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# Pharmacies gave 42% of first COVID vaccine doses to North Carolina children
- URL: https://www.coios.me/pharmacies-gave-42-of-first-covid-vaccine-doses-to-north/
- Published: 2026-09-15T21:43:07.000Z
- Updated: 2026-09-15T21:43:07.000Z
- Description: Analysis of North Carolina's COVID-19 Vaccine Management System records for 1.75 million children aged 3-17 found pharmacies administered 42% of first doses, with an equal share in rural, suburban and urban areas but lower use among Black and Hispanic children.
- Author: Daniel Ryan
- Tags: Behavioural science, What changes behaviour at scale, United States, #peer-reviewed, #new, #item

State registry data covering 1,747,790 North Carolina children and adolescents aged 3-17 were used to identify where COVID-19 vaccinations were given between January 2021 and June 2023\. Pharmacies accounted for 42% of first doses, and the share rose with dose number, reaching 11.8 percentage points above the first-dose share for fourth or later doses. First-dose coverage was 59.1% at ages 12-17, 37.4% at 5-11 and 3.5% at 3-4, and pharmacy use was lower among Black and Hispanic children.

*Why it is interesting: Quantifies how much of paediatric vaccination moved outside medical practices, and where that channel reached people unevenly.*

Source

[Vaccine, 2026-09-13](https://doi.org/10.1016/j.vaccine.2026.129125?ref=coios.me)

DOI

10.1016/j.vaccine.2026.129125

Type

Peer-reviewed article

Design

Retrospective analysis of a state immunisation registry, 1,747,790 children aged 3-17, 2021-2023

Verdict

New finding

Driver

[What changes behaviour at scale](https://www.coios.me/d-behaviour-change/)