza vaccine (HD-IIV) and standard-dose influenza vaccines (SD-IIV) against influenza-associated outcomes in older adults (≥65 years).
Results: This updated systematic review and meta-analysis of randomized and observational studies published up to April 2023 assessed the relative performance of high-dose inactivated influenza vaccine (HD-IIV) and standard-dose influenza vaccines (SD-IIV) against influenza-associated outcomes in older adults (≥65 years). The analysis included studies conducted over 12 influenza seasons (2009/2010 to 2019/2020, 2021/2022), including over 45 million individuals aged ≥ 65 years, and showed that HD-IIV provided significantly better protection than SD-IIV against influenza-like illness and influenza-related hospitalizations, as well as cardiovascular, cardiorespiratory, and all-cause hospitalizations. Subgroup analyses showed HD-IIV consistently provided better protection than SD-IIV against influenza outcomes across the age range (65+, 75+ 85+ years), and regardless of the predominantly circulating influenza strain and vaccine antigenic match/mismatch.
“Not stated” does not mean nobody paid — the database does not always record it.
A meta-analysis of randomized studies found that, in people aged 65 and older, the high-dose vaccine reduced hospitalizations for flu and pneumonia, as well as hospitalizations overall, compared with the standard dose.
Aim of the study: To summarize current evidence of high-dose influenza vaccine (HD-IV) vs standard-dose (SD-IV) regarding severe clinical outcomes.
Results: Five randomized trials were included encompassing 105,685 individuals. HD-IV vs SD-IV reduced P&I hospitalizations (rVE: 23.5 %, [95 %CI: 12.3 to 33.2]). HD-IV vs SD-IV also reduced rate of all-cause hospitalizations (rVE: 7.3 %, [95 %CI: 4.5 to 10.0]). No significant differences were observed in death rates (rVE = 1.6 % ([95 %CI: -2.0 to 5.0]) in HD-IV vs SD-IV. Sensitivity analyses omitting trials with participants sharing the same comorbidity, trials with ≥ 100 events, and random-effects models provided comparable estimates for all outcomes. HD-IV reduced the incidence of P&I and all-cause hospitalization vs SD-IV in adults ≥ 65 years in randomized trials, through no significant difference was observed in all-cause death rates. These findings, supported by evidence from several randomized studies, can benefit from replication in a fully powered, individually randomized trial.
“Not stated” does not mean nobody paid — the database does not always record it.
A study of seniors in Taiwan found that the standard-dose vaccine reduced the risk of hospitalization, ICU admission, and flu-related death.
Aim of the study: The 2024-2025 influenza season in Taiwan was notably more severe than the prior season, with severe cases increasing from 1433 to 2215 and deaths increasing from 297 to 545. Vaccination coverage among adults aged ≥65 years also declined from 53.6% to 48.1%. All government-funded vaccines in the 2024-2025 season were inactivated standard-dose trivalent influenza vaccines.
Results: Despite a decline in vaccination coverage, the vaccine demonstrated robust protection against severe outcomes. The adjusted VE was 71.9% (95% CI: [63.0-78.8]) against 30-day mortality and 70.0% (95% CI: [62.1-76.2]) against ICU admissions. Protection against influenza-associated hospitalizations was 58.2% (95% CI: [52.9-62.9]), while VE against outpatient visits was 44.8% (95% CI: [42.4-47.1]). Propensity score matching showed similar trend but generally lower VE estimates. Our findings confirm that the influenza vaccine remains highly effective in preventing severe outcomes, despite the reduced population uptake and increased disease burden. The methodology, consistent with our prior season's analysis, underscores the reliability of these results. We conclude that enhancing vaccination coverage among the elderly is critical to mitigating the impact of severe seasonal epidemics.
“Not stated” does not mean nobody paid — the database does not always record it.
A randomized study found that, in seniors, the high-dose vaccine provided better protection than the standard-dose vaccine against laboratory-confirmed flu.
Aim of the study: As compared with a standard-dose vaccine, a high-dose, trivalent, inactivated influenza vaccine (IIV3-HD) improves antibody responses to influenza among adults 65 years of age or older. This study evaluated whether IIV3-HD also improves protection against laboratory-confirmed influenza illness.
Results: A total of 31,989 participants were enrolled from 126 research centers in the United States and Canada (15,991 were randomly assigned to receive IIV3-HD, and 15,998 to receive IIV3-SD). In the intention-to-treat analysis, 228 participants in the IIV3-HD group (1.4%) and 301 participants in the IIV3-SD group (1.9%) had laboratory-confirmed influenza caused by any viral type or subtype associated with a protocol-defined influenza-like illness (relative efficacy, 24.2%; 95% confidence interval [CI], 9.7 to 36.5). At least one serious adverse event during the safety surveillance period was reported by 1323 (8.3%) of the participants in the IIV3-HD group, as compared with 1442 (9.0%) of the participants in the IIV3-SD group (relative risk, 0.92; 95% CI, 0.85 to 0.99). After vaccination, HAI titers and seroprotection rates (the percentage of participants with HAI titers ≥ 1:40) were significantly higher in the IIV3-HD group.
“Not stated” does not mean nobody paid — the database does not always record it.
Perspectives and opinion materials
The content below presents the authors’ opinions, interpretations and hypotheses. It is not treated as equal to scientific studies and systematic reviews.
Pisaczek does not judge who is right. It shows what was written and where to read it. Every sentence above has its source.