FLUAD® vs. Fluzone® High-Dose Study
Pain, Quality of Life, Injection Site Reaction
About this trial
This is an interventional prevention trial for Pain focused on measuring influenza vaccine, fever following vaccination, pain following vaccination, quality of life
Eligibility Criteria
Inclusion Criteria:
- Persons aged ≥65 years, living in the community
- Intention of receiving IIV vaccine based on ACIP-CDC guidelines
- Willing to provide written informed consent prior to initiation of any study procedures
- Able to speak English
- Able and willing to complete baseline assessments and questionnaires, and to allow information to be collected from their electronic medical record
- Able and willing to complete post-vaccine assessments and questionnaires independently or with assistance
- Able and willing to have blood drawn for the study
- Able and willing to return in about one month for a follow-up visit including completing questionnaires and having another blood test
- Access to and ability to use a phone, independently or with assistance
- Adequate vision and motor skills to complete the diary form independently or with assistance.
- Not living in a skilled nursing facility/nursing home/long term acute care facility
Exclusion Criteria:
- IIV receipt during the current influenza season prior to study enrollment
Enrolled in this study during the 2017-18 (Year 1) influenza season
Note: Year 1 study participants will only be enrolled in Year 2 if they are participating in the sub-study on repeat vaccination
- Has immunosuppression as a result of an underlying illness or treatment, or use of anti-cancer chemotherapy or radiation therapy within the preceding 12 months.
Has an active neoplastic disease (excluding non-melanoma skin cancer or prostate cancer that is stable in the absence of therapy) or a history of any hematologic malignancy*
*Participants with a history of malignancy may be included if, after previous treatment by surgical excision, chemotherapy or radiation therapy, the participant has been observed for a period that in the investigator's estimation provides a reasonable assurance of sustained cure (not less than 12 months)
- Thrombocytopenia, bleeding disorder, or anticoagulant use contraindicating intramuscular injection
- History of febrile illness (> 100.0°F or 37.8°C) within the past 24 hours prior to IIV administration (temporary deferral)
Contraindication to IIV receipt including history of severe allergic reaction after a previous dose of any influenza vaccine; or to a vaccine component*, including egg protein; or a latex allergy
*Formaldehyde, Octylphenol ethoxylate, neomycin, kanamycin, barium, cetyltrimethlyammonium bromide (CTAB)
- Any history of Guillain-Barré syndrome
- Mild to severe dementia as determined by the Mini-Cog tool and the Rowland Universal Dementia Assessment Scale (RUDAS)
- Substance use that could interfere with study compliance
- Receipt of any inactivated licensed vaccine within 2 weeks, or live attenuated licensed vaccine within 4 weeks prior to enrollment in this study, or planning receipt of any vaccines during the 42-days post-vaccination period (including pneumococcal vaccines)
- Anyone who is already enrolled or plans to enroll in another clinical trial with an investigational product within 28 days of vaccine receipt. Co-enrollment in observational or behavioral intervention studies are allowed at any time while enrollment in a clinical trial involving an investigational product (other than vaccine) may occur after 30 days following vaccine receipt.
- Hearing loss determined by the investigators to prevent successful communication over the phone
- Any condition which, in the opinion of the investigators, may pose a health risk to the subject or interfere with the evaluation of the study objectives.
- Anyone who is a relative or subordinate of any research study personnel.
Sites / Locations
- Centers for Disease Control and Prevention
- Boston Medical Center
- Duke University
- Cincinnati Children's Hospital Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Adjuvanted influenza vaccine (FLUAD®)
High-dose influenza vaccine (Fluzone® HD)
In the study arm, subjects will receive a single dose of FLUAD® adjuvanted influenza vaccine during Visit 1.
In the study arm, subjects will receive a single dose of Fluzone® High-Dose influenza vaccine during Visit 1.