Routine Immunizations on Schedule for Everyone (RISE)
Let’s RISE is a CDC initiative to provide actionable strategies, resources, and data to support getting all Americans back on-schedule with their routine immunizations to protect everyone from vaccine-preventable disease and disability.
Take Action to Get Routine Vaccinations Back On-Schedule
During the COVID-19 pandemic, we saw a concerning drop in routine immunizations for children and adults. Routine vaccination is rebounding but unevenly and has not yet recovered among all groups. Many children and adults that delayed vaccination during the pandemic are still behind schedule. While we continue to investigate the impact of the pandemic on routine immunizations, it is crucial that we take steps to help get everyone back on schedule with their routine immunizations. Children and teens can still catch up on vaccinations even if they start late.
Help infants and toddlers start healthy by spreading the word on staying on schedule with recommended routine vaccines.
Check out these factsheets for an overview of what CDC data tell us about the state of routine vaccination.
- Let’s RISE Infographic
- Childhood Routine Vaccination Factsheet
- Adolescent Routine Vaccination Factsheet
CDC Calls to Action
- Ensure children and adolescents are up to date on their routine childhood vaccinations.
- Strengthening Adult Vaccination: A majority of U.S. adults are missing routine vaccinations. All adult providers, across the healthcare spectrum, can take action to improve vaccination of adults.
- CDC and NAIIS Call to Action: Protect All Adults from Vaccine-Preventable Disease
Strategies and Resources for Healthcare Professionals, Schools and Partners
Use evidence-based strategies and available resources to encourage catching up on routine vaccinations and communicate why being up to date on routine vaccinations is critical for staying healthy so that families and adults can make informed decisions.
Strategies to Increase Vaccination Rates
- Make vaccines easy to find:
- Add routine vaccination to the back-to-school checklist
- Talk to parents about vaccines
- Use reminder and recall systems to notify families
- Ensure children are in compliance with school vaccination requirements
- Let’s RISE School Toolkit (phf.org)
- Let’s RISE Health Care Provider Toolkit
- Early Care and Education Toolkit
Patient Education Talking Points and Visual Aids
- Childhood immunization schedules
Data for Action
Utilize the latest research and data on trends in vaccination rates and the impact of the COVID-19 pandemic on routine vaccination coverage to find and protect communities that have fallen behind on vaccinations:
Morbidity and Mortality Weekly Report (MMWR)
- Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020 — National Immunization Survey-Child, United States, 2020–2022 | MMWR
- Coverage with Selected Vaccines and Exemption from School Vaccine Requirements Among Children in Kindergarten — United States, 2022–23 School Year | MMWR
- Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey–Teen, United States, 2022
- Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021
- Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2021–22 School Year
- Vital Signs: Influenza Hospitalizations and Vaccination Coverage by Race and Ethnicity—United States, 2009–10 Through 2021–22 Influenza Seasons
- National Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2021
- Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2020–21 School Year
- Impact of the COVID-19 Pandemic on Administration of Selected Routine Childhood and Adolescent Vaccinations — 10 U.S. Jurisdictions, March–September 2020
- Decline in Receipt of Vaccines by Medicare Beneficiaries During the COVID-19 Pandemic — United States, 2020
- Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration — United States, 2020
Publications and Online Reports
- Influenza Vaccination Among Pregnant People Before and During the Coronavirus Disease 2019 (COVID-19) Pandemic – PubMed (nih.gov)
- Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2021
- Pneumococcal vaccination among adults 65–70 years of age before and during the COVID-19 pandemic
- Flu, Tdap, and COVID-19 Vaccination Coverage Among Pregnant Women – United States, April 2022 | FluVaxView | Seasonal Influenza (Flu)
- Childhood Vaccination Coverage Before and During the COVID-19 Pandemic among Children Born January 2017-May 2020, National Immunization Survey-Child (NIS-Child), 2018-2021
- Association of the COVID-19 Pandemic With Routine Childhood Vaccination Rates and Proportion Up to Date With Vaccinations Across 8 US Health Systems in the Vaccine Safety Datalink – PubMed (nih.gov)
State of Vaccine Confidence Reports
- Vaccination in Rural America SoVC Report [19 pages]
- Routine Immunizations on Schedule for Everyone (RISE) SoVC Report
CDC Vaccination Coverage Estimates
- ChildVaxView
- SchoolVaxView
- TeenVaxView
- AdultVaxView General Population Reports: Vaccination Coverage
- FluVaxView
Press Releases
- Health Alert Network (HAN) – 00504 | Increase in Global and Domestic Measles Cases and Outbreaks: Ensure Children in the United States and Those Traveling Internationally 6 Months and Older are Current on MMR Vaccination
- A 30-fold rise of measles cases in 2023 in the WHO European Region warrants urgent action
- Nearly 40 million children are dangerously susceptible to growing measles threat — CDC Online Newsroom
- COVID-19 pandemic fuels largest continued backslide in vaccinations in three decades — WHO News Release
- A 30-fold rise of measles cases in 2023 in the WHO European Region warrants urgent action