Reciprocal relationships among influenza experiences, perceptions, and behavior: Results from a national, longitudinal survey of United States adults

•Perceived risk of influenza without vaccination is associated with greater likelihood of vaccinating.•Perceived risk of influenza with vaccination is associated with decreased likelihood of vaccinating.•Experience with influenza is associated with higher future perceived risk of influenza.•Higher perceived risk of influenza may be more associated with interpreting ambiguous symptoms as influenza.