The dose effect (0, 10, 20 and 60 micrograms) of influenza subunit vaccine on the antibody response was investigated in nursing-home residents and young controls. The vaccine antigens were: A/Taiwan/1/86 (H1N1), A/Sichuan/2/87 (H3N2) and B/Beijing/1/87. For the influenza B antigen, the post-GMT and the 'percentage protective titre' increased significantly both in the young controls and nursing-home residents. No dose effect was observed for the A/Taiwan, and a minor dose effect for A/Sichuan. All vaccine doses were well tolerated by both groups. We conclude from our data that higher vaccine doses may result in a better antibody response against some antigens but not against others. Therefore, in general, increasing the vaccine dose is no adequate method to improve the antibody response.

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doi.org/10.1016/0264-410X(93)90333-S, hdl.handle.net/1765/14998
Vaccine
Erasmus MC: University Medical Center Rotterdam

Palache, A., Beyer, W., Sprenger, M., Masurel, N., de Jonge, S., Vardy, A., Charpentier, B., Noury, J., van Beek, W. C. A., Borst, R. J. A., Ligthart, G., Keren, G.& Rubinstein, E. (1993). Antibody response after influenza immunization with various vaccine doses: a double-blind, placebo-controlled, multi-centre, dose-response study in elderly nursing-home residents and young volunteers. Vaccine, 11(1), 3–9.https://doi.org/10.1016/0264-410X(93)90333-S