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Immunization coverage for children, adolescents, and adults vary by state. The maps display the 10 states with the highest immunization coverage (light green) and the 10 states with the most room for improvement (dark green). Detailed information for every state is available at amerciashealthrankings.org.

FIGURE 22 Immunizations—Children: Top 10 States and Bottom 10 States*
figure22_prevention_state_inights_immunizations-01
States with highest childhood immunization coverage are distributed across the United States, with the lowest childhood immunization coverage areas occurring in the Northwest, South, and Midwest regions.

FIGURE 23 Immunizations—Adolescents, HPV Female: Top 10 States and Bottom 10 States*
figure23_prevention_state_insights_immunizations-01-01
The New England and Mid-Atlantic regions show the highest HPV vaccine coverage among females. States in the West, Midwest, and Southeastern United States are among those with the lowest coverage.

FIGURE 24 Immunizations—Adolescents, HPV Male: Top 10 States and Bottom 10 States*
figure24_prevention_state_insights_immunizations-01
The Northeast region of the United States and California show the highest HPV vaccine coverage among males. Several states in the West and in the central region of the country are among states with the lowest coverage.
FIGURE 25 Immunizations— Adolescents, MCV4: Top 10 States and Bottom 10 States*
figure25_prevention_state_insights_immunizations-01
States with the lowest MCV4 immunization coverage among adolescents are in the Central Plains and Rocky Mountain regions. States with the highest MCV4 immunization coverage are mainly in the Midwest and Northeast regions.
FIGURE 26 Immunizations—Adolescents, Tdap: Top 10 States and Bottom 10 States*
figure26_prevention_state_insights_immunizations-01
The East Coast states are leading the nation in Tdap immunization coverage among adolescents, but a handful of states in the Midwest and other parts of the country have room for improvement.
FIGURE 27 Influenza Vaccination—Adults: Top 10 States and Bottom 10 States*
figure27_prevention_state_insights_immunizations-01
States in the Midwest and Mid-Atlantic regions lead the nation in influenza vaccination coverage among adults. States in the West are among the lowest in the nation.
FIGURE 28 Pneumococcal Vaccination—Adults 65+: Top 10 States and Bottom 10 States*
figure28_prevention_state_insights_immunizations-01
A few states in the West have the highest pneumococcal vaccination coverage. The lowest coverage is scattered among states in the Southeast, Northeast, Midwest, and West regions of the United States.
* Data tables for the top five and bottom five states are in Appendix 2