Information on 2022 IISAR Data Participation Rates

At a glance

Child, adolescent, and adult participation rates in IIS are reported for the 2022 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.
patient at a clinic consulting with the doctor

2022 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 2022.

National coverage: 98% (excluding territories)

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

State/City Percentage
Alabama 104.6%
Alaska 76.1%
Arizona 105.0%
Arkansas 101.6%
California 95.4%
Chicago, IL 101.8%
Colorado 106.4%
Connecticut 100.3%
DC 123.2%
Delaware 104.2%
Florida 91.9%
Georgia 104.7%
Hawaii 67.3%
Houston, TX 135.0%
Idaho 95.4%
Illinois* 93.5%
Indiana 99.2%
Iowa 102.1%
Kansas 93.5%
Kentucky 100.9%
Louisiana 106.6%
Maine 99.3%
Maryland 102.1%
Massachusetts 108.6%
Michigan 97.4%
Minnesota 97.8%
Mississippi 111.4%
Missouri 88.2%
Montana 94.8%
Nebraska 96.9%
Nevada 102.1%
New Hampshire 70.6%
New Jersey 98.0%
New Mexico 101.2%
New York* 94.9%
New York City, NY 104.4%
North Carolina 103.6%
North Dakota 94.5%
Ohio 95.1%
Oklahoma 92.7%
Oregon 100.1%
Pennsylvania* 91.3%
Philadelphia, PA 110.6%
Rhode Island 104.5%
San Antonio, TX 91.8%
South Carolina 107.9%
South Dakota 96.7%
Tennessee 99.7%
Texas* 82.0%
Utah 102.2%
Vermont 103.6%
Virginia 108.3%
Washington 100.7%
West Virginia 95.5%
Wisconsin 97.9%
Wyoming 103.5%

Territories Percentage
American Samoa 115.7%
Guam 45.7%
Marshall Islands 62.4%
Federated States of Micronesia 105.6%
Northern Mariana Islands 83.6%
Palau 0.0%
Puerto Rico 91.8%
Virgin Islands 61.1%

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 2022 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2022

2022 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) 2022.

National coverage: 86% (excluding territories)

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

State/City Percentage
Alabama 14.8%
Alaska 79.1%
Arizona 105.0%
Arkansas 97.4%
California 79.6%
Chicago, IL 100.9%
Colorado 95.0%
Connecticut 84.8%
DC 131.4%
Delaware 96.2%
Florida 73.3%
Georgia 97.1%
Hawaii 61.4%
Houston, TX 128.3%
Idaho 80.1%
Illinois* 92.7%
Indiana 93.8%
Iowa 89.8%
Kansas 87.7%
Kentucky 91.3%
Louisiana 98.0%
Maine 94.5%
Maryland 90.2%
Massachusetts 105.9%
Michigan 88.0%
Minnesota 85.7%
Mississippi 91.8%
Missouri 74.9%
Montana 82.2%
Nebraska 87.3%
Nevada 93.9%
New Hampshire 64.2%
New Jersey 83.3%
New Mexico 114.5%
New York* 97.0%
New York City, NY 95.8%
North Carolina 90.2%
North Dakota 89.0%
Ohio 83.3%
Oklahoma 78.1%
Oregon 87.7%
Pennsylvania* 85.5%
Philadelphia, PA 111.7%
Rhode Island 94.1%
San Antonio, TX 69.5%
South Carolina 89.5%
South Dakota 92.6%
Tennessee 85.4%
Texas* 65.9%
Utah 90.4%
Vermont 94.1%
Virginia 112.7%
Washington 95.7%
West Virginia 85.2%
Wisconsin 87.4%
Wyoming 86.8%

Territories Percentage
American Samoa 130.4%
Guam 71.9%
Marshall Islands 71.3%
Federated States of Micronesia 99.1%
Northern Mariana Islands 88.1%
Palau 60.7%
Puerto Rico 89.1%
Virgin Islands 56.6%

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 2022 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2022

2022 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 2022.

National coverage: 94% (excluding territories)

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

State/City Percentage
Alabama 50.5%
Alaska 98.7%
Arizona 107.4%
Arkansas 119.0%
California 86.8%
Chicago, IL 114.4%
Colorado 117.0%
Connecticut 97.4%
DC 150.1%
Delaware 110.8%
Florida 121.7%
Georgia 104.5%
Hawaii 68.3%
Houston, TX 26.6%
Idaho 98.3%
Illinois* 108.4%
Indiana 107.3%
Iowa 94.6%
Kansas 116.2%
Kentucky 100.4%
Louisiana 104.9%
Maine 102.0%
Maryland 84.0%
Massachusetts 135.0%
Michigan 104.6%
Minnesota 114.7%
Mississippi 100.7%
Missouri 95.3%
Montana 109.0%
Nebraska 112.5%
Nevada 128.8%
New Hampshire 81.3%
New Jersey 18.2%
New Mexico 118.1%
New York* 99.4%
New York City, NY 116.3%
North Carolina 63.2%
North Dakota 96.9%
Ohio 99.9%
Oklahoma 97.9%
Oregon 121.7%
Pennsylvania* 113.8%
Philadelphia, PA 123.7%
Rhode Island 87.5%
San Antonio, TX 24.7%
South Carolina 103.1%
South Dakota 117.5%
Tennessee 93.6%
Texas* 17.7%
Utah 107.6%
Vermont 113.2%
Virginia 133.6%
Washington 117.3%
West Virginia 107.4%
Wisconsin 112.4%
Wyoming 110.6%

Territories Percentage
American Samoa 141.8%
Guam 105.9%
Marshall Islands 79.1%
Federated States of Micronesia 108.5%
Northern Mariana Islands 113.1%
Palau 58.9%
Puerto Rico 100.2%
Virgin Islands 73.2%

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 2022 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2022