{"id":17410,"date":"2025-08-01T01:00:19","date_gmt":"2025-08-01T05:00:19","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=17410"},"modified":"2026-03-06T16:29:36","modified_gmt":"2026-03-06T21:29:36","slug":"adult-immunization-status-ais-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/","title":{"rendered":"Adult Immunization Status (AIS-E)"},"content":{"rendered":"<p>The percentage of persons 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster, pneumococcal, hepatitis B and coronavirus disease 2019 (COVID-19).<\/p>\n<h2>Why it Matters<\/h2>\n<p>This measure is based on the best available evidence, which recommends influenza and Td\/Tdap vaccination for all adults 19 years of age and older; herpes zoster vaccination for all adults 50 years and older; pneumococcal vaccination for all adults 65 and older and for those 18\u201364 with certain underlying conditions; hepatitis B for adults 19\u201359 years of age; and COVID-19 vaccination for persons 65 years of age and older <sup><a href=\"#ref-1\">1<\/a>, <a href=\"#ref-10\">10<\/a><\/sup>.<span data-contrast=\"none\">\u00a0These vaccines have been included in recommendations to prevent serious disease, but vaccination coverage remains low <sup><a href=\"#ref-2\">2<\/a><\/sup>, leaving many adults unprotected against vaccine-preventable diseases.<\/span><\/p>\n<p><span data-contrast=\"none\">Estimates of national vaccination coverage are available through the National Health Interview Survey (NHIS), in which a sample of adults self-report receipt of vaccines. In 2022, data indicate that:<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">49.4% of adults aged 19 and older reported receiving the influenza vaccine <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/li>\n<li><span data-contrast=\"none\">59% of adults 19 and older reported having received any tetanus toxoid-containing vaccination in the past 10 years, and 28.6% reported receiving the Tdap vaccine <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/li>\n<li><span data-contrast=\"none\">36% of adults 50 and older reported receiving one or more doses of any type of herpes zoster vaccine <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/li>\n<li><span data-contrast=\"none\">64% of adults 65 and older reported receiving one or more doses of any type of pneumococcal vaccine <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Additionally, NHIS data from 2021 found that of adults 19 years and older, 34% reported receiving the hepatitis B vaccination <sup><a href=\"#ref-3\">3<\/a><\/sup>. More recent estimates of national vaccination coverage are available through the National Center for Immunization and Respiratory Diseases and show that as of April 2025, 39.1% of adults 65 years and older reported having received an updated 2024-2025 COVID-19 vaccine <sup><a href=\"#ref-4\">4<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Racial disparities in coverage exist across all six vaccines, with White adults reporting higher rates of vaccine receipt when compared to Black and Hispanic adults with the exception of COVID-19 vaccination where White adults had lower coverage compared to Asian adults <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">There are evidence-based practices for improving adult vaccination coverage. Health care providers should routinely assess patients\u2019 vaccination history; strongly recommend appropriate vaccines; offer needed vaccines to adults or refer patients to a provider who can administer the vaccine; and document vaccinations received by their patients in an immunization information system <sup><a href=\"#ref-5\">5<\/a><\/sup>. In addition, providing easy access and convenience for adult vaccination in and outside the health care setting is important for increasing equitable adult vaccine uptake <sup><a href=\"#ref-6\">6<\/a><\/sup>. Influenza vaccines are commonly offered at retail pharmacies; offering other types of adult vaccines at retail pharmacies could potentially increase uptake <sup><a href=\"#ref-7\">7<\/a><\/sup>. For COVID-19 vaccination specifically, one of the major strategies to overcoming barriers was educating patients on the safety and efficacy of COVID-19 vaccination <sup><a href=\"#ref-8\">8<\/a><\/sup>. Sharing immunization-related information between providers, health systems, public health agencies, and patients is required to increase vaccination coverage and ensure high-quality data to inform clinical and public health interventions <sup><a href=\"#ref-9\">9<\/a><\/sup>. Leveraging health information technology, such as immunization information systems, is important for targeting and monitoring immunization program activities and providing clinical decision support at the point of care <sup><a href=\"#ref-9\">9<\/a><\/sup>.<\/span><\/p>\n<h2><span data-teams=\"true\">Historical Results \u2013 National Averages<\/span><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of persons 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster, pneumococcal, hepatitis B and coronavirus disease 2019 (COVID-19). Why it Matters This measure is based on the best available evidence, which recommends [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-17410","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adult Immunization Status (AIS-E) - NCQA<\/title>\n<meta name=\"description\" content=\"The percentage of persons 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster, pneumococcal, hepatitis B and coronavirus disease 2019 (COVID-19).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adult Immunization Status (AIS-E) - NCQA\" \/>\n<meta property=\"og:description\" content=\"The percentage of persons 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster, pneumococcal, hepatitis B and coronavirus disease 2019 (COVID-19).\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-06T21:29:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/\",\"name\":\"Adult Immunization Status (AIS-E) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:19+00:00\",\"dateModified\":\"2026-03-06T21:29:36+00:00\",\"description\":\"The percentage of persons 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster, pneumococcal, hepatitis B and coronavirus disease 2019 (COVID-19).\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/adult-immunization-status-ais-e\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Adult Immunization Status (AIS-E)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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