“…Prior studies investigate the integrity of aggregated COVID-19 reporting data at both the global-level and country-level as well as the state-level of the U.S. (e.g., IHME, 2021 ; Ioraliam, Ho, Tirunagari, & Windridge, 2020 ; Koch & Okamura, 2020 ; Lee, Han, & Jeong, 2020 ; Sambridge & Jackson, 2020 ). However, the counties of the respective individual states in the U.S. hold the primary responsibility for COVID-19 reporting.…”