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COVID-19 Vaccination Eligibility and Scheduling

COVID-19 Vaccinations are only available to those who meet federal and state criteria. Currently, the County of Santa Clara is able to vaccinate:

For appointments before February 28, 2021, you must meet any of the Eligibility Criteria in categories (1) – (2) below.

For appointments on or after February 28, 2021, you must meet any of the Eligibility Criteria in categories (1) – (3) below.

  1. healthcare workers who live or work in Santa Clara County; or
  2. individuals aged 65 or above who live in Santa Clara County; or
  3. Residents of Santa Clara County who are at risk of exposure to COVID-19 through their work in:

- Education and Childcare
- Emergency Services
- Food and Agriculture including those working in a restaurant

If you are unsure if you meet the above criteria, you can find more information hereIf you do not meet eligibility criteria you will not be able to receive a vaccine at your scheduled time. You will be asked to sign an attestation at the time of your vaccine ensuring that you meet criteria. You will need to bring evidence of eligibility to your appointment such as a government-issued photo ID showing residence and date of birth, badge from your work, a paystub, or documentation from your employer.  Other forms of documentation may be acceptable to prove eligibility.

Please Note: If you are scheduling for an adult who is unable to read and understand information about the vaccine and sign a consent form a legal representative (person legally authorized to consent for medical care) must be present at the appointment to sign the consent form and attestation, or the forms need to be printed and signed by the legal representative ahead of time and brought to the vaccination appointment.  Forms can be found here.

COVID-19 Vaccination Eligibility

Can you attest, under penalty of perjury, that you are a healthcare worker in Phase 1a of the CDPH guidelines, who lives or works in Santa Clara County?

How old are you?

You are not currently eligible to schedule a COVID-19 vaccine due to your age. 

Currently, only those 16 and older can receive the COVID-19 vaccine, if eligible. 
Please continue checking for updated information at www.sccfreevax.org

16 or 17 Year Olds Must Schedule at Levi's or Fairgrounds Expo

You must schedule your appointment at either Levi’s Stadium or Fairgrounds Expo vaccination sites to receive the Pfizer vaccine (the only COVID-19 vaccine that currently has Emergency Use Authorization for your age group). Do not schedule at any other site.  Your parent or guardian must be present with you at the vaccination site and sign the consent form on your behalf, or you need to print out a copy of the form, have them sign it, and then bring it with you to your vaccination appointment. Forms can be found here.
 

 

Can you attest, under penalty of perjury, that you are a resident of Santa Clara County?

Can you attest, under penalty of perjury, that you are a resident of Santa Clara County?

You are not currently eligible to schedule a COVID-19 vaccine. 

Because vaccine allocation from the State is based on county population, Santa Clara County residency is a requirement of eligibility for Phase 1B.


Can you attest, under penalty of perjury, that you work in one of the following businesses or industries:
- Childcare and Education; or
-
Agriculture and Food; or
- Emergency Services

If you have questions about whether you qualify under Education and childcare you can see CDPH guidance here.

If you have questions about whether you qualify under Food and Agriculture or Emergency Services you can see California state guidance here
 

Those eligible based on work should schedule an appointment only for February 28th and later. 

 

You are not currently eligible to schedule a COVID-19 vaccine.  

Please continue checking for updated information at www.sccfreevax.org.  Due to the way in which COVID-19 vaccines are distributed by the State of California, these vaccination sites are only available to those who can attest that they qualify.

 

Have you received another vaccine (e.g. influenza) in the last 14 days?

You should not receive the COVID 19 vaccine within 14 days of another vaccine.   Please schedule your COVID-19 vaccine after the 14-day period is over. 

 

 

Have you received antibody therapy (monoclonal antibodies or convalescent serum) to treat COVID-19 in the last 90 days?

If you have been treated with antibody therapy (monoclonal antibodies or convalescent serum) for COVID-19, you should delay your COVID-19 vaccination until 90 days after the treatment was completed. 

 

Have you ever had an allergic reaction to: polysorbate, or a prior dose of the COVID-19 vaccine, or a component of the COVID-19 vaccine, including polyethylene glycol (PEG), which is found in some medications, such as laxatives and preparations for colonoscopy procedures?
This would include a severe allergic reaction (e.g., anaphylaxis) that required treatment with epinephrine or EpiPen® or that caused you to go to the hospital. It would also include an allergic reaction that occurred within 4 hours that caused hives, swelling, or respiratory distress, including wheezing.
 

If you have had an allergic reaction to polysorbate, a prior dose of the COVID-19 vaccine, or a component of the COVID-19 vaccine, then you should not get the COVID-19 Vaccine.  Consider discussing with your primary care physician or allergist.
 

Are you trying to schedule your first or second dose of the COVID-19 Vaccine?

To make sure that you are scheduled into a site carrying the correct manufacturer for your second dose of the COVID-19 vaccine (Pfizer or Moderna), please call (408) 970-2000 to schedule your appointment. Online scheduling is only available for first dose appointments.  

Where would you like to be vaccinated?

2542 Monterey Highway, Gate D, San Jose, CA

Gilroy, Mountain View, San Jose and Santa Clara

Where would you like to be vaccinated? (16 or 17 years old)

 

 

 

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