Table 2

Clade distribution of viruses contributing to influenza vaccine effectiveness (VE) analyses, Canadian Sentinel Practitioner Surveillance Network (SPSN), 1 November 2019–1 February 2020 (n = 628)

Clades with defining substitutions (antigenic site)

+ extra substitutions (antigenic site)
        + D187A (Sb)(RBS) + Q189E (Sb) 99
        + D187A (Sb)(RBS) + Q189E (Sb) + A73E (Cb) + T120I 16
        + K130N + N156K (Sa) + L161I (Sa) + V250A + HA2: T147A 108
        + K160M (Sa) + T216K 2
        + K160M (Sa) + T216K + K130N + H296N 15
        + K160M (Sa) + T216K + K130N + H296N + P137S (Ca2) + V272I 22
        + E68D + S121N + L161I (Sa) + T120A 1
 + 
        +  K83E (E) + Y94N (E) 4
        + Q197R (B) + S219F (D) + HA2: V18M 3
        + Q197R (B) + S219F (D) + HA2: V18M + K207R (D) 32
        + Q197R (B) + S219F (D) + HA2: V18M + K207R (D) + S144R (A) 4
        + S137F (A)(RBS) + A138S (A)(RBS) + F193S (B) 2
        + S137F (A)(RBS) + A138S (A)(RBS) + F193S (B) + E50K (C) 8
        + A138S (A)(RBS) + G186D (B) + D190N (B)(RBS) + F193S (B) + S198P (B) 19
        + G133R (120-loop) + E128K (120-loop) 117
        + R133K (120-loop) + E128K (120-loop) 79
        + N150K (150-loop) + G184E + N197D (190-helix)(−CHO) + R279K 1
         + R48K + L172Q + D232N (230-region)( + CHO) + M251V 1

HA: haemagglutinin; (+/ − CHO) signifies gain/loss of potential N-linked glyscosylation; (RBS) signifies substitution affecting the receptor binding site.

The number of viruses belonging to the specified influenza A subtype or B lineage are shown in bolded font as N=number. The number of viruses belonging to a parent genetic group are also shown in bold as n=number. The number of viruses within that parent group bearing the additional substitutions specified are shown in normal font. Specified substitutions are for HA1 unless specified as for HA2.

a Indicates 2019/20 trivalent influenza vaccine strain.

b Clade 3C.2a defined by 3C + L3I + N144S (A) + N145S (A) + F159Y (B) + K160T (B) (+ CHO) + N225D (RBS) + Q311H (C) + HA2: D160N.

c Clade 3C.3 defined by 3C + T128A(B)(−CHO) + R142G (A) + N145S(A).

d Indicates 2019/20 quadrivalent influenza vaccine strain. SPSN virus bears additional substitutions in relation to the vaccine strain as shown.