Flu Season 2026-2027: What to Know About the Subclade K Flu Strain, the New mRNA Flu Vaccine and More

The flu changes every year. An internal medicine doctor shares the top things to know this season.

4 min read

You know the drill: One minute you feel perfectly fine, and the next you’re in bed with a high fever, severe muscle aches and overwhelming fatigue. Sure enough, a rapid onset of symptoms is one of the strongest clues that you’ve come down with the flu, according to Dr. Keith Roach, an internist and associate attending physician at NewYork-Presbyterian/Weill Cornell Medical Center.

Luckily, there are ways to protect yourself. Dr. Roach shares six things to know to prepare for the 2026-2027 flu season: 

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1. The flu changes every year.  

Dr. Roach: It’s important to get vaccinated every year because the flu itself changes  — so the protection that you had last year has largely worn off, and it was, to some extent, specific to last year’s flu.  

Experts can make educated predictions about which flu strains are most likely to circulate each flu season, and vaccines are formulated to target those expected strains. To do this, they look at flu activity in the southern hemisphere, particularly Australia and South America. While it's not always an exact match, their flu seasons often mirror what the Northern Hemisphere will experience months later.

Based on recent data from Australia, health experts are particularly concerned about a strain known as H3N2 subclade K. This year's flu vaccine was designed to provide protection against that strain.

2. Vaccination is the best defense for everyone, especially people in high-risk groups.

Dr. Roach: While anyone can get seriously ill from the flu, certain health conditions and characteristics put people at higher risk, including:  

  • Chronic heart or lung disease (including heart failure, emphysema and severe arterial blockages)
  • Smoking
  • Immune system disease or suppression (including HIV, recent chemotherapy, or medications taken for autoimmune conditions)  
  • Age 65 and older

Individuals over 65 are eligible for a special types of flu vaccines, since they are at higher risk of developing complications from the flu. One type, known as an enhanced vaccine, contains a higher dose than the regular flu shot. Another type, known as an adjuvanted vaccine, contains a substance that enhances the immune system's response to the flu.

That said, any flu shot is better than none at all. If you are over 65 but your doctor or pharmacist doesn't have these special vaccines available, go for the regular vaccine.

3. There’s a new type of flu shot this year that uses mRNA technology.

Dr. Roach: The FDA has recently approved a new type of flu shot for those over the age of 50 that uses the same type of mRNA technology that was used to create the COVID vaccine, expected to become available in the US for the 2026-2027 flu season.

In a head-to-head trial, the mRNA flu vaccine outperformed the standard flu vaccine in most measures. While it appears to offer better protection, it is also more likely to cause short-term side effects. People who receive the vaccine may be more likely to experience muscle aches, fatigue, low-grade fever or a general feeling of malaise, though these symptoms typically last less than 24 hours.

These side effects occur because mRNA vaccines are highly effective at priming your immune system to recognize and respond to viruses. As the immune system ramps up, some people may temporarily feel wiped out, low on energy, achy or develop a headache. While uncomfortable, these symptoms are generally a sign that the immune system is mounting a response.

I usually advise my patients to get their flu shot between Halloween and Thanksgiving. Since its protection usually lasts about six months, you don't want to get it too early and have it wear off before the end of flu season.

— Dr. Keith Roach

4. There’s an ideal time to get your flu vaccine.

Dr. Roach: In New York, flu season reliably begins towards the end of December. I usually advise my patients to get their flu shot between Halloween and Thanksgiving. Since its protection usually lasts about six months, you don't want to get it too early and have it wear off before the end of flu season – which can extend into April or even May.  

But it's never too late to get your flu shot.

5. Prescription medication works best for the flu when it’s started right away.

Dr. Roach: Once flu symptoms kick in, it's important to get in touch with your doctor as soon as possible. There are treatment options that, if implemented immediately, can help you feel better more quickly and even cut a day or two off of your sickness.

We typically treat the flu with an antiviral prescription medication called oseltamivir, typically taken as a pill twice a day for 5 days. If you begin taking it within 24 hours of onset of flu symptoms, it can be very effective at preventing the virus from replicating – which gives your immune system a better shot at fighting it off. However, if you wait longer than 2 or 3 days to start taking it, it probably won't make much of a difference.

There is another type of medication for the flu called baloxavir, which became available in recent years. One convenient benefit is that it is taken as a single dose. Like other flu antivirals, it works best when started as soon as possible after symptoms begin.

(Two limitations on baloxavir: About 10% of people can develop resistance to baloxavir, so for people who are severely immunocompromised, doctors may recommend oseltamivir instead. Baloxavir is also not recommended during pregnancy.)

In addition to medication, you'll want to rest up and drink plenty of fluids. Over-the-counter pain relievers such as acetaminophen will help relieve symptoms, including muscle aches.

6. Prevention is key, even if you’re vaccinated.

Dr. Roach: The main way that you get sick during flu season is being exposed to someone who has the flu. So, as with COVID, avoid crowds, wear a mask, wash your hands and maybe even use an air purifier to help get rid of any circulating viruses.

Keith W. Roach, M.D.
Keith W. Roach, M.D.

Internal Medicine