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Demographic Characteristics of Persons Vaccinated During the First Month of the COVID-19 Vaccination Program - United
Insights
Early COVID-19 vaccination in the US prioritized healthcare workers and long-term care facility residents. Initial data show most vaccine recipients were women, aged 50+, and non-Hispanic White, highlighting the need for complete demographic reporting to ensure equitable vaccine distribution.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- The initial phase of the U.S. COVID-19 vaccination program prioritized healthcare personnel and long-term care facility residents due to limited vaccine supply.
- Two mRNA vaccines, Pfizer-BioNTech and Moderna, were authorized for emergency use in December 2020.
Purpose of the Study:
- To describe the demographic characteristics of individuals who initiated COVID-19 vaccination in the U.S. during the initial program phase.
- To identify potential disparities in early vaccine uptake based on sex, age, and race/ethnicity.
Main Methods:
- Analysis of data on COVID-19 vaccine administration from December 14, 2020, to January 14, 2021.
- Demographic data (sex, age, race/ethnicity) of vaccine recipients were analyzed.
Main Results:
- Over 12.9 million people initiated COVID-19 vaccination.
- Among recipients with reported data, 63.0% were women, 55.0% were aged 50 years or older, and 60.4% were non-Hispanic White.
- Race and ethnicity data were reported for only 51.9% of recipients.
Conclusions:
- Complete and accurate reporting of race and ethnicity data is crucial for identifying and addressing vaccination disparities.
- Public health officials must ensure efficient and equitable vaccine administration across all priority groups, particularly those at higher risk.
Abstract:
In December 2020, two COVID-19 vaccines (Pfizer-BioNTech and Moderna) were authorized for emergency use in the United States for the prevention of coronavirus disease 2019 (COVID-19).* Because of limited initial vaccine supply, the Advisory Committee on Immunization Practices (ACIP) prioritized vaccination of health care personnel† and residents and staff members of long-term care facilities (LTCF) during the first phase of the U.S. COVID-19 vaccination program (1). Both vaccines require 2 doses to complete the series. Data on vaccines administered during December 14, 2020-January 14, 2021, and reported to CDC by January 26, 2021, were analyzed to describe demographic characteristics, including sex, age, and race/ethnicity, of persons who received ≥1 dose of COVID-19 vaccine (i.e., initiated vaccination). During this period, 12,928,749 persons in the United States in 64 jurisdictions and five federal entities§ initiated COVID-19 vaccination. Data on sex were reported for 97.0%, age for 99.9%, and race/ethnicity for 51.9% of vaccine recipients. Among persons who received the first vaccine dose and had reported demographic data, 63.0% were women, 55.0% were aged ≥50 years, and 60.4% were non-Hispanic White (White). More complete reporting of race and ethnicity data at the provider and jurisdictional levels is critical to ensure rapid detection of and response to potential disparities in COVID-19 vaccination. As the U.S. COVID-19 vaccination program expands, public health officials should ensure that vaccine is administered efficiently and equitably within each successive vaccination priority category, especially among those at highest risk for infection and severe adverse health outcomes, many of whom are non-Hispanic Black (Black), non-Hispanic American Indian/Alaska Native (AI/AN), and Hispanic persons (2,3).
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