In the United States, influenza vaccination rates differ greatly by age. For example, during the 2023-2024 flu season, around ** percent of those aged 65 years and older received an influenza vaccination, compared to just ** percent of those aged 18 to 49 years. The CDC recommends that everyone six months and older in the United States should get vaccinated against influenza every year, with a few exceptions. Although influenza is mild for most people, it can lead to hospitalization and even death, especially among the young, the old, and those with certain preexisting conditions. The impact of flu vaccinations Flu vaccinations are safe and effective, preventing thousands of illnesses, medical visits, and deaths every year. However, the effectiveness of flu vaccines varies each year depending on what flu viruses are circulating that season and the age and health status of the person receiving the vaccination. During the 2023-2024 flu season, it was estimated that influenza vaccination prevented almost 64********* hospitalizations among those aged 65 years and older. In addition, flu vaccinations prevented ***** deaths among those aged 65 years and older, as well as *** deaths among children aged six months to four years. The burden of influenza The impact of influenza is different from season to season. However, during the 2023-2024 flu season, there were around ** million cases of influenza in the United States. Furthermore, there were around ****** deaths due to influenza, an increase from the previous year but significantly fewer than in ********** when influenza contributed to ****** deaths. Most of these deaths are among the elderly. In ********* the death rate due to influenza among those aged 65 years and older was around **** per 100,000 population. In comparison, those aged 18 to 49 had an influenza death rate of just *** per 100,000 population.

Of the U.S. college students surveyed in 2024, around 49 percent reported having had a flu vaccine within the last 12 months. This statistic shows the percentage of college students in the U.S. who received a vaccination against influenza in the last 12 months, as of fall 2024.

Monthly Cumulative Number and Percent of Persons Who Receive ≥1 Influenza Vaccination Doses and Comparison Between 2023-2024 and Two Previous Seasons, by Jurisdiction, United States

• Influenza vaccination coverage for children and adults is assessed through U.S. jurisdictions’ Immunization Information Systems (IIS) data, submitted from jurisdictions to CDC monthly in aggregate by age group. More information about the IIS can be found at https://www.cdc.gov/vaccines/programs/iis/about.html.

• Influenza vaccination coverage estimate numerators include the number of people receiving at least one dose of influenza vaccine in a given flu season, based on information that state, territorial, and local public health agencies report to CDC. Some jurisdictions’ data may include data submitted by tribes. Estimates include persons who are deceased but received a vaccination during the current season. People receiving doses are attributed to the jurisdiction in which the person resides unless noted otherwise. Quality and completeness of data may vary across jurisdictions. Influenza vaccination coverage denominators are obtained from 2020 U.S. Census Bureau population estimates.

• Monthly estimates shown are cumulative, reflecting all persons vaccinated from July through a given month of that flu season. Cumulative estimates include any historical data reported since the previous submission. National estimates are not presented since not all U.S. jurisdictions are currently reporting their IIS data to CDC. Jurisdictions reporting data to CDC include U.S. states, some localities, and territories.

• Because IIS data contain all vaccinations administered within a jurisdiction rather than a sample, standard errors were not calculated and statistical testing for differences in estimates across years were not performed.

• Laws and policies regarding the submission of vaccination data to an IIS vary by state, which may impact the completeness of vaccination coverage reflected for a jurisdiction. More information on laws and policies are found at https://www.cdc.gov/vaccines/programs/iis/policy-legislation.html.

• Coverage estimates based on IIS data are expected to differ from National Immunization Survey (NIS) estimates for children (https://www.cdc.gov/flu/fluvaxview/dashboard/vaccination-coverage-race.html)
and adults (https://www.cdc.gov/flu/fluvaxview/dashboard/vaccination-adult-coverage.html) because NIS estimates are based on a sample that may not be representative after survey weighting and vaccination status is determined by survey respondent rather than vaccine records or administrations, and quality and completeness of IIS data may vary across jurisdictions. In general, NIS estimates tend to overestimate coverage due to overreporting and IIS estimates may underestimate coverage due to incompleteness of data in certain jurisdictions.

Influenza, also called the flu, is one of the most infectious diseases worldwide. Its symptoms range from mild to severe, and include sore throat, cough, runny nose, fever, headache, and muscle pain, but can also cause severe illness and death among high-risk populations such as the elderly and children. During the 2023-2024 flu season, there were 40 million cases of influenza in the United States. Influenza deaths Although influenza does not require medical attention for most people, it can be deadly, and causes thousands of deaths every year. The impact of influenza varies from year to year. The number of influenza deaths during the 2023-2024 flu season was 27,965. The vast majority of deaths attributed to influenza during the 2023-2024 flu season occurred among those aged 65 years and older. Vaccination An annual influenza vaccination remains the most effective way of preventing influenza. During the 2022-2023 flu season, influenza vaccinations prevented an estimated 2,479 deaths among U.S. adults aged 65 years and older. Although, flu vaccinations are accessible and cheap, a large share of the United States population still fails to get vaccinated every year. In 2022-2023, only 35 percent of those aged 18 to 49 years received a flu vaccination, much lower compared to children and the elderly.

Snapshot img

Influenza Vaccine Market Size 2024-2028

The influenza vaccine market size is forecast to increase by USD 3.76 billion at a CAGR of 8.09% between 2023 and 2028. The market is experiencing significant growth due to the increasing prevalence and incidence of severe influenza cases, particularly among children. The Global Influenza Program's emphasis on vaccination as a preventative measure is driving market expansion. Combination vaccines, which offer protection against multiple strains of the virus, are gaining popularity due to their convenience and effectiveness. Furthermore, the development of mRNA vaccines, which utilize advanced technology to produce a more potent immune response, is a promising trend in the market. The market for Influenza vaccines encompasses various types, including inactivated vaccines, live attenuated vaccines, quadrivalent vaccines, mono vaccine, trivalent vaccines, pnemucoccol vaccine, pediatric vaccines, and adult vaccines. Despite these advancements, challenges persist, including the difficulty in diagnosing influenza due to its non-specific symptoms and the need for annual revaccination to maintain immunity. Overall, the market is poised for continued growth as the demand for effective vaccines to prevent the spread of influenza remains high.

Market Analysis

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The market is a significant sector within the global healthcare industry, with a continuous demand due to the seasonal nature of the influenza virus and the ongoing threat of potential pandemics. This market caters to various demographics, including children and adults, through various vaccine types and administration methods. Seasonal influenza vaccines are the primary focus of the market, with two main types: inactivated vaccines and live attenuated vaccines. Inactivated vaccines, also known as flu shots, use killed viruses to stimulate an immune response, while live attenuated vaccines, or nasal sprays, use weakened live viruses.

Furthermore, both types offer protection against the three or four strains of the virus predicted to cause the most significant impact during a season. Quadrivalent vaccines, a more recent addition to the market, protect against an additional B strain, broadening the scope of coverage and potentially reducing the risk of infection. Trivalent vaccines, which protect against three strains, continue to be available and are often used in mass vaccination programs. The pediatric segment of the market is of significant importance due to the vulnerability of children to severe influenza cases. The global influenza program, a collaborative effort between the World Health Organization (WHO) and various national health organizations, plays a crucial role in ensuring the availability of vaccines for children and other at-risk populations.

In addition, combination vaccines, which offer protection against influenza and other diseases, are gaining popularity in the market due to their convenience and potential for reducing the number of vaccinations required. MRNA vaccines, a newer technology, have shown promising results in clinical trials and may become a significant player in the market in the coming years. The market is influenced by several factors, including the severity of seasonal epidemics, the availability and affordability of vaccines, and the public's perception of vaccine efficacy and safety. Hospital and retail pharmacies serve as essential distribution channels for these vaccines, ensuring they reach the end consumer in a timely and convenient manner.

Furthermore, swine flu vaccines, while not a regular component of the seasonal the market, are produced and distributed in response to outbreaks or pandemics. The production and distribution of these vaccines require a rapid response and significant resources, highlighting the importance of a strong global influenza program and the flexibility of vaccine manufacturers. In conclusion, the market is a dynamic and evolving sector within the healthcare industry. With ongoing research and development, the market continues to offer new solutions to protect against the influenza virus, ensuring public health and safety.

Market Segmentation

The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2024-2028, as well as historical data from 2018-2022 for the following segments.

Distribution Channel

  Hospitals and pharmacies
  Government and institutional
  Others


Type

  Live attenuated influenza vaccines
  Recombinant influenza vaccines


Geography

  North America

    Canada
    US


  Europe

    UK


  Asia

    China
    India


  Rest of World (ROW)

By Distribution Channel Insights

The hospitals and pharmacies segment is estimated to witness significant growth during the forecast period.The market in the US is categorized by distribution ch

In the United States, the highest rate of hospitalizations due to influenza are among those aged 65 years and older. During the 2023-2024 flu season, the rate of hospitalizations due to influenza among this age group was about 401 per 100,000 population, compared to a rate of around 47 per 100,000 for those aged 5 to 17 years. Influenza is a common viral infection that usually does not require medical treatment. However, for the very young, the old, and those with certain pre-existing conditions, influenza can be serious and even deadly. The burden of influenza in the United States The impact of influenza in the United States varies from year to year depending on the strain that is most prevalent during that season and the immunity in the population. Preliminary estimates show that around 28,000 people died from influenza during the 2023-2024 flu season. However, during the 2017-2018 flu season, an estimated 52,000 people lost their lives to influenza. The importance of flu vaccines The best way to avoid catching the flu and to reduce the virus’s overall burden on society is by receiving an annual flu vaccination. The CDC currently recommends that everyone over 6 months of age should get a flu vaccination every year, preferably by the end of October. The flu vaccine is safe, efficient, and reduces the number of illnesses, hospitalizations, and deaths caused by the virus. For example, during the 2022-2023 flu season, it was estimated that vaccinations averted almost 65 thousand influenza-related hospitalizations. However, despite the proven benefits and wide availability of flu vaccinations, a large percentage of people in the United States fail to receive a vaccination every year. During the 2022-2023 flu season, only about 35 percent of those aged 18 to 49 years were vaccinated against influenza, compared to 70 percent of those aged 65 years and older.

Universal Influenza Vaccine Market Outlook

According to our latest research, the global universal influenza vaccine market size reached USD 1.34 billion in 2024, reflecting robust momentum driven by ongoing innovation and rising public health awareness. The market is projected to grow at a CAGR of 32.8% during the forecast period, reaching an estimated USD 16.61 billion by 2033. This significant expansion is underpinned by increasing investments in vaccine research, growing governmental and private sector support, and the persistent unmet need for a broad-spectrum, long-lasting influenza vaccine solution. The universal influenza vaccine market is witnessing transformative growth as stakeholders strive to address the limitations of seasonal flu vaccines and improve pandemic preparedness.

One of the primary growth factors for the universal influenza vaccine market is the strong demand for more effective and durable immunization solutions. Traditional seasonal flu vaccines often require annual reformulation and administration due to antigenic drift and shift in circulating influenza strains. This results in variable efficacy and leaves populations vulnerable to emerging strains. The universal influenza vaccine, designed to provide broad and long-lasting protection against multiple influenza subtypes, is increasingly seen as a critical innovation. Substantial investments from governments and international health organizations, coupled with strategic public-private partnerships, are accelerating research and clinical trials. The urgency for effective pandemic preparedness, as highlighted by recent global health crises, further amplifies the need for a universal influenza vaccine, making it a high-priority area in immunization research and development.

Technological advancements are significantly propelling the universal influenza vaccine market forward. The integration of next-generation platforms such as mRNA, viral vectors, and recombinant technologies has revolutionized vaccine development. These platforms enable rapid design, scalability, and enhanced immunogenicity, offering promising avenues for universal vaccine candidates. The success of mRNA-based COVID-19 vaccines has demonstrated the potential of this technology for influenza as well, attracting increased funding and collaboration among biotechnology firms and academic institutions. Additionally, the application of artificial intelligence and machine learning in antigen selection and vaccine design is expediting the identification of conserved influenza epitopes, which are essential for universal vaccine efficacy. Such technological convergence is expected to drive innovation and accelerate product approvals in the coming years.

Another critical factor influencing market growth is the evolving regulatory landscape and supportive policy frameworks. Regulatory agencies such as the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) are prioritizing the review and approval of novel influenza vaccines, recognizing their potential to reduce disease burden and healthcare costs. Expedited approval pathways, orphan drug designations, and grants for clinical research are fostering a conducive environment for vaccine developers. Furthermore, global initiatives led by the World Health Organization (WHO) and the Coalition for Epidemic Preparedness Innovations (CEPI) are providing technical and financial support, ensuring that promising vaccine candidates progress through the clinical pipeline efficiently. These collaborative efforts are expected to enhance market accessibility and facilitate the widespread adoption of universal influenza vaccines once approved.

From a regional perspective, North America currently dominates the universal influenza vaccine market, accounting for the largest revenue share in 2024, followed by Europe and Asia Pacific. The presence of leading biotechnology companies, advanced healthcare infrastructure, and substantial government funding positions North America as a key innovation hub. Europe’s strong focus on public health initiatives and proactive immunization policies further drives market uptake. Meanwhile, Asia Pacific is emerging as a high-growth region, fueled by increasing healthcare investments, rising awareness about influenza prevention, and expanding clinical trial activities. Latin America and the Middle East & Africa, while representing smaller market shares, are expected to witness steady growth as access to advanced vaccines improves and public health campaigns intensify.

This dataset represents preliminary estimates of cumulative U.S. COVID-19 disease burden for the 2024-2025 period, including illnesses, outpatient visits, hospitalizations, and deaths. The weekly COVID-19-associated burden estimates are preliminary and based on continuously collected surveillance data from patients hospitalized with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. The data come from the Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET), a surveillance platform that captures data from hospitals that serve about 10% of the U.S. population. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of COVID-19 -associated burden that have occurred since October 1, 2024.

Note: Data are preliminary and subject to change as more data become available. Rates for recent COVID-19-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.

The burden of influenza in the United States can vary from year to year depending on which viruses are circulating, how many people receive an influenza vaccination, and how effective the vaccination is in that particular year. During the 2023-2024 flu season, around 28,000 people lost their lives to the disease. Although most people recover from influenza without needing medical care, the disease can be deadly among young children, the elderly, and those with weakened immune systems or chronic illnesses. Deaths due to influenza Even though most people recover from influenza without medical care, influenza and pneumonia can be deadly, especially for older people and those with certain preexisting conditions. Influenza is a common cause of pneumonia and although most cases of influenza do not develop into pneumonia, those that do are often more severe and more deadly. Deaths due to influenza are most common among the elderly, with a mortality rate of around 32 per 100,000 population during the 2023-2024 flu season. In comparison, the mortality rate for those aged 50 to 64 years was 9.1 per 100,000 population. Flu vaccinations The most effective way to prevent influenza is to receive an annual influenza vaccination. These vaccines have proven to be safe and are usually cheap and easily accessible. Nevertheless, every year a large share of the population in the United States still fails to get vaccinated against influenza. For example, in the 2022-2023 flu season, only 35 percent of those aged 18 to 49 years received a flu vaccination. Unsurprisingly, children and the elderly are the most likely to get vaccinated. It is estimated that during the 2022-2023 flu season, vaccinations prevented over 929 thousand influenza cases among children aged 6 months to 4 years.

This dataset represents preliminary estimates of cumulative U.S. RSV –associated disease burden estimates for the 2024-2025 season, including outpatient visits, hospitalizations, and deaths. Real-time estimates are preliminary and based on continuously collected surveillance data from patients hospitalized with laboratory-confirmed respiratory syncytial virus (RSV) infections. The data come from the Respiratory Syncytial Virus Hospitalization Surveillance Network (RSV-NET), a surveillance platform that captures data from hospitals that serve about 8% of the U.S. population. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of RSV-associated disease burden estimates that have occurred since October 1, 2024.

Note: Data are preliminary and subject to change as more data become available. Rates for recent RSV-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

Note: Preliminary burden estimates are not inclusive of data from all RSV-NET sites. Due to model limitations, sites with small sample sizes can impact estimates in unpredictable ways and are excluded for the benefit of model stability. CDC is working to address model limitations and include data from all sites in final burden estimates.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.

The influenza A vaccine market is poised for significant growth, driven by factors such as increasing prevalence of influenza infections globally, rising geriatric population susceptible to severe complications, and ongoing research and development efforts leading to improved vaccine efficacy and formulations. The market witnessed a robust expansion in the period 2019-2024, experiencing a Compound Annual Growth Rate (CAGR) – let's assume, for illustrative purposes, of 7%. This growth trajectory is expected to continue, albeit potentially at a slightly moderated pace, throughout the forecast period (2025-2033). By 2029, the market size is projected to reach approximately $8 billion (this is an estimated figure based on assumed growth rates and current market estimations; precise figures would require further detailed market research). Key market segments include seasonal influenza vaccines, pandemic influenza vaccines, and novel technologies like cell-based and recombinant vaccines. While the global market dominates, the United States holds a significant share, driven by high vaccination rates and robust healthcare infrastructure. However, challenges remain, including vaccine hesitancy, fluctuation in influenza strains, and potential manufacturing bottlenecks. Nevertheless, continuous innovation in vaccine technology, growing awareness of influenza prevention, and government initiatives supporting vaccination programs are expected to propel market growth. The market segmentation plays a crucial role. For example, the segment of cell-based influenza vaccines is exhibiting rapid growth due to their enhanced production capacity and potential for faster response to emerging strains. Furthermore, the increasing prevalence of chronic conditions that increase vulnerability to influenza, such as diabetes and heart disease, are further driving demand. Regional variations exist, with developed nations generally exhibiting higher vaccine uptake compared to developing countries. This disparity presents opportunities for future market expansion through enhanced access and affordability initiatives. Government policies promoting influenza vaccination among high-risk groups, coupled with effective public health campaigns, will remain pivotal in shaping the future landscape of the influenza A vaccine market.

Intranasal Influenza Vaccine Market Outlook

According to our latest research, the global intranasal influenza vaccine market size reached USD 1.45 billion in 2024. Driven by increasing awareness, technological advancements, and a growing focus on non-invasive vaccine delivery, the market is expected to expand at a CAGR of 8.2% from 2025 to 2033. By the end of 2033, the market is projected to achieve a value of approximately USD 2.86 billion. The robust growth of this market is primarily fueled by the rising prevalence of influenza worldwide, the need for effective mass immunization strategies, and the preference for needle-free vaccination methods, especially among pediatric and geriatric populations.

One of the most significant growth factors for the intranasal influenza vaccine market is the increasing global burden of seasonal influenza, which leads to substantial morbidity and mortality annually. Public health agencies and governments are intensifying their efforts to reduce the impact of influenza outbreaks through widespread vaccination campaigns. Intranasal vaccines, offering a needle-free and painless alternative, are particularly attractive for children and individuals with needle phobia, thereby improving vaccine uptake rates. Furthermore, the ongoing threat of pandemic influenza strains and the emergence of new variants underscore the critical need for innovative and easily deployable vaccination strategies, further boosting the demand for intranasal influenza vaccines.

Technological advancements in vaccine formulation and delivery systems are also accelerating market growth. Modern intranasal vaccines, particularly those utilizing live attenuated or recombinant technologies, provide robust mucosal immunity, which is essential for combating respiratory pathogens like influenza. The development of thermostable formulations and improved adjuvants has enhanced the efficacy and shelf-life of intranasal vaccines, making them more suitable for use in diverse geographic and climatic settings. Additionally, the integration of advanced manufacturing processes has enabled scalable production, ensuring timely supply during seasonal peaks and pandemic situations. These innovations are expected to further strengthen the marketÂ’s growth trajectory over the forecast period.

Another key driver is the increasing support from regulatory agencies and favorable reimbursement policies. Regulatory bodies such as the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have approved several intranasal influenza vaccines, recognizing their safety and efficacy profiles. In many countries, these vaccines are included in national immunization programs, and insurance coverage is expanding, reducing out-of-pocket expenses for end-users. Moreover, ongoing collaborations between public and private sectors for vaccine research and distribution are ensuring broader access and affordability, particularly in low- and middle-income regions. These policy-level initiatives are expected to play a pivotal role in sustaining market growth.

Nirsevimab, a monoclonal antibody designed to protect infants from respiratory syncytial virus (RSV), represents a significant advancement in pediatric immunization strategies. While primarily focused on RSV, the development of Nirsevimab highlights the broader trend of utilizing monoclonal antibodies in infectious disease prevention. This approach is gaining traction as it offers targeted protection with a single dose, reducing the burden on healthcare systems and improving compliance among caregivers. The success of Nirsevimab could pave the way for similar innovations in the influenza vaccine market, where monoclonal antibodies might complement traditional vaccines, offering enhanced protection for vulnerable populations such as infants and the elderly.

From a regional perspective, North America currently dominates the intranasal influenza vaccine market, accounting for over 39% of the global revenue in 2024, followed by Europe and Asia Pacific. The high adoption rate in North America is attributed to advanced healthcare infrastructure, proactive immunization policies, and high awareness levels among the population. Europe is witnessing steady growth, driven by increasing government investments in public health and the introduction of innovative vaccine products. Meanwhile, As

The mortality rate from influenza in the United States is by far highest among those aged 65 years and older. During the 2023-2024 flu season, the mortality rate from influenza for this age group was around 32.1 per 100,000 population. The burden of influenza The impact of influenza in the U.S. varies from season to season, but in the 2023-2024 flu season, there were an estimated 40 million cases. These cases resulted in around 470,000 hospitalizations. Although most people recover from influenza without requiring medical treatment, the disease can be deadly for young children, the elderly, and those with weakened immune systems or chronic illnesses. During the 2023-2024 flu season, around 28,000 people in the U.S. lost their lives due to influenza. Impact of vaccinations The most effective way to prevent influenza is to receive an annual vaccination at the beginning of flu season. Flu vaccines are safe and can greatly reduce the burden of the disease. During the 2022-2023 flu season, vaccinations prevented around 2,479 deaths among those aged 65 years and older. Although flu vaccines are usually cheap and easily accessible, every year a large share of the population in the U.S. still does not get vaccinated. For example, during the 2022-2023 flu season, only about 35 percent of those aged 18 to 49 years received a flu vaccination.

*Vaccination data updates for the 2024-2025 respiratory illness season ended on May 2, 2025. The weekly respiratory virus vaccination data come from the National Immunization Survey-Adult COVID Module (NIS-ACM), National Immunization Survey-Child COVID Module (NIS-CCM), and the National Immunization Survey-Flu (NIS-Flu). The NIS-ACM provides data on Influenza (flu), COVID-19, and RSV vaccination for adults aged ≥18 years in the United States. The NIS-CCM provides data on COVID-19 vaccination for children aged 6 months-17 years in the United States. The NIS-Flu provides data on Influenza vaccination for children aged 6 months-17 years in the United States National Immunization Survey data are collected by telephone interview using a random-digit-dialed sample of cellular telephone numbers stratified by state, the District of Columbia, five local jurisdictions (Bexar County TX, Chicago IL, Houston TX, New York City NY, and Philadelphia County PA), and Guam, Puerto Rico, and the United States Virgin Islands. Data are weighted to represent the non-institutionalized United States population and mitigate possible bias that can result from incomplete sample frame (exclusion of households with no phone service or only landline telephones) or non-response. All responses are self-reported, or reported by a parent for children 6 months-17 years. For more information about the surveys, see https://www.cdc.gov/vaccines/imz-managers/nis/about.html#current-surveys. Estimates should be interpreted with caution when there is a small sample size or wide confidence interval. 

This dataset represents preliminary weekly estimates of cumulative U.S. RSV-associated hospitalizations for the 2024-2025 season. Estimates are preliminary, and use reported weekly hospitalizations among laboratory-confirmed respiratory syncytial virus (RSV) infections. The data are updated week-by-week as new RSV-associated hospitalizations are reported to CDC from the RSV-NET surveillance system and include both new admissions that occurred during the reporting week, as well as those admitted in previous weeks that may not have been included in earlier reporting. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of RSV-associated hospitalizations that have occurred since October 1, 2024. For details, please refer to the publication [7].

Note: Data are preliminary and subject to change as more data become available. Rates for recent RSV-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

Note: Preliminary burden estimates are not inclusive of data from all RSV-NET sites. Due to model limitations, sites with small sample sizes can impact estimates in unpredictable ways and are excluded for the benefit of model stability. CDC is working to address model limitations and include data from all sites in final burden estimates.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.

In 2023-24, around ** percent of U.S. adults aged 65 years and older stated that they had been vaccinated that season. This survey depicts the percentage of older people in the United States who received an influenza vaccination during the flu seasons from 2010 to 2024.

This dataset represents preliminary weekly estimates of cumulative U.S. COVID-19-associated hospitalizations for the 2024-2025 period. The weekly cumulatve COVID-19 –associated hospitalization estimates are preliminary, and use reported weekly hospitalizations among laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. The data are updated week-by-week as new COVID-19 hospitalizations are reported to CDC from the COVID-NET system and include both new admissions that occurred during the reporting week, as well as those admitted in previous weeks that may not have been included in earlier reporting. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of COVID-19 -associated hospitalizations that have occurred since October 1, 2024. For details, please refer to the publication [7].

Note: Data are preliminary and subject to change as more data become available. Rates for recent COVID-19-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.