New report shows variable vaccination rates by state

A new WalletHub report analyzes the rate of vaccination by state. The report looks at 18 different categories to determine which states are the most responsible when it comes to immunization. 

WalletHub measured a number of different populations immunization rates, including children and teenagers, adults and elderly, and immunization uptake discrepancy rates.  Some of the 18 metrics examined include, share of children aged 19-35 months with combined 7-vaccine series, share of teenagers aged 13-17 years with up-to-date HPV vaccination, and vaccinations required for public school Kindergarten access. 

These are some of the main state-level findings from the report. 

Colorado ranked 18th overall, with a total ranking of 54.08. The state ranked 25th in child and teen vaccination rates, 11th in adult and elderly vaccination rates, and 27th in terms of immunization uptake. 


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During the 2019 legislative session, lawmakers chose to table a bill that would create a new set of requirements for public school vaccinations. The bill advanced through House committees, but was slowed as it was opened for floor debates.

Utah ranked 29th overall, with an overall score of 44.04. The state ranks 45th in terms of child and teenager immunization rates, 25th in adult and elderly vaccination rates, and 17th in immunization uptake. 

Utah has one of the lowest rates of influenza vaccination rates in children 6 months to 17 years. The state ranks 49th in this category. Florida and Alaska ranked 50th and 51st in the category.

Texas ranks 50th overall, with a total score of 50.30. The state ranks 47th in terms of childhood and teenage vaccination rates, 45th in adult and elderly rates, and 47th in immunization uptake. The state has one of the lowest rates of influenza vaccination coverage among adults. Texas is 49th overall in this category. 

Texas was ranked last in the category of non-institutionalized adults without health insurance. Alaska, Oklahoma, Florida and Georgia were also in the bottom 5% of this measurement. 

Arizona ranked 46th overall. The state’s total score was 34.86. Arizona ranked 49th in child and teenage vaccination rates, 33rd in adult and elderly rates, and 49th in immunization uptake. Despite the low overall ranking Arizona did not have a low ranking in any of the specific categories measured. 

Oregon was ranked 16th overall with a total score of 55.85. Child and teenage vaccination rates were ranked 19th, adult immunization rates ranked 9th, and immunization uptake ranked 34th. The state received one of the top rankings in the share of adults age 60 years and older who have received the Zoster vaccination. 

Hawaii was ranked 34th overall, with a total score of 41.80. Their individual scores were 34 in childhood vaccination, 27 in adult immunization, and 50 in immunization uptake. Despite low rankings in some categories, the state has some of the lowest share of individuals without health insurance. The state is ranked as the 2nd state with the most insured residents.

Washington state had one of the highest rankings, rated as 10th overall. The state has a total score of 59.95 and individual rankings of 24, 2 and 24. Washington has the 2nd highest rate of flu vaccination coverage, contributing to its high overall ranking.

In response to the new data, WalletHub asked a panel of experts about the status of vaccination education and policies. 

“Vaccines are incredibly important, but in light of recent anti-vaccination trends, it’s clear that the public needs greater education on their benefits and how they work.”