Utah Statistics

Immunization Coverage Levels

Get immunization information about Utah residents across the lifespan, including children, adolescents and adults.

Utah's immunization dashboard

Data request form

To submit a data request report to the immunization program, click on the button below.

Data request form

This form does not access personal immunization records and cannot be used to request them. Visit the Utah USIIS web page for information on how to access your personal immunization records

The above"Data request form" is for requesting population-based immunization data only.

If you are not able to access the google form, please contact [email protected] to request a PDF data request form.