EEHV is a virus, similar to a cold or COVID or flu for humans like you and I. I know there are at least two strains of EEHV. It is like chicken pox, once you have it you cannot have it again because your body have developed the antibodies for it. But you can still get shingles which is somewhat alike to chicken pox. Once you have shingles, you are autoimmune to it as well. We get sick with cold every now and then because there are many cold viruses out there. The scary thing about viruses is that they are constantly changing. So, I am sure we will learn of a new EEHV strain sometime. Learned in biology in college and my professor was big on avian influenza.

A whole chapter devoted to viruses.
The vaccines have antibodies in it, so the elephants could show a positive test as their body responds to the vaccine. If you have received a COVID vaccine, you would not feel good for a couple days because of your body creating antibodies and responding in accordance to the vaccine.
The flareups may be due to an underlying persisting virus that the body never completed the healing, or a secondary virus. We do not know at this point as we are still in the early stages.
yes vaccines will play an important and integral part in developing the elephantss immune system, but if they already have the EEHV the vaccine can not do much. It is only for preventative measures and does not 100% guarantee the elephant will contract EEHV, but it can increase the chance of recovery. Similarly to parvo in dogs, I had a pup come down with parvo even with the vaccination!!!! Her immune system did not absorb the antibodies. That is why we need to do the titre testing (I do this from now on, especially on young dogs). None of my dogs were affected because they had their parvo vaccines. That is why zoos draw blood, they are constantly testing the titre for EEHV.