Forms

Covid-19 Vaccine Administration Record - Please fill this out, print it, and bring it with you on the day of your appointment. Blank forms are available onsite if you are unable to print it at home.

FDA Approved and Emergency Use Authorizations (EUA)

• Comirnaty (FDA Approved) and Pfizer (EUA) Vaccine – Fact Sheet for Recipients and Caregivers for the Comirnaty and Pfizer BioNTech Covid-19 Vaccine.
• Moderna Covid-19 Vaccine - FDA-EUA Fact Sheet for Recipients and Caregivers for the Moderna Covid-19 Vaccine.
• Janssen Covid-19 Vaccine – FDA EUA Fact Sheet for Recipients and Caregivers for the Janssen Covid-19 Vaccine.

V-safe Information - V-safe is a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination.