evidence: Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Additional Contributions: We are grateful for the efforts of vital statistics jurisdictions in their continued collaboration with the National Center for Health Statistics and provision of data during the COVID-19 pandemic. We thank the staff of the Division of Vital Statistics for coding and reviewing data, providing continuous database maintenance, and producing timely analysis. [...] 3.National Center for Health Statistics, Centers for Disease Control and Prevention. National Vital Statistics System: instructions for classification of underlying and multiple causes of death—2021. Accessed March 26, 2021.