Miss Virginia USA Stevenson, became Miss Universe 1954. However, there was no rule until the 1960s that the 1st runner-up became Miss USA after the winner won Miss Universe. If that was true, 2nd runner-up, Miss New York USA, Karin Hultman would have become Miss USA 1954, as Ellen was disqualified due to being underage. Nine Miss Virginia USA winners have previously held the Miss Virginia Teen USA title and competed at Miss Teen USA. Virginia currently holds the record for the most Miss Teen USA state winners to win a Miss USA state title from the same state; it is second to
Miss Tennessee 1938, although the winner, Isobel Carter, was unable to compete at Miss America due to illness and so the 1st runner-up became Miss Tennessee. The following year, two winners were chosen to compete for the Miss America title. In 1940 the pageant suffered a repeat of 1938, with the winner resigning through illness and the 1st runner-up representing the state at the national competition. The routine pageant was held in 1941, but from 1942-1946 representatives were appointed without a pageant being held, due to World War II. In 1947 twins Jean and Jane Cunningham were both awarded the Miss Tennessee