Estimated Vaccination Coverage*,† with Selected Vaccines Among Adolescents Aged 13-17 Years§ Living in an MSA¶ Central City by State and Local Area -- National Immunization Survey-Teen, United States, 2009
  >2 MMR**
% (95% CI)
>3 HepB††
% (95% CI)
>1 Var§§
% (95% CI)
>2 Var¶¶
% (95% CI)
>1 Td or Tdap***
% (95% CI)
>1 Tdap†††
% (95% CI)
>1 MenACWY§§§
% (95% CI)
>1 HPV¶¶¶
% (95% CI)
US National88.5 (87.0-89.9) 89.2 (87.8-90.4) 87.2 (85.1-89.1) 49.8 (46.7-52.8) 79.7 (77.9-81.4) 60.1 (58.1-62.2) 58.3 (56.1-60.4) 49.4 (46.4-52.4)
Alabama94.1 (88.6-97.1) 86.6 (79.4-91.5) 91.5 (79.7-96.7) 39.1 (26.7-53.1) 82.2 (72.0-89.3) 69.2 (59.0-77.9) 58.5 (48.3-68.1) 59.7 (45.3-72.5)
Alaska83.4 (72.8-90.5) 91.1 (84.1-95.2) 80.7 (65.1-90.3) 48.0 (32.4-64.0) 69.1 (58.5-78.1) 60.0 (49.0-70.0) 41.8 (31.3-53.0) 41.6 (26.9-58.0)
Arizona83.0 (74.7-89.0) 86.7 (79.2-91.8) 77.9 (64.3-87.3) 60.0 (46.6-72.1) 85.0 (77.0-90.5) 64.4 (54.5-73.2) 69.5 (60.1-77.6) 54.9 (41.6-67.4)
Arkansas84.0 (73.8-90.7) 80.0 (68.5-88.0) 88.4 (75.5-95.0) NA 59.6 (48.5-69.9) 43.5 (32.9-54.7) 33.6 (24.0-44.8) 40.5 (25.7-57.2)
California88.4 (80.9-93.2) 87.5 (80.1-92.4) 89.8 (79.6-95.2) 49.5 (36.5-62.6) 77.2 (68.2-84.2) 60.7 (51.0-69.5) 57.7 (47.9-66.9) 56.9 (43.4-69.5)
  CA-Los Angeles County83.8 (72.2-91.1) 80.5 (64.3-90.4) 84.8 (65.6-94.2) 52.5 (29.9-74.2) 79.3 (65.9-88.3) 58.1 (43.3-71.6) 55.6 (40.5-69.7) 69.8 (51.3-83.6)
  CA-Rest of State90.1 (79.7-95.5) 90.1 (81.3-95.0) 91.3 (77.6-96.9) 48.7 (33.6-64.0) 76.4 (64.8-85.0) 61.6 (49.6-72.4) 58.5 (46.3-69.7) 51.3 (34.3-68.0)
Colorado88.3 (81.3-92.9) 91.9 (85.6-95.6) 84.0 (70.7-92.0) 51.8 (37.6-65.8) 89.2 (81.9-93.8) 83.1 (73.5-89.7) 54.4 (44.4-64.0) 64.5 (50.6-76.3)
Connecticut87.8 (69.5-95.8) 94.1 (77.3-98.7) 87.3 (59.5-97.0) 52.9 (33.0-71.9) 90.7 (76.4-96.7) 72.4 (57.7-83.5) 67.6 (51.5-80.3) NA
Delaware93.4 (82.9-97.6) 95.0 (89.1-97.8) 83.0 (63.6-93.2) 60.9 (44.1-75.4) 72.4 (58.2-83.1) 50.5 (38.4-62.6) 56.5 (43.8-68.4) 41.7 (26.5-58.6)
Dist. of Columbia99.4 (98.2-99.8) 97.9 (94.1-99.3) 96.6 (91.6-98.7) 72.0 (64.2-78.7) 89.3 (85.4-92.2) 46.2 (40.2-52.2) 78.3 (72.6-83.1) 60.0 (51.4-68.0)
Florida87.0 (77.8-92.8) 94.7 (88.9-97.5) 88.1 (78.0-93.9) 40.2 (29.5-51.9) 84.1 (74.6-90.5) 48.9 (40.4-57.5) 59.9 (51.1-68.1) 44.2 (32.8-56.2)
Georgia94.4 (86.6-97.8) 92.5 (83.6-96.7) 92.2 (73.8-98.0) 79.4 (61.0-90.5) 76.0 (62.5-85.8) 53.0 (40.2-65.4) 53.9 (41.1-66.3) 39.0 (22.3-58.8)
Hawaii94.4 (83.0-98.3) 96.5 (86.1-99.2) 100 (.-.) 76.8 (60.1-87.9) 80.8 (68.9-88.9) 53.4 (40.7-65.7) 56.3 (43.4-68.3) NA
Idaho89.9 (80.3-95.1) 90.0 (81.3-94.9) 91.7 (78.6-97.1) NA 69.2 (56.4-79.6) 45.8 (33.2-59.0) 45.0 (32.4-58.2) 45.1 (28.5-62.9)
Illinois89.1 (84.8-92.2) 90.8 (86.9-93.6) 81.8 (72.9-88.2) 43.0 (34.2-52.4) 74.5 (68.2-79.9) 58.9 (51.9-65.5) 58.0 (51.3-64.5) 41.0 (31.6-51.0)
  IL-City of Chicago84.6 (79.1-88.8) 86.3 (81.0-90.3) 80.3 (71.7-86.7) 39.7 (32.1-47.8) 71.4 (65.2-76.8) 58.7 (52.5-64.7) 58.4 (52.2-64.3) 36.2 (28.8-44.2)
  IL-Rest of State94.0 (85.7-97.6) 95.7 (88.5-98.5) 83.7 (64.3-93.6) 47.2 (30.1-64.9) 77.9 (65.8-86.6) 59.0 (46.1-70.8) 57.7 (45.2-69.2) 47.1 (28.8-66.3)
Indiana90.4 (84.0-94.4) 89.0 (84.2-92.5) 76.8 (58.1-88.8) 40.1 (28.5-52.9) 64.5 (56.2-72.1) 45.7 (37.7-53.9) 47.6 (39.5-55.9) 51.6 (40.3-62.8)
  IN-Lake CountyNA NA NA NA NA NA NA NA
  IN-Marion County87.8 (82.8-91.5) 85.3 (80.2-89.3) 78.4 (68.8-85.7) 39.7 (30.9-49.2) 66.4 (59.8-72.4) 49.5 (43.1-56.0) 53.5 (46.9-59.9) 52.8 (43.4-62.0)
  IN-Rest of State92.0 (79.4-97.2) 91.5 (83.3-95.9) 78.6 (45.2-94.2) 43.1 (25.0-63.2) 64.6 (51.3-76.0) 44.3 (32.2-57.1) 45.7 (33.4-58.7) 51.8 (32.4-70.7)
Iowa90.3 (81.2-95.3) 83.4 (73.4-90.1) 81.2 (64.4-91.1) 43.6 (28.4-60.2) 77.8 (67.2-85.7) 72.1 (61.1-81.0) 63.1 (51.7-73.3) 49.8 (34.3-65.3)
Kansas82.2 (70.9-89.8) 73.7 (61.8-82.9) NA NA 87.8 (75.7-94.3) 71.0 (58.5-81.0) 49.2 (36.7-61.7) NA
Kentucky85.8 (71.9-93.4) 86.9 (70.3-94.9) NA NA 84.6 (69.0-93.1) 40.1 (25.3-57.0) 36.0 (22.9-51.5) NA
Louisiana95.2 (88.3-98.1) 89.6 (80.3-94.8) 88.8 (75.6-95.3) 44.1 (28.8-60.7) 71.0 (59.7-80.2) 43.9 (32.9-55.6) 65.6 (53.9-75.7) 51.3 (34.4-67.9)
Maine94.4 (69.7-99.2) 98.7 (91.0-99.8) NA NA 83.0 (63.3-93.2) 68.5 (50.7-82.1) 40.1 (25.0-57.3) NA
Maryland94.3 (82.7-98.3) 93.1 (85.2-96.9) 94.7 (80.8-98.7) 44.9 (28.9-62.0) 86.6 (74.1-93.6) 57.0 (44.3-68.9) 69.3 (56.5-79.7) 51.4 (34.2-68.4)
Massachusetts97.1 (81.9-99.6) 98.6 (90.4-99.8) NA NA 96.2 (86.9-99.0) 61.1 (44.6-75.4) 76.7 (61.2-87.3) NA
Michigan93.7 (87.5-96.9) 92.9 (84.1-97.0) 95.1 (86.2-98.3) 58.1 (45.2-70.1) 73.1 (63.7-80.8) 43.7 (34.6-53.1) 59.0 (49.5-67.9) 42.3 (30.1-55.6)
Minnesota94.8 (88.3-97.8) 92.0 (84.8-95.9) 96.3 (88.9-98.8) 68.0 (54.0-79.4) 91.6 (81.2-96.5) 62.1 (51.5-71.7) 58.4 (48.0-68.1) 61.8 (47.6-74.3)
Mississippi87.6 (73.5-94.8) 81.4 (67.5-90.2) 45.9 (26.5-66.6) NA 28.5 (17.7-42.4) 22.6 (12.9-36.5) NA NA
Missouri80.8 (63.2-91.2) 83.7 (65.6-93.3) NA NA 83.3 (70.1-91.3) 65.1 (50.8-77.1) 49.9 (35.6-64.2) NA
Montana85.3 (76.3-91.3) 81.5 (72.2-88.2) 80.3 (63.5-90.5) 33.1 (18.7-51.4) 78.3 (68.8-85.5) 71.8 (61.9-80.0) 34.3 (24.7-45.4) 43.6 (28.2-60.3)
Nebraska86.9 (77.4-92.8) 87.0 (77.1-93.0) 93.9 (82.0-98.1) 49.6 (34.5-64.8) 83.1 (73.7-89.6) 52.0 (41.7-62.1) 59.0 (48.6-68.6) 64.0 (50.7-75.5)
Nevada89.0 (81.9-93.6) 87.6 (80.5-92.4) 81.9 (71.0-89.3) 35.4 (25.9-46.2) 76.0 (68.3-82.4) 66.2 (58.4-73.3) 42.4 (35.0-50.1) 36.6 (26.4-48.1)
New HampshireNA NA NA NA NA NA NA NA
New Jersey96.8 (87.4-99.2) 90.3 (67.2-97.7) NA NA 83.1 (62.9-93.5) 65.4 (45.1-81.3) 76.8 (56.0-89.6) NA
New Mexico85.3 (78.6-90.2) 89.3 (83.5-93.3) 82.8 (71.8-90.1) 45.3 (34.4-56.8) 84.0 (77.0-89.1) 64.7 (56.7-72.0) 49.5 (41.6-57.4) 46.9 (36.1-57.9)
New York90.0 (85.1-93.4) 90.0 (83.2-94.2) 89.8 (80.6-94.9) 44.5 (34.8-54.5) 90.5 (86.3-93.4) 73.5 (67.2-79.0) 62.2 (54.9-69.0) 48.5 (38.2-58.8)
  NY-City of New York89.0 (83.3-92.9) 87.3 (79.0-92.7) 87.4 (76.3-93.7) 39.1 (29.5-49.7) 89.1 (84.2-92.6) 72.2 (65.1-78.4) 61.0 (53.0-68.4) 43.2 (32.4-54.7)
  NY-Rest of State93.6 (78.5-98.3) 99.0 (93.1-99.9) NA NA 95.3 (83.9-98.7) 78.0 (62.7-88.2) 66.3 (48.8-80.3) NA
North Carolina72.7 (59.6-82.8) 80.5 (69.5-88.2) 82.6 (68.2-91.3) 54.4 (37.8-70.0) 79.0 (68.6-86.6) 59.9 (48.9-70.1) 59.5 (48.4-69.7) 55.0 (38.7-70.2)
North Dakota95.6 (86.4-98.6) 87.6 (77.6-93.5) 83.7 (65.4-93.3) 55.9 (38.5-71.9) 78.6 (67.1-86.9) 71.6 (59.7-81.2) 65.7 (53.2-76.4) 43.2 (26.9-61.1)
Ohio93.8 (88.5-96.7) 95.0 (90.5-97.4) 81.7 (64.5-91.7) 49.7 (33.9-65.6) 77.7 (67.6-85.4) 63.6 (53.0-73.0) 62.2 (51.5-71.9) 50.8 (35.3-66.1)
Oklahoma81.6 (70.7-89.1) 81.5 (70.9-88.8) 86.7 (72.2-94.3) 26.1 (16.2-39.4) 55.2 (43.5-66.4) 41.3 (30.7-52.7) 39.1 (28.6-50.7) 45.4 (30.2-61.6)
Oregon89.8 (83.8-93.7) 90.8 (85.0-94.5) 91.0 (82.2-95.7) 56.5 (45.1-67.2) 73.5 (65.5-80.2) 61.7 (53.4-69.3) 49.5 (41.5-57.5) 58.6 (47.7-68.8)
Pennsylvania90.3 (82.6-94.8) 90.6 (82.9-95.1) 97.2 (94.7-98.5) 69.6 (57.9-79.3) 81.1 (70.6-88.4) 69.8 (59.9-78.1) 74.2 (64.5-82.1) 49.8 (36.9-62.7)
  PA-Philadelphia88.4 (83.5-91.9) 89.1 (84.5-92.4) 93.0 (87.4-96.2) 66.4 (58.9-73.2) 82.0 (77.0-86.0) 65.2 (59.2-70.8) 75.3 (69.7-80.2) 58.2 (49.1-66.8)
  PA-Rest of State91.7 (75.7-97.5) 91.7 (75.7-97.5) 100 (.-.) 71.8 (51.8-85.7) 80.4 (61.8-91.3) 73.0 (55.6-85.4) 73.5 (56.8-85.4) NA
Rhode Island95.5 (86.2-98.6) 94.8 (85.9-98.2) 97.5 (84.2-99.6) 69.9 (55.7-81.1) 92.5 (85.3-96.3) 60.3 (48.0-71.5) 77.5 (66.2-85.7) 65.4 (47.5-79.7)
South Carolina84.3 (73.6-91.2) 85.3 (74.6-92.0) 68.8 (46.0-85.1) NA 57.7 (45.4-69.1) 35.7 (25.5-47.4) 33.9 (23.8-45.7) NA
South Dakota84.6 (70.7-92.5) 75.7 (61.0-86.1) NA NA 49.8 (35.3-64.3) 37.4 (24.5-52.3) 32.9 (20.3-48.5) NA
Tennessee85.9 (75.9-92.2) 85.0 (74.6-91.6) 83.9 (70.8-91.8) 34.4 (23.0-48.0) 64.4 (53.1-74.3) 45.9 (35.9-56.2) 57.7 (46.8-67.9) 55.8 (40.1-70.3)
Texas83.8 (78.4-88.0) 86.9 (82.6-90.3) 86.2 (76.6-92.3) 52.8 (43.3-62.1) 81.7 (75.9-86.4) 61.8 (55.4-67.9) 54.9 (48.2-61.4) 41.5 (33.6-49.9)
  TX-Bexar County81.6 (74.6-87.0) 82.6 (75.7-87.8) 88.9 (81.7-93.5) 34.2 (25.1-44.8) 79.7 (72.8-85.2) 55.8 (48.2-63.1) 55.8 (48.1-63.2) 48.9 (38.5-59.3)
  TX-City of Houston78.1 (70.0-84.4) 81.2 (74.1-86.7) 88.6 (80.2-93.8) 50.3 (39.0-61.6) 74.6 (66.1-81.6) 51.6 (43.1-60.1) 63.2 (54.2-71.4) 37.5 (26.6-49.7)
  TX-Dallas County86.3 (77.8-91.8) 87.9 (78.7-93.4) 88.7 (77.3-94.8) 53.7 (39.7-67.1) 84.8 (76.7-90.4) 63.5 (53.5-72.5) 64.9 (55.0-73.7) 57.0 (42.1-70.8)
  TX-El Paso County84.2 (78.8-88.4) 86.7 (81.5-90.6) 86.7 (79.1-91.8) 51.5 (42.8-60.2) 85.0 (80.3-88.7) 65.2 (59.2-70.7) 69.7 (63.7-75.2) 58.0 (49.0-66.4)
  TX-Rest of State85.3 (75.4-91.6) 89.3 (81.3-94.1) 84.1 (63.9-94.1) 58.5 (40.6-74.4) 83.1 (72.3-90.3) 65.2 (53.9-75.0) 49.1 (38.1-60.1) 35.4 (22.6-50.6)
Utah88.8 (80.2-93.9) 81.2 (71.9-87.9) 72.5 (55.4-84.9) 42.4 (28.7-57.4) 72.9 (62.9-81.0) 64.9 (55.0-73.7) 45.8 (36.6-55.3) 42.4 (29.8-56.1)
Vermont100 (.-.) 95.2 (81.3-98.9) NA NA 94.7 (80.4-98.7) 87.7 (72.6-95.0) 52.6 (34.9-69.7) NA
Virginia95.2 (89.5-97.9) 92.8 (76.5-98.1) 95.6 (82.9-99.0) 50.6 (34.1-67.1) 91.0 (82.7-95.5) 65.2 (51.0-77.2) 71.3 (58.8-81.2) 50.8 (32.3-69.1)
Washington87.8 (80.4-92.6) 86.1 (78.4-91.3) 77.5 (63.5-87.2) 55.2 (41.4-68.3) 81.3 (72.8-87.6) 62.3 (53.2-70.6) 63.8 (54.7-72.0) 60.2 (46.0-72.8)
West Virginia89.3 (77.2-95.4) 89.3 (76.7-95.4) NA NA 54.0 (38.7-68.5) 42.5 (28.9-57.4) 50.5 (35.7-65.3) NA
Wisconsin97.5 (93.7-99.1) 96.0 (91.3-98.2) 94.6 (83.7-98.4) 77.0 (62.8-87.0) 88.3 (80.3-93.3) 77.1 (67.3-84.6) 65.6 (54.3-75.4) 42.5 (29.6-56.6)
Wyoming88.6 (79.4-94.0) 71.1 (58.9-80.9) 77.3 (60.5-88.4) 41.8 (26.6-58.7) 83.3 (72.8-90.3) 43.3 (32.4-54.9) 55.7 (44.2-66.6) 44.9 (30.6-60.1)
U.S. Virgin Islands****NA NA NA NA NA NA NA NA

 
* Estimate presented as point estimate (%) ± 95% confidence interval (CI). Estimate=NA (Not Available) if the unweighted sample size for the denominator was <30 or (CI half width)/Estimate > 0.6.
† Estimates with confidence intervals >20 may not be reliable.
§ Adolescents in the 2009 NIS-Teen were born during January 1991 - February 1997.
Vaccination coverage estimates include only adolescents who had adequately complete provider-reported immunization records.
¶ Metropolitan Statistical Area as defined by the US Office of Management and Budget.
** > 2 doses of measles-mumps-rubella vaccine
†† >3 doses of hepatitis B vaccine.
§§ > 1 dose of varicella vaccine among adolescents without a history of varicella disease.
¶¶ > 2 dose of varicella vaccine among adolescents without a history of varicella disease.
*** > 1 dose of tetanus toxoid-diphtheria vaccine (Td) or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years.
††† >1 tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years.
§§§ >1 meningococcal conjugate vaccine or meningococcal -unknown type vaccine.
¶¶¶ >1 human papillomavirus vaccine, either quadrivalent or bivalent. Percentages reported among females only.
**** Includes St. Croix, St. Thomas, St. John, and Water Island (n=333). Not included in the United States estimates.
tab05_msacc