The annual ritual of getting a flu shot might soon become a thing of the past. While current influenza vaccines save lives, they require yearly updates and often provide limited protection depending on how much the virus mutates. However, the same mRNA technology that powered the rapid development of COVID-19 vaccines is now being repurposed to create a “universal” flu vaccine. This innovation aims to replace the annual guess-work of seasonal shots with a single immunization that offers broad, long-lasting protection against various influenza strains.
To understand why mRNA is revolutionary, we first need to look at why current flu shots are imperfect. Every year, scientists at the World Health Organization (WHO) and the CDC must predict which three or four influenza strains will be most dominant in the coming season. This selection process happens months in advance because traditional vaccines take a long time to manufacture.
Most current vaccines are grown in chicken eggs, a technology that dates back to the 1940s. This method has two major drawbacks:
Because of these variables, vaccine effectiveness fluctuates wildly. According to the CDC, effectiveness typically ranges between 40% and 60%. In years where the prediction is off, protection can drop even lower.
Messenger RNA (mRNA) technology bypasses the egg-based production line entirely. Instead of injecting a weakened or dead virus, mRNA vaccines deliver a genetic code to your cells. This code instructs your body to produce a harmless piece of the flu virus, which trains your immune system to recognize and fight the real thing.
This approach offers distinct advantages for a universal flu vaccine:
A major leap toward a universal vaccine occurred recently at the University of Pennsylvania. Researchers there, led by Dr. Scott Hensley, developed an experimental mRNA vaccine that contains antigens from all 20 known subtypes of influenza A and B viruses.
Published in the journal Science in late 2022, the study showed that this multivalent vaccine produced high levels of antibodies in mice and ferrets. The key findings were substantial:
Unlike current shots that target the rapidly changing “head” of the flu virus protein (hemagglutinin), universal vaccine research often focuses on the “stalk.” The stalk of the protein mutates much slower than the head. If the immune system learns to attack the stalk, it can destroy the virus regardless of how the head changes from year to year.
While the 20-subtype vaccine is a promising academic breakthrough, major pharmaceutical companies are racing to bring mRNA flu shots to the commercial market.
Moderna has been aggressive in this space. Their candidate, mRNA-1010, is currently in late-stage clinical trials. This vaccine targets the four seasonal influenza strains recommended by the WHO (quadrivalent).
Pfizer and BioNTech initiated a Phase 3 trial in September 2022 involving roughly 25,000 participants. Their approach tests a quadrivalent mRNA vaccine similar to current seasonal shots but with the goal of higher efficacy and faster production capabilities. They represent the most direct competition to Moderna in establishing the first FDA-approved mRNA flu shot.
The National Institute of Allergy and Infectious Diseases (NIAID) is taking a different route. They are conducting Phase 1 trials (such as VRC-3405) specifically designed to target the conserved stem or stalk of the hemagglutinin protein. If successful, this would be a true universal vaccine that might only need to be administered once every few years, or potentially once in a lifetime.
While the science is moving fast, regulatory approval takes time. We will likely see mRNA-based seasonal flu shots (like those from Moderna or Pfizer) enter the market first, potentially by the 2025 or 2026 flu season. These will still be annual shots, but they should be more effective than egg-based options.
The true “universal” vaccine—the one-and-done shot covering all 20 subtypes—is likely further out. It requires extensive human trials to ensure safety and durability. However, the success of the Penn Medicine animal trials provides a concrete proof of concept that a pan-influenza vaccine is chemically possible.
What is the difference between a seasonal and a universal flu vaccine? A seasonal vaccine protects against the 3 or 4 strains predicted to be most common that winter. A universal vaccine aims to protect against a wide range of strains (potentially all of them) and does not need to be updated annually.
Are mRNA flu vaccines safe? mRNA technology has been administered to billions of people worldwide via COVID-19 vaccines. The safety profile is well-understood. Common side effects include sore arms, fatigue, or mild fever, which are signs the immune system is responding.
Will a universal vaccine stop me from ever getting the flu? The goal is to prevent severe illness, hospitalization, and death. While it might not stop every mild infection, a universal vaccine would likely turn a dangerous bout of the flu into a minor inconvenience by priming your body to recognize the core structure of the virus.
Why hasn’t this been done before? Traditional vaccine manufacturing methods (using eggs or cell cultures) make it difficult to combine antigens from many different virus strains into one shot without diluting the effectiveness. mRNA technology removes this physical limitation, allowing scientists to include instructions for 20+ strains in a single lipid nanoparticle delivery system.