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Comparative immunogenicity of several inactivated influenza vaccines among healthcare workers in Hong Kong

Lim, W. W.; Touyon, L.; Mak, L.; Lau, Y. C.; Cheng, S. M. S.; Ip, D. K. M.; Peiris, M.; Cowling, B. J.; Wong, S.-S.

2026-08-23 infectious diseases
10.64898/2026.08.19.26360857 medRxiv
Show abstract

We compared the immunogenicity of three licensed egg-based inactivated influenza vaccines, including TetrAnflu (Sinovac quadrivalent), Fluarix Tetra (GSK quadrivalent), and Vaxigrip (Sanofi trivalent), in adult healthcare workers in Hong Kong during the 2025/26 season. Paired pre- and post-vaccination sera from age- and sex-matched recipients (n=30 to 40 per group) were tested by hemagglutination-inhibition assays against vaccine strains. After adjustment for age, sex, and sampling interval, the vaccines induced broadly comparable rises in antibody titers, proportions achieving titers >=40, and seroconversion rates, with a superior response to A(H1N1) after TetrAnflu. These real-world findings support the interchangeability of these vaccines for influenza vaccination programs.

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