“…[ 66 , 67 ] - Cross-Infection Enhancement (infection enhancement of one virus by antibodies from another virus) [ 68 , 69 ]
- Vaccine-associated Virus Interference (where vaccinated individuals may be at increased risk for other respiratory viruses because they do not receive the non-specific immunity associated with natural infection) [ [70] , [71] , [72] , [73] , [74] , [75] ];
- Vaccine-Associated Imprinting Reduction (where vaccinations could also reduce the benefits of ‘imprinting’, a protection conferred upon children who experienced infection at an early age) [ 76 , 77 ];
- Non-Specific Vaccine Effects on Immune System (where previous infections can alter an individual's susceptibility to unrelated diseases) [ 78 , 79 ];
- Impact of Infection Route on Immune System (where immune protection can be influenced by the route of exposure/delivery) [ [80] , [81] , [82] ];
- Impact of Combinations of Toxic Stimuli (where people are exposed over their lifetime to myriad toxic stimuli that may impact the influence of any vaccine) [78; 83, 84];
- Antigenic Distance Hypothesis (negative interference from prior season’s influenza vaccine (v1) on the current season’s vaccine (v2) protection may occur when the antigenic distance is small between v1 and v2 (v1 ≈ v2) but large between v1 and the current epidemic (e) strain (v1 ≠ e).) [ [85] , [86] , [87] ];
- Bystander Activation (activation of T cells specific for an antigen X during an immune response against antigen Y) [ [88] , [89] , [90] ];
- Gut Microbiota (Impact of gut microbial composition on vaccine response) [ [91] , [92] , [93] , [94] , [95] ];
- Homologous Challenge Infection Enhancement (the strain of challenge virus used in the testing assay is very closely related to the seed virus strain used to produce the vaccine that a subject received) [ [96] , [97] , [98] ];
- Immune Evasion (evasion of host response to viral infection) [
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