state,immunization_rank,immunization_score,fertility_rate_2023,covid_fully_vaccinated_pct,poverty_rate_pct,bachelors_degree_pct,hs_diploma_pct
Alabama,49,29.94,57.9,52.9,16.1,28.4,88.6
Alaska,42,36.90,62.4,64.8,10.5,31.7,93.6
Arizona,43,36.41,54.2,65.6,12.8,33.3,89.4
Arkansas,41,37.31,59.2,56.6,16.3,25.7,88.7
California,35,42.21,50.4,74.2,12.3,37.1,84.7
Colorado,16,57.39,50.2,73.1,9.7,45.7,92.9
Connecticut,4,68.67,50.2,82.6,10.1,42.5,91.5
Delaware,18,53.85,54.4,72.0,11.6,35.8,91.7
District of Columbia,14,60.43,43.0,76.0,16.5,64.2,92.7
Florida,45,34.05,53.9,69.1,13.1,34.1,89.9
Georgia,48,31.40,54.9,56.9,14.0,34.9,89.2
Hawaii,27,49.24,56.9,81.1,11.2,36.1,93.2
Idaho,36,41.53,57.6,56.2,11.0,31.8,91.9
Illinois,33,45.96,50.4,70.9,12.1,37.8,90.5
Indiana,25,50.01,58.9,57.5,12.2,29.5,90.4
Iowa,10,60.88,59.0,64.0,11.1,31.4,93.3
Kansas,17,55.14,59.5,64.8,11.7,35.6,92.0
Kentucky,47,32.96,60.4,59.3,16.5,27.6,88.9
Louisiana,34,45.09,60.4,54.8,19.6,27.0,87.3
Maine,7,66.61,47.0,82.8,11.5,36.2,94.8
Maryland,13,60.47,54.1,79.2,10.3,43.4,91.1
Massachusetts,1,81.95,47.4,83.6,10.4,47.3,91.4
Michigan,30,48.16,52.2,62.1,13.1,32.4,92.1
Minnesota,11,60.62,55.7,71.7,9.3,39.4,93.9
Mississippi,51,13.25,59.2,53.5,19.4,25.1,87.1
Missouri,27,49.47,55.8,58.7,12.7,32.4,91.9
Montana,38,41.43,52.2,58.9,11.9,35.2,94.6
Nebraska,32,46.60,62.5,65.9,10.8,34.6,92.2
Nevada,50,27.90,50.8,63.1,14.1,27.9,87.5
New Hampshire,2,71.26,46.8,71.3,7.2,40.6,94.4
New Jersey,40,38.69,57.4,78.6,10.2,43.6,90.7
New Mexico,19,53.66,51.5,74.7,18.4,31.0,88.0
New York,26,49.80,52.7,80.2,13.9,40.2,88.0
North Carolina,20,51.46,56.0,66.4,13.4,35.7,90.1
North Dakota,8,61.20,62.0,58.3,11.1,32.7,94.0
Ohio,31,47.85,56.4,60.2,13.4,31.5,91.8
Oklahoma,44,33.71,59.1,60.1,15.6,28.3,89.4
Oregon,12,60.56,45.9,71.9,12.2,36.8,91.8
Pennsylvania,29,48.75,51.9,72.7,12.1,35.2,92.1
Rhode Island,5,68.17,45.2,87.1,11.4,37.7,89.7
South Carolina,39,40.05,55.8,59.6,14.6,32.1,90.1
South Dakota,22,50.88,65.6,65.8,12.3,31.9,93.2
Tennessee,37,41.43,58.9,56.1,13.6,31.1,90.0
Texas,24,50.60,60.6,62.9,14.2,33.8,86.0
Utah,21,51.19,59.6,66.3,8.6,37.7,93.4
Vermont,6,68.03,42.1,85.0,10.3,43.8,94.9
Virginia,15,57.72,53.6,76.1,10.2,42.2,91.6
Washington,3,70.74,51.4,75.6,9.9,39.6,92.3
West Virginia,23,50.72,53.1,59.5,16.8,24.1,89.3
Wisconsin,9,60.95,53.6,67.8,10.8,33.4,93.6
Wyoming,44,35.65,54.5,52.8,11.4,30.6,94.2

SOURCES:
immunization_rank / immunization_score: WalletHub "Best & Worst States for Vaccinations" composite index (2024-2025)
fertility_rate_2023: CDC National Center for Health Statistics (NCHS), National Vital Statistics Reports, 2023; births per 1,000 women ages 15-44
covid_fully_vaccinated_pct: CDC COVID Data Tracker; cumulative fully vaccinated share of total population as of May 2023 (final federal tracking period)
poverty_rate_pct: U.S. Census Bureau, American Community Survey (ACS) 1-Year Estimates, 2023
bachelors_degree_pct: U.S. Census Bureau, ACS 5-Year Estimates; share of adults 25+ with bachelor's degree or higher
hs_diploma_pct: U.S. Census Bureau, ACS 5-Year Estimates; share of adults 25+ with high school diploma or higher