COVID-19 Vaccine FAQs Type in the search string and hit Enter. Clear COVID-19 Vaccine FAQs Getting vaccinated in Rhode Island How do I get vaccinated for COVID-19? 6/22/2022 COVID-19 vaccines are available at the places where you normally get your vaccines, like doctors’ offices and pharmacies. Call your healthcare provider to see if they are providing COVID-19 vaccine. Use Vaccines.Gov to find COVID-19 vaccines near you. You can search by location and by vaccine type. At-Home Vaccination: If you are unable to leave your home and need to schedule at at-home vaccination. COVID-19 vaccines are available at no out-of-pocket cost. People cannot be charged for a COVID-19 vaccine when vaccination is the only service provided. However, some vaccine providers may ask for insurance information to charge your insurance for the vaccine administration fee. You do not have to have health insurance to get a COVID-19 vaccination. What is the recommended COVID-19 vaccination schedule? 4/26/2023 CDC COVID-19 vaccine recommendations depend on factors like your age and health status. When you get vaccinated against COVID-19 and what doses you get may look different from what your friends and family do. Vaccine schedule recommendations are made using the science and data that we know now. The virus that causes COVID-19 changes over time. So, scientists and researchers make changes to vaccines to better match the virus. This may mean that the recommendations about how many doses of COVID-19 vaccine to get, and when, could change. Please see CDC’s COVID-19 vaccine recommendations here: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html Please speak with a healthcare provider if you have questions about your COVID-19 vaccination schedule. In general, CDC recommends all people age 6 months or older get vaccinated against COVID-19. People age 65 or older and people who have compromised (weakened) immune systems may choose to get a second dose of bivalent vaccine. Do I need an appointment to get vaccinated? 6/21/2022 Not all vaccine clinics require appointments. However, it is a good idea to make an appointment if you can. This helps vaccine clinics know how much vaccine to make available. It also helps reduce wait time. To find COVID-19 vaccine clinics, please visit Vaccines.Gov. You can also make appointments with your healthcare provider, at a hospital, at a health center, or a retail pharmacy. Please note that some retail pharmacies may require appointments for COVID-19 vaccination. How do I get to my appointment without a car? 7/23/2021 Many vaccination sites across the state are accessible by public transportation. To view transportation routes and any possible walking distances, visit www.ripta.com and enter your travel information into RIPTA’s trip planner on the homepage. The website also has detailed maps and timetables for every RIPTA route. If you need help or cannot visit the website, call RIPTA’s Customer Service team at 401-781-9400. RIPTA offers free transportation for anyone traveling to or from a COVID-19 vaccination appointment. For more information or to take advantage of this program, please contact RIPTA Customer Service by e-mailing [email protected] or by calling 781-9400. Anyone enrolled in Medicaid or older than 60 can use the Non-Emergency Medical Transport Service provided by MTM. Transportation can be booked online at https://www.mtm-inc.net/mtm-link/ or by calling MTM at 855-330-9131 (TTY: 711) at least two business days before the appointment. If you are not enrolled in Medicaid, there may be a small cost to schedule a ride. For more information on the Non-Emergency Medical Transport Service, please see this FAQ sheet. What happens at my COVID-19 vaccination appointment? 3/15/2023 You don’t need insurance to be vaccinated, but if you have insurance, bring your insurance card to your appointment. Please wear loose-fitting clothing that allows easy access to your upper arm. Follow social distancing and masking guidelines at your appointment. You will receive a vaccination card that shows which vaccine you received and the date and location of your vaccination. There will also be space to write down when you got your second dose or your booster dose. After getting vaccinated, you may be asked to remain on site for a 15- to 30-minute observation period. Will I have side effects from getting the vaccine? 6/9/2021 Vaccines often cause our immune systems to respond in a way that shows the vaccine is working. This is healthy, normal, and expected. You may experience a sore arm, headache, fever, or body aches, but they should go away within a few days. Some people have no side effects from getting vaccinated. If you have any symptoms of COVID-19 following vaccination, stay home, call a healthcare provider, and get tested. If you have any of the following severe symptoms after vaccination or in general, seek medical care right away: Chest pain; shortness of breath; feelings of having a fast-beating, fluttering, or pounding heart Severe or persistent headaches or blurred vision; shortness of breath; chest pain; leg swelling; persistent abdominal pain; easy bruising or tiny blood spots under the skin beyond the injection site What happens after my COVID-19 vaccination appointment? 3/15/2023 After getting vaccinated, you may be asked to remain on site for a 15- to 30-minute observation period. You will get a vaccination card that shows which vaccine you got and the date and location of your vaccination. There will also be space to write down when you got your second dose or your booster dose. You may experience a sore arm, headache, fever, or body aches, but they should go away within a few days. Some people have no side effects from getting vaccinated. If you did not schedule your next dose on site, you can find a vaccine clinic and appointment at Vaccines.Gov. It is important to stay up to date with your COVID-19 vaccines so that you are protected against COVID-19. COVID-19 vaccines are effective at protecting people from getting seriously ill, being hospitalized, and dying. Staying up to date means that you have received all recommended doses of COVID-19 vaccines, including booster doses. How do I stay up to date with my COVID-19 vaccines? 3/15/2023 Being “up to date” with your COVID-19 vaccines means getting all recommended doses—including booster doses. COVID-19 vaccine recommendations are different for different people and depend on age, health status, and when you were first vaccinated. Please see CDC guidance for more information: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html What are COVID-19 vaccine boosters? 9/24/2021 A booster dose is a dose of a vaccine that is given to someone who is already vaccinated and received protection from that vaccination, but that protection decreased over time. How many doses of vaccine will I need? 12/15/2022 For most people, CDC recommends getting at least one updated, bivalent booster dose at least two months after getting your primary series. We are going to keep learning about this virus and its variants and how well our vaccines work against the virus, so this recommendation may change. We know that the protection offered by the virus weakens over time. Booster doses work well to protect people against serious illness, hospitalization, and death from COVID-19. Can I get doses of different vaccines? 4/26/2023 In general, people should get the same vaccine for all doses. For example, if your first dose of COVID-19 vaccine was a Pfizer vaccine, you should try to get Pfizer for your other doses. However, that may not always be possible. Some vaccines, like the monovalent COVID-19 vaccines (also known as the “original” COVID-19 vaccines), are no longer available for use in the US. People should choose between Pfizer and Moderna bivalent vaccines (vaccines that protect against two strains of COVID-19) for their booster doses. If you have questions about which booster dose is right for you, please talk to a healthcare provider. Pfizer-BioNTech COVID-19 Vaccine (CDC) Pfizer-BioNTech COVID-19 Vaccine (FDA) Moderna COVID-19 Vaccine (CDC) Moderna COVID-19 Vaccine (FDA) Johnson & Johnson (Janssen) COVID-19 Vaccine (CDC) Johnson & Johnson (Janssen) COVID-19 Vaccine (FDA) Novavax COVID-19 vaccine (CDC) Novavax COVID-19 vaccine (FDA) I got vaccinated and now have symptoms of COVID-19. What should I do? 8/30/2022 After vaccination, people should continue to follow guidance around prevention, testing, exposure, and isolation. People are likely to experience some minor symptoms after receiving a COVID-19 vaccine. Here is a list of symptoms and what to do if you experience them: Local symptoms (e.g., redness or swelling where you receive the injection, muscle pain or discomfort in arm) – This is unlikely to be related to COVID-19. It is ok to go to work or school. No additional testing is needed. Generalized symptoms (e.g., fever, headache, whole body muscle aches or joint pain) – These symptoms could be related to either COVID-19 or the COVID-19 vaccine. Please stay home from work or school, call a healthcare provider, and get tested for COVID-19. Respiratory symptoms (e.g., runny nose, congestion, cough, shortness of breath, loss of taste or smell) – These may be related to COVID-19. Please stay home from work or school, call a healthcare provider, and get tested for COVID-19. Gastrointestinal symptoms (e.g., belly pain, nausea, vomiting, diarrhea) – These may be related to COVID-19. Please stay home from work or school, call a healthcare provider, and get tested for COVID-19. If you have questions about any other symptoms you are experiencing after a COVID-19 vaccine, please contact your healthcare provider. I recently had COVID-19. How long should I wait to get vaccinated? 11/1/2022 If you tested positive for COVID-19, you must have met criteria to complete your isolation period before getting vaccinated. This means: You have no symptoms, or your symptoms have improved and; You are fever-free for 24 hours without the use of fever-reducing medication and; You did not have severe illness People who recently had COVID-19 may choose to get their booster dose three months after infection. If you are unsure, please talk with a healthcare provider to decide when you can safely get your COVID-19 vaccination or booster dose. If we need a booster dose, does that mean that the vaccines aren’t working? 3/31/2022 The COVID-19 vaccines are working well to prevent severe illness, hospitalization, and death, even against emerging variants. However, scientists and researchers learned that protection from COVID-19 vaccines can decrease over time—especially in people age 65 or older. Getting a booster dose of COVID-19 vaccine increases your protection against serious illness, hospitalization, and death from COVID-19. This is normal; there are lots of vaccines that require booster doses. Can I get a COVID-19 vaccine at the same time as a flu shot or other vaccines? 9/14/2022 You can get a COVID-19 vaccine (including a booster dose) at the same time as most other vaccines including the flu vaccine. However, CDC recommends that male adolescents and young adult males who got the JYNNEOS vaccine for monkeypox may consider waiting four weeks before getting a COVID-19 vaccine. If you have questions, please speak with a healthcare provider. Is there a cost or co-pay for COVID-19 vaccine? 6/9/2021 COVID-19 vaccines will be provided at no out-of-pocket cost. People without health insurance can get the COVID-19 vaccine at no out-of-pocket cost. No matter where you are vaccinated, COVID-19 vaccine providers cannot charge people if COVID-19 vaccination is the only service provided. No one can be denied vaccination based on healthcare coverage or network. Providers also cannot require additional medical services to get vaccinated. Can schools ask for proof of COVID-19 vaccination? 9/1/2021 Please visit Back2SchoolRI.com and read the Back 2 School Frequently Asked Questions for more information about vaccination, masking, and testing in schools. Is it mandatory to get the COVID-19 vaccine? 5/19/2022 In general, it is not mandatory for people to get the COVID-19 vaccine. There may be some businesses or employers that require COVID-19 vaccination. For example, the Rhode Island Department of Health (RIDOH) requires that healthcare workers are up to date with their COVID-19 vaccines, meaning a person has received all recommended doses of COVID-19—including a booster dose when eligible—or must wear a NIOSH-approved N95 mask while working in healthcare facilities when there are high levels of COVID-19 in the community. For more information, please visit covid.ri.gov/vaxrequirement and read the Vaccination Requirement FAQs. How can people who are unable to leave home get vaccinated? 8/10/2022 People who are unable to leave their home for vaccine have the following options: Home Health Providers: Please contact your home health provider to see if they are offering vaccine. Through the following vaccine providers: Please note that patients cannot be charged for a COVID-19 vaccine when vaccination is the only service provided. However, some at-home vaccination providers may charge insurance providers for administering, or giving you, the vaccine. A provider may ask you for your insurance information so they can charge your insurance an administration fee. You do not need insurance to get an at-home vaccination. Alert Ambulance: Alert Ambulance can provide at-home vaccination throughout Rhode Island. To request an at-home vaccination through Alert Ambulance, you can email them at [email protected] or call them at 508-944-7722. Bristol Emergency Medical Services: Residents of Bristol, Rhode Island can request at-home vaccination through Bristol EMS. Residents should contact Bristol EMS at: 401-253-6912. Please note that this service is only available to Bristol residents. Cumberland Emergency Medical Services: Residents of Cumberland, Rhode Island can request at-home vaccination through Cumberland EMS. Residents should contact Cumberland EMS at: 401-334-3090 extension 3. Please note that this service is only available to Cumberland residents. I am 16 years old. Can I consent to get vaccinated? 4/28/2021 Yes. A person age 16 or 17 in Rhode Island can sign a vaccination consent form on their own and they do not need to be accompanied by a parent or guardian to receive a vaccine. According to state statute, RIGL 23-4.6-1, “(a) Any person of the age of sixteen (16) or over or married may consent to routine, emergency, medical or surgical care. A minor parent may consent to treatment of his or her child.” If I was vaccinated outside the US, can I get a booster in the US? 2/1/2022 Yes. People who got their primary series outside the United States with a COVID-19 vaccine that is FDA-approved or FDA-authorized or listed for emergency use by the World Health Organization (WHO) are eligible to receive an additional primary dose and/or a booster dose, according to the same guidance for people who received their primary series in the United States. Source: boosters [t.emailupdates.cdc.gov] and additional primary doses [t.emailupdates.cdc.gov] Vaccines for Children Where can children get vaccinated? 6/21/2022 Children can get vaccinated at most places that offer COVID-19 vaccines. Many pediatric and family medicine practices are enrolled as providers of COVID-19 vaccine. Contact your child’s healthcare provider to learn if they are vaccinating children. Retail pharmacies (e.g., CVS, Walgreens, Walmart, Stop & Shop) can vaccinate children age 3 or older. Visit the websites of these pharmacies for more information. Please note that CVS Minute Clinics are not considered pharmacies, but healthcare clinics. CVS Minute Clinics can vaccinate children as young as 18 months. To find COVID-19 vaccines near you, visit Vaccines.Gov. When making an appointment, make sure that you choose the right vaccine for your child’s age. For example, some vaccines are for children age 6 months through 5 years. Other vaccines are for children age 5 through 11. Which vaccine should my child get? 10/31/2022 Pfizer and Moderna COVID-19 vaccines are authorized and recommended for children age 6 months and older. The Novavax COVID-19 is authorized and recommended for children age 12 and older. COVID-19 vaccines are safe and effective. You should get the vaccine that is recommended and available to you now. If you have additional questions about which vaccine to get, please speak with your pediatrician. Can my child get the Novavax COVID-19 vaccine? 08/30/22 The Novavax COVID-19 vaccine is authorized and recommended for people age 12 or older. Are there concerns about myocarditis or pericarditis after vaccination in children? 6/21/2022 The benefits of COVID-19 vaccination outweigh the known and potential risks. There have been reports of myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the lining of the heart) in children age 5 or older following vaccination. These reactions are rare. Some studies show that the risk of myocarditis and pericarditis associated with COVID-19 vaccination—mostly in males between age 12 and 39—can be lowered by waiting longer between the first and second dose (e.g., up to eight weeks). Research also suggests that people who had COVID-19 have a higher risk for myocarditis than people who have not had COVID-19. The CDC has more information on myocarditis and pericarditis after COVID-19 vaccination: Myocarditis and Pericarditis After mRNA COVID-19 Vaccination | CDC Association Between COVID-19 and Myocarditis Using Hospital-Based Administrative Data — United States, March 2020–January 2021 | MMWR (cdc.gov) The COVID-19 vaccines are being monitored for safety with the most intense safety monitoring program in US history. When considering the risks and benefits of COVID-19 vaccination, parents should consult with their pediatricians or healthcare providers. Should children who have already been sick with COVID-19 get vaccinated? 6/21/2022 Yes. CDC recommends that children who have been sick with COVID-19 get vaccinated. Evidence shows that people can get more protection by getting vaccinated after being sick with COVID-19. Are vaccines for children the same as vaccines for adults? 6/21/2022 The COVID-19 vaccines for children have the same active ingredients as the COVID-19 vaccines for adults. However, children receive smaller doses of vaccine that have been tested for them. Children should get the vaccine made for their age group. Do children have side effects from the vaccines? 6/21/2022 Vaccines often cause our immune systems to respond in a way that shows the vaccine is working. This is healthy, normal, and expected. Children may experience a sore arm, headache, fever, or body aches, but they should go away within a few days. Some children have no side effects from getting vaccinated. If my child is turning 12 soon, should I wait for that dose since it is a larger dose? 11/3/2021 No, please vaccinate your child as soon as possible with the type of vaccine and dose approved for the age they are right now. The sooner your child is protected the better it is for your child and their close contacts. Does my child need to wait to get the COVID-19 vaccine if they have gotten other immunizations recently? 6/21/2022 Children and adolescents can get their COVID-19 vaccines at the same time as other routine vaccines, including a flu vaccine. Will a child need a consent from and have a parent or guardian with them? 6/21/2022 Yes. Children younger than age 16 will need to have consent from a parent or legal guardian for a vaccination appointment and will need to be accompanied by a parent, guardian, or other person who is age 16 or older. Will a parent and/or child need to show identification or have insurance? 11/3/2021 No identification is necessary for you or your child to get vaccinated. The vaccination doesn’t cost anything. If you have a health insurance card, we ask that you bring it to the site. If you do not have a health insurance card, you or your child can still get vaccinated. Adding health insurance information to you or your child’s vaccine record is optional. Does the COVID-19 vaccine work for children? 8/30/2022 Studies of COVID-19 vaccines show that they offer protection against COVID-19, including protection against the Omicron variant. Experts expect that both vaccines will be very effective against serious illness, just like the COVID-19 vaccines for adults. How soon after a COVID-19 infection can a child get vaccinated? 10/31/2022 Children can get vaccinated as soon as they have completed their isolation period and are no longer experiencing symptoms. Anyone who has a current COVID-19 infection should wait until they have completed their isolation period and have recovered from their illness before getting vaccinated. If a child was diagnosed with MIS-C after getting COVID-19, should they get vaccinated? 11/12/2021 Please consult with your healthcare provider or specialist team about whether a child who has had multisystem inflammatory syndrome in children (MIS-C) should get vaccinated against COVID-19 with the Pfizer-BioNTech COVID-19 vaccine. In some cases, the benefits of getting vaccinated will outweigh the risks. For example, if a child has recovered from MIS-C, it has been 90 days since their MIS-C diagnosis, the onset of MIS-C occurred before any COVID-19 vaccine doses, and if they live in an area with substantial or high community transmission, the benefits of getting vaccinated may outweigh the risks of remaining unprotected against COVID-19. If my child is immunocompromised, can they get an additional dose? 6/21/2022 Consistent with the CDC’s recommendation for adults, CDC recommends that children age 6 months or older who have moderately or severely compromised immune systems receive an additional primary dose of vaccine 28 days after their second dose. Is there a fertility/development concern with vaccinating children before they reach puberty? 11/12/2021 No. There is no evidence that any vaccines, including COVID-19 vaccines, can cause female or male fertility problems. COVID-19 Vaccine Record How can I check my vaccination record? 1/25/2022 Paper Vaccination Card: When you get vaccinated, you’ll get a vaccination card that tells you which COVID-19 vaccine you got and the date and location of your vaccination. You can use this card as a record of your vaccination. SMART Health Card through the 401Health App: Rhode Islanders can also get a digital copy of their vaccination card with a QR code on it. When you travel to other states and countries or go to businesses or venues that require proof of vaccination, you can show your record with your QR code. The QR code can be scanned and will prove that your record is authentic. To get this digital record, download the 401Health app. In the app, select “My COVID-19 Vaccine Record.” Next, select “Add a COVID-19 Vaccination Record.” Follow the prompts to download your record. Portal.ri.gov/VaccineRecord: Rhode Islanders can also get a copy of their COVID-19 vaccine record through portal.ri.gov/VaccineRecord. From this website, you can search for and print proof of your COVID-19 vaccination. Please note that only people who have received their COVID-19 vaccination in Rhode Island will be able to look up their vaccination record online. If you are having trouble finding your vaccination record or are not able to go online, you can call 401-222-8022 for help. You can also call your primary care physician to check your vaccine record. I live in Rhode Island but got my COVID-19 vaccine outside of the state/country. How can I submit my vaccination information to Rhode Island? 11/22/2021 Please use the Immunization Record Correction form to add information or request a correction to a COVID-19 immunization record in the Rhode Island Child and Adult Immunization Registry (RICAIR). You can request a change for your record or for your child or person for whom you are legal guardian. People who are living in Rhode Island but received their COVID vaccination(s) outside of Rhode Island can use this form to add their information to the RICAIR system. This includes immunizations received in other countries if the vaccine is on the World Health Organization approved list. How can I correct my vaccination record? What if I can't find it on portal.ri.gov? 10/26/2021 If your vaccination record is missing or needs to be corrected, please fill out the record correction form at covid.ri.gov/recordcorrection. Requests to change your name, address, phone number, email, and/or date of birth within your vaccination record require that you provide proof of your identity in accordance with the following guidelines: A copy of ONE (1) government-issued identification, such as a driver’s license, passport, military identification, certificate of naturalization, or alien registration card; or A copy of TWO (2) documents that provide both your name and current address, including a utility bill, bank statement, insurance, car registration, pay stub, etc. (photocopies or cell phone photos of the documents are acceptable) Once your form is completed, please send it to the RI Child and Adult Immunization Registry (RICAIR) team for a record correction by email at [email protected] or by mail to RICAIR/KIDSNET Updates, 3 Capitol Hill, Room 302, Providence, RI 02908. Bivalent Vaccines What are bivalent vaccines? 4/26/2022 “Bivalent” means these doses protect people against two strains of the virus that causes COVID-19, the original strain and the Omicron strain. The original COVID-19 vaccines were “monovalent” vaccines, which means they protected against one strain of COVID-19 (the original strain). Monovalent vaccines have been replaced by updated, bivalent vaccines because bivalent vaccines offer more protection. Monovalent vaccines are no longer available in the US. Right now, there are two bivalent vaccines, one from Pfizer and one from Moderna. Bivalent vaccines are authorized and recommended for everyone age 6 months and older. However, the recommendations depend on age and vaccine type. Bivalent vaccines are authorized as booster doses for everyone age 6 months or older. This recommendation applies no matter how many booster doses a person has already received. For example, if you got your primary series and two booster doses, you should still get an updated booster at least two months after your last dose. Who is eligible for a bivalent vaccine? 4/26/2023 COVID-19 vaccine recommendations are different depending on your age, health status, and when you were first vaccinated. If you have questions about your vaccination schedule, please speak with a healthcare provider. Everyone age 6 months or older who has already received a primary series of COVID-19 vaccine should get a bivalent dose of COVID-19 vaccine. People age 65 or older may choose to get an additional bivalent dose at least four months after their first bivalent booster. Most people who have compromised (weakened) immune systems may choose to get an additional bivalent dose at least two months after their first bivalent dose. Parents of children age 6 months through 4 years who have compromised immune systems should speak with their pediatrician about the best vaccination schedule for their child. For more help with your recommended COVID-19 vaccination schedule, see CDC’s Vaccination Schedule. When should I get a bivalent vaccine? 4/26/2023 People age 6 months or older should get a bivalent dose at least two months after their primary series or last monovalent booster dose. People who recently had a COVID-19 infection may choose to wait three months before getting a bivalent booster. People age 65 or older may choose to get an additional bivalent dose at least four months after their first bivalent dose. Most people who have compromised (weakened) immune systems may choose to get an additional bivalent dose at least two months after their first bivalent dose. Parents of children age 6 months through 4 years who have compromised immune systems should speak with their pediatrician about the best vaccination schedule for their child. For more help with your recommended COVID-19 vaccination schedule, see CDC’s Vaccination Schedule. COVID-19 Vaccine Safety Will I get sick with COVID-19 from the vaccine? 3/24/2021 No. Vaccines do not cause COVID-19 disease. However, vaccines can cause your immune system to respond. This is a sign that the vaccine—and your body’s immune system—is working. We expect people to have symptoms after vaccination with any of the currently available vaccines. People may feel some soreness in their upper arms, some aches, fever, and fatigue. These symptoms may be more noticeable than those that occur with a flu vaccine. This is completely normal and they will clear up in a few days. Some people may experience no symptoms. Are COVID-19 vaccines safe? 8/10/2022 Safety is a top priority. COVID-19 vaccines have been tested in large clinical trials with people of different ages, races, ethnicities, and people with different health conditions to make sure they are safe. No steps involving safety have been skipped—COVID-19 vaccines are being held to the same standards as other vaccines to make sure they are safe. The Pfizer, Moderna, Johnson & Johnson, and Novavax COVID-19 vaccines are being evaluated by the most intensive safety monitoring systems in US history. There are systems in place to continue to ensure safety. Any healthcare worker who administers COVID-19 vaccine in Rhode Island must be enrolled in the State-Supplied Vaccine (SSV) program and trained based on CDC guidelines. Was the vaccine tested with people like me? 2/1/2022 The COVID-19 vaccines that have been authorized were tested in large clinical trials with people of different ages, races, and ethnicities, as well as people with different underlying health conditions. Demographic and age information from Pfizer clinical trials can be found here, demographic and age information from Moderna clinical trials can be found here, and demographic and age information from the Janssen clinical trials can be found here. I got Johnson & Johnson for my primary series. Do I need to get re-vaccinated? 12/21/2021 No. If you got one dose of Johnson & Johnson for your primary series, you do not need to get re-vaccinated. You are still considered having “completed your primary series.” However, we strongly recommend getting a bivalent booster dose of an mRNA vaccine, like Pfizer or Moderna. Should I get the Novavax, Pfizer, or Moderna COVID-19 vaccine? 5/10/2022 Please speak with a healthcare provider about which type of COVID-19 vaccine is right for you. In most situations, mRNA COVID-19 vaccines (Pfizer and Moderna) are preferred. People may still get Novavax if they have an allergy to an ingredient in an mRNA vaccine. People may also get Novavax if the choice is between getting Novavax or not getting vaccinated against COVID-19. The benefits of getting vaccinated with Novavax outweigh the risks of staying unvaccinated against COVID-19. Are the COVID-19 vaccine syringes and needles clean? 9/20/2021 All syringes and needles used for COVID-19 vaccination are individually packaged, clean (sterile), and used one time only. Once a needle has been used, it is properly discarded in a special container called a sharps disposal container. These containers are made of strong material so that sharp objects cannot poke through or leak and are labeled and color-coded. This process is repeated for every vaccination provided. All healthcare providers who give out the COVID-19 vaccine in Rhode Island are trained based on CDC guidelines, which means they use techniques to maintain sterile supplies, keep vaccines at the right temperature, and make sure they are not expired. They wear masks, gloves, and other protective gear when giving out the vaccine. COVID-19 Vaccine and Contraindications Can I get a COVID-19 vaccine if I have allergies? 3/24/2021 If you have allergies that are not related to vaccines (e.g., food allergies, pet allergies, latex allergies), the CDC recommends that you receive the COVID-19 vaccine. Please discuss with a healthcare provider if you have any questions. If you have had an allergic reaction to other types of vaccines, CDC recommends that you speak with a healthcare provider about whether to receive a COVID-19 vaccine. If you have had a severe allergic reaction or an immediate allergic reaction—even if it was not severe—to any ingredient in an mRNA COVID-19 vaccine, you should not get either of the currently available mRNA COVID-19 vaccines. If you have had a severe or immediate allergic reaction to any ingredient in the Johnson & Johnson COVID-19 Vaccine (Janssen), you should not get the Janssen vaccine. Learn more about the different types of COVID-19 vaccines and their ingredients on the CDC website. If you have an allergic reaction to an mRNA COVID-19 vaccine, CDC recommends that you should not get the second dose. Examples of allergic reactions include hives, swelling, wheezing, dizziness and weakness, and reactions that need to be treated with epinephrine or EpiPen© or hospital care. If you are not able to get the second shot of an mRNA vaccine because you had an allergic reaction to the first shot, ask your doctor if you should get a different type of COVID-19 vaccine. For more information, please see CDC’s recommendations for people with allergies: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/allergic-reaction.html and https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html?CDC_AA_refVal=https://www.cdc.gov/vaccines/covid-19/info-by-product/pfizer/clinical-considerations.html Should I get the COVID-19 vaccine if I am pregnant or breastfeeding? 2/1/2022 Yes. According to the CDC, COVID-19 vaccination is recommended for people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Pregnant and recently pregnant people are more likely to get very sick with COVID-19 compared with non-pregnant people. Getting a COVID-19 vaccine can protect you from getting severely sick from COVID-19. You can learn more about vaccination considerations for people who are pregnant or breastfeeding at the CDC website. Should I get the COVID-19 vaccine if I already had COVID-19? 8/4/2021 Yes, you should still get the COVID-19 vaccine. We do not know how long you are protected from getting sick again after recovering from COVID-19, and data suggest vaccination offers protection against all current COVID-19 variants, including the Delta variant. Can I get the COVID-19 vaccine if I currently have COVID-19? 8/30/2022 If you tested positive for COVID-19, you must have met criteria to complete your isolation period before getting vaccinated. This means: You have no symptoms, or your symptoms have improved and; You are fever-free for 24 hours without the use of fever-reducing medication and; You did not have severe illness If you are unsure, please talk with a healthcare provider to decide when you can safely get your COVID-19 vaccination or booster dose. For more detailed quarantine and isolation guidance, please see RIDOH’s Guidance for People who Test Positive for COVID-19 or have been Exposed. Can I get the COVID-19 vaccine and other vaccines—like the flu shot—at the same time? 9/14/2022 Yes. According to CDC, it is safe to get the COVID-19 vaccine even if you have gotten another vaccine recently. You can get the COVID-19 vaccine and other routinely recommend vaccines, like the flu vaccine, at the same doctor’s visit. However, CDC recommends that any male adolescents and any young adult males who got the JYNNEOS vaccine for monkeypox may consider waiting four weeks before getting a COVID-19 vaccine. If you have questions, please speak with a healthcare provider. If you have concerns about getting both vaccines at the same time, you should speak with a healthcare provider Should I be concerned about getting Guillain-Barré Syndrome from the Johnson & Johnson vaccine? Updated 7/16/2021 The CDC and the Food and Drug Administration are monitoring reports of Guillain-Barré Syndrome (GBS) after receiving the Johnson and Johnson COVID-19 vaccine. GBS is a neurological disorder in which the body’s immune system damages nerve cells causing muscle weakness or—in the most severe cases—paralysis. Each year in the United States (US), an estimated 3,000 to 6,000 people develop GBS. It is typically triggered by a respiratory or gastrointestinal infection. Most people fully recover from GBS. Reports of GBS after receipt of the Johnson & Johnson COVID‐19 vaccine in the Vaccine Adverse Event Reporting System (VAERS) are rare but do likely indicate a small possible risk of this side effect following this vaccine. Around 100 preliminary reports of GBS have been detected in VAERS after 12.8 million doses of Johnson & Johnson COVID‐19 vaccine administered. These cases have largely been reported about two weeks after vaccination and mostly in males, many age 50 or older. Available data do not show a similar pattern with mRNA vaccines (Pfizer‐BioNTech and Moderna), after more than 321 million doses administered in the US. The risk of severe adverse events after COVID-19 vaccination remains rare. Everyone age 6 months and older is recommended to receive a COVID-19 vaccine. COVID-19 Vaccine Efficacy and COVID-19 Prevention Do the vaccines work? 3/31/2022 Yes. COVID-19 vaccination reduces the risk of COVID-19 and reduces the risk of serious illness, hospitalization, and death from COVID-19. All COVID-19 vaccines currently authorized and approved for use in the US helped protect people against COVID-19, including severe illness, in clinical trial settings. So far, studies that have looked at how COVID-19 vaccines work in real-world settings have shown that these vaccines are working well. Research shows that mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna) work in the real world just like they did in clinical trials. They reduce the risk of COVID-19, including severe illness, among people who got two doses of mRNA vaccine by 90 percent or more. Research also shows that COVID-19 protect against COVID-19 infections without symptoms (asymptomatic infections). COVID-19 vaccination can reduce the spread of disease overall, helping protect people around you. Do the current COVID-19 vaccines work against COVID-19 variants? 9/14/2022 All COVID-19 vaccines authorized or approved in the US (Pfizer-BioNTech, Moderna, Novavax, and Johnson & Johnson) protect against COVID-19 variants, but they may offer different levels of protection. For the best protection, you need to be up to date with your vaccine, meaning you’ve gotten all recommended doses of COVID-19 vaccine, including a booster dose if you are eligible. There are now updated, bivalent vaccines that protect against the original strain of the virus that caused COVID-19 in the US as well as the Omicron strain. Data suggest that over time vaccines do not work as well in stopping COVID-19 infections. Part of this is because the vaccines we have may not work as well against new variants. But research also shows us that getting a booster dose works very well at protecting people from getting seriously ill, from being hospitalized, and from dying because of COVID-19, even when variants like Delta and Omicron were widespread. This is why CDC recommends that all unvaccinated people should get vaccinated as soon as possible and that everyone should stay up to date with their COVID-19 vaccines, which includes getting a bivalent dose. Am I permanently immune to COVID-19 after getting vaccinated? What about breakthrough infections? 10/28/2021 COVID-19 vaccines are safe, highly effective against serious illness, and reduce the risk of infecting others. However, no vaccine can give you 100% immunity. Some vaccinated people experience vaccine breakthrough infections, meaning they get COVID-19 even though they are vaccinated. People with vaccine breakthrough infections may spread COVID-19 to others, but vaccinated people who are up to date with their vaccines and have a vaccine breakthrough infection are less likely to develop serious illness than those who are unvaccinated and get COVID-19. Even when vaccinated people develop symptoms, they tend to be less severe symptoms than in people who are unvaccinated. Vaccinated people who get COVID-19 are less likely to need hospitalization or die due to COVID-19 compared to unvaccinated people who get COVID-19. Studies so far show that vaccinated people are 8 times less likely to be infected and 25 times less likely to experience hospitalization or death. Vaccines remain effective in protecting most people from COVID-19 infection and its complications. Visit CDC’s website for more information. I already had COVID-19. Is natural immunity better than getting vaccinated? 2/1/2022 You should get a COVID-19 vaccine even if you already had COVID-19. Getting sick with COVID-19 offers some protection from a future COVID-19 illness. This is called “natural immunity.” The level of protection you get from being sick with COVID-19 depends factors like how serious your illness was, how long ago you were sick, and your age. People who get COVID-19 can get seriously sick and some have symptoms that can last for months. This is known as “long COVID.” All COVID-19 vaccines currently available in the United States are effective at preventing COVID-19 and are very effective at preventing serious illness, hospitalization, and death. Getting a COVID-19 vaccine gives you a high level of protection without the risk of long-term symptoms from actual COVID-19 infection. If I am up to date with my COVID-19 vaccines, do I need to wear a mask? 8/30/2022 COVID-19 spreads mainly through exposure with someone who is infected. People who are infected but do not show symptoms can also spread the virus to others. The best ways to prevent illness and death are to get vaccinated and avoid being exposed to the virus. Whether or not you’re vaccinated, you're still required to wear a mask: If a healthcare setting, business, private school, camp, or other entity requires it In public K-12 schools or institutes of higher education as required by the town, city, or school administration RIDOH recommends wearing a mask indoors near anyone you don’t live with if Rhode Island becomes an area with high community levels. If you choose to wear a mask, make sure it’s at least two layers thick and fits snugly but comfortably over your nose, mouth, and chin without any gaps. To learn more about masking guidance, please visit covid.ri.gov/masks If I am up to date on my COVID-19 vaccines and I am a close contact of someone who tested positive for COVID-19, do I need to quarantine? 8/30/2022 For up-to-date guidance for people who test positive for COVID-19 or who have been exposed to COVID-19, please see https://covid.ri.gov/prevent/precautions-if-youve-been-exposed If you have been exposed to someone who tested positive for COVID-19, take precautions regardless of your vaccination status or if you have had a previous infection. Monitor for symptoms for 10 days; Wear a high-quality mask for 10 days; and Get tested 5 days after exposure. You no longer need to quarantine if you’ve been exposed to COVID-19, unless you’re hospitalized or a resident of a congregate care setting. If you’re hospitalized or a resident of a congregate care setting, such as a nursing home or assisted living facility, please see RIDOH’s COVID-19 Exposure, Quarantine, and Isolation Guidance by Population document or visit CDC’s quarantine and isolation page. Do I need to isolate if I test positive for COVID-19 after I am vaccinated? 5/10/2022 Yes, if you test positive for COVID-19, you must isolate at home even if you’re vaccinated. The COVID-19 vaccine does not in any way interfere with PCR or rapid test results. If you test positive, please seek guidance from a healthcare provider. Learn more about isolation. If I am up to date on my COVID-19 vaccines, can I travel without quarantining? 6/24/2021 Vaccinated persons should continue to follow all current guidance to protect themselves and others, including following CDC travel guidance. I received a COVID-19 vaccine that has not been authorized by the FDA or by the WHO. Do I still need to get vaccinated in the US? 9/1/2021 People who completed a COVID-19 vaccination series with a vaccine that has been authorized for emergency use or approved by the World Health Organization (WHO) do not need any additional doses with an FDA-authorized or approved COVID-19 vaccine. People who are partially vaccinated with a COVID-19 vaccine series authorized for emergency use or approved by WHO may be offered an FDA-authorized or approved COVID-19 vaccine series. Please review the list of COVID-19 vaccines approved for use by WHO and read more on WHO’s website. What vaccines are on the World Health Organization’s (WHO) Emergency Use Listing (EUL) for preventing COVID-19? 11/24/2021 The World Health Organization (WHO) has authorized several COVID-19 vaccines for use. For a list of these vaccines and more information, please see: https://covid19.trackvaccines.org/agency/who/ I received a COVID-19 vaccine that has not been authorized by the FDA or by the WHO. Do I still need to get vaccinated in the US? 9/1/2021 People who completed or partially completed a COVID-19 vaccine series with a vaccine that is not authorized or approved by FDA or not authorized for emergency use or approved by WHO may be offered an FDA-authorized or approved COVID-19 vaccine series. Please review the list of COVID-19 vaccines approved for use by WHO and read more on WHO’s website. If I got vaccinated for COVID-19 outside of the US, can my record be added to Rhode Island’s database? 9/2/2021 We can enter WHO-approved vaccinations for Rhode Island residents and people attending school in Rhode Island (with a Rhode Island school address) if they were received outside of the US into the Rhode Island Child and Adult Immunization Registry (RICAIR). Non-WHO-approved vaccines can also be added, but the person is not considered vaccinated in the US. They should submit the record using the change request form: https://health.ri.gov/forms/records/COVID-Immunization-Record-Correction-Request.pdf. For a list of WHO-approved vaccinations, please visit https://covid19.trackvaccines.org/agency/who/ COVID-19 Vaccine and Testing I received a COVID-19 vaccine dose and then tested positive for COVID-19. What does this mean? 5/10/2022 No vaccine can give you 100% protection. Some vaccinated people experience vaccine breakthrough infections, meaning they get COVID-19 even though they are vaccinated. People with vaccine breakthrough infections may spread COVID-19 to others, but vaccinated people who are up to date with their vaccines and have a vaccine breakthrough infection are less likely to develop serious illness than those who are unvaccinated and get COVID-19. If you tested positive for COVID-19, you likely have COVID-19 and you should isolate at home. Learn more at covid.ri.gov/whattodo. If you tested yourself with a self-test kit, you can report your result at: portal.ri.gov/s/selftest. Tell a healthcare provider about your positive test result. If you think your self-test result may be incorrect, you should test yourself again within a few days, with at least 24 hours between tests. If you would like to confirm your result by getting a PCR test, find a test site near you at covid.ri.gov/testing. COVID-19 Vaccine: Addressing Misinformation There is a lot of information about COVID-19 vaccines. It can be difficult to know which sources of information to trust. Here are some suggestions for where and how you can look for accurate and trustworthy vaccine information. Is it better to get natural immunity than get vaccinated for COVID-19? 6/10/2021 No. It is unclear how long immunity lasts after natural infection after recovering from COVID-19. However, people who get COVID-19 can have serious illnesses, and some have debilitating symptoms that persist for months. This is known as “long COVID,” which can happen to anyone who has had COVID-19 even if the illness was mild. Vaccination is the best protection. Will the COVID-19 vaccine cause infertility? 8/12/2021 No. According to CDC, there is currently no evidence that any vaccines—including COVID-19 vaccines—cause fertility problems (problems getting pregnant or having a baby) in women or men. CDC recommends COVID-19 vaccination for all people ag 12 or older, including people who are pregnant, breastfeeding, trying to get pregnant, or might become pregnant in the future. Learn more about COVID-19 vaccination while pregnant or breastfeeding. COVID-19 Vaccine FAQs for Healthcare Providers and Professionals I am a healthcare provider with questions about the COVID-19 vaccines. Where do I go? Please see CDC’s COVID-19 Vaccine FAQs for Healthcare Professionals. If you are a healthcare provider in Rhode Island who wants to administer COVID-19 vaccines, please visit covid.ri.gov/vaxproviders. As a healthcare worker in Rhode Island, do I have to get the COVID-19 vaccine? 9/21/22 The most effective way to prevent the spread of COVID-19 and to protect against severe illness, hospitalization, and death is to stay up to date with your COVID-19 vaccinations. Rhode Island regulations (216-RICR-20-15-7) require that healthcare workers or assisted living residence workers shall be up to date with their COVID-19 vaccines, meaning a person has received all recommended doses of COVID-19—including a booster dose when eligible—or wear a National Institute for Occupational Safety & Health (NIOSH)-approved N95 mask while working in healthcare facilities during a period in which the COVID-19 prevalence rate in the State is greater than or equal to 50 cases per 100,000 people per week. For more information, please visit covid.ri.gov/vaxrequirement and read the Vaccination Requirement FAQs. Storage and Handling Information on Receiving, Storing, and Handling COVID-19 Vaccines 11/16/2021 The CDC Vaccine Storage and Handling Toolkit has been updated with a COVID-19 Vaccine Addendum. The addendum provides information, recommendations, and resources to assist COVID-19 vaccination providers in properly storing and handling COVID-19 vaccines to meet the requirements of the COVID-19 Vaccination Program Provider Agreement. It also includes information on storage and handling best practices. Jurisdictions and providers are encouraged to sign up for email alerts on the Vaccine Storage and Handling Toolkit website to be notified when updates are made or are encouraged to check the website often. Information on COVID-19 vaccine storage: • An unpunctured vial of the Pfizer-BioNTech vaccine (adult formulation, for people age 12 or older) can be stored at frozen temperatures for up to 2 weeks and at refrigerated temperatures for up to 31 days. The Pfizer-BioNTech COVID-19 vaccine (adult formulation) does not need to be stored in an ultra-low temperature (ULT) freezer. • You can store COVID-19 vaccines in the same storage unit as other vaccines, as long as there is sufficient space and the unit has a digital data logger installed that has 24/7 temperature monitoring. Reach out to your Immunization Program representative if you have questions about the necessary specifications and data loggers • You can order in increments of 5 doses (Johnson & Johnson), 6 doses (Pfizer-BioNTech adult formulation), 10 doses (Pfizer-BioNTech pediatric formulation for children age 5 to 11), or 14 doses (Moderna). The vaccine and the ancillary supplies for the number of doses you order will be redistributed by the Rhode Island Department of Health’s depot. They will be dropped off at your practice at a designated date/time by a courier. The vaccine will be packed in a cooler. Pfizer-BioNTech and Moderna vaccines can be sent in standard frozen temperatures if needed and must be noted by the practice. The Pfizer-BioNTech pediatric formulation will be redistributed at refrigerated temperatures. o You may also order the COVID-19 vaccine to be shipped to your practice directly, rather than delivered via courier. If you are interested in this option, please discuss with your Immunization Program representative • If you are already enrolled and approved as a COVID-19 vaccine provider, you will order through OSMOSSIS. Orders are due on Tuesdays at 12 p.m. for the following week. If you are not enrolled as a COVID-19 vaccine provider or you are unsure on your status, please contact your Immunization Program representative. Resources related to vaccine storage • Moderna vaccine • Pfizer-BioNTech vaccine • Pfizer-BioNTech pediatric vaccine for children age 5 to 11 • Johnson & Johnson (Janssen) vaccine What should I know ahead of time about planning for a power outage? 1/11/2021 Emergencies such as equipment failures, power outages, severe weather conditions, or natural disasters usually happen without warning and may compromise storage conditions. Because of the limited supply of the COVID-19 vaccines, especially during early US vaccination efforts, it is critical that COVID-19 vaccination providers have plans in place for emergency situations. Some key issues to remember include: Vaccines may remain inside a nonfunctioning unit as long as appropriate temperatures are maintained. Monitor your Digital Data Logger (DDL) to determine when additional action should be taken. Having an on-site generator(s) prevents the need to transport vaccines to an alternative storage facility during a power outage. Emergency situations can arise outside of normal business hours, so your office staff as well your facility’s building manager and/or security staff, if appropriate, should understand how to implement your emergency operation plans or access your facility if necessary. Ensure your facility has the resources on hand to safely pack vaccines for transport during emergencies. (Source: CDC)