This Cochrane review evaluated the effects of influenza vaccines in healthy adults. The review included 50 studies with over 70,000 participants. Inactivated influenza vaccines were found to reduce symptomatic influenza by 73% when the vaccine strain matched the circulating strain, and by 44% when matching was incomplete or unknown. Common side effects included soreness at the injection site and muscle aches. Rare side effects like Guillain-Barré syndrome and Bell's palsy were associated with vaccination, occurring in 1-10 cases per million vaccinated. The vaccines had little effect on preventing pneumonia or hospitalization.