Vaccine Exemptions by State for Children

Not sure if you noticed last evening(?), the President was commenting about acetaminophen (known by various brand names) and autism. Thereby his warning to pregnant women not to take this pain reliever. Both he and Robert Kennedy are advocating such. As soon as the claim was made, the news channels cut away from the announcement due to advertising which pays for commercial ads on TV. The healthcare industry is a big entity.

“More kids are getting vaccine exemptions. Here’s where”

Nonmedical vaccine exemption rates in kindergarteners have increased since 2014, while medical exemptions remained stable.

Newly-minted kindergarteners are getting ready for school, which means backpacks, crayons, and, for some, vaccine exemption forms. For the 2024–25 school year, 3.6% of kindergarteners had a vaccine exemption, up from 2.2% in 2014–15.

The share of kindergarteners with medical exemptions has remained at 0.2% year over year, with little variation. The nonmedical exemption rate has steadily increased, from 2.0% in 2014 to 3.4% in 2024.

Nonmedical exemption rates hovered around 2.0% from 2014 to 2020 and then rose each year through 2024. The Centers for Disease Control and Prevention attributes the 2020 decline in all exemption rates to expanded grace periods and provisional enrollment policies during the COVID-19 pandemic; lots of kids went to school without being fully vaccinated not because they were exempt but because routine health care and vaccinations were delayed. (Overall vaccination coverage also dropped during the pandemic.)

What are reasons for vaccine exemptions?

  • Medical exemptions are granted when a child has a health condition that makes vaccination unsafe, like a severe allergy to a vaccine ingredient or a weakened immune system from cancer treatment.
  • Nonmedical exemptions are based on a family’s beliefs and can be either religious (when vaccination conflicts with a family’s faith) or philosophical (when parents object for personal or moral reasons).

How do nonmedical exemption rates vary by state?

Three other states had exemption rates above 9.0%: Oregon (9.7%), Alaska (9.0%), and Arizona (also 9.0%).

The state with the lowest rate was Connecticut, where 0.1% of children had nonmedical exemptions. Connecticut repealed nonmedical exemptions in 2021, although those approved before the law repeal came into effect remain valid. It’s the only state with an exemption rate below 1.0%.

Nonmedical exemptions decreased in three states over the last decade: Colorado (-1.3 percentage points), Connecticut (-1.5), and Vermont (-2.2).

How do medical vaccine exemptions vary by state?

National medical exemption rates remained around 0.2% with little variation from the 2014–15 to 2024–25 school years. Of all reporting states in 2024–25 school year, medical exemption rates were below 1.0%.

Maine had the highest medical exemption rate in kindergarteners at 0.8%, followed by Maryland, Nebraska, Nevada, and Wisconsin (all 0.5%).

Eighteen states reported medical exemptions of 0.1%, the lowest reported rate.

Notes:

AB: If you click on the original article, you can review the percentages for each state .

Source: Centers for Disease Control and Prevention

Vaccination Coverage and Exemptions among Kindergartners

Additional Contributors

Data analysis and processing by USAFacts

CDC Gov. School Vac View Data/index