This year's flu vaccination has been beefed up following a particularly bad season in the northern hemisphere, but given the unpredictability of the virus it's still difficult to know exactly what strains will be circulating in the months ahead.
There were currently four seasonal influenza viruses circulating globally - influenza A(H1N1), influenza A(H3N2), influenza B/Yamagata lineage and influenza B/Victoria lineage.
The A(H3N2) strain had been included in New Zealand's vaccination this year, at the recommendation of the World Health Organisation, due to its association with an increase in hospitalisation and deaths in places such as Europe and the United Kingdom.
ESR strategic health intelligence manager Lisa Oakley said the vaccine had been changed from the northern hemisphere version to take into account the slightly different strains circulating in the southern hemisphere.
"The flu virus is clever - it can change in itself very slowly year by year, or there can be big changes in the genetic material, which is when pandemics can occur."