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The strange reason flu shots have been so hard to improve

8 August 2026 at 14:00
A man in a gray T-shirt gets a shot in his shoulder from a blue-gloved health worker.

On August 5, 2025, the US Department of Health and Human Services canceled 22 mRNA vaccine projects worth roughly $500 million and told the country it would stop investing in the technology that had brought us life-saving Covid vaccines. Health Secretary Robert F. Kennedy Jr., a longtime vaccine skeptic, claimed that the data showed these vaccines fail to protect against upper respiratory infections like Covid and flu. That his claims weren’t true — Moderna had already published Phase 3 trial results showing the opposite — didn’t seem to matter.

On August 5, 2026 — one year to the day later — the Food and Drug Administration (FDA) approved mFLUSIVA, the first mRNA influenza vaccine ever licensed in the United States.

That symmetry, while highly useful to writers like myself who are always looking to identify the rhymes of history, wasn’t planned. The approval landed on the one-year anniversary simply because of the deadline the agency had set for itself in February of this year, after it refused to review Moderna’s application and then, 15 days later, reversed itself

The decision didn’t earn a huge amount of press, in part because seasonal flu is a disease Americans have rarely taken seriously — fewer than 50 percent of US adults got their flu shot this past fall and winter. But flu is no joke: The 2024–’25 season produced 51 million illnesses, 710,000 hospitalizations, and 45,000 deaths. That’s more than the number of Americans who died in car crashes last year. And the damage from a flu virus doesn’t stop when the fever does. In the week after a confirmed infection, the risk of a heart attack runs roughly six times higher than normal

So a better flu vaccine matters. But the more interesting thing is what the approval says about the year that produced it. The nine experts who voted unanimously that this vaccine’s benefits outweigh its risks were appointed under the very same secretary who was against mRNA technology. Asked to look at the evidence, those experts couldn’t produce a single vote against it. 

That’s not quite a change of heart, but at a dark time for public health, it’s something to hang our hopes on — because flu could just be the start for this technology.

The egg came first

If you’ve ever taken a flu shot, thank a chicken.

Every flu vaccine Americans have received since the 1940s has been grown inside fertilized chicken eggs. It’s a laborious process, closer to agriculture than it is high technology. Each batch incubates for nine to 12 days; the World Health Organization then spends months making the reagents manufacturers need to calibrate doses. The whole sequence runs about six months.

That means that the flu strains in your vaccine in November were selected back in February. Which is a problem, because flu viruses don’t like to stand still. Between February and November, the virus drifts, and the current dominant H3N2 flu drifts especially fast

The eggs are a problem, too. Growing flu virus in a chicken egg forces it to adapt to egg cells, and those adaptations alter the very surface protein the vaccine is meant to teach your immune system to recognize. Between the 2011 and 2020 flu seasons, egg-adaptive mutations caused more mismatches than the virus’s own drift did. And more mismatches mean a less effective vaccine — while the flu shot prevented an estimated 12,000 deaths in the 2024–’25 flu season, it is the weakest vaccine in routine American use, landing anywhere between 20 and 60 percent effective depending on how well February’s guess matched November’s virus.

mRNA skips the egg. The shot carries instructions, a strip of genetic code that tells your own cells to build the flu’s surface protein, which your immune system then learns to attack. And swapping in a new strain means retyping that code, not growing a new virus.

As a result, Moderna told the FDA’s advisory panel it can go from strain selection to finished vaccine in two to three months instead of six. That means strain picks could move later, closer to the season they cover, and a novel flu virus surfacing in September could still be blocked by a reformulated vaccine in the same season. Eggs are great, but they can’t do that.

Building off the platform

Back in January I wrote here about the universal flu vaccine — one shot covering every strain for years. It’s a public health dream. mFLUSIVA isn’t that, but some of the best hopes for a universal flu vaccine run through the mRNA platform, and platforms only improve when somebody uses them.

That word — platform — is where last August’s decision went wrong. Kennedy made a claim about one application, mRNA respiratory vaccines, and cut funding for the technology underneath all of them. But over the 12 months that followed, the science on mRNA kept flowing.

In June, five-year melanoma results showed an individualized mRNA therapy given after surgery alongside pembrolizumab cut the risk of recurrence or death by 49 percent. In April, a Memorial Sloan Kettering team reported that among pancreatic cancer patients whose immune systems responded to a personalized mRNA vaccine, nearly 90 percent were alive six years later; the five-year survival rate in that disease sits near 13 percent. And KJ Muldoon, the first person treated with a gene-editing therapy built for his mutation alone, is walking and talking, though half the infants born with his disorder never see a first birthday. The editor that rewrote his DNA was delivered to his liver as messenger RNA — mRNA as the delivery truck rather than the vaccine.

None of those is a flu shot. All of them are the same chemistry — a strip of genetic code wrapped in a lipid nanoparticle — and none of them were what Kennedy was talking about when he defunded it.

Partially as a result, Americans are falling behind. Moderna’s combined Covid-and-flu shot is already licensed in Europe while patients here wait for a resubmission. The Phase 3 trial of its H5 bird flu vaccine — the one meant to be ready if bird flu ever learns to spread between people — runs on money from the Coalition for Epidemic Preparedness Innovations, and the British government, after the administration killed a $760 million BARDA contract. “The United States invented this platform,” Johns Hopkins RNA biologist Jeff Coller wrote on Thursday, “and is the only country walking away from it.”

Of course, you need to actually get the vaccine

mFLUSIVA beat a standard-dose flu shot by 26.6 percent in a 40,700-person trial. (Against flu bad enough to send someone to a doctor, the figure was 33.7 percent — an exploratory finding the trial wasn’t built to prove, but that points in the same direction.) This is a better flu shot, but it hasn’t solved flu.

There are issues with side effects: Two-thirds of recipients reported injection-site pain, against 30 percent for the comparison. Most cleared in a day or two, but in a country where a quarter of the people who skip the flu shot cite side effects, that’s not a minor problem.

And approval, unfortunately, isn’t access. The CDC’s vaccine advisory committee has been frozen by a federal court since March, so there is no clinical recommendation, which means insurers aren’t required to cover mFLUSIVA at no cost. The $500 million in canceled contracts hasn’t been restored. As Michael Osterholm, who runs the University of Minnesota’s infectious disease center, put it after the government reversed its mRNA decision in February: “We don’t have any idea why they reversed course. That’s part of the problem.”

The most optimistic reading is that nine independent experts appointed by this government looked at the evidence on mRNA and could not produce a single vote against it. The more pessimistic one is that it took a refusal-to-file letter, a public outcry and two senior departures to get there.

But here’s what we do know: Some morning this fall a 58-year-old will roll up a sleeve at a CVS for a vaccine designed off a sequence rather than grown in an egg, and will think about none of this. That’s more progress than I would have expected a year ago.

A version of this story originally appeared in the Good News newsletter. Sign up here!

Donald Trump has a gas problem

8 August 2026 at 13:00
A sign for the gas station Wawa standing near a road displays the price per gallon for regular gasoline and diesel.
Gas prices in Chadds Ford, Pennsylvania, on May 21, 2026. | Matthew Hatcher/Bloomberg via Getty Images

With the 2026 midterm elections quickly approaching, President Donald Trump’s war with Iran is ongoing and gas prices remain high. 

Americans are taking note: On this week’s episode of America, Actually, host Astead Herndon visits Allentown, Pennsylvania in the state’s bellwether Seventh District, to hear how persistently high gas prices — almost $4.20 per gallon in Pennsylvania — are showing up in residents’ lives. Many said the economy and prices were at the top of their list of issues, and laid the blame at Trump’s feet.

Still, gas is just one expense of many, for voters who are likely also feeling the pinch with the cost of groceries, housing, electricity, and more. So how much power do gas prices really have to shape the outcome of an election — and, potentially, a presidency? And after decades of renewable energy growth, technological disruption, and new existential worries, why are gas prices still so core to the American political conversation?

To learn more, Herndon spoke with Julian Zelizer, a professor of history and public affairs at Princeton University. They discussed the history of gas prices as a salient political issue, why Americans feel high prices so acutely, even compared to other commodities, and whether voters are ever willing to overlook gas prices when they go to the polls.

Below is an excerpt of the conversation, edited for length and clarity. There’s much more in the full show, so listen to America, Actually wherever you get your podcasts or watch it on Vox’s YouTube channel.

When did the price of gas become such a political weapon in America? Does this date all the way back to the Model T?

It really dates to the 1970s. That’s when the United States will have two energy crises, in 1973 and 1979, and the price of gas becomes a huge political issue for Americans. It affects presidents, it affects Congress, and it becomes a manifestation in that decade of the problems facing the country.

I think that’s when we start to realize we don’t have unlimited resources and it’s gonna be a political problem.

Can you go in more detail about that? What happened in the ’70s to make it so clear to Americans that this party might not last forever?

Production of oil here peaks in the late 1960s, early 1970s, and then in 1973, OPEC, which is the cartel of oil-producing countries in the Middle East, imposes an embargo on the US because the United States had supported Israel during the Yom Kippur War. And as a result of the embargo, prices go up and supplies go down, and that’s when Americans start to face gas lines.

Then, in 1979, we have another round of this after the Iranian Revolution, and that leads to even bigger gas lines and more stringent rations and government mandates in ’79, and many people think it really helped bring down Jimmy Carter’s presidency.

Carter in 1979 is really reeling from what Americans experience. And it’s not simply gas prices, it’s waiting in line for gas. It’s hearing that you could only buy gas on certain days. It’s reading stories about people stealing gas and violent clashes occurring over getting this commodity. 

There’s a lot of things that go into the mix with Carter — the hostages in Iran — but certainly his difficulty dealing with this fundamental is a big part of what happens in 1980 when Reagan wins the presidency.

Of course, presidents have little control over the global price of oil, yet they are blamed for it seemingly every time. How have politicians and particularly presidents dealt with that reality, considering the price at the pump is so important to their political futures while not always in their control?

In the ’70s they tried with legislation. Carter pushes legislation that deals with energy, but it’s limited in its success. Americans want a lot of oil and it was hard to get them to conserve.

He put solar panels on the White House. There’s really not much that presidents can do. We have the strategic reserves. And other than that, I think presidents just wait it out and hope the timing works in their favor and the gas prices go down again.

Is there an example of a president who beat the gas prices trap? Do we have any example of someone successfully convincing the country, “Hey, look away from the price of the pump”?

I think we have presidents who say, “Just look away for a little while,” and when reelection comes around again, they’re doing better. Even President George W. Bush struggled with some of this after 9/11 and after the war started. But in the end, he doesn’t make an announcement about it so much as focus on other issues such as national security.

And now we see how prices fluctuate, so you just wait for those moments.

Why is it always gasoline rather than other commodities when we think about the priorities for the electorate?

There’s a few things. One is that, historically, the automobile really symbolizes American freedom and American consumption. And so when something impinges on our ability to drive a lot…

Second, it’s a price you just see. It’s just very visible when it goes up or down, more than groceries even.

I think that kind of recurring image for people becomes very politically potent if that number gets too high. So it’s a real struggle, but it’s also symbolically right in front of us. And these days, I think even more so now than in the ’70s or ’80s, it’s become something that the reporters and the media track.

I want to talk specifically about this summer. We’ve crossed $4/gallon again this summer, the highest since 2022, and this time it’s pretty clearly tied with the ongoing war in Iran.

Donald Trump has tried to make the argument that some short-term pain at the pump is worth a long-term national security focus. But his energy secretary said pretty clearly that gas won’t be back to $3 until 2027. Obviously, that puts us after the midterm elections. It sounds like he’s running the exact playbook you just told me has never worked, which is to get people to just pretend this is not happening.

What have you thought about how the president has handled the spike in gas prices?

In part it strikes me as a president who doesn’t really care about the fate of his party. I think it’s a big issue. I think most Republicans understand that. And it’s tied to a war that really doesn’t have public support.

It’s a war without the kind of clarity that many people felt after 9/11 with Afghanistan, and Iraq for a while. It’s the worst of all worlds. And so I think he’s really fumbled on this issue, and there was part of him that hoped people either wouldn’t care even if they noticed, or somehow the prices would diminish. It’s certainly not looking that way.

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