Information on 2023 IISAR Data Participation Rates

At a glance

Child, adolescent, and adult participation rates in IIS are reported for the 2023 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 2010 Immunization Information System progress report in Morbidity and Mortality Weekly Report

2023 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, the District of Columbia, and eight territories) in 2023.

National coverage: 100% (excluding territories)

Map of this data (printable version) [319 KB, 1 page]

State/City Percentage
Alabama 67.5%
Alaska 89.1%
Arizona 104.0%
Arkansas 99.9%
California 97.9%
Chicago, IL 103.7%
Colorado 104.9%
Connecticut 102.8%
DC 118.8%
Delaware 104.1%
Florida 101.0%
Georgia 103.5%
Hawaii 71.4%
Houston, TX 132.9%
Idaho 94.4%
Illinois* 98.8%
Indiana 97.9%
Iowa 97.0%
Kansas 93.0%
Kentucky 100.0%
Louisiana 105.3%
Maine 98.7%
Maryland 101.4%
Massachusetts 109.1%
Michigan 96.2%
Minnesota 96.9%
Mississippi 105.0%
Missouri 90.8%
Montana 92.9%
Nebraska 96.2%
Nevada 101.8%
New Hampshire 83.2%
New Jersey 99.9%
New Mexico 101.3%
New York* 101.7%
New York City, NY 109.4%
North Carolina 103.1%
North Dakota 91.6%
Ohio 94.5%
Oklahoma 92.9%
Oregon 99.3%
Pennsylvania* 92.8%
Philadelphia, PA 135.5%
Rhode Island 103.4%
San Antonio, TX 92.5%
South Carolina 105.6%
South Dakota 97.3%
Tennessee 98.7%
Texas* 103.5%
Utah 101.2%
Vermont 102.1%
Virginia 108.0%
Washington 100.9%
West Virginia 94.8%
Wisconsin 96.5%
Wyoming 101.4%

Territories Percentage
American Samoa 120.1%
Guam 52.4%
Marshall Islands 62.4%
Federated States of Micronesia 101.8%
Northern Mariana Islands 82.2%
Palau 87.5%
Puerto Rico 97.1%
Virgin Islands 62.8%

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 2023 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2023

2023 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, the District of Columbia, and eight territories) in 2023.

National coverage: 90% (excluding territories)

Map of this data (printable version) [719 KB, 1 page]

State/City Percentage
Alabama 64.8%
Alaska 77.6%
Arizona 104.7%
Arkansas 95.6%
California 81.6%
Chicago, IL 105.0%
Colorado 93.0%
Connecticut 87.9%
DC 118.8%
Delaware 93.0%
Florida 71.0%
Georgia 115.3%
Hawaii 63.1%
Houston, TX 145.2%
Idaho 78.0%
Illinois* 94.1%
Indiana 92.4%
Iowa 88.0%
Kansas 86.8%
Kentucky 90.1%
Louisiana 96.2%
Maine 113.2%
Maryland 91.1%
Massachusetts 103.8%
Michigan 86.6%
Minnesota 88.3%
Mississippi 90.5%
Missouri 76.6%
Montana 80.2%
Nebraska 85.9%
Nevada 93.8%
New Hampshire 69.9%
New Jersey 98.8%
New Mexico 96.6%
New York* 100.0%
New York City, NY 116.0%
North Carolina 90.0%
North Dakota 85.7%
Ohio 82.3%
Oklahoma 76.1%
Oregon 86.4%
Pennsylvania* 87.9%
Philadelphia, PA 110.9%
Rhode Island 93.0%
San Antonio, TX 88.1%
South Carolina 88.4%
South Dakota 96.7%
Tennessee 75.0%
Texas* 93.7%
Utah 83.1%
Vermont 92.5%
Virginia 116.1%
Washington 95.3%
West Virginia 84.2%
Wisconsin 84.7%
Wyoming 85.2%

Territories Percentage
Guam 70.5%
Marshall Islands 68.6%
Federated States of Micronesia 102.0%
Northern Mariana Islands 92.3%
Palau 60.8%
Puerto Rico 91.7%
Virgin Islands 54.6%

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 2023 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2023

2023 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, the District of Columbia, and eight territories) in 2023.

National coverage: 100% (excluding territories)

Map of this data (printable version) [719 KB, 1 page]

State/City Percentage
Alabama 80.6%
Alaska 95.1%
Arizona 108.2%
Arkansas 120.4%
California 91.5%
Chicago, IL 116.7%
Colorado 113.1%
Connecticut 99.3%
DC 121.1%
Delaware 111.7%
Florida 123.4%
Georgia 128.5%
Hawaii 73.8%
Houston, TX 65.5%
Idaho 100.1%
Illinois* 111.5%
Indiana 109.4%
Iowa 94.0%
Kansas 116.9%
Kentucky 102.8%
Louisiana 107.7%
Maine 104.7%
Maryland 86.0%
Massachusetts 137.6%
Michigan 105.6%
Minnesota 123.3%
Mississippi 103.2%
Missouri 105.7%
Montana 111.2%
Nebraska 114.3%
Nevada 131.6%
New Hampshire 82.7%
New Jersey 21.1%
New Mexico 112.9%
New York* 102.5%
New York City, NY 119.4%
North Carolina 71.5%
North Dakota 94.4%
Ohio 102.3%
Oklahoma 100.9%
Oregon 126.8%
Pennsylvania* 108.9%
Philadelphia, PA 129.3%
Rhode Island 89.8%
San Antonio, TX 58.9%
South Carolina 104.8%
South Dakota 117.6%
Tennessee 94.6%
Texas* 48.6%
Utah 119.5%
Vermont 110.0%
Virginia 138.2%
Washington 118.2%
West Virginia 111.1%
Wisconsin 112.8%
Wyoming 113.1%

Territories Percentage
American Samoa 140.8%
Guam 106.2%
Marshall Islands 76.1%
Federated States of Micronesia 108.6%
Northern Mariana Islands 109.5%
Palau 58.2%
Puerto Rico 99.5%
Virgin Islands 73.8%

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 2023 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2023