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We noted substantial duty\u2010days lost, rapid spread, and vaccine antigenic divergence. The risk of influenza in healthy vaccinated adults underscores the need to develop universal influenza vaccines.<\/jats:p>","DOI":"10.1111\/irv.70184","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T04:05:02Z","timestamp":1764389102000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Epidemiology, Phylogeny, and Strain Antigenicity of an Influenza A\/H3N2 Virus Outbreak Among Vaccinated US Navy Midshipmen"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4450-7028","authenticated-orcid":false,"given":"Simon\u00a0D.","family":"Pollett","sequence":"first","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics Uniformed Services University of the Health Sciences  Bethesda Maryland USA"},{"name":"The Henry M. 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Jackson Foundation for the Advancement of Military Medicine, Inc  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert\u00a0J.","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy\u00a0H.","family":"Burgess","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Ewing","sequence":"additional","affiliation":[{"name":"Agile Vaccines and Therapeutics Department Naval Medical Research Command  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Appavu\u00a0K.","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Agile Vaccines and Therapeutics Department Naval Medical Research Command  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony\u00a0C.","family":"Fries","sequence":"additional","affiliation":[{"name":"United States Air Force School of Aerospace Medicine (USAFSAM), Wright\u2010Patterson Air Force Base  Dayton Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drake\u00a0H.","family":"Tilley","sequence":"additional","affiliation":[{"name":"Naval Health Clinic Annapolis  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda\u00a0E.","family":"Colombo","sequence":"additional","affiliation":[{"name":"Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics Uniformed Services University of the Health Sciences  Bethesda Maryland USA"},{"name":"The Henry M. 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