Fluzone High-Dose is a vaccine indicated for active immunization for the prevention of disease caused by influenza A subtype viruses and type B virus contained in the vaccine. Fluzone High-Dose is approved for use in persons 65 years of age and older.
On this page, you will learn:
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What it is: Fluzone High-Dose is an influenza vaccine with 4x the hemagglutinin content compared to standard-dose vaccines1,2
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What it's for: Fluzone High-Dose is a vaccine for the prevention of disease caused by influenza A subtype viruses and type B virus contained in the vaccine1
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Who it's for: Fluzone High-Dose is approved for use in persons 65 years of age and older1
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How it's used: Fluzone High-Dose is administered with an intramuscular injection1

Fluzone High-Dose is among the flu vaccines preferentially recommended by ACIP for those aged 65+ vs unadjuvanted standard-dose flu vaccines.4
Why choose Fluzone High-Dose for your older patients aged 65+
Fluzone High-Dose provides 4x the antigen1,2
- In studies of older patients, higher hemagglutinin (HA) content in influenza vaccines has been associated with higher protective influenza titers5
- Fluzone High-Dose contains 60 micrograms (mcg) of HA per strain compared to 15 mcg of HA per strain in a standard-dose influenza vaccine5
More antigen, more protection
- Compared to younger patients, adults aged 65+ are at increased risk for severe influenza-associated illness and hospitalization4
- Higher-dose flu vaccines are preferentially recommended by ACIP over unadjuvanted standard-dose vaccines for eligible patients aged 65+4

Contains 4x the antigen of standard-dose flu vaccines1,2†

Proven to provide superior protection vs standard dose in a randomized controlled trial of patients 65+1,2*

Real-world evidence in hospitalizations across 12 flu seasons and 45+ million people in randomized and observational studies3‡
*In an RCT conducted in 2011-2012 and 2012-2013 in approximately 32,000 adults 65+, Fluzone High-Dose was 24% (95% CI: 10, 37) more effective (rVE) against influenza due to ANY lab-confirmed circulating strains than standard-dose Fluzone® (Influenza Vaccine). The prespecified statistical superiority criterion for the primary endpoint (lower limit of 2-sided 95% CI of the vaccine efficacy of Fluzone High-Dose relative to Fluzone >9.1%) was met.1,2
†Fluzone High-Dose contains 60 mcg of HA per strain vs 15 mcg of HA per strain in a standard-dose influenza vaccine.2
‡Analysis included studies conducted over 12 influenza seasons (2009-2010 to 2019-2020, and 2021-2022) in adults 65+.3
Frequently asked questions
As people age, their immune systems naturally weaken in a process called immunosenescence. The higher hemagglutinin (HA) content in high-dose vaccines has been associated with higher protective influenza titers.5,6
Fluzone High-Dose is contraindicated in patients with a history of severe allergic reaction (eg, anaphylaxis) to any component of the vaccine, including egg protein, or to a previous dose of any influenza vaccine.1
For more information about Fluzone High-Dose, you can contact your Sanofi vaccines representative.
Fluzone High-Dose contains 60 mcg of hemagglutinin (HA) per strain, whereas standard-dose vaccines contain 15 mcg of HA per strain.1,2
By providing higher doses of antigen, high-dose vaccines have been shown to provide higher protective influenza titers.5
For adults 65+, ACIP preferentially recommends Fluzone High-Dose, Flublok, and Fluad.7
Among ACIP-preferred vaccines for people 65+, Fluzone High-Dose is the only higher-dose flu vaccine proven superior to a standard-dose flu vaccine in protecting against flu illness in this age group in an RCT.7
While all ACIP-recommended flu vaccines have shown relative benefit compared with standard-dose flu vaccines in certain studies, ACIP acknowledges that the most evidence is available for Fluzone High-Dose.7
For information about ACIP’s recommendation, please visit the CDC website.
Order Fluzone High-Dose
To order Fluzone High-Dose, call 1-800-VACCINE (1-800-822-2463) or click below to order on VaccineShop
Study Results
Proven superior protection vs standard dose in a randomized controlled trial of patients 65+1-3*
Resources
Find leave behinds and patient brochures for the Sanofi flu vaccines here
Important Safety Information
References: 1. Fluzone High-Dose. Prescribing Information. Sanofi Pasteur Inc. 2. DiazGranados CA, et al. N Engl J Med. 2014;371(7):635-645. doi:10.1056/NEJMoa1315727 3. Lee JKH, et al. Vaccine X. 2023;14:100327. doi:10.1016/j.jvacx.2023.100327 4. Grohskopf LA, Ferdinands JM, Blanton LH, et al. MMWR Recomm Rep. 2024;73(5):1-25. doi:10.15585/mmwr.rr7305a1 5. Falsey AR, et al. J Infect Dis. 2009;200(2):172-180. doi:10.1086/599790 6. Oh SJ, Lee JK, Shin OS. Aging and the Immune System: the Impact of Immunosenescence on Viral Infection, Immunity and Vaccine Immunogenicity. Immune Netw. 2019 Nov 14;19(6):e37. doi: 10.4110/in.2019.19.e37 7. Centers for Disease Control and Prevention. ACIP Recommendations Summary. Published June 10, 2026. Accessed July 28, 2026. https://www.cdc.gov/flu/hcp/vax-summary/acip-recommendations.html

