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 program initiatives.
patient at a clinic consulting with the doctor

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