2022-23 NIS-Flu

Immunization Coverage Among Texas Adults and Children Six Months and Older

Source: CDC NIS Flu Report 

About the National Immunization Survey-Flu (NIS-Flu) 

The NIS-Flu estimates the annual flu vaccination coverage levels for the nation, states, select local areas, and some U.S. territories for people 6 months and older.  

The NIS-Flu combines annual Centers for Disease Control and Prevention (CDC) flu vaccination survey responses from the NIS-Child, NIS-Teen, NIS-Childhood Influenza Module (NIS-CIM), and the Behavioral Risk Factor Surveillance System (BRFSS) (Figure 1). The NIS-Flu determines vaccine coverage estimates from parent or guardian-reported data (for children) and self-reported data (for adults).  

The 2022-2023 survey assessed the self-reported immunization status of 428,510 children and adults in the United States. The sample comprised 297,255 adults and 131,255 children, including 14,913 Texas respondents.  

Figure 1. NIS-Flu Data Sources by Age

Chart showing NIS survey ranges

NIS-Flu Immunization Coverage Estimates in The U.S. and Texas, 2021-22 and 2022-23

 

Age groups 

2021-22 Season 

2022-23 Season 

Percentage point difference 

United States 

All Children  

57.8% 

57.4% 

-0.4% 

 

   6 mos-4 years 

66.7% 

65.6% 

-1.1% 

 

   5-12 years 

58.4% 

59.3% 

0.9% 

 

   13-17 years 

49.8% 

49.0% 

-0.8% 

 

All Adults 

49.4% 

46.9% 

-2.5% 

 

   18-49 years 

37.1% 

35.2% 

-1.9%  

 

   50-64 years 

52.4% 

50.1% 

-2.3% 

 

   65+ years 

73.9% 

69.7% 

-4.2% 

Texas 

All Children 

57.5% 

57.7% 

0.2% 

 

   6 mos-4 years 

68.7% 

63.9% 

-4.8% 

 

   5-12 years 

55.0% 

59.8% 

4.8% 

 

   13-17 years 

51.0% 

47.3% 

-3.7% 

 

All Adults 

43.0% 

38.6% 

-4.4% 

 

   18-49 years 

31.9% 

28.6% 

-3.3% 

 

   50-64 years 

47.3% 

45.0% 

-2.3% 

 

   65+ years 

71.5% 

62.4% 

-9.1%  

See below for an accessible data chart: 

 

Influenza Immunization Coverage Estimates by Age Group, Children and Adults, 2022-23 Season 

  

United States 

Texas 

Bexar County 

City of Houston 

6 mos−4 years 

65.6% 

63.9% 

70.4% 

65.9% 

5−12 years 

59.3% 

59.8% 

65.0% 

68.1% 

13−17 years 

49.0% 

47.3% 

50.3% 

58.1% 

18−49 years 

35.2% 

29.6% 

34.0% 

31.8% 

50 – 64 years 

50.1% 

45.5% 

52.2% 

40.2% 

65+ years 

69.7% 

62.4% 

67.3% 

69.6% 

See below for an accessible data chart: 

  

2018-19 

2019-20 

2020-21 

2021-22 

2022-23 

6 mos−4 years 

72.6% 

77.4% 

64.9% 

68.7% 

63.9% 

5−12 years 

63.9% 

62.2% 

59.5% 

55.0% 

59.8% 

13−17 years 

51.9% 

52.9% 

48.2% 

51.0% 

47.3% 

See below for an accessible data chart:

  

2018-19 

2019-20 

2020-21 

2021-22 

2022-23 

18-49 years 

33.5% 

33.7% 

31.7% 

31.9% 

28.6% 

50-64 years 

47.3% 

45.2% 

48.1% 

47.3% 

45.0% 

65+ years 

67.5% 

64.7% 

72.3% 

71.5% 

62.4%