The study participants were all vaccinated employees at three hospitals in Hyogo Prefecture (Hyogo Prefectural Tamba Medical Center, Toyooka Public Hospital, and Shiso Municipal Hospital) who received the influenza vaccine between October and November 2018 or 2019. Mass vaccination had been performed for all employees during this period. In Japan, a mass influenza vaccination program for healthcare professionals is conducted in hospitals every year during the influenza season. All healthcare professionals in the three hospitals who took the influenza vaccine were eligible to participate in our study.

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