Information on 2024 IISAR Data Participation Rates

At a glance

Child, adolescent, and adult participation rates in IIS are reported for the 2024 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
patient at a clinic consulting with the doctor

2024 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 2024.

National coverage: 99.2% (excluding territories)

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

State/City Percentage
Alabama 94.9%
Alaska 88.5%
Arizona 100.8%
Arkansas 100.7%
California 97.5%
Chicago, IL 105.3%
Colorado 104.9%
Connecticut 101.5%
DC 112.2%
Delaware 103.6%
Florida 96.9%
Georgia 104.1%
Hawaii 60.1%
Houston, TX 121.5%
Idaho 92.1%
Illinois* 96.7%
Indiana 96.5%
Iowa 99.8%
Kansas 92.3%
Kentucky 99.4%
Louisiana 103.2%
Maine 97.9%
Maryland 99.0%
Massachusetts 106.5%
Michigan 94.1%
Minnesota 95.0%
Mississippi 103.6%
Missouri 92.0%
Montana 91.8%
Nebraska 94.7%
Nevada 99.9%
New Hampshire 85.7%
New Jersey 99.3%
New Mexico 99.5%
New York* 100.5%
New York City, NY 111.4%
North Carolina 109.3%
North Dakota 90.8%
Ohio 93.6%
Oklahoma 93.0%
Oregon 97.6%
Pennsylvania* 91.8%
Philadelphia, PA 109.5%
Rhode Island 98.2%
San Antonio, TX 77.2%
South Carolina 104.2%
South Dakota 96.8%
Tennessee 98.0%
Texas* 102.3%
Utah 99.0%
Vermont 101.7%
Virginia 106.9%
Washington 99.0%
West Virginia 95.1%
Wisconsin 95.0%
Wyoming 99.2%

Territories Percentage
American Samoa 123.8%
Guam 55.9%
Marshall Islands 60.4%
Federated States of Micronesia 98.4%
Northern Mariana Islands 79.0%
Palau 80.9%
Puerto Rico 96.6%
Virgin Islands 66.1%

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 2024 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2024

2024 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 2024.

National coverage: 88.6% (excluding territories)

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

State/City Percentage
Alabama 58.7%
Alaska 71.0%
Arizona 103.9%
Arkansas 95.3%
California 82.4%
Chicago, IL 100.6%
Colorado 92.1%
Connecticut 89.5%
DC 91.7%
Delaware 113.8%
Florida 67.9%
Georgia 96.6%
Hawaii 54.6%
Houston, TX 117.9%
Idaho 75.4%
Illinois* 92.8%
Indiana 90.8%
Iowa 88.7%
Kansas 84.6%
Kentucky 89.0%
Louisiana 93.4%
Maine 113.5%
Maryland 88.5%
Massachusetts 100.0%
Michigan 84.5%
Minnesota 86.0%
Mississippi 70.8%
Missouri 76.5%
Montana 70.3%
Nebraska 83.3%
Nevada 91.7%
New Hampshire 71.3%
New Jersey 96.3%
New Mexico 93.4%
New York* 112.3%
New York City, NY 98.4%
North Carolina 83.2%
North Dakota 85.8%
Ohio 81.1%
Oklahoma 73.9%
Oregon 84.2%
Pennsylvania* 86.3%
Philadelphia, PA 104.4%
Rhode Island 86.4%
San Antonio, TX 94.9%
South Carolina 87.0%
South Dakota 94.9%
Tennessee 82.0%
Texas* 99.6%
Utah 86.8%
Vermont 90.7%
Virginia 117.0%
Washington 88.7%
West Virginia 83.0%
Wisconsin 83.4%
Wyoming 73.2%

Territories Percentage
American Samoa 142.%
Guam 64.6%
Marshall Islands 62.6%
Federated States of Micronesia 98.1%
Northern Mariana Islands 94.3%
Palau 68.7%
Puerto Rico 86.8%
Virgin Islands 53.7%

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 2024 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2024

2024 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 2024.

National coverage: 104.4% (excluding territories)

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

State/City Percentage
Alabama 83.9%
Alaska 97.9%
Arizona 101.2%
Arkansas 121.2%
California 95.0%
Chicago, IL 118.0%
Colorado 115.7%
Connecticut 99.8%
DC 112.5%
Delaware 119.0%
Florida 122.7%
Georgia 126.3%
Hawaii 73.2%
Houston, TX 69.0%
Idaho 101.2%
Illinois* 112.7%
Indiana 110.5%
Iowa 93.4%
Kansas 110.8%
Kentucky 102.9%
Louisiana 108.0%
Maine 107.3%
Maryland 86.6%
Massachusetts 137.9%
Michigan 105.8%
Minnesota 123.0%
Mississippi 105.0%
Missouri 108.2%
Montana NULL
Nebraska 115.3%
Nevada 132.0%
New Hampshire 83.2%
New Jersey 23.2%
New Mexico 113.1%
New York* 120.9%
New York City, NY 103.7%
North Carolina 76.4%
North Dakota 92.1%
Ohio 103.4%
Oklahoma 100.0%
Oregon 127.6%
Pennsylvania* 107.3%
Philadelphia, PA 126.2%
Rhode Island 91.1%
San Antonio, TX 99.7%
South Carolina 106.2%
South Dakota 120.4%
Tennessee 94.7%
Texas* 96.6%
Utah 111.8%
Vermont 110.8%
Virginia 139.8%
Washington 117.2%
West Virginia 113.3%
Wisconsin 112.3%
Wyoming 113.9%

Territories Percentage
American Samoa 138.4%
Guam 105.7%
Marshall Islands 74.0%
Federated States of Micronesia 94.1%
Northern Mariana Islands 109.5%
Palau 110.1%
Puerto Rico 98.6%
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 2024 Census estimates for each state and city.

Source: Immunization Information System Annual Report, CY2024