Influenza vaccination coverage assessments by race and ethnicity can identify populations less protected from influenza morbidity and mortality and help focus vaccination efforts. Across eight Vaccine Safety Datalink health systems, we identified influenza vaccines administered from August 1 through March 31 each season from 2017 to 18 through 2022-23 using electronic health records linked to immunization registries. We calculated crude vaccination coverage for each season among people in five age groups (6 months-8 years, 9-17, 18-49, 50-64, and  ≥  65 years) by self-reported race and ethnicity. Across seasons, in all age groups, coverage was consistently highest among non-Hispanic (NH) Asian individuals and lowest among NH Black individuals. In the 2022-23 season, the difference in coverage between NH Asian and NH Black individuals ranged from 15.1 ( ≥ 65 years) to 32.7 (6 months-8 years) percentage points by age group. Observed differences in coverage affecting people of all ages necessitate a better understanding of vaccination barriers.