Last Updated:
March 9, 2026

Influenza 2026_Trivalent and quadrivalent vaccine options

This factsheet provides information to support health professionals in explaining the differences between trivalent (TIV) and quadrivalent (QIV) influenza vaccines available in 2026.

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Overview

References

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1. Mokalla VR, Gundarapu S, Kaushik RS, Rajput M, Tummala H. Influenza Vaccines: Current Status, Adjuvant Strategies, and Efficacy. Vaccines. 2025;13(9):962.

2. WHO National Influenza Centre HIT. Recommendation for seasonal influenza vaccine composition for New Zealand for 2026. Wellington: PHF Science/New Zealand Institute for Public Health and Forensic Science; 2025.

3. Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. The Lancet Infectious diseases. 2012;12(1):36-44.

4. Kieninger D, Sheldon E, Lin WY, Yu CJ, Bayas JM, Gabor JJ, et al. Immunogenicity, reactogenicity and safety of an inactivated quadrivalent influenza vaccine candidate versus inactivated trivalent influenza vaccine: a phase III, randomized trial in adults aged ≥18 years. BMC infectious diseases. 2013;13:343.

5. Caini S, Meijer A, Nunes MC, Henaff L, Zounon M, Boudewijns B, et al. Is influenza B/Yamagata extinct and what public health implications could this have? An updated literature review and comprehensive assessment of global surveillance databases. medRxiv. 2023:2023.09.25.23296068.

6. Vesikari T, Nauta J, Lapini G, Montomoli E, van de Witte S. Immunogenicity and safety of quadrivalent versus trivalent inactivated subunit influenza vaccine in children and adolescents: A phase III randomized study. International Journal of Infectious Diseases. 2020;92:29-37.

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