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 11/23/21

Expand All   Contract All

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 turned 2 years old Up to date by 24 months Caught up to date Not up to date
2019 68.70% 10.70% 20.70%
2020 66.70% 8.40% 25.00%
2021 61.40% 5.10% 33.50%

Notes
Data are for children who turned 2 years old between 1/1/2019-11/15/2021.
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 11/16/2021.
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 turned 6 Up to date by 6 years old Caught up to date Not up to date
2019 69.20% 2.30% 28.60%
2020 68.60% 2.30% 29.10%
2021 67.50% 2.00% 30.50%

Notes
Data are for children who turned 6 years old between 1/1/2019-11/15/2021.
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 11/16/2021.
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 70.00% 5.30% 24.80%
2020 68.30% 5.40% 26.30%
2021 67.40% 4.60% 28.00%

Notes
Data are for children who turned 13 years old between 1/1/2019-11/15/2021.
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 11/16/2021.
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 232 73.70% 71.10%
Anoka 8,847 74.90% 71.10%
Becker 813 74.40% 71.10%
Beltrami 1,198 67.60% 71.10%
Benton 1,050 75.80% 71.10%
Big Stone 125 80.00% 71.10%
Blue Earth 1,399 81.20% 71.10%
Brown 504 85.50% 71.10%
Carlton 761 83.20% 71.10%
Carver 2,614 79.40% 71.10%
Cass 586 70.50% 71.10%
Chippewa 278 75.20% 71.10%
Chisago 1,196 75.70% 71.10%
Clay 1,514 77.10% 71.10%
Clearwater 204 62.30% 71.10%
Cook 67 74.60% 71.10%
Cottonwood 258 67.40% 71.10%
Crow Wing 1,257 78.70% 71.10%
Dakota 10,538 71.30% 71.10%
Dodge 584 60.40% 71.10%
Douglas 845 78.00% 71.10%
Faribault 290 80.00% 71.10%
Fillmore 544 58.60% 71.10%
Freeborn 675 76.00% 71.10%
Goodhue 1,108 58.10% 71.10%
Grant 113 81.40% 71.10%
Hennepin 29,651 69.20% 71.10%
Houston 328 82.90% 71.10%
Hubbard 434 66.40% 71.10%
Isanti 946 71.50% 71.10%
Itasca 859 76.90% 71.10%
Jackson 208 75.00% 71.10%
Kanabec 319 69.90% 71.10%
Kandiyohi 1,072 70.30% 71.10%
Kittson 101 72.30% 71.10%
Koochiching 198 76.30% 71.10%
Lac qui Parle 152 85.50% 71.10%
Lake 187 73.80% 71.10%
Lake of the Woods 75 70.70% 71.10%
Le Sueur 607 82.00% 71.10%
Lincoln 101 82.20% 71.10%
Lyon 687 84.30% 71.10%
Mahnomen 755 80.50% 71.10%
Marshall 169 75.10% 71.10%
Martin 200 81.00% 71.10%
McLeod 474 69.00% 71.10%
Meeker 535 74.80% 71.10%
Mille Lacs 577 64.80% 71.10%
Morrison 757 77.90% 71.10%
Mower 1,132 59.50% 71.10%
Murray 164 75.00% 71.10%
Nicollet 730 81.60% 71.10%
Nobles 725 74.50% 71.10%
Norman 138 84.80% 71.10%
Olmsted 4,760 54.80% 71.10%
Otter Tail 1,217 75.40% 71.10%
Pennington 305 79.00% 71.10%
Pine 492 70.10% 71.10%
Pipestone 252 74.20% 71.10%
Polk 692 68.50% 71.10%
Pope 230 80.00% 71.10%
Ramsey 14,174 66.20% 71.10%
Red Lake 79 83.50% 71.10%
Redwood 387 82.40% 71.10%
Renville 308 79.90% 71.10%
Rice 1,440 68.80% 71.10%
Rock 127 72.40% 71.10%
Roseau 333 67.90% 71.10%
Scott 3,601 77.00% 71.10%
Sherburne 3,620 74.90% 71.10%
Sibley 2,437 71.40% 71.10%
St. Louis 336 77.40% 71.10%
Stearns 4,060 69.90% 71.10%
Steele 815 63.40% 71.10%
Stevens 234 83.30% 71.10%
Swift 212 69.80% 71.10%
Todd 643 62.70% 71.10%
Traverse 61 75.40% 71.10%
Wabasha 542 57.40% 71.10%
Wadena 343 67.60% 71.10%
Waseca 389 75.80% 71.10%
Washington 5,944 78.80% 71.10%
Watonwan 331 82.20% 71.10%
Wilkin 144 70.10% 71.10%
Winona 975 69.30% 71.10%
Wright 3,688 66.30% 71.10%
Yellow Medicine 210 81.00% 71.10%
County MIIC Population Kindergarten Series Rate Minnesota Rate
Aitkin 232 78.00% 70.30%
Anoka 9,697 72.10% 70.30%
Becker 894 74.50% 70.30%
Beltrami 1,389 68.90% 70.30%
Benton 1,113 78.40% 70.30%
Big Stone 104 76.90% 70.30%
Blue Earth 1,513 80.80% 70.30%
Brown 555 84.70% 70.30%
Carlton 836 78.10% 70.30%
Carver 3,296 71.60% 70.30%
Cass 724 72.00% 70.30%
Chippewa 376 76.90% 70.30%
Chisago 1,378 75.40% 70.30%
Clay 1,776 74.00% 70.30%
Clearwater 226 61.90% 70.30%
Cook 104 65.40% 70.30%
Cottonwood 361 69.50% 70.30%
Crow Wing 1,530 77.40% 70.30%
Dakota 12,209 67.00% 70.30%
Dodge 547 80.10% 70.30%
Douglas 923 81.40% 70.30%
Faribault 332 77.10% 70.30%
Fillmore 579 65.50% 70.30%
Freeborn 780 77.20% 70.30%
Goodhue 1,133 75.40% 70.30%
Grant 154 82.50% 70.30%
Hennepin 33,955 66.50% 70.30%
Houston 459 80.60% 70.30%
Hubbard 524 68.10% 70.30%
Isanti 1,071 69.40% 70.30%
Itasca 1,036 78.90% 70.30%
Jackson 259 76.40% 70.30%
Kanabec 361 76.20% 70.30%
Kandiyohi 1,205 77.10% 70.30%
Kittson 111 71.20% 70.30%
Koochiching 211 81.00% 70.30%
Lac qui Parle 130 80.80% 70.30%
Lake 222 70.70% 70.30%
Lake of the Woods 80 76.30% 70.30%
Le Sueur 684 77.50% 70.30%
Lincoln 142 71.10% 70.30%
Lyon 811 78.90% 70.30%
Mahnomen 879 72.50% 70.30%
Marshall 177 81.90% 70.30%
Martin 233 82.40% 70.30%
McLeod 536 71.30% 70.30%
Meeker 565 74.30% 70.30%
Mille Lacs 671 70.60% 70.30%
Morrison 837 80.90% 70.30%
Mower 1,206 73.80% 70.30%
Murray 195 77.90% 70.30%
Nicollet 853 86.00% 70.30%
Nobles 809 72.10% 70.30%
Norman 149 70.50% 70.30%
Olmsted 5,087 68.50% 70.30%
Otter Tail 1,454 75.70% 70.30%
Pennington 382 76.20% 70.30%
Pine 633 72.50% 70.30%
Pipestone 247 72.50% 70.30%
Polk 823 65.40% 70.30%
Pope 265 81.50% 70.30%
Ramsey 15,654 63.70% 70.30%
Red Lake 115 77.40% 70.30%
Redwood 401 82.80% 70.30%
Renville 332 75.00% 70.30%
Rice 1,525 72.30% 70.30%
Rock 218 46.80% 70.30%
Roseau 344 66.60% 70.30%
Scott 4,213 74.90% 70.30%
Sherburne 4,360 69.10% 70.30%
Sibley 2,727 74.80% 70.30%
St. Louis 366 74.30% 70.30%
Stearns 4,219 73.30% 70.30%
Steele 1,072 75.70% 70.30%
Stevens 258 76.00% 70.30%
Swift 254 69.70% 70.30%
Todd 700 65.10% 70.30%
Traverse 86 81.40% 70.30%
Wabasha 495 75.20% 70.30%
Wadena 403 63.50% 70.30%
Waseca 454 85.50% 70.30%
Washington 7,262 68.70% 70.30%
Watonwan 308 86.00% 70.30%
Wilkin 135 73.30% 70.30%
Winona 1,092 65.70% 70.30%
Wright 4,282 75.20% 70.30%
Yellow Medicine 255 76.10% 70.30%
County MIIC Population Tdap/MenACWY Rate Minnesota Rate
Aitkin 352 74.10% 72.90%
Anoka 11,098 76.90% 72.90%
Becker 1,031 75.90% 72.90%
Beltrami 1,522 69.30% 72.90%
Benton 1,175 78.40% 72.90%
Big Stone 128 78.90% 72.90%
Blue Earth 1,721 80.90% 72.90%
Brown 737 81.40% 72.90%
Carlton 1,017 80.40% 72.90%
Carver 3,590 76.70% 72.90%
Cass 868 77.10% 72.90%
Chippewa 337 77.20% 72.90%
Chisago 1,528 81.50% 72.90%
Clay 2,068 72.00% 72.90%
Clearwater 254 60.60% 72.90%
Cook 110 69.10% 72.90%
Cottonwood 349 75.40% 72.90%
Crow Wing 1,743 75.80% 72.90%
Dakota 13,556 71.00% 72.90%
Dodge 714 80.80% 72.90%
Douglas 982 84.00% 72.90%
Faribault 382 77.00% 72.90%
Fillmore 660 72.00% 72.90%
Freeborn 865 79.80% 72.90%
Goodhue 1,303 77.60% 72.90%
Grant 169 78.10% 72.90%
Hennepin 36,645 66.90% 72.90%
Houston 553 78.70% 72.90%
Hubbard 590 75.90% 72.90%
Isanti 1,196 78.70% 72.90%
Itasca 1,157 80.00% 72.90%
Jackson 298 80.20% 72.90%
Kanabec 419 83.80% 72.90%
Kandiyohi 1,407 75.80% 72.90%
Kittson 108 71.30% 72.90%
Koochiching 280 80.00% 72.90%
Lac qui Parle 183 84.20% 72.90%
Lake 272 70.60% 72.90%
Lake of the Woods 87 74.70% 72.90%
Le Sueur 782 77.90% 72.90%
Lincoln 162 86.40% 72.90%
Lyon 830 74.90% 72.90%
Mahnomen 1,010 79.00% 72.90%
Marshall 195 78.50% 72.90%
Martin 277 75.10% 72.90%
McLeod 561 73.80% 72.90%
Meeker 666 78.40% 72.90%
Mille Lacs 781 71.80% 72.90%
Morrison 988 83.30% 72.90%
Mower 1,519 71.00% 72.90%
Murray 232 81.90% 72.90%
Nicollet 983 81.80% 72.90%
Nobles 875 70.10% 72.90%
Norman 216 74.50% 72.90%
Olmsted 5,638 68.70% 72.90%
Otter Tail 1,589 76.90% 72.90%
Pennington 375 76.80% 72.90%
Pine 757 78.30% 72.90%
Pipestone 291 67.00% 72.90%
Polk 1,023 67.30% 72.90%
Pope 319 82.80% 72.90%
Ramsey 16,755 69.20% 72.90%
Red Lake 124 83.10% 72.90%
Redwood 436 78.90% 72.90%
Renville 411 77.60% 72.90%
Rice 1,893 77.50% 72.90%
Rock 301 78.40% 72.90%
Roseau 419 74.20% 72.90%
Scott 4,724 74.70% 72.90%
Sherburne 5,247 65.70% 72.90%
Sibley 3,087 80.60% 72.90%
St. Louis 404 77.20% 72.90%
Stearns 4,455 78.20% 72.90%
Steele 1,197 80.70% 72.90%
Stevens 279 78.90% 72.90%
Swift 295 79.70% 72.90%
Todd 793 67.80% 72.90%
Traverse 93 71.00% 72.90%
Wabasha 624 79.80% 72.90%
Wadena 442 68.80% 72.90%
Waseca 529 82.00% 72.90%
Washington 8,389 76.30% 72.90%
Watonwan 355 77.50% 72.90%
Wilkin 203 70.40% 72.90%
Winona 1,253 77.40% 72.90%
Wright 4,981 79.30% 72.90%
Yellow Medicine 275 77.80% 72.90%

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

Share this 30-second YouTube video on social media or your website:

Updated Tuesday, 23-Nov-2021 13:22:03 CST