Based on recent evidence on the mutation of the A/H3N2 strain in egg-grown vaccine, the investigators will study the quadrivalent recombinant influenza vaccine (RIV4, Flublok) compared to the standard dose quadrivalent vaccine (IV4) in a cohort of long-stay NH residents with a primary endpoint of all-cause hospitalization.
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Differences in all-cause hospitalization rates during the 2019-20 and 2020-21 influenza seasons
Timeframe: Up to 8 months each influenza season