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They don't have to create new ones every time since the same types of flu can circulate during the flu season from one year to the next or return in subsequent years. Each season the Centers for Disease Control and Prevention (CDC) recommends the strains of the flu to be included for that season in the vaccine for the US's flu season. The epidemiologists and other scientists study the flu in other parts of the world to help determine which types will most likely be infecting those in our hemisphere that upcoming season. Typically, the flu shot contains a new range of flu virus strains to protect against that year's likely flu types. The types are continuously changing because a virus such as the influenza mutates quickly, making it difficult for the immune system to recognize and destroy the new strains, and often necessitating a new vaccine. However, the vaccines can be used again in later flu seasons if it is determined that the virus in the vaccine is the same (or close enough) to the ones in the wild that are expected to be spreading in the upcoming season. It was necessary to create the new vaccine for H1N1/09 Swine Flu, since that type of flu had not been isolated in the environment before.

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