I got 9 chicks 3.5 years ago, and I just had my first batch of meat birds processed. I have never had any trouble with any diseases until recently, and I did not have mine vaccinated. As I understood it, good hygiene and access to the clean outdoors (not confined in a filthy outdoor run) should allow exposure to the cocci in small doses that allows the chickens to build immunity. When they were chicks I gave them clean bedding twice a day probably, and I give them as much fresh pasture as possible by moving electronet fencing.
The problems I had recently, described in
https://www.backyardchickens.com/t/...ees-when-trying-to-look-at-me-new-behavior/10 and in
https://www.backyardchickens.com/t/940223/post-molt-chicken-is-skinny-and-antisocial/10 and in
https://www.backyardchickens.com/t/941194/should-i-remove-her-comb-pecking-injury-with-pics/20.
Basically, here's what I think caused the coccidiosis. She molted in October, and as you may have observed, when chickens molt, they become skittish, avoid others, and eat less. Molting is stressful. We also have a rooster, and, although I've never seen any damage from his amorous efforts, I'm sure the experience isn't fun when you have few feathers. She withdrew from the flock and escaped, and wandered around getting what she could from the woods. In Nwov the temperature got down into the teens and she had to be out in it. During this time I also had my batch of 17 meat birds and I didn't pay as much attention to the layers as I might have otherwise. I think she was stressed, and malnourished because the others were keeping her from her food,. After the meat birds were processed, all of whom were healthy, I noticed her and saw how skinny and very antisocial she was. I started posting here, and people said to worm her. Then I thought about my dogs and realized that there are several different treatments for worms. I took a stool sample to the vet and it turns out she had coccidiosis (although she had no bloody stool or obvious signs of problems) and nothing else. So I put her on corid, and she improved.
If I had it to do over again, I wouldn't vaccinate. I'd pay better attention to my chickens in hopes of avoiding having things escalate to this point, and I'd separate any who look ill. She also got pecked pretty badly and got wry neck on top of it all. She seems better now, after I've had to transport her hundreds of miles in a dog crate in the back of my car with her friend because I couldn't confine her with the rest of the flock--they would have killed her.Poultry vitamins, eggs, and tuna, cocci test and wormer...I'm $50 into saving this chicken! Perhaps I'm too soft-hearted to be a chicken keeper

My husband thinks I am insane, but he cheerfully eats the eggs and loves having our own meat (as long as it isn't raised in our garage and transported in our SUV).