re: Why are some states performing so miserably with vaccines?

In my state's (Wisconsin) case, it's because the Governor and his minions are slow walking everything and even refusing to work with the state agencies. Case in point: two weeks ago the head of the University of Wisconsin System (which contains 26 campuses) offered to use the facilities and personnel to help distribute vaccines. He is still waiting for a response. One may think that the Dems in Wisconsin want Covid paranoia to continue for as long as possible.