COVID-19 Vaccine Registration

Mobile Registration

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***COVID-19 Vaccine Update as of 10/11/21***
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)
Today, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 Vaccine to allow for use of a single booster dose, to be administered at least six months after completion of the primary series in:
  • individuals 65 years of age and older;
  • individuals 18 through 64 years of age at high risk of severe COVID-19; and 
  • individuals 18 through 64 years of age whose frequent institutional or occupational exposure to SARS-CoV-2 puts them at high risk of serious complications of COVID-19 including severe COVID-19.

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?

Thanks for submitting!

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Georgia Department of Health
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Center for Disease Control and Prevention