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Fluzone High-Dose® (Influenza Vaccine)

About Fluzone High-Dose

The only high-dose flu vaccine shown to protect against flu and its complications1-3*†

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:

  • What it is: Fluzone High-Dose is an influenza vaccine with 4x the hemagglutinin content compared to standard-dose vaccines1,2

  • 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

  • Who it's for: Fluzone High-Dose is approved for use in persons 65 years of age and older1

  • 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.

Fluzone® High-Dose Influenza Vaccine and VaccineShop Logo

Order Fluzone High-Dose

To order Fluzone High-Dose, call 1-800-VACCINE (1-800-822-2463) or click below to order on VaccineShop

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Study Results

Proven superior protection vs standard dose in a randomized controlled trial of patients 65+1-3*

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Resources

Find leave behinds and patient brochures for the Sanofi flu vaccines here

Important Safety Information

Do not administer Fluzone, Flublok, or Fluzone High-Dose to anyone with a history of a severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine (including egg protein for Fluzone and Fluzone High-Dose). Fluzone and Fluzone High-Dose should not be administered to anyone who has had a severe allergic reaction after previous dose of any influenza vaccine.

Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of the vaccine.

If Guillain-Barré syndrome has occurred within 6 weeks following previous influenza vaccination, the decision to give Fluzone, Flublok, or Fluzone High-Dose should be based on careful consideration of the potential benefits and risks.

Syncope (fainting) has been reported following vaccination with Fluzone, Flublok and Fluzone High-Dose. Procedures should be in place to avoid injury from fainting.

In two separate postmarketing observational studies, an increased risk of febrile seizures was observed during the first day following vaccination with standard dose trivalent (2024-2025) and quadrivalent (2023-2024) influenza vaccines in children 6 months through 4 years of age.

If Fluzone, Flublok, or Fluzone High-Dose are administered to immunocompromised persons, including those receiving immunosuppressive therapy, the expected immune response may not be attained.

Vaccination with Fluzone, Flublok, or Fluzone High-Dose may not protect all recipients.

For Fluzone, in children 6 months through 8 years of age, the most common injection-site adverse reactions were pain or tenderness and redness; the most common solicited systemic adverse reactions were irritability, drowsiness (6 months through 35 months), and myalgia (3 years through 8 years). In adults 18 through 64 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache and myalgia. In adults over 65 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, myalgia, and malaise.

For Flublok, in children 9 through 17 years of age who received Flublok Quadrivalent, the most common solicited injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were myalgia, headache, and malaise. In adults 18 through 64 years of age who received Flublok, the most common injection site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, fatigue, and myalgia. In adults 65 years of age and older who received Flublok, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were fatigue and headache.

For Fluzone High-Dose, in adults 65 years of age and older, the most common injection-site reaction was pain; the most common solicited systemic adverse reactions were myalgia, malaise, and headache.

For Fluzone, Flublok, and Fluzone High-Dose, other adverse reactions may occur.

Indications

Fluzone, Flublok, and Fluzone High-Dose are vaccines indicated for active immunization for the prevention of disease caused by influenza A virus subtypes and type B virus contained in (or in the case of Flublok, represented by antigens contained in) the vaccine. Fluzone is approved for use in persons 6 months of age and older. Flublok is approved for use in individuals 9 years of age and older. Fluzone High-Dose is approved for use in persons 65 years of age and older.

Important Safety Information
Indications

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

MAT-US-2607249-v1.0-08/2026 Last updated: August 2026