COVID-19 Vaccine Registration

Mobile Registration

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***COVID-19 Vaccine Update as of 06/02/21***
IF YOU ARE IN NEED OF YOUR FIRST DOSE,  PLEASE REGISTER FOR A DATE AND TIME BELOW.
Per the CDC: The second dose should be administered as close to the recommended interval as possible. However, if it is not feasible to adhere to the recommended interval and a delay in vaccination is unavoidable, the second dose of Pfizer-BioNTech and Moderna COVID-19 vaccines may be administered up to 6 weeks (42 days) after the first dose. There are currently limited data on efficacy of mRNA COVID-19 vaccines administered beyond this window. If the second dose is administered beyond these intervals, there is no need to restart the series. (CDC Administration Considerations)

COVID-19 Vaccine Registration

To register, please take the time to fill out the information below.
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1. Are you experiencing any fever or other symptoms today?
2. Do you have any allergies to any medications, foods , yeast, eggs, vaccine components or latex?
3. Have you ever had a serious reaction to a vaccine?
4. Has any physician or other healthcare professional ever cautioned or warned you about receiving certain vaccines or receiving vaccines outside a medical setting?
5. Do you have a long-term health problem such as heart disease, lung disease, liver disease, asthma kidney disease, metabolic disease (e.g. diabetes) anemia, or other blood disorders?
6. Do you have cancer, leukemia, HIV/AIDS, or any other immune system problems? Have you been diagnosed with rheumatoid arthritis, ankylosing spondylitis, Crohn's disease, herpes, or cold sores?
7. For women, are you pregnant or is there a chance you could become pregnant?
8. In the past four weeks, have you had other vaccines?

MORE INFORMATION

Thanks for submitting!

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Georgia Department of Health
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Center for Disease Control and Prevention