2020 IISAR Data Participation Rates

10/28/2021: Content on this page kept for historical reasons.

Child, adolescent, and adult participation rates in IIS are reported for the 2020 IISAR to monitor progress toward Healthy People 2020 objectives and program initiatives. For a discussion on the calculation and reporting of provider site participation rates in IIS, please see the 2012 Immunization Information System progress report in Morbidity and Mortality Weekly Report.

2020 CHILD Participation Table and Map

Percentage of U.S. Children < 6 years with 2+ Immunizations in IIS

Percentage of children aged <6 years participating in an immunization information system (IIS) in the United States (including all 50 states, five cities, and the District of Columbia, and eight territories) in 2020.

National coverage: 94% (excluding territories)

Map of this data (printable version) [1 page]

CHILD Participation Table
State/City Percentage
Alabama 91.3%
Alaska 88.5%
Arizona 99.2%
Arkansas 100.3%
California 91.5%
Chicago, IL 98.7%
Colorado 101.8%
Connecticut 84.2%
DC 91.3%
Delaware 101.7%
Florida 88.4%
Georgia 105.1%
Hawaii 60.7%
Houston, TX 131.0%
Idaho 97.5%
Illinois* 94.2%
Indiana 97.8%
Iowa 101.1%
Kansas 86.2%
Kentucky 94.6%
Louisiana 103.7%
Maine 96.5%
Maryland 95.8%
Massachusetts 100.5%
Michigan 96.1%
Minnesota 96.0%
Mississippi 103.3%
Missouri 74.6%
Montana 95.3%
Nebraska 94.8%
Nevada 98.5%
New Hampshire 1.3%
New Jersey 89.3%
New Mexico 100.1%
New York* 100.2%
New York City, NY 103.8%
North Carolina 100.7%
North Dakota 94.3%
Ohio 92.0%
Oklahoma 88.6%
Oregon 97.7%
Pennsylvania* 87.1%
Philadelphia, PA 107.2%
Rhode Island 100.3%
San Antonio, TX 95.4%
South Carolina 103.4%
South Dakota 95.9%
Tennessee 98.5%
Texas* 80.0%
Utah 98.6%
Vermont 103.5%
Virginia 105.1%
Washington 95.6%
West Virginia 93.1%
Wisconsin 96.8%
Wyoming 102.9%

CHILD Participation Table 2
Territories Percentage
American Samoa 119.6%
Guam 43.6%
Marshall Islands 65.1%
Federated States of Micronesia 106.8%
Northern Mariana Islands 91.6%
Palau 82.8%
Puerto Rico 92.4%
Virgin Islands 72.8%

Footnotes

* City-based IIS participation rates are reported separately from their respective states; state rates do not include city data in their values.

Reported annual fluctuations in child participation may be due to programmatic and/or technical changes to the immunization information system. The denominator used to calculate child participation numbers are drawn from the 2020 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2020

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2020 ADOLESCENT Participation Table and Map

Percentage of U.S. Adolescents 11-17 years with 2+ Adolescent Immunizations in IIS

Percentage of adolescents aged 11-17 years participating in an immunization information system (IIS) in the United States (including all 50 states, five cities, and the District of Columbia, and eight territories) 2020.

National coverage: 84% (excluding territories)

Map of this data (printable version) [1 page]

ADOLESCENT Participation Table
State/City Percentage
Alabama 71.0%
Alaska 74.9%
Arizona 95.6%
Arkansas 97.1%
California 79.5%
Chicago, IL 96.0%
Colorado 89.5%
Connecticut 19.7%
DC 85.6%
Delaware 92.4%
Florida 90.8%
Georgia 100.8%
Hawaii 68.1%
Houston, TX 115.8%
Idaho 82.6%
Illinois* 91.4%
Indiana 94.0%
Iowa 91.4%
Kansas 67.2%
Kentucky 82.9%
Louisiana 99.5%
Maine 93.9%
Maryland 86.9%
Massachusetts 87.3%
Michigan 88.9%
Minnesota 87.8%
Mississippi 88.7%
Missouri 58.8%
Montana 82.9%
Nebraska 82.6%
Nevada 84.7%
New Hampshire 0.5%
New Jersey 80.2%
New Mexico 91.6%
New York* 101.1%
New York City, NY 115.5%
North Carolina 87.9%
North Dakota 89.9%
Ohio 79.3%
Oklahoma 69.9%
Oregon 84.7%
Pennsylvania* 75.7%
Philadelphia, PA 107.5%
Rhode Island 86.2%
San Antonio, TX 71.6%
South Carolina 79.4%
South Dakota 92.5%
Tennessee 80.3%
Texas* 63.1%
Utah 85.6%
Vermont 93.8%
Virginia 109.6%
Washington 92.7%
West Virginia 81.7%
Wisconsin 88.2%
Wyoming 86.6%

ADOLESCENT Participation Table 2
Territories Percentage
American Samoa 112.4%
Guam 25.7%
Marshall Islands 60.4%
Federated States of Micronesia 61.6%
Northern Mariana Islands 88.1%
Palau 23.7%
Puerto Rico 68.4%
Virgin Islands 47.1%

Footnotes

* City-based IIS participation rates are reported separately from their respective states; state rates do not include city data in their values.

Reported annual fluctuations in child participation may be due to programmatic and/or technical changes to the immunization information system. The denominator used to calculate child participation numbers are drawn from the 2020 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2020

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2020 ADULT Participation Table and Map

Percentage of U.S. Adults 19+ years with 1+ Adult Immunizations in IIS

Percentage of adults aged 19+ years participating in an immunization information system (IIS) in the United States (including all 50 states, five cities, and the District of Columbia, and eight territories) in 2020.

National coverage: 68% (excluding territories)

Map of this data (printable version) [1 page]

Adult Participation table
State/City Percentage
Alabama 42.5%
Alaska 77.5%
Arizona 69.1%
Arkansas 84.7%
California 76.1%
Chicago, IL 74.8%
Colorado 86.4%
Connecticut 18.3%
DC 40.8%
Delaware 80.3%
Florida 79.6%
Georgia 96.7%
Hawaii 51.9%
Houston, TX 6.6%
Idaho 75.3%
Illinois* 76.3%
Indiana 84.9%
Iowa 95.2%
Kansas 79.8%
Kentucky 64.1%
Louisiana 73.0%
Maine 45.7%
Maryland 68.8%
Massachusetts 98.6%
Michigan 84.3%
Minnesota 112.3%
Mississippi 62.6%
Missouri 64.0%
Montana 88.4%
Nebraska 90.1%
Nevada 90.3%
New Hampshire 0.0%
New Jersey 14.3%
New Mexico 90.6%
New York* 48.4%
New York City, NY 51.4%
North Carolina 52.5%
North Dakota 90.1%
Ohio 75.6%
Oklahoma 48.9%
Oregon 103.3%
Pennsylvania* 81.3%
Philadelphia, PA 79.9%
Rhode Island 23.1%
San Antonio, TX 5.8%
South Carolina 70.3%
South Dakota 91.1%
Tennessee 71.2%
Texas* 4.0%
Utah 87.6%
Vermont 98.1%
Virginia 91.9%
Washington 94.2%
West Virginia 78.7%
Wisconsin 102.8%
Wyoming 86.6%

Adult Participation table 2 Adult Participation table 2
Territories Percentage
American Samoa 125.4%
Guam 33.4%
Marshall Islands 54.3%
Federated States of Micronesia 77.1%
Northern Mariana Islands 75.7%
Palau 65.6%
Puerto Rico 3.6%
Virgin Islands 50.5%

Footnotes

* City-based IIS participation rates are reported separately from their respective states; state rates do not include city data in their values.

Reported annual fluctuations in child participation may be due to programmatic and/or technical changes to the immunization information system. The denominator used to calculate child participation numbers are drawn from the 2020 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2020

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