Vital records most commonly refer to records such as birth and death certificates, marriage licenses and divorce decrees, wills and the like. These records are created by local authorities, and with possible exceptions for events overseas, in the military, or in the District of Columbia. They are not considered Federal records; therefore they are not held by NARA.
The CDC's National Center for Health Statistics web site tells how to obtain birth, death, marriage, and divorce records from state and territorial agencies.