Pediatric Immunization Gaps Due to the COVID-19 Pandemic - Minnesota Dept. of Health

Pediatric Immunization Gaps Due to the COVID-19 Pandemic

Childhood and adolescent vaccination rates have decreased during the COVID-19 pandemic. Health care and public health partners play an important role in catching children up on vaccines they need. This is important to prevent future outbreaks of vaccine-preventable diseases.

On this page:
Vaccination gap data
Considerations for health care providers
Video PSA

Vaccination gap data

Updated 8/18/21

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Statewide data

Current childhood series vaccination status of 2-year-old children in Minnesota

Current childhood series vaccination status of 2-year-old children in Minnesota. Data provided in table below.

Year they turned 2 years old Up to date by 2 years old Caught up to date Not up to date
2019 68.9% 9.8% 21.3%
2020 66.9% 7.3% 25.8%
2021 61.6% 4.3% 34.1%

Notes
Data are for children who turned 2 years old between 1/1/2019-8/6/2021.
Childhood series: 4+ DTaP, 3+ Polio, 1+ MMR, Complete Hib, Complete Hep B, 1+ Varicella, Complete PCV.
Up to date by 2 years: Received childhood series prior to 24 months.
Caught up to date: Received childhood series as of 8/9/2021.
HP 2030: Represents Healthy People 2030 measure for childhood vaccinations.

Comparing children who turned 2 years old in 2019 to 2020, there is a decrease in children completing their childhood series by 24 months (dark blue bar). There is also a decrease in catch-up vaccination, meaning where children are completing their childhood series after 24 months (green bar). Preliminary 2021 data show a further decrease in children completing their childhood series by 24 months. However, this could be explained by missed vaccinations in 2020 that are needed to complete the childhood series. In order to get kids back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of children getting caught up (represented by the green bar).

Current kindergarten series vaccination status of 6-year-old children in Minnesota

Current kindergarten series vaccination status of 6-year-old children in Minnesota. Data provided in table below.

Year they turned 6 years old Up to date by 6 years old Caught up to date Not up to date
2019 69.4% 2.2% 28.4%
2020 68.8% 2.0% 29.2%
2021 67.6% 0.9% 31.5%

Notes
Data are for children who turned 6 years old between 1/1/2019-8/6/2021.
Kindergarten series: Complete DTaP, Complete Polio, 2+ MMR, Complete Hep B, 2+ Varicella.
Up to date by 6 years: Received kindergarten series prior to 6th birthday.
Caught up to date: Received kindergarten series as of 8/9/2021.
HP 2030: Represents Healthy People 2030 measure for kindergarten vaccinations.

Comparing children who turned 6 years old in 2019 to 2020, there is a similar, but smaller, decrease in children completing the kindergarten series by 6 years old compared to children who turned two years old during the same time period. There is similarly a decrease in catch-up vaccination, where children are completing their kindergarten series after 6 years old. Preliminary 2021 data show a further decrease in children completing their kindergarten series by 6 years old. In order to get kids back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of children getting caught up (represented by the green bar).

Current Tdap/MenACWY vaccination status of 13-year-old children in Minnesota

Current Tdap/MenACWY vaccination status of 13-year-old children in Minnesota. Data provided in table below.

Year they turned 13 years old Up to date by 13 years old Caught up to date Not up to date
2019 70.2% 4.7% 25.1%
2020 68.5% 4.1% 27.4%
2021 67.7% 2.1% 30.2%

Notes
Data are for children who turned 13 years old between 1/1/2019-8/6/2021.
Tdap/MenACWY: 1+Tdap, 1+ MenACWY.
Up to date by 13 years: Received Tdap/MenACWY prior to13th birthday.
Caught up to date: Received Tdap/MenACWY as of 8/9/2021.
HP 2030: Represents Healthy People 2030 measure for adolescent vaccinations.

Adolescent vaccination rates also declined from 2019 to 2020, and preliminary data shows a further decline in 2021. There is a decrease in catch-up vaccination, where adolescents are completing these vaccines after 13 years. Preliminary 2021 data show a further decrease in adolescents receiving Tdap (tetanus, diphtheria, and pertussis vaccine) and MenACWY (meningococcal vaccine) by 13 years. In order to get teens back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of adolescents getting caught up (represented by the green bar).

County data

County MIIC Population Childhood Series Rate Minnesota Rate
Aitkin 189 75.7% 71.1%
Anoka 6,999 75.4% 71.1%
Becker 636 75.9% 71.1%
Beltrami 1,034 67.0% 71.1%
Benton 706 79.9% 71.1%
Big Stone 114 77.2% 71.1%
Blue Earth 1,198 82.1% 71.1%
Brown 470 85.3% 71.1%
Carlton 661 81.5% 71.1%
Carver 2,121 79.1% 71.1%
Cass 449 67.3% 71.1%
Chippewa 235 73.2% 71.1%
Chisago 1,085 75.5% 71.1%
Clay 1,273 75.3% 71.1%
Clearwater 185 63.2% 71.1%
Cook 56 71.4% 71.1%
Cottonwood 216 66.7% 71.1%
Crow Wing 1,103 76.9% 71.1%
Dakota 8,651 71.5% 71.1%
Dodge 484 64.5% 71.1%
Douglas 730 78.9% 71.1%
Faribault 250 78.0% 71.1%
Fillmore 512 59.6% 71.1%
Freeborn 542 75.3% 71.1%
Goodhue 959 62.4% 71.1%
Grant 95 78.9% 71.1%
Hennepin 25,402 69.4% 71.1%
Houston 259 84.2% 71.1%
Hubbard 332 65.4% 71.1%
Isanti 759 71.8% 71.1%
Itasca 727 76.1% 71.1%
Jackson 151 73.5% 71.1%
Kanabec 257 67.3% 71.1%
Kandiyohi 919 70.6% 71.1%
Kittson 79 73.4% 71.1%
Koochiching 172 79.1% 71.1%
Lac qui Parle 117 86.3% 71.1%
Lake 160 75.6% 71.1%
Lake of the Woods 56 69.6% 71.1%
Le Sueur 429 81.8% 71.1%
Lincoln 85 80.0% 71.1%
Lyon 599 82.6% 71.1%
Mahnomen 656 79.9% 71.1%
Marshall 130 78.5% 71.1%
Martin 173 80.9% 71.1%
McLeod 406 71.2% 71.1%
Meeker 468 72.6% 71.1%
Mille Lacs 636 66.7% 71.1%
Morrison 654 75.5% 71.1%
Mower 982 62.9% 71.1%
Murray 119 77.3% 71.1%
Nicollet 593 80.1% 71.1%
Nobles 591 75.0% 71.1%
Norman 113 83.2% 71.1%
Olmsted 3,885 58.8% 71.1%
Otter Tail 959 76.6% 71.1%
Pennington 250 82.0% 71.1%
Pine 409 68.7% 71.1%
Pipestone 226 73.5% 71.1%
Polk 592 68.9% 71.1%
Pope 189 79.4% 71.1%
Ramsey 12,686 64.6% 71.1%
Red Lake 70 84.3% 71.1%
Redwood 331 80.1% 71.1%
Renville 293 74.7% 71.1%
Rice 1,224 69.9% 71.1%
Rock 97 75.3% 71.1%
Roseau 274 67.2% 71.1%
Scott 2,974 76.3% 71.1%
Sherburne 3,074 75.3% 71.1%
Sibley 1,836 73.3% 71.1%
St. Louis 280 77.1% 71.1%
Stearns 3,922 69.4% 71.1%
Steele 695 65.5% 71.1%
Stevens 203 81.3% 71.1%
Swift 177 72.9% 71.1%
Todd 524 63.5% 71.1%
Traverse 46 80.4% 71.1%
Wabasha 490 62.7% 71.1%
Wadena 377 56.8% 71.1%
Waseca 337 77.7% 71.1%
Washington 4,821 79.2% 71.1%
Watonwan 272 82.4% 71.1%
Wilkin 118 70.3% 71.1%
Winona 781 70.4% 71.1%
Wright 3,123 66.5% 71.1%
Yellow Medicine 197 81.7% 71.1%
County MIIC Population Kindergarten Series Rate Minnesota Rate
Aitkin 193 75.6% 70%
Anoka 7,475 72.4% 70%
Becker 700 77.6% 70%
Beltrami 1,219 69.5% 70%
Benton 779 80.9% 70%
Big Stone 94 80.9% 70%
Blue Earth 1,295 80.8% 70%
Brown 498 83.7% 70%
Carlton 747 78.3% 70%
Carver 2,678 70.1% 70%
Cass 591 73.4% 70%
Chippewa 307 76.5% 70%
Chisago 1,207 76.5% 70%
Clay 1,548 74.4% 70%
Clearwater 197 60.4% 70%
Cook 79 68.4% 70%
Cottonwood 313 68.7% 70%
Crow Wing 1,330 75.9% 70%
Dakota 10,021 67.1% 70%
Dodge 461 77.9% 70%
Douglas 788 81.1% 70%
Faribault 285 76.5% 70%
Fillmore 537 65.7% 70%
Freeborn 654 77.1% 70%
Goodhue 1,012 75.3% 70%
Grant 140 81.4% 70%
Hennepin 29,376 66.5% 70%
Houston 396 81.8% 70%
Hubbard 392 66.6% 70%
Isanti 869 69.3% 70%
Itasca 864 79.1% 70%
Jackson 194 77.3% 70%
Kanabec 298 75.5% 70%
Kandiyohi 1,015 77.0% 70%
Kittson 98 73.5% 70%
Koochiching 188 80.9% 70%
Lac qui Parle 96 77.1% 70%
Lake 187 71.7% 70%
Lake of the Woods 61 75.4% 70%
Le Sueur 472 76.5% 70%
Lincoln 119 67.2% 70%
Lyon 696 79.2% 70%
Mahnomen 756 73.0% 70%
Marshall 161 80.1% 70%
Martin 199 80.9% 70%
McLeod 437 71.6% 70%
Meeker 459 72.3% 70%
Mille Lacs 747 71.4% 70%
Morrison 713 80.1% 70%
Mower 1,036 73.1% 70%
Murray 154 76.6% 70%
Nicollet 692 85.8% 70%
Nobles 680 70.6% 70%
Norman 118 73.7% 70%
Olmsted 4,278 68.1% 70%
Otter Tail 1,145 76.8% 70%
Pennington 320 74.7% 70%
Pine 503 71.2% 70%
Pipestone 219 69.4% 70%
Polk 698 65.6% 70%
Pope 221 78.3% 70%
Ramsey 13,896 62.6% 70%
Red Lake 100 75.0% 70%
Redwood 329 82.7% 70%
Renville 316 74.1% 70%
Rice 1,311 70.9% 70%
Rock 184 46.2% 70%
Roseau 295 67.5% 70%
Scott 3,610 74.5% 70%
Sherburne 3,753 69.2% 70%
Sibley 2,062 74.6% 70%
St. Louis 291 73.5% 70%
Stearns 4,085 73.4% 70%
Steele 930 75.5% 70%
Stevens 235 74.9% 70%
Swift 224 67.9% 70%
Todd 582 64.4% 70%
Traverse 63 82.5% 70%
Wabasha 433 75.1% 70%
Wadena 448 59.4% 70%
Waseca 385 86.5% 70%
Washington 5,860 68.5% 70%
Watonwan 252 83.7% 70%
Wilkin 115 72.2% 70%
Winona 871 66.4% 70%
Wright 3,590 75.2% 70%
Yellow Medicine 207 74.9% 70%
County MIIC Population Tdap/MenACWY Rate Minnesota Rate
Aitkin 295 74.6% 71.4%
Anoka 8,697 77.9% 71.4%
Becker 805 75.7% 71.4%
Beltrami 1,275 68.9% 71.4%
Benton 829 82.9% 71.4%
Big Stone 122 78.7% 71.4%
Blue Earth 1,423 80.2% 71.4%
Brown 641 80.2% 71.4%
Carlton 877 80.6% 71.4%
Carver 2,986 75.8% 71.4%
Cass 671 72.6% 71.4%
Chippewa 273 72.9% 71.4%
Chisago 1,377 80.1% 71.4%
Clay 1,728 72.0% 71.4%
Clearwater 218 58.7% 71.4%
Cook 92 66.3% 71.4%
Cottonwood 288 75.7% 71.4%
Crow Wing 1,518 73.7% 71.4%
Dakota 11,139 69.7% 71.4%
Dodge 595 80.3% 71.4%
Douglas 844 83.5% 71.4%
Faribault 337 72.7% 71.4%
Fillmore 613 70.5% 71.4%
Freeborn 690 80.4% 71.4%
Goodhue 1,113 77.1% 71.4%
Grant 145 77.9% 71.4%
Hennepin 31,443 65.5% 71.4%
Houston 494 77.1% 71.4%
Hubbard 473 72.5% 71.4%
Isanti 989 78.6% 71.4%
Itasca 965 77.4% 71.4%
Jackson 240 77.1% 71.4%
Kanabec 338 82.0% 71.4%
Kandiyohi 1,168 74.6% 71.4%
Kittson 94 67.0% 71.4%
Koochiching 246 78.0% 71.4%
Lac qui Parle 141 80.9% 71.4%
Lake 229 73.4% 71.4%
Lake of the Woods 76 73.7% 71.4%
Le Sueur 553 78.3% 71.4%
Lincoln 121 81.8% 71.4%
Lyon 711 72.3% 71.4%
Mahnomen 901 78.5% 71.4%
Marshall 167 77.8% 71.4%
Martin 231 72.3% 71.4%
McLeod 482 73.4% 71.4%
Meeker 549 76.0% 71.4%
Mille Lacs 803 72.6% 71.4%
Morrison 856 81.1% 71.4%
Mower 1,268 67.4% 71.4%
Murray 179 77.7% 71.4%
Nicollet 799 79.5% 71.4%
Nobles 750 69.2% 71.4%
Norman 188 72.3% 71.4%
Olmsted 4,730 67.7% 71.4%
Otter Tail 1,280 75.2% 71.4%
Pennington 332 73.8% 71.4%
Pine 622 75.2% 71.4%
Pipestone 262 65.6% 71.4%
Polk 867 63.9% 71.4%
Pope 270 79.3% 71.4%
Ramsey 14,348 64.6% 71.4%
Red Lake 115 82.6% 71.4%
Redwood 361 77.0% 71.4%
Renville 378 70.4% 71.4%
Rice 1,603 75.1% 71.4%
Rock 256 62.1% 71.4%
Roseau 354 72.3% 71.4%
Scott 3,958 72.5% 71.4%
Sherburne 4,523 64.8% 71.4%
Sibley 2,397 80.2% 71.4%
St. Louis 347 70.6% 71.4%
Stearns 4,092 76.6% 71.4%
Steele 1,025 78.1% 71.4%
Stevens 248 79.0% 71.4%
Swift 246 75.6% 71.4%
Todd 643 65.6% 71.4%
Traverse 76 69.7% 71.4%
Wabasha 560 79.1% 71.4%
Wadena 466 66.1% 71.4%
Waseca 457 79.9% 71.4%
Washington 6,981 76.2% 71.4%
Watonwan 297 75.4% 71.4%
Wilkin 170 72.9% 71.4%
Winona 1,018 77.2% 71.4%
Wright 4,271 78.8% 71.4%
Yellow Medicine 261 76.6% 71.4%

Considerations for health care providers
How public health and health care professionals can help

Health care providers will have a larger number of routine vaccinations to do before sending kids back to school this fall due to missed primary care visits during the pandemic. Don't miss an opportunity to strongly recommend vaccines to children and adolescents. Vaccinate them or refer them to a place where they can get vaccine. School vaccination requirements remain in place to help ensure kids are safe and healthy in school.

Catch kids up on vaccines they need before heading back to school.

Strongly recommend and vaccinate adolescents with COVID-19 vaccine.

  • COVID-19 Vaccine Provider Registration
    Parents often feel the most comfortable getting their children vaccinated at their child’s clinic. If you serve children and adolescents in your clinic, please consider registering to be a COVID-19 vaccine provider if you haven’t already.

Use MIIC to identify children who are behind

Identify barriers to keep kids on track

  • Free or Low-Cost Shots for Children
    The COVID-19 pandemic has changed the landscape for how families access health care. Some people may have lost health care benefits due to business closures.
  • How to Enroll in the MnVFC Program
    If you are a Minnesota Vaccines for Children (MnVFC) provider, promote the MnVFC program to families, especially those who may be newly eligible. If you are not a MnVFC provider, consider enrolling.

Video PSA

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Updated Friday, 10-Sep-2021 13:09:55 CDT