IsItFluSeasonYet
Guide · Season

When does flu season start and end?

"October through May" is technically accurate as an average — but it's the kind of answer that's useless when you're trying to make a decision in January. Flu seasons vary by four to six weeks in either direction, peak at different times in different parts of the country, and can be mild or severe independent of timing. Here's how to actually read a season as it unfolds.

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How the CDC defines flu season

The CDC tracks flu activity using a surveillance system called ILINet — a network of thousands of outpatient providers who report the percentage of visits attributed to influenza-like illness (ILI) each week. Flu season is considered "active" when ILI activity rises above the national baseline of approximately 2.5%.

The official flu season runs from week 40 of one year (early October) through week 20 of the next (mid-May). This is the reporting window, not a guarantee that flu is active the whole time. Most seasons see meaningful activity for 12 to 16 weeks within that window, with a clear peak somewhere in the middle.

The CDC also tracks flu seasons by severity — not just when they happen, but how bad they are — using hospitalization rates, ILI peaks, and pneumonia and influenza mortality data. A season can be early and mild, late and severe, or any combination. Timing and severity are largely independent.

Month by month: what a typical season looks like

Aug – Sep
Off-season
Vaccine season begins, flu is dormant
This year's flu vaccine becomes available starting in late August. Flu activity is negligible — ILI percentages are at or below baseline in virtually every region. The best time to get vaccinated if you're in a high-risk group or want maximum protection.
October
Very Low
Season begins — sporadic cases, not yet widespread
The CDC's surveillance window opens at week 40. Isolated flu cases start appearing, usually first in the Southeast and South Central regions. Activity is low enough that most people won't notice, but viruses are circulating. Late October is the CDC's recommended vaccination deadline for most adults.
November
Low – Moderate
Activity builds — holiday travel accelerates spread
Activity picks up noticeably in November, particularly in early-season years. Thanksgiving travel is a meaningful driver — bringing people from different regions into close contact accelerates spread. Some seasons see their first elevated-activity weeks in late November.
December
Moderate – High
Early peak seasons crest here
In early-season years (like 2017–18), flu peaks in December. Christmas and New Year's gatherings drive another round of accelerated spread. Emergency department visits for ILI typically rise sharply in mid-to-late December. If activity is already Moderate by Thanksgiving, expect peak conditions by mid-December.
January
High – Very High
Peak for most seasons
The most common peak month across all HHS regions over the past 20 years. ILI activity is at its highest, ERs are at capacity, and antiviral prescriptions peak. A majority of flu-related hospitalizations occur in January. This is when the 48-hour antiviral window matters most — people tend to wait, and that wait costs them their treatment options.
February
High
Late-season years peak here; others begin declining
In late-season years, February holds the peak or even surpasses January. In typical years, activity begins declining but remains significantly elevated. February is often the shoulder month — still enough flu circulating to make vaccination worthwhile for anyone who hasn't gotten it yet.
March
Moderate – Low
Decline — Flu B often rises as Flu A fades
Most seasons see a clear downward trend in March. A notable pattern: Influenza B, which tends to peak later than Flu A, sometimes rises in March even as overall activity falls. Children are disproportionately affected by Flu B, so pediatric cases can remain elevated into March and April even as adult activity declines.
Apr – May
Very Low
Wind-down — season effectively over for most regions
Activity drops toward baseline in most regions by April. The official surveillance window closes at week 20 (mid-May), but meaningful community spread has typically stopped well before that. Sporadic cases continue through the summer but are far below levels that affect most people's daily decisions.
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Why seasons vary so much

The timing and severity of flu seasons are notoriously difficult to predict, even for the CDC. Several factors drive variation:

Which strains dominate. Influenza A (particularly H3N2 subtypes) tends to cause more severe seasons than Influenza B or H1N1. H3N2-dominant seasons often peak earlier and hit older adults harder. The specific strains circulating in a given year affect both timing and who bears the burden.

Vaccine match. When the vaccine strains chosen in February (for the following winter's vaccine) match the circulating strains well, more of the population is protected and spread is slower. In mismatched years — when the dominant strain drifts after the vaccine is formulated — more people get sick, activity rises faster, and peaks can be higher.

Population immunity. A severe previous season leaves more people with natural immunity to similar strains, which can reduce the following year's activity. A mild season does the opposite.

Temperature and humidity. Influenza viruses survive longer and spread more efficiently in cold, dry air — which is why flu is a winter phenomenon in temperate climates. Years with early cold snaps in the South tend to see earlier season onset; mild Decembers can delay the peak.

Travel and behavior. Holiday travel reliably accelerates spread. School calendars matter too — kids are major vectors, and the return from Thanksgiving and winter breaks consistently shows up in ILI data two weeks later.

How recent seasons have compared

Season Peak month Dominant strain Severity Notable
2017–18 December–January H3N2 Very High One of the worst in a decade; vaccine poorly matched to H3N2
2018–19 February H1N1 / Flu B Moderate Late season; Flu B dominant in second half
2019–20 January H1N1 High Season ended abruptly in March with COVID-19 mitigation measures
2020–21 Minimal circulation Very Low Masks and distancing nearly eliminated flu; historically anomalous
2021–22 February–March H3N2 High Late, compressed season; H3N2 dominant; children heavily affected
2022–23 December H3N2 / Flu B High Early, severe season; tripledemic with RSV and COVID
2023–24 January–February H1N1 Moderate Moderate severity; vaccine reasonably well-matched
2024–25 January H3N2 / H1N1 High Above-average season; dual A subtypes circulating simultaneously

How the CDC tracks the season in real time

The CDC publishes a weekly flu surveillance report called FluView, released every Thursday for the prior week. It includes national and regional ILI percentages from ILINet, clinical lab data on strain typing and test positivity, hospitalization rates from a network of hospitals across the country, and mortality data from cities and states.

This site pulls from the same underlying data via the Delphi CMU Epidata API, which mirrors the FluView numbers in near-real-time. The activity level you see on the homepage reflects the most recent week available — typically data through the prior Saturday, published the following Thursday.

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The homepage shows exactly where your region is in the current season, updated weekly. The season arc chart in Section IV plots ILI activity from week 40 through the current week, so you can see not just today's level but the shape of the season so far — whether it's rising, at peak, or declining. See current season data →

The 7-day data lag

One thing worth understanding about all flu surveillance data, including what this site displays: there is always roughly a one-week lag between real-world conditions and reported numbers. Providers report to ILINet weekly, the CDC processes and publishes Thursday, and this site reflects those published numbers. If flu is exploding in your city today, the data won't show it until next Thursday.

This is a property of the surveillance system, not a flaw in how we display it. The practical implication: during a rapidly rising season, the numbers may understate how bad conditions are right now. Treat the current activity level as a floor, not a ceiling, when the season is actively accelerating.

The best leading indicator during a rising season is clinical lab positivity — the percentage of flu tests coming back positive. This number rises ahead of ILI percentages because it reflects testing patterns in real time. It's shown on the homepage alongside the ILI activity level when the season is active.