Vaccine effectiveness against influenza B/Victoria-associated medically attended influenza-like illness: Beijing, China, 2021-2022 influenza season

Hum Vaccin Immunother. 2025 Dec;21(1):2460859. doi: 10.1080/21645515.2025.2460859. Epub 2025 Feb 19.

Abstract

Influenza B/Victoria viruses predominated during the 2021-2022 influenza season in Beijing, China, unlike most northern hemisphere countries, likely due to reduced international travel. We estimated influenza vaccine effectiveness (VE) against the B/Victoria lineage to provide a more comprehensive evaluation of 2021-2022 influenza VE. Between October 2021 and April 2022, patients aged ≥6 months with influenza-like illness (ILI) visiting outpatient departments in Beijing's influenza virological surveillance system were enrolled. A test-negative design was used to assess VE against influenza B/Victoria, adjusting for sex, age groups, the presence of chronic diseases, onset-to-enrollment interval, and symptom onset timing. Of the 8,813 eligible patients, 1,787 (20.3%) tested positive for influenza B/Victoria only. 573/8813 (6.5%) were vaccinated against influenza. The adjusted effectiveness against B/Victoria for all ages was 16.6% (95% CI: -7.5% to 35.2%) overall. VE was low against influenza B/Victoria among medically attended ILI patients during the 2021-2022 season in Beijing, China.

Keywords: China; Influenza; influenza-like illness; test-negative design; vaccine effectiveness.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Beijing / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Influenza B virus* / immunology
  • Influenza Vaccines* / administration & dosage
  • Influenza Vaccines* / immunology
  • Influenza, Human* / epidemiology
  • Influenza, Human* / prevention & control
  • Influenza, Human* / virology
  • Male
  • Middle Aged
  • Seasons
  • Vaccination / statistics & numerical data
  • Vaccine Efficacy*
  • Young Adult

Substances

  • Influenza Vaccines

Grants and funding

Beijing Research Center for Respiratory Infectious Diseases Project [Grant Number BJRID 2024-015].