The vaccine deployment in December 2020 signaled a turning point in the COVID-19 pandemic. By the end of May 2021, 40% of the U.S. population was fully vaccinated. But as vaccination rates lagged over the summer, new surges of COVID-19 came, including Delta in the summer of 2021, and now the Omicron variant, which comprises the majority of cases in the U.S.
The United States as of Oct. 28 reached over 1 million COVID-19-related deaths and 97.4 million COVID-19 cases, according to Johns Hopkins University. Currently, 68.4% of the population is fully vaccinated, and 7.3% of people have received the most recent bivalent booster dose.
Stacker compiled a list of the counties with highest COVID-19 vaccination rates in Alabama using data from the U.S. Department of Health & Human Services and Covid Act Now. Counties are ranked by the highest vaccination rate as of Oct. 27, 2022. Due to inconsistencies in reporting, some counties do not have vaccination data available. Case count data based on Oct. 13 numbers reported by the Department of Health and Human Services. Keep reading to see whether your county ranks among the highest COVID-19 vaccination rates in your state.
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1 / 50
#50. Tallapoosa County
- Population that is fully vaccinated: 39.4% (15,885 fully vaccinated)
--- 44.8% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 617 (249 total deaths)
--- 47.3% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,728 (13,615 total cases)
--- 8.0% more cases per 100k residents than Alabama
2 / 50
#49. Limestone County
- Population that is fully vaccinated: 39.9% (39,450 fully vaccinated)
--- 44.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 310 (307 total deaths)
--- 26.0% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 30,191 (29,863 total cases)
--- 3.3% less cases per 100k residents than Alabama
3 / 50
#48. St. Clair County
- Population that is fully vaccinated: 40.1% (35,916 fully vaccinated)
--- 43.8% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 485 (434 total deaths)
--- 15.8% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,794 (30,250 total cases)
--- 8.2% more cases per 100k residents than Alabama
4 / 50
#47. Butler County
- Population that is fully vaccinated: 40.5% (7,870 fully vaccinated)
--- 43.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 668 (130 total deaths)
--- 59.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,139 (6,056 total cases)
--- 0.3% less cases per 100k residents than Alabama
5 / 50
#46. Geneva County
- Population that is fully vaccinated: 41.1% (10,790 fully vaccinated)
--- 42.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 651 (171 total deaths)
--- 55.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 28,438 (7,471 total cases)
--- 8.9% less cases per 100k residents than Alabama
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6 / 50
#45. Lee County
- Population that is fully vaccinated: 41.6% (68,498 fully vaccinated)
--- 41.7% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 215 (354 total deaths)
--- 48.7% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 26,919 (44,293 total cases)
--- 13.8% less cases per 100k residents than Alabama
7 / 50
#44. Coosa County
- Population that is fully vaccinated: 41.7% (4,443 fully vaccinated)
--- 41.6% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 581 (62 total deaths)
--- 38.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 32,927 (3,511 total cases)
--- 5.4% more cases per 100k residents than Alabama
8 / 50
#43. Etowah County
- Population that is fully vaccinated: 42.1% (43,044 fully vaccinated)
--- 41.0% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 665 (680 total deaths)
--- 58.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,678 (32,396 total cases)
--- 1.4% more cases per 100k residents than Alabama
9 / 50
#42. Clay County
- Population that is fully vaccinated: 43.2% (5,713 fully vaccinated)
--- 39.5% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 680 (90 total deaths)
--- 62.3% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 35,973 (4,761 total cases)
--- 15.2% more cases per 100k residents than Alabama
10 / 50
#41. Pike County
- Population that is fully vaccinated: 43.3% (14,326 fully vaccinated)
--- 39.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 423 (140 total deaths)
--- 1.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 26,424 (8,750 total cases)
--- 15.4% less cases per 100k residents than Alabama
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11 / 50
#40. Russell County
- Population that is fully vaccinated: 43.5% (25,217 fully vaccinated)
--- 39.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 169 (98 total deaths)
--- 59.7% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 20,814 (12,064 total cases)
--- 33.4% less cases per 100k residents than Alabama
12 / 50
#39. Houston County
- Population that is fully vaccinated: 44.3% (46,932 fully vaccinated)
--- 38.0% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 496 (525 total deaths)
--- 18.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 28,746 (30,437 total cases)
--- 8.0% less cases per 100k residents than Alabama
13 / 50
#38. Monroe County
- Population that is fully vaccinated: 44.5% (9,219 fully vaccinated)
--- 37.7% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 405 (84 total deaths)
--- 3.3% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 29,856 (6,190 total cases)
--- 4.4% less cases per 100k residents than Alabama
14 / 50
#37. Morgan County
- Population that is fully vaccinated: 44.6% (53,359 fully vaccinated)
--- 37.5% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 448 (536 total deaths)
--- 6.9% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 36,170 (43,288 total cases)
--- 15.8% more cases per 100k residents than Alabama
15 / 50
#36. Franklin County
- Population that is fully vaccinated: 44.8% (14,059 fully vaccinated)
--- 37.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 469 (147 total deaths)
--- 11.9% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 36,123 (11,329 total cases)
--- 15.7% more cases per 100k residents than Alabama
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16 / 50
#35. Conecuh County
- Population that is fully vaccinated: 44.9% (5,424 fully vaccinated)
--- 37.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 605 (73 total deaths)
--- 44.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 27,795 (3,354 total cases)
--- 11.0% less cases per 100k residents than Alabama
17 / 50
#34. Tuscaloosa County
- Population that is fully vaccinated: 44.9% (94,093 fully vaccinated)
--- 37.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 395 (827 total deaths)
--- 5.7% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,585 (66,125 total cases)
--- 1.1% more cases per 100k residents than Alabama
18 / 50
#33. Lamar County
- Population that is fully vaccinated: 45.0% (6,219 fully vaccinated)
--- 37.0% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 500 (69 total deaths)
--- 19.3% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 32,126 (4,435 total cases)
--- 2.9% more cases per 100k residents than Alabama
19 / 50
#32. Autauga County
- Population that is fully vaccinated: 45.5% (25,397 fully vaccinated)
--- 36.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 408 (228 total deaths)
--- 2.6% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,077 (18,480 total cases)
--- 5.9% more cases per 100k residents than Alabama
20 / 50
#31. Henry County
- Population that is fully vaccinated: 46.3% (7,964 fully vaccinated)
--- 35.2% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 459 (79 total deaths)
--- 9.5% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,857 (5,481 total cases)
--- 2.0% more cases per 100k residents than Alabama
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21 / 50
#30. Dallas County
- Population that is fully vaccinated: 46.7% (17,362 fully vaccinated)
--- 34.6% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 686 (255 total deaths)
--- 63.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 27,264 (10,141 total cases)
--- 12.7% less cases per 100k residents than Alabama
22 / 50
#29. Washington County
- Population that is fully vaccinated: 46.8% (7,648 fully vaccinated)
--- 34.5% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 368 (60 total deaths)
--- 12.2% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 25,591 (4,178 total cases)
--- 18.1% less cases per 100k residents than Alabama
23 / 50
#28. Barbour County
- Population that is fully vaccinated: 46.9% (11,581 fully vaccinated)
--- 34.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 417 (103 total deaths)
--- 0.5% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 28,056 (6,926 total cases)
--- 10.2% less cases per 100k residents than Alabama
24 / 50
#27. Marshall County
- Population that is fully vaccinated: 46.9% (45,412 fully vaccinated)
--- 34.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 417 (404 total deaths)
--- 0.5% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 32,074 (31,039 total cases)
--- 2.7% more cases per 100k residents than Alabama
25 / 50
#26. Elmore County
- Population that is fully vaccinated: 47.8% (38,816 fully vaccinated)
--- 33.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 441 (358 total deaths)
--- 5.3% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 34,245 (27,810 total cases)
--- 9.7% more cases per 100k residents than Alabama
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26 / 50
#25. Lawrence County
- Population that is fully vaccinated: 47.9% (15,787 fully vaccinated)
--- 32.9% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 528 (174 total deaths)
--- 26.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 27,078 (8,915 total cases)
--- 13.3% less cases per 100k residents than Alabama
27 / 50
#24. Lauderdale County
- Population that is fully vaccinated: 47.9% (44,421 fully vaccinated)
--- 32.9% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 442 (410 total deaths)
--- 5.5% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 30,588 (28,364 total cases)
--- 2.1% less cases per 100k residents than Alabama
28 / 50
#23. Coffee County
- Population that is fully vaccinated: 48.3% (25,300 fully vaccinated)
--- 32.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 462 (242 total deaths)
--- 10.3% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 30,687 (16,062 total cases)
--- 1.7% less cases per 100k residents than Alabama
29 / 50
#22. Walker County
- Population that is fully vaccinated: 48.4% (30,746 fully vaccinated)
--- 32.2% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 741 (471 total deaths)
--- 76.8% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 35,291 (22,417 total cases)
--- 13.0% more cases per 100k residents than Alabama
30 / 50
#21. Calhoun County
- Population that is fully vaccinated: 48.4% (54,983 fully vaccinated)
--- 32.2% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 580 (659 total deaths)
--- 38.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,869 (38,477 total cases)
--- 8.4% more cases per 100k residents than Alabama
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31 / 50
#20. Dale County
- Population that is fully vaccinated: 49.0% (24,118 fully vaccinated)
--- 31.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 496 (244 total deaths)
--- 18.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,494 (15,486 total cases)
--- 0.8% more cases per 100k residents than Alabama
32 / 50
#19. Colbert County
- Population that is fully vaccinated: 49.0% (27,073 fully vaccinated)
--- 31.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 489 (270 total deaths)
--- 16.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 35,485 (19,602 total cases)
--- 13.6% more cases per 100k residents than Alabama
33 / 50
#18. Macon County
- Population that is fully vaccinated: 49.6% (8,963 fully vaccinated)
--- 30.5% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 493 (89 total deaths)
--- 17.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 26,616 (4,809 total cases)
--- 14.8% less cases per 100k residents than Alabama
34 / 50
#17. Perry County
- Population that is fully vaccinated: 49.7% (4,439 fully vaccinated)
--- 30.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 549 (49 total deaths)
--- 31.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 28,085 (2,506 total cases)
--- 10.1% less cases per 100k residents than Alabama
35 / 50
#16. Jackson County
- Population that is fully vaccinated: 50.7% (26,172 fully vaccinated)
--- 29.0% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 486 (251 total deaths)
--- 16.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,102 (17,089 total cases)
--- 6.0% more cases per 100k residents than Alabama
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36 / 50
#15. Mobile County
- Population that is fully vaccinated: 51.4% (212,436 fully vaccinated)
--- 28.0% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 422 (1,745 total deaths)
--- 0.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,083 (128,436 total cases)
--- 0.5% less cases per 100k residents than Alabama
37 / 50
#14. Pickens County
- Population that is fully vaccinated: 51.5% (10,255 fully vaccinated)
--- 27.9% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 562 (112 total deaths)
--- 34.1% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 30,146 (6,008 total cases)
--- 3.5% less cases per 100k residents than Alabama
38 / 50
#13. Clarke County
- Population that is fully vaccinated: 51.9% (12,271 fully vaccinated)
--- 27.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 449 (106 total deaths)
--- 7.2% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 34,040 (8,041 total cases)
--- 9.0% more cases per 100k residents than Alabama
39 / 50
#12. Greene County
- Population that is fully vaccinated: 52.3% (4,244 fully vaccinated)
--- 26.8% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 641 (52 total deaths)
--- 53.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 26,495 (2,149 total cases)
--- 15.2% less cases per 100k residents than Alabama
40 / 50
#11. Baldwin County
- Population that is fully vaccinated: 52.6% (117,426 fully vaccinated)
--- 26.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 321 (716 total deaths)
--- 23.4% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 29,518 (65,895 total cases)
--- 5.5% less cases per 100k residents than Alabama
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41 / 50
#10. Lowndes County
- Population that is fully vaccinated: 53.0% (5,159 fully vaccinated)
--- 25.8% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 823 (80 total deaths)
--- 96.4% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 31,637 (3,077 total cases)
--- 1.3% more cases per 100k residents than Alabama
42 / 50
#9. Sumter County
- Population that is fully vaccinated: 53.5% (6,650 fully vaccinated)
--- 25.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 443 (55 total deaths)
--- 5.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 24,077 (2,992 total cases)
--- 22.9% less cases per 100k residents than Alabama
43 / 50
#8. Montgomery County
- Population that is fully vaccinated: 54.2% (122,665 fully vaccinated)
--- 24.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 440 (997 total deaths)
--- 5.0% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 29,636 (67,122 total cases)
--- 5.1% less cases per 100k residents than Alabama
44 / 50
#7. Wilcox County
- Population that is fully vaccinated: 54.9% (5,693 fully vaccinated)
--- 23.1% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 463 (48 total deaths)
--- 10.5% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,240 (3,448 total cases)
--- 6.4% more cases per 100k residents than Alabama
45 / 50
#6. Marengo County
- Population that is fully vaccinated: 55.4% (10,446 fully vaccinated)
--- 22.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 604 (114 total deaths)
--- 44.2% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 30,907 (5,830 total cases)
--- 1.0% less cases per 100k residents than Alabama
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46 / 50
#5. Bullock County
- Population that is fully vaccinated: 56.2% (5,674 fully vaccinated)
--- 21.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 535 (54 total deaths)
--- 27.7% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 27,888 (2,817 total cases)
--- 10.7% less cases per 100k residents than Alabama
47 / 50
#4. Jefferson County
- Population that is fully vaccinated: 60.4% (398,068 fully vaccinated)
--- 15.4% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 375 (2,467 total deaths)
--- 10.5% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 33,450 (220,295 total cases)
--- 7.1% more cases per 100k residents than Alabama
48 / 50
#3. Hale County
- Population that is fully vaccinated: 62.6% (9,173 fully vaccinated)
--- 12.3% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 744 (109 total deaths)
--- 77.6% more deaths per 100k residents than Alabama
- Cumulative cases per 100k: 36,789 (5,390 total cases)
--- 17.8% more cases per 100k residents than Alabama
49 / 50
#2. Madison County
- Population that is fully vaccinated: 64.4% (240,097 fully vaccinated)
--- 9.8% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 275 (1,024 total deaths)
--- 34.4% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 28,942 (107,929 total cases)
--- 7.3% less cases per 100k residents than Alabama
50 / 50
#1. Choctaw County
- Population that is fully vaccinated: 67.9% (8,553 fully vaccinated)
--- 4.9% lower vaccination rate than Alabama
- Cumulative deaths per 100k: 302 (38 total deaths)
--- 27.9% less deaths per 100k residents than Alabama
- Cumulative cases per 100k: 17,420 (2,193 total cases)
--- 44.2% less cases per 100k residents than Alabama
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