Ultimate Longevity Bible

Clinical trial

Immunisation Trials in Older Adults

Last updated 2026-07-02· Last reviewed 2026-07-02· 1 min read

Reviewed by the Ultimate Longevity Bible editorial team. Educational reference — not medical advice. See disclaimer.

Vaccines with older-adult-specific trial evidence

  • High-dose influenza vaccine: quadruple antigen dose vs standard. Reduces influenza hospitalisation and mortality vs standard-dose in adults ≥65.
  • Adjuvanted influenza vaccine (Fluad): MF59 adjuvant improves immunogenicity in older adults.
  • Recombinant zoster vaccine (Shingrix): 90%+ efficacy against shingles even in adults > 70; substantially better than the older Zostavax.
  • RSV vaccines (Arexvy, Abrysvo): newly-approved for adults ≥60, reducing RSV-lower-respiratory-tract disease.
  • COVID-19: updated formulations and boosters are highest-yield in older adults.
  • Pneumococcal: PCV15/PCV20 plus PPSV23 sequence protects against invasive pneumococcal disease.

Why they matter for longevity

Infection remains a major cause of morbidity, functional decline, and mortality in older adults. Vaccines are among the highest-return medical interventions per intervention-dollar in geriatric practice.

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