COVID-19 Vaccines

Home Health and Wellness COVID-19 UpdateCOVID-19 Vaccines

Latest COVID-19 vaccination updates

Our community immunization clinics are now accepting walk-ins for first and second doses dependent on vaccine availability:

Clinics are not open every day in all locations. Please ensure you check our clinic calendars below for dates and times.

See our clinic calendar for residents 12+

See our clinic calendar for children 5 to 11

Individuals 5 to 11 years old: Pediatric Pfizer
Individuals 12 to 29 years old: Pfizer
Individuals 30 years and older: Moderna
Second doses must be 8 weeks (56 days) after the first dose
The best way to secure your vaccine is to book an appointment.
Appointments are required for third doses for those who are 18+ years of age.
COVID-19 vaccines are also available through participating pharmacies and designated health care providers.

Effective, January 1, 2022, individuals must be 5 years old at time of vaccination to receive the pediatric Pfizer vaccine and 12 years old at time of vaccination to receive adult dose of Pfizer vaccine.
Beginning January 4, 2022, Ontarians will be required to use their enhanced vaccine certificate with official QR code. Vaccine receipts without a QR code will no longer be accepted as valid proof of vaccination.
Due to high demand for third doses, there is a limited supply of the adult/youth Pfizer vaccine in Canada. Vaccine mixing is safe and effective.
As of December 15, 2021, Ontario residents with approved medical exemptions are eligible to download a QR code to access settings requiring proof of vaccination.
Effective December 20, individuals 18 years and older are eligible to book an appointment for a third dose at least 84 days (3 months) after their second dose. Due to rapid expansion of eligibility, appointments may not be available immediately. See the COVID-19 immunization clinic calendar for individuals 12+ for clinic dates and times.
On December 15, the Ministry of Health announced individuals 50-years and older are eligible for a shorter interval between their second and third dose (a minimum of 84 days after their second dose). There is currently no availability in the system to move up third dose appointments that are already booked.
On December 15, the province of Ontario issued a preferential recommendation of the use of Pfizer vaccine for individuals ages 18 to 29 years old.
A limited amount of Janssen (Johnson & Johnson) COVID-19 vaccine is available for individuals 18 years and older who have not received any COVID-19 vaccine to date.
There are telephone services available to speak to someone about COVID-19 vaccine questions.

Who is eligible to receive the vaccine?

Information on how to cancel or rebook an appointment

Pharmacy program and participating health care providers

COVID-19 vaccine resources in other languages

COVID-19 vaccination for children 5 to 11

COVID-19 vaccination for youth

Homebound mobile immunization for eligible clients

Book a vaccine appointment

Provincial GO-VAXX COVID-19 clinic program

Vaccine receipts and out of province vaccinations

Community immunization clinics for individuals 12+

Frequently asked questions and debunking the myths

Who is eligible to receive the vaccine?

First dose

All residents 5+

Proof of eligibility requirement: ID with date of birth

Second dose

There is emerging evidence that longer intervals between the first and second doses of COVID-19 vaccines result in more robust and durable immune response and higher vaccine effectiveness.

On November 15, the Ministry of Health updated guidance to recommend that the second dose occur at a recommended dose interval of 8 weeks (56 days) for mRNA vaccines (Moderna and Pfizer-BioNTech) and at least 8 weeks (56 days) for AstraZeneca vaccine.

Frequently asked questions

I am receiving my first vaccine dose. How do I book my second dose?

When you attend a clinic and receive your first dose of vaccine, an appointment for your second vaccine dose will be provided to you before you leave the clinic.

If a second dose appointment is not available at the same clinic, options for your second dose will be discussed and may include:

An appointment at another community immunization clinic location, or
A pop-up or mobile clinic, or
A health care provider’s office, or
Local pharmacy.

Can COVID-19 vaccines be mixed?

mRNA vaccines (Pfizer and Moderna)

Yes, the National Advisory Committee on Immunization recommends that if the mRNA vaccine (Pfizer and Moderna) a person received as their first dose is not available, they can safely receive another mRNA vaccine to complete their vaccination.
Mixing COVID-19 vaccines is safe, effective, and enables Ontarians to benefit from the protection of a booster dose.
Both the Moderna and Pfizer COVID-19 vaccines provide strong protection against COVID-19 and its variants.
Both mRNA COVID-19 vaccines (Pfizer and Moderna) authorized for use in Canada work in the same way.
With increased cases of the Delta and Omicron variant of concern, it is important that all individuals complete their vaccine series with a second or third dose of the most readily available COVID-19 vaccine for optimal protection.

I received COVID-19 vaccine(s) outside of Ontario or Canada. What's next?

Review the requirements for first or second dose received outside of Ontario.

How can I access the provincial call line for more information?

Provincial call line for questions and general information.

Third dose

The Ontario government has announced that the following populations are eligible for third dose COVID-19 vaccination with the vaccine product authorized for their age group.

The following populations eligible for a third dose a minimum of 84 days after their SECOND dose

Age-based eligibility (must be 18 years of age at the time of immunization)

Proof of eligibility requirement: ID with date of birth

Who:

Individuals 18 years of age and older.
Must be 18 years of age at the time of immunization.

Interval criteria: A minimum of 84 days after SECOND dose

How to receive vaccine:

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Pharmacies administering COVID-19 vaccine
Primary care provider

Health care workers and medical first responders (must be 16 years of age or older at the time of immunization)

Proof of eligibility requirement: Verbally attest to being a health care worker or essential caregiver

Who:

Any regulated health professionals and any staff member, contract worker, student/trainee, registered volunteer, or other designated essential caregiver currently working in-person in a health care organization, including workers that are not providing direct patient care and are frequently in the patient environment (i.e. cleaning staff, research staff, other administrative staff).
Workers providing health care service or direct patient service in a congregate, residential or community setting outside of a health care organization.
Must be 16 years of age or older at the time of immunization.
See a complete list of health care workers eligible for booster doses.

Interval criteria: A minimum of 84 days after SECOND dose

How to receive vaccine:

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Pharmacies administering COVID-19 vaccine
Primary care provider

First Nation, Inuit and Métis adults (must be 16 years of age or older at the time of immunization)

Proof of eligibility requirement: Verbally attest to being First Nation, Inuit or Métis or to being a household member of an Indigenous individual

Who:

First Nation, Inuit and Métis adults, including non-Indigenous household members.
Must be 16 years of age or older at the time of immunization.

Interval criteria: A minimum of 84 days after SECOND dose

How to receive vaccine:

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Pharmacies administering COVID-19 vaccine
Primary care provider

Recipients of a viral vector vaccine or series

Proof of eligibility requirement: ID with date of birth

Who:

Primary series completed with only viral vector vaccines.
Individuals who received two doses of AstraZeneca/COVISHIELD COVID-19 vaccine.
Individuals who received one dose of Janssen/Johnson & Johnson COVID-19 vaccine.

Interval criteria: A minimum of 84 days after SECOND dose

How to receive vaccine:

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Pharmacies administering COVID-19 vaccine
Primary care provider

Vulnerable older adults in congregate settings

Proof of eligibility requirement: Verbally attest to being a resident of a listed seniors congregate living setting

Who: Residents of long-term care homes, retirement homes, elder care lodges, and older adults living in other congregate settings (e.g., assisted-living facilities, chronic care hospitals, naturally occurring congregate retirement settings/congregate senior’s apartment buildings, older adults living in congregate settings for people with developmental disabilities, mental health and addictions issues, etc.).

Interval criteria: A minimum of 84 days after SECOND dose

How to receive vaccine: The Health Department is working with these facilities to coordinate vaccination of residents at their residence.

Frequently asked questions

I am eligible to receive a third dose. How do I book my third dose?

There are many ways to receive a third COVID-19 vaccine dose once you are eligible.

You can receive your third dose via:

Which vaccine will I receive as my third dose?

Either Moderna or Pfizer vaccine may be used as a third dose (regardless of which COVID-19 vaccine was used in the primary series). Both the Moderna and Pfizer COVID-19 vaccines provide strong protection against COVID-19 and its variants. It is safe and effective to mix COVID-19 vaccines.

What vaccine is recommended as a third dose for 18-29 years old?

Pfizer is recommended for individuals aged 18 to 29 due to lower reported rates of myocarditis/pericarditis following vaccination with Pfizer compared to Moderna. Moderna can be administered with informed consent of this increased risk.

Third dose primary series and fourth dose

Moderately to severely immunocompromised individuals due to medical condition

Who:

Individuals receiving dialysis (hemodialysis or peritoneal dialysis).
Individuals receiving active treatment (e.g., chemotherapy, targeted therapies, immunotherapy) for solid tumour or hematologic malignancies. Active treatment includes patients who have completed treatment within 3 months.
Recipients of solid-organ transplant and taking immunosuppressive therapy.
Recipients of chimeric antigen receptor (CAR)-T-cell therapy or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy).
Individuals with moderate to severe primary immunodeficiency (e.g., DiGeorge syndrome, Wiskott-Aldrich syndrome).
Individuals with stage 3 or advanced untreated HIV infection and those with acquired immunodeficiency syndrome.

First, Second and Third Dose Interval: Minimum 56 days (8 weeks) between each dose. Fourth Dose Interval: Minimum 84 days (3 months) following third dose.

How to receive vaccine: Before vaccination, these individuals should discuss their vaccine plans with their health care providers to check if it will affect their treatment.

Proof of eligibility requirements: Verbally attest to have a listed medical condition

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Book an appointment at Lakeridge Health website https://www.lakeridgehealth.on.ca/en/newsandevents/covid19-vaccine-information.asp
Pharmacies administering COVID-19 vaccine
Primary care provider

Individuals receiving immunosuppressive medication

Who: Individuals receiving active treatment with the following categories of immunosuppressive therapies: anti-B cell therapies* (monoclonal antibodies targeting CD19, CD20 and CD22), high-dose systemic corticosteroids (refer to the CIG for suggested definition of high dose steroids), alkylating agents, antimetabolites, or tumor-necrosis factor (TNF) inhibitors and other biologic agents that are significantly immunosuppressive.

*Active treatment for patients receiving B-cell depleting therapy includes patients who have completed treatment within 12 months.

See Table 1 of COVID-19 Vaccine Third Dose Recommendations

First, Second and Third Dose Interval: Minimum 56 days (8 weeks) between each dose. Fourth Dose Interval: Minimum 84 days (3 months) following third dose.

How to receive vaccine: Before vaccination, these individuals should discuss their vaccine plans with their health care providers to check if it will affect their treatment.

Proof of eligibility requirements: Verbally attest to receiving listed immunosuppressant medications or therapies

Book an appointment at a community immunization clinic by visiting durham.ca/VaccineAppointment or calling the call centre at 1-888-444-5113.
Book an appointment at Lakeridge Health website https://www.lakeridgehealth.on.ca/en/newsandevents/covid19-vaccine-information.asp
Pharmacies administering COVID-19 vaccine
Primary care provider

Re-vaccination

Special populations

According to the Ministry of Health, it is recommended that individuals meeting the following criteria be re-vaccinated with a new COVID-19 vaccine primary series after transplantation:

Hematopoietic stem cell transplant (HSCT)
Hematopoietic cell transplants (HCT) (autologous or allogeneic)
Recipients of CAR-T-cell therapy

Re-vaccination is recommended due to the loss of immunity following therapy or transplant. The timing for re-vaccination should be decided on a case-by-case basis in collaboration with the medical team.

COVID-19 vaccination for children 5 to 11

Our community immunization clinics are now accepting walk-ins for first and second doses, dependent on vaccine availability.

Clinics are not open every day in all locations. Please ensure you check the clinic calendar for dates and times.

Individuals 5 to 11 years old: walk-ins are available for pediatric Pfizer for first and second doses.
Second doses must be at 8 weeks (56 days) after the first dose.
The best way to secure your vaccine is to book an appointment.

See the COVID-19 immunization clinics calendar for children 5 to 11 years old for clinic dates and times.

Practice attending a community immunization clinic by reviewing our COVID-19 Vaccine Roadmap.
Work with your child to answer the questions on the CARD tool asking them how they would like to prepare for the vaccination.

Facts about... COVID-19 vaccines for children ages 5-11

Check out these videos for a tour of our children's clinic and hear from four young Durham residents who are happy to have received their COVID-19 vaccine.

Is my child eligible by birth year or birth date?

Children 5 to 11-years old are eligible to receive the paediatric Pfizer COVID-19 vaccine based on their birth date. Children must be at least 5 years of age at the time of immunization.

Why should my child get the vaccine?

Children receiving the COVID-19 vaccine will help everyone get back to enjoyable everyday activities.

Although children and youth are less likely to get really sick from COVID-19, they can still:

get sick from COVID-19
be infected and not have any symptoms
spread COVID-19 to others
experience longer-term effects if they do get infected
get a rare but serious complication called multisystem inflammatory syndrome in children (MIS-C)

Children and youth with certain underlying medical conditions may have a higher risk for severe illness from COVID-19.

COVID-19 vaccines help the body fight off the virus. Like adults, children and youth are well protected against severe illness 14 days after their second dose. Those who have already had COVID-19 may still get vaccinated to protect themselves from getting it again.

What can I do now to prepare my child to get their COVID-19 vaccine?

Talk to your child about the COVID-19 vaccine

Be honest and direct.
Share information and answer their questions using age-appropriate language.
Let them know that getting the vaccine will help them stay healthy and get back to seeing their friends, families and staying in school.

How do I prepare my child for the COVID-19 vaccine appointment?

Before the vaccination, let your child know:

What to expect.
Why the vaccine is important.
That the needle might feel like a pinch in the upper arm that only lasts a few seconds.
That the nurse will help to decrease their fear/pain (e.g.: distraction, deep breathing, relaxing their arm, talking them through the experience etc.)

On the day of the vaccination, have your child:

Eat something before their appointment.
Wear a shirt with loose sleeves.
Wear a mask to access the clinic.
Follow instructions provided by the public health nurse and your reminder email to access the clinic.

What options are available to help decrease my child’s pain and/or fear of needles?

Up to two thirds of children experience some type of fear of needles. Some tips for parents and caregivers to help reduce pain and fear of needles include:

Preparing your child before the appointment.
Use of topical anesthetics prior to vaccination (discuss application with your child’s pharmacist or health care provider).
Your presence as a parent or caregiver to offer support during vaccination.
Letting your child sit on your lap if possible.
Distraction such as toy, singing, special object, counting or electronic device.
Being honest. For example., Instead of saying, "the needle won’t hurt", you could say, "some people feel pressure or a pinch".
Encouraging your child to relax their arm and be still
Remaining calm and positive

Some resources that can help with needle fear and pain management are:

Please speak to your child’s health care provider if you have questions or concerns about pain management and needle fear.

What clinic options are available for my child 5 to 11 years old with special needs?

In addition to Durham Region’s dedicated clinics for children 5 to 11 years old, Grandview Kids is offering a pediatric COVID-19 vaccine clinic for children 5 to 11 years old with medical complexity, significant behaviour concerns or sensory needs, as well as their siblings in this age group. Your child does not need to be a client of Grandview Kids to access this service.

The child-friendly clinic will provide on-site supports and resources for you and your child. This includes an accessible building with accessible parking, a sensory-safe room to receive the vaccine, small group sizes for waiting and recovery areas, and child-focused activities.

Download the Grandview Kids vaccine clinic poster

To receive more information and to register, visit the Grandview Kids vaccine clinic website.

Will the dose be different for 5 to 11 year olds?

The vaccine for children has a smaller dose than the vaccine for those 12 years of age and older. In clinical trials, lower doses provided children with very good protection against COVID-19. It’s not clear yet how long protection will last.

Where can my child get vaccinated?

The vaccine is available at similar locations that currently offer COVID-19 vaccines such as community immunization clinics, select doctors' offices, pharmacies and school-based clinics. Continue to check this website for appointment details.

Grandview Kids is offering COVID-19 vaccine appointments for Durham residents 5 to 17 years of age. These clinics provide a child-friendly environment in an accessible building. Children do not need to be a client of Grandview Kids to access this service.

Download the Grandview Kids vaccine clinic poster

To book an appointment for your child, visit the Grandview Kids vaccine clinic website.

Will my child receive a second dose?

Children 5 to 11 years old getting the vaccine should receive 2 doses. The National Advisory Committee on Immunization (NACI) recommends that the second dose should be given at least 8 weeks after the first dose.

Your child will be given a second dose appointment at the completion of their first dose appointment at the recommended interval of 8 weeks (56 days). To reschedule or cancel the second dose, please visit durham.ca/VaccineAppointment or contact the call centre at 1-888-444-5113.

Can my child receive a second dose at a shortened interval?

It is recommended that children 5 to 11 years old receive their second dose at least eight weeks after the first dose. According to the National Advisory Committee on Immunization (NACI), evidence suggests that a longer interval:

Provides a stronger immune response
May decrease the risk of myocarditis or pericarditis after the second dose

Although the recommended interval between the first and second dose for this age group is eight weeks, in specific circumstances (e.g., travel) children may be able to receive their second dose less than eight weeks after the first dose at a participating pharmacy. In these instances, the minimum interval is at least 21 days.

Can my child still get the vaccine if they don’t have OHIP?

Yes, OHIP is not required to get the COVID-19 vaccine.

Is it ok for my child get other vaccinations at the same time as the COVID-19 vaccine?

When possible, children shouldn’t receive the Pfizer-BioNTech Comirnaty vaccine 14 days before or 14 days after other vaccines.

This is a precaution to monitor any side effects from the COVID-19 vaccine or another vaccine. In some cases, your child’s health care provider may recommend a vaccine that’s needed urgently. Talk to your health care provider if this is the case.

Will parents or caregivers need to provide consent for their children aged 5 to 11 to get vaccinated?

In Ontario there is no minimum age to consent to treatment. Rather, Ontario uses a capacity-based consent model. A person is capable of consenting to treatment if they can understand the information that is relevant to making the decision and are able to appreciate the consequences of the decision.

However, the 5 to 11 age group does not have the same capacity to consent for themselves as older individuals and will require parental consent before receiving the vaccine in most cases.

Consent will also be required for the collection, use and disclosure of personal health information.

Is the COVID-19 vaccine safe for children ages 5-11?

Health Canada has determined that this vaccine is safe and effective at providing a strong immune response against COVID-19.

What are the side effects of the pediatric Pfizer vaccine?

The pediatric Pfizer vaccine, like other vaccines, may cause side effects. Some mild side effects that may occur include pain, swelling and redness where the vaccine was given, tiredness, muscle soreness, or headache. These side effects are normal signs that the body is building protection.

When should I call a health care provider if my child is feeling unwell after their vaccine?

If your child has a high fever (over 40°C or 104°F) or side effects that are worrying you or do not seem to be going away after a few days, contact your child’s health care provider or seek medical attention.

Go to the nearest emergency department or call 911 if they have serious drowsiness, seizures/convulsions, hives, swelling of the face, throat or mouth, trouble breathing or other serious symptoms.

Seek medical attention if your child develops any of the following symptoms after receiving the vaccine: chest pain, shortness of breath and/or palpitations (pounding or racing heart) or feeling of a rapid or abnormal heart rhythm. These may be symptoms of myocarditis (inflammation of the heart muscle) or pericarditis (inflammation of the sac of the heart), which is very rare and treatable.

What if my child has allergies?

The vaccine is safe for children who have food, drug, or environmental allergies. Children with allergies will be monitored for a longer period at the clinic following vaccination.

The pediatric Pfizer vaccine does not contain eggs, gelatin (pork), gluten, latex, preservatives, antibiotics, adjuvants, or aluminum.
If your child has had a severe allergic reaction to a vaccine or medical product, speak with their health care provider prior to getting the vaccine.
Children who are hypersensitive to any substance or ingredient in the formulation should not receive the vaccine.
If you have any questions or concerns, please speak to your child’s health care provider.

What will the clinic environment be like for my child?

Community immunization clinics offering the COVID-19 vaccine for children aged 5 to 11 are designated specifically for this age group and are by appointment only. They are customized to provide a child-friendly environment. For example, posters and stickers will be present and children will be able to use "pop its" to reduce anxiety during the immunization.

Clinic locations will occur in all eight municipalities. In addition, select clinics will occur at some schools to facilitate access and provide another environment to administer the vaccine to this age group.

All community clinics will be offered primarily after school hours (e.g., evenings and weekends) to support convenient and welcoming options for children and families.

Will children receive proof that they are vaccinated?

Yes. Vaccine certificates with QR codes will be available for children aged 5 to 11 on the COVID-19 vaccination portal as a record of their vaccination.

However, there are no requirements for children aged 5 to 11 to show proof of vaccination in Ontario. Different jurisdictions may have other requirements.

Will children be able to get the vaccine from their primary care provider or local pharmacy?

Select primary care providers and pharmacies will be administering the pediatric COVID-19 vaccine.

Are there enough doses for every child?

Yes. Ontario is expected to receive sufficient supply to provide a first dose to every eligible child.

Where can I get more information?

Talk to your health care provider.
Sick Kids – book an appointment to speak with a SickKids clinician.
Scarborough Health Network.
Vaccine Confidence Line (available at the Provincial Vaccine Contact Centre) 1-833-943-3900 (TTY for people who are deaf, hearing-impaired or speech-impaired: 1-866-797-0007)
Max the vax – a web page full of COVID-19 vaccination related resources for kids and caregivers; available in both English and French
About Kids Health
Immunize Canada
Kids Health First
Canadian Pediatric Society
Government of Canada - vaccines for children: COVID-19
Fact Sheet - English | French
Poster - English | French
Get information from credible resources

Youth

Youth 12 years of age and older can book a first dose appointment using the online booking system or by contacting the call centre at 1-888-444-5113. Second dose appointments will be scheduled at your first dose appointment.

Our community immunization clinics are now accepting walk-ins for first and second doses, dependent on vaccine availability.

Clinics are not open every day in all locations. Please ensure you check the clinic calendar for dates and times.

Individuals 12-17 years old: walk-ins available for Pfizer, first and second dose.
Second doses must be at 8 weeks (56 days) after the first dose.
The best way to secure your vaccine is to book an appointment.

Is my youth eligible by birth year or birth date

Youth are eligible to receive their COVID-19 vaccine based on birth date. Youth must be at least 12 years of age or older at the time of immunization to receive their vaccine.

Which COVID-19 vaccine(s) are youth eligible to receive?

Health Canada has approved the use of the Pfizer vaccine for individuals 12 years of age and older.

Pfizer is currently the only vaccine that will be offered to youth ages 12-17 at vaccine clinics across Durham Region. It is the same two dose series used for adults.

Is the COVID-19 vaccine safe for youth?

Yes, studies on Pfizer vaccine show:

It is safe and effective for youth.
Youth develop a strong immune response.
No serious side effects have been observed within this group.
It is high quality.

Why should my youth get the vaccine?

Youth can spread the virus to others even if they don’t feel sick.
Vaccination helps protect against COVID-19 which can result in serious illness, hospitalization and in rare instances death.
Youth receiving the COVID-19 vaccine will help everyone get back to enjoyable everyday activities.

Where can my youth get vaccinated?

The vaccine will be available at similar locations that currently offer COVID-19 vaccines such as, community immunization clinics, select doctors' offices, and pharmacies. Continue to check this website for appointment details.

Grandview Kids is offering COVID-19 vaccine appointments for Durham residents 5 to 17 years of age. These clinics provide a child-friendly environment in an accessible building. Youth do not need to be a client of Grandview Kids to access this service.

Download the Grandview Kids vaccine clinic poster

To book an appointment for your youth, visit the Grandview Kids vaccine clinic website.

When does my youth receive the second dose?

Your youth is eligible to receive a second dose at a recommended interval of 8 weeks (56 days) after the first dose. Please visit durham.ca/VaccineAppointment or contact the call centre at 1-888-444-5113 to schedule a second dose appointment for your youth.

How do I prepare my youth for the vaccine?

Discuss any questions you have about the vaccine with your youth’s regular health care provider.
If your youth takes medication, they should continue.
Eat meals as usual. Ensure that your youth has eaten prior to arriving at clinic for their appointment.
Do not wear any scented products at the clinic.
Do not go to the clinic if you feel unwell.
Do not arrive more than ten minutes before your scheduled appointment.
Dress for the weather as you may need to wait outside before the appointment.

What about consent?

Informed consent is required before a COVID-19 vaccine can be given.

The person receiving the vaccine, including individuals born in or before 2009, provides consent if they have the capacity to decide. Otherwise a substitute decision maker, such as a parent, provides consent. It is recommended youth discuss the decision to receive a COVID-19 vaccine with a trusted adult, such as a guardian, even if they have the capacity to decide.

To provide consent, the individual needs to understand:

why the vaccine is recommended,
the risks and benefits of accepting or refusing the vaccine, and
the treatment.

Can I accompany my youth to get their vaccine?

Yes, an adult is permitted to accompany youth during the vaccine appointment.

What if my youth has special needs? What is in place for youth with disabilities?

Grandview Kids is offering COVID-19 vaccine appointments for Durham residents 5 to 17 years of age. These clinics provide a child-friendly environment in an accessible building. Youth do not need to be a client of Grandview Kids to access this service.

Download the Grandview Kids vaccine clinic poster

To book an appointment for your youth, visit the Grandview Kids vaccine clinic website.

What if my youth has allergies?

Youth with severe food, insect bite and medication allergies should receive the COVID-19 vaccine and will monitored for a longer period at the clinic following vaccination.
COVID-19 vaccines do not contain latex, eggs, gluten, gelatin (pork), antibiotics, preservatives, or aluminum.

If your youth has had a severe allergic reaction to a vaccine or medical product, please speak with your youth’s health care provider prior to getting the vaccine. The vaccine is not recommended for your youth if they have had a known allergic reaction to a previous dose of the COVID-19 vaccine or a vaccine ingredient.

What if my youth is behind on their routine immunization schedule? Can they still receive the COVID-19 vaccine?

Yes. COVID-19 vaccines may be administered at the same time, or at any time before or after non-COVID-19 vaccines.

No specific safety concerns have been identified when routine vaccines are given at the same time or within days of each other; however, there is a possibility of increased temporary side effects when a COVID-19 vaccine and another vaccine are administered at the same time or within days of each other.

Where can I find additional information?

See a list of telephone services available to speak to someone about COVID-19 vaccine questions.
Child and youth COVID-19 vaccine fact sheet
COVID-19 vaccine information sheet: For youth (age 12-17)
What youth need to know about their COVID-19 vaccine appointment
COVID-19 vaccines for Ontario youth

Cancel or rebook a vaccine appointment

How do I rebook my first appointment?

Cancel the appointment using the "cancel link" in your confirmation email or phone the call centre at 1-888-444-5113.
Book another appointment online at durham.ca/vaccineappointment or by phoning the call centre at 1-888-444-5113.

What should I do if I haven’t received my second/third appointment email?

Please give up to two weeks after your first dose of the vaccine to receive your second appointment email. Please check your junk mail as well as your inbox.

How can I rebook my second/third appointment?

Eligible individuals can also contact the call centre at 1-888-444-5113 to reschedule their second dose appointments.
Individuals who will be rebooking second dose at the Ontario Tech Ice Campus clinic site will receive an email from Lakeridge Health outlining the process for rebooking. Appointment availability is also dependent on vaccine supply.

If I am new to the region or province and have had my first/second dose of the vaccine, how do I book the second/third dose?

If you have already had your first and/or second dose and you need an additional dose, please call the call centre at 1-888-444-5113 no earlier than 10 days prior to scheduled date.

How do I cancel my appointment?

You can cancel your appointment by using the "cancel link" in your confirmation email or by phoning the call centre at 1-888-444-5113.

Provincial GO-VAXX COVID-19 clinic program

COVID-19 vaccines are also available for individuals five and older through the provincial GO-VAXX program. This program uses GO transit buses as vaccine clinics. These clinics are available by appointment only. Find out when, where and how to book an appointment to get vaccinated at a GO-VAXX bus clinic.

Community immunization clinics for individuals 12 and older

Durham Region residents 12 and older who meet current eligibility requirements can book an appointment at any community immunization clinic.

Our community immunization clinics are now accepting walk-ins for first and second doses, dependent on vaccine availability.

Clinics are not open every day in all locations. Please ensure you check the clinic calendar for dates and times.

Individuals 12 to 29 years old: walk-ins available for Pfizer, first and second dose.
Individuals 30 and older: walk-ins available for Moderna, first and second dose.
Second doses must be at 8 weeks (56 days) after the first dose.
The best way to secure your vaccine is to book an appointment.
Appointments are required for third doses.
COVID-19 vaccines are also available at provincial GO-VAXX mobile clinics and through participating pharmacies and designated health care providers.

Clinic calendar for individuals 12-plus

Both Pfizer and Moderna (mRNA vaccines) provide proven protection against COVID-19 and are safe and effective to be used interchangeably. Both vaccines work the same way and are highly effective. See our frequently asked questions for more information about mixing vaccines. Vaccine type at all clinics are subject to availability and may change at any time. We will do our best to provide notice of any changes.

Individuals unable to book online can make an appointment by calling 1-888-444-5113.

For clients who are deaf, deafened, and hard of hearing and would like to request an interpreter for a vaccination appointment at a Durham Region COVID-19 immunization clinic, please call 1-888-444-5113 (using Bell Relay as needed) to book an appointment and request the presence of an interpreter at your appointment.

What you need to know before your COVID-19 vaccine appointment

A limited amount of Janssen (Johnson & Johnson) COVID-19 vaccine is available for eligible adults

Who is eligible: Individuals 18 years and older who have not received any COVID-19 vaccine to date.

How to book: Call the Health Department’s call center at 1-888-444-5113 to book an appointment. Online appointment booking for the Janssen COVID-19 vaccine is not available.

Book an appointment

Drive-up vaccination

To ask a question or to request an appointment please contact the clinic by calling (905) 571-3344 or via email at oshawavaccine@lh.ca.

Questions about the booking system?

What web browser should I use when booking an appointment?
You should use Google Chrome to access the online booking service.
When booking my appointment, how do I enter my health card number?
Please only enter the numbers, no dashes when entering your health card information.
When booking my appointment, how do I enter my phone number?
Please only enter the numbers, no dashes when entering your phone number. If you do not have a phone number, you can enter all 0s.
Can multiple people use the same email or phone number?
Yes. Multiple people can use the same email or phone number.
What should I do if I haven’t received my confirmation of appointment email?
Please check your junk mail as well as your inbox.

Ensuring the community immunization clinics are accessible for seniors

We want people coming to the clinics to know that they are accessible and following all public health measures to help ensure people feel comfortable and safe. These measures include:

The online booking system encourages clients to bring a support person with them to clinic, if needed, as well as any mobility devices.
A call centre to book appointments, as an alternative to booking through the online portal is available. The call centre booking line phone number is 1-888-444-5113.
If needed, staffing "ambassadors" are available to escort seniors through the clinics if seniors do not have an assistive device, or are not accompanied by a support person.
Chairs will be available and offered to seniors at the clinic, and clinical and administrative float staff will be monitoring lines and supporting seniors, as needed.
Assistive devices will be available at clinics and offered to seniors, if needed.
The Region has partnered with community agencies to provide free or low-cost transportation for seniors to attend vaccination clinics if transportation costs are a barrier.
See transportation options for Durham Region COVID-19 vaccination clinics.

Transportation options for Durham Region COVID-19 vaccination clinics

The following community agencies can provide free or low-cost transportation to attend vaccination clinics, if transportation is a barrier.

If you have questions or need assistance coordinating transportation, please contact the agencies listed below directly.

If you are a community-based organization who can offer transportation to vaccination appointments, please contact us.

Community Care Durham

Community Care Durham’s staff and volunteer drivers offer transportation to seniors throughout Durham Region. Drivers are screened each day, wear personal protective equipment, and only transport passengers from one household at a time. Masks are mandatory for passengers. Accessible vans and regular vehicles are available. Rides to the clinics can be booked seven days a week, including evenings, depending on availability.

Cost: Free
Contact: 1-888-255-6680 or your local Community Care Durham office.

Durham Region Transit

Learn about free, convenient Durham Region Transit options for Durham residents who are travelling to COVID-19 vaccine clinics.

Scheduled Service is available on routes across the Region. Refer to durhamregiontransit.com for details, or contact a customer service representative at 1-866-247-0055 for assistance to plan your trip.

On Demand is a shared ride service. Customers may book through the On Demand app, or by calling call an On Demand booking agent at 1-866-247-0055.

Specialized Services provides public transit service for eligible persons with disabilities who are unable to use conventional transit services for all or part of their ride. Customers with a disability can travel with a support person if they are unable to use DRT services independently. A support person does not pay a fare. Registration is required.

Visit durhamregiontransit.com for full details, or contact a customer service representative at 1-866-247-0055.

Cost: Age 65 and older costs $2.75 cash or $2.15 with PRESTO. Age 20 to 64 costs $4 cash or $3.25 with PRESTO.
Contact: 1-866-247-0055, or download the On Demand app.

Oshawa Senior Community Centres 55+ (OSCC)

The OSCC will transport Oshawa residents to clinics located in Oshawa. They have four accessible walk-on vehicles and four drivers available to transport seniors to and from Oshawa vaccine clinics, on Monday through Friday.

Cost: Free
Contact: 905-576-6712 ext. 2878

Seniors on Wheels

Seniors on Wheels offers transportation in Pickering, Ajax, Whitby and Oshawa.

Cost: Free
Contact: info@seniorsonwheels.ca, 905-409-7394 Monday to Friday 9 a.m. to 4 p.m.

Frequently asked questions about community immunization clinics

How are we supporting our senior population? Will they have access to mobile clinics?

Seniors who are able to attend a community vaccination clinic are encouraged to do so. This will help to provide seniors with the quickest access to the vaccine. If you need assistance with transportation, see transportation options for Durham Region COVID-19 vaccination clinics.

A drive-up vaccination option is available at the Ontario Tech Campus Ice Centre (Oshawa) site to support residents in the community who have mobility or developmental challenges such that they are unable to attend inside a community immunization clinic. To ask a question or to request an appointment please contact the clinic by calling (905) 571-3344 or via email at oshawavaccine@lh.ca.

As of April 6, Durham Region Health Department has started home vaccine visits for eligible clients.

Will seniors have to wait in line outside?

Appointment times are assigned; do not arrive more than 10 minutes before your appointment. Hopefully this will mean no line ups and no one waiting outside.

What information will I need to book an appointment online?

Information clients will need to book an appointment online include:

Telephone number (home or cell phone)
Home address including postal code
Email address (can be family support person)
Health Card Number

Do we have any literature regarding vaccine hesitancy that we can share?

A number of FAQs, as well as a list of myths versus facts, are available on this page.

Pharmacy program and health care providers

Health care providers

Designated health care providers in the community are offering COVID-19 vaccines.

Current health care providers included in this program

Brock Community Health Centre | 705-768-5776
Carea Community Health Centre | 1-877-227-3217
Clarington Family Health Organization | 905-987-1896
Grandview Kids (5-17 vaccine only)
Harmony Medical Clinic | 416-707-2747
Medical Associates of Port Perry/North Durham Family Health Team
Medical Trust Clinics
Oshawa Clinic Group
The Gates Medical Centre
Uxbridge Health Centre | 905-852-1009
Whitby Urgent Care Walk-in Clinic/Durham KidsKare
Windfield Medical Centre

Pharmacies

Select pharmacy locations in the Durham Region are administering vaccines to individuals 5 years of age and older. Most pharmacies book appointments ahead of time and some allow walk-ins. Check with the pharmacy before you go.

View all locations offering COVID-19 vaccines

Homebound mobile immunization for eligible clients

Individuals age 5+, who are unable to receive the COVID-19 vaccine at a community immunization clinic may be eligible to receive the vaccine through the Health Department’s mobile clinic team. Eligible individuals have difficulty accessing office-based health care services due to medical, physical, cognitive or psychosocial needs or conditions. Please review the following criteria to see if you, or someone you know, can receive the COVID-19 vaccine at home.

Individuals must:

be unable to leave home due to medical, physical, cognitive or psychosocial needs/conditions (lack of transportation is not considered a barrier; see available transportation services)
consent to receiving the vaccine in their home
have no contraindications to the COVID-19 vaccine
have been advised by their health care provider (e.g. family doctor, specialist, nurse practitioner) to receive the vaccine after discussing risks and benefits of vaccination if they have one or more of the following health issues:
- immune system concern
- autoimmune condition

Make a referral for the COVID-19 vaccine to be given at home

If you or someone you know meets the above criteria and you would like to make a referral for the COVID-19 vaccine to be given at home, please email RDPShomeboundCOVIDVaccine@durham.ca.

Please include the following information in the email: first and last name of the individual, address including postal code, phone number, and email address if it is different than the email address being sent.

Vaccine receipts and out of province vaccinations

What does "fully vaccinated" mean in Ontario?

In Ontario, an individual is considered fully vaccinated if they have received:

The full series of a COVID-19 vaccine authorized by Health Canada*, or any combination of such vaccines,
OR
One or two doses of a COVID-19 vaccine not authorized by Health Canada, followed by one dose of a COVID-19 mRNA vaccine authorized by Health Canada,
OR
Three doses of a COVID-19 vaccine not authorized by Health Canada.
AND
They received their final dose of the COVID-19 vaccine at least 14 days ago.

* Four COVID-19 vaccines are approved in Canada: two mRNA vaccines (Pfizer-BioNTech and Moderna) and two viral vector-based vaccines (AstraZeneca and Janssen (Johnson & Johnson)).

How to obtain your COVID-19 vaccine receipt

Beginning January 4, 2022, an enhanced vaccine certificate with QR code will be required as proof of vaccination. The QR code can be downloaded digitally or by printing a paper copy.
Individuals with a green photo health card can obtain an enhanced vaccine certificate by visiting covid19.ontariohealth.ca.
If you do not have computer, a photo health card, or need help, call the Provincial Vaccine Contact Centre at 1-833-943-3900 to request a copy of your vaccine certificate by email or mail.

For more information visit the COVID-19 Vaccination Portal.

Reporting vaccination received outside of Ontario or Canada

Durham Region Health Department is currently receiving a high volume of requests from residents who received COVID-19 vaccine doses outside Ontario. We will continue to process all requests and encourage residents to report doses received outside Ontario. If you received a vaccine outside Ontario, you do not need to wait until your vaccine is documented by Durham Region Health Department to access settings where proof of vaccination is required. You can use your vaccination receipts for doses received outside Ontario with your identification.

If you live in Durham Region and received COVID vaccine doses outside of Ontario, please use our online form to report your vaccine(s). You can document individual COVID-19 vaccines or a full series. You will be required to submit proof of vaccination.

Examples of proof include:

Immunization record
Proof of vaccination receipt

What if I do not have proof of vaccination?

If you do not have proof of vaccination, it is recommended you contact the clinic or public health unit where you received the vaccine(s) to obtain proof. If you are still unable to obtain proof, and your vaccine series is incomplete, please call the Durham Health Connection Line at 905-668-2020 or 1-800-841-2729 to discuss the options for completing, or possibly restarting your vaccine series.

Some people vaccinated in Ontario received vaccine from what is referred to as non-Ontario stock. This refers to vaccine that was not allocated to Ontario or recorded in the provincial vaccine management system. Generally, these doses were delivered at institutions such as correctional facilities, military groups or embassies. People who received doses of vaccine from the non-Ontario stock may also document them through Durham Region Health Department’s online portal.

Wait times for processing out-of-province doses

Durham Region Health Department continues to receive a high volume of requests to create vaccination records for residents who received their vaccination(s) outside Ontario. Each of these requests requires a careful manual review and data input by staff and as a result, residents may experience wait times in receiving confirmation that their Ontario vaccination record has been created.

We estimate that requests will be processed within 25 business days, though actual processing times may vary as request volumes fluctuate. Please note that submissions with incomplete or unclear information, including errors, may take additional time to process, as they require additional client follow-up.

Use our online form to report out of province or non-Ontario stock vaccinations

Request a legal name change on your COVID-19 vaccine receipt

Use our online form to make a legal name change request and have your vaccine receipt(s) reissued in your new name.

Request a legal name change on your COVID-19 vaccine receipt

Report a name or date of birth error on your COVID-19 vaccine receipt

If you were vaccinated at a Health Department community immunization clinic contact Durham Region Health Connection Line at 905-668-2020.

If you were vaccinated at a pharmacy, health care provider, or the Oshawa (Ontario Tech Campus Ice) vaccination clinic please contact the clinic or provider that administered your vaccine for correction.

Using proof of vaccine receipts

Effective January 4, 2022, Ontarians will be required to use their enhanced vaccine certificate with official QR code to enter some non-essential settings such as cinemas and indoor dining at restaurants. Vaccine receipts without a QR code will no longer be accepted as valid proof of vaccination.

What proof of vaccination am I required to show?

A QR code is required as proof of vaccination. The QR code can be downloaded digitally or by printing a paper copy.

How do I get a copy of my vaccine receipts?

See our how to obtain your COVID-19 vaccine receipt section.

How do I get my enhanced COVID-19 vaccine certificate with QR code?

See our how to obtain your COVID-19 vaccine receipt section.

What are acceptable forms of proof of identification (ID)?

Validation of ID will occur to ensure that the vaccine receipt belongs to the individual.

Validation of vaccination will be based on two identifiers:

Name of the identification holder; and
Date of birth

A photo identification is not required.

Examples of identification documents that may be used to confirm the identity of the holder of the vaccine receipt:

Birth certificate
Citizenship card
Driver’s licence
Government (Ontario or other) issued identification card, including health card
Indian Status Card /Indigenous Membership Card
Passport
Permanent Resident card

How will my proof of vaccine be verified with my ID?

Proof of vaccination will be accepted if the person’s name and date of birth on their ID matches the QR code with name and date of birth and if the person is fully vaccinated.

If the name and date of birth on both documents do not match, the individual will not be allowed to enter the business or organization.

Where will I need to show proof of vaccinations and ID?

Effective September 22, patrons of the following areas must show proof of identification and proof of being fully vaccinated against COVID-19 before they can enter, with limited exceptions:

Indoor areas of restaurants, bars, and other food and drink establishments without dance facilities
Indoor and outdoor areas of food or drink establishments with dance facilities, including nightclubs and restaurants, clubs and other similar establishments
Indoor areas of meeting and event spaces
Indoor areas of facilities used for sports and recreational fitness activities, including waterparks, and personal physical fitness training with limited exemptions
- Includes gyms, fitness/sporting/recreational facilities, pools, leagues, sporting events, waterparks, and indoor areas of facilities where spectators watch events
Indoor areas of casinos, bingo halls, and other gaming establishments
Indoor areas of concert venues, theatres, and cinemas
Indoor areas of bathhouses, sex clubs and strip clubs
Indoor areas of horse racing tracks, car racing tracks and other similar venues
Indoor areas where commercial film and TV productions take place with studio audiences.

Are other public health requirements still necessary?

All other public health and workplace safety measures related to the prevention of COVID-19 remain in effect (including but not limited to capacity limits, patron screening, masking, physical distancing and collection of patron contact information where required).

Who is exempt from showing proof of vaccination?

There are some individuals and situations that are exempt from the new requirement.

What is a medical exemption? How can I get proof?

See our frequently asked question what is medical exemption?

Using your vaccination receipt: Frequently asked questions

Proof of vaccination guidance for businesses and organizations under the Reopening Ontario Act

Frequently asked questions about COVID-19 vaccines

Facts about... COVID-19 vaccines for 12+ years

Facts about... COVID-19 vaccines for children ages 5-11

General COVID-19 vaccine information

Why get vaccinated?

While many people with COVID-19 have only mild illness, others may get a severe illness or they may even die. There is no way to know how COVID-19 will affect you, even if you are not at increased risk of severe complications. COVID-19 vaccination helps protect you by creating an immune response without having to experience the illness of COVID-19.

What vaccines are approved?

Pfizer-BioNTech COVID-19 vaccine was authorized for use in Canada on December 9, 2020. The vaccine name was changed to Pfizer-BioNTech Comirnaty® on September 16, 2021.
Moderna COVID-19 vaccine was authorized for use in Canada on December 23, 2020. The vaccine name was changed to Moderna Spikevax® on September 16, 2021.
AstraZeneca COVID-19 vaccine was authorized for use in Canada on February 26, 2021. The vaccine name was changed to AstraZeneca Vaxzevria® on September 16, 2021.
Janssen (Johnson & Johnson) COVID-19 vaccine was authorized for use in Canada on March 5, 2021.

These vaccines will be an important tool to help stop the spread of the virus.

How do the mRNA vaccines work?

There are two messenger RNA (mRNA) vaccines approved for use in Canada, the Pfizer-BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine.
->	->	->	->
The vaccine tells the cells in our body to make "spike proteins" that are found on the COVID-19 virus.	These "spike proteins", although harmless to us, will make our body create antibodies.	These new antibodies will break down the "spike proteins" and get rid of them from your body.	Your new antibodies will protect you from being sick if you are exposed to the COVID-19 virus.

You will need two doses, given by an injection in the shoulder (deltoid) muscle.
mRNA vaccines do not contain whole or live SARS-CoV-2 and therefore cannot cause a COVID-19 infection.
mRNA vaccines have been studied for over two decades and are a new vaccine platform, but not a new technology.
mRNA vaccines do not affect or interact with DNA and mRNA is destroyed by cells once the body has finished using its instructions.

mRNA vaccines differ from live attenuated vaccines and inactivated vaccines. Live attenuated vaccines contain a living virus or bacteria which has been weakened so it cannot cause serious harm. Inactivated vaccines are made by inactivating or killing the bacteria or virus during the manufacturing process.

How do the viral vector-based vaccines work?

Viral vector-based vaccines use a harmless virus (in this case, adenovirus) as a delivery system. The vector virus is not the virus that causes COVID-19, the adenoviruses are viruses that cause the common cold. Once injected into the body, the virus contained within the vaccine produced the SARS-CoV-2 spike protein. The spike protein doesn’t make you sick, it causes the body to mount a strong immune response against the spike protein by creating antibodies and eliminate it from the body.

Are there any side effects?

Some people may experience side effects from the vaccine, but these will likely be moderate and resolve after a few days. Some of the symptoms are part of the body's response to developing immunity.

Side effects reported in clinical trials for this vaccine include:

Very Common ≥10%
(more than 1 in 10 doses)

Common 1%-10%
(1 in 100 to 1 in 10 doses)

Uncommon 1%
(1 in 100 doses)

Very Rare

pain, tenderness, itchiness or swelling at the injection site
headache
feeling tired or unwell
muscle or joint pain
fever or chills
nausea
swelling or tenderness under the armpit (only in Moderna vaccine)

redness and swelling at the injection site
vomiting or diarrhea

enlarged lymph nodes

Janssen only:

rash
muscle weakness
arm or leg pain
feeling weak or generally unwell

AstraZeneca only:

sleepiness or feeling dizzy
decreased appetite
excessive sweating, itchy skin or rash

allergic reaction such as hives
serious allergic reactions such as anaphylaxis

In rare cases, serious allergic reactions (anaphylaxis) can occur. Allergic reactions can be treated and are usually temporary.

Who should get the vaccine?

The COVID-19 vaccine is recommended for all individuals in the authorized age groups without contraindications.

For pediatric Pfizer-BioNTech COVID vaccine – 5-11 years of age
For Pfizer-BioNTech COVID-19 vaccine - 12 years of age and older.
For Moderna and Janssen (Johnson & Johnson) COVID-19 vaccine - 18 years of age and older.

Who should not get the vaccine?

Individuals with a severe allergy (anaphylaxis) to any previous COVID-19 vaccine(s) or any part of its packaging.
- Polyethylene glycol (PEG) is in both vaccines. It can also be found in laxatives, makeup, skin care products, personal lubricants, toothpastes, and some contact lenses. It is also in cough syrup and in some food and drinks. If you are unsure of the ingredients you are allergic to, talk to a health care provider.
- Polysorbate 80 is found in both viral vector-based vaccines (AstraZeneca and Janssen). Polysorbate 80 can also be found in medical preparations (vitamin oils, tablets, and anticancer agents), cosmetics.
Individuals who are not in the authorized age group should not be offered the vaccine.
Individuals who are ill with COVID-19 symptoms should wait until they are feeling better.
Individuals who are unwell for reasons other than COVID-19 should wait until they are feeling better.

The following individuals should discuss the vaccine with their health care provider for further assessment:

Individuals who are immunosuppressed due to disease or treatment.
Individuals with an autoimmune condition.

Is the vaccine effective against the new reported variants of COVID-19?

There are concerns that some identified mutations can affect antibody response to the virus, rendering the current vaccine less effective. However, it is unlikely that the vaccine will be entirely ineffective against these variants. Pfizer and Moderna are over 94 per cent effective in preventing symptomatic infections.

Do the COVID-19 vaccines contain mercury, formaldehyde, aluminum or fetal cells?

No. The COVID-19 vaccines do not contain mercury, formaldehyde, aluminum or fetal cells.

Are the COVID-19 vaccines halal?

Yes, the two mRNA vaccines Pfizer-BioNTech and Moderna are halal, they do not contain gelatin or pork products.

Are the mRNA vaccines vegan?

Yes, the mRNA COVID-19 vaccines are vegan. The lipids and cholesterol are plant-based or synthetic. There are no:

pork-derived materials, blood fractions or fetal cell products.

What percentage of the population needs to get vaccinated to have "community immunity"?

Community immunity is the indirect protection from an infectious disease that happens when a population is immune either through vaccination or immunity developed through previous infection. It is much safer to get herd immunity through vaccination than infecting the population.

The percentage of people who need to be immune in order to achieve community immunity varies with each disease. At this time, it is unknown how much of the population must be vaccinated against COVID-19 to begin inducing community immunity. This is an important area of research and will likely vary according to the community, the vaccine, the populations prioritized for vaccination, and other factors.

Is there a difference between natural immunity, from getting COVID-19, and the immunity from getting vaccinated?

We do not have enough data to understand how long immunity can last after a COVID infection, or with a vaccine. In other types of infections, we’ve seen that sometimes natural immunity doesn’t last as long as vaccine-induced immunity.

Given the scale and urgency of the pandemic, we continue to recommend that people who had the virus get the vaccine, in case immunity from natural infection isn’t as long-lasting and there is potential we can extend that immunity by vaccinating.

After I get the vaccine, do I still need to follow public health guidelines?

Until we have more information about the impacts of the vaccine, individuals should continue to practice recommended public health measures to prevent COVID-19, regardless of vaccination status.

Wear a mask.
Practice physical distancing.
Wash your hands often with warm water and soap or an alcohol-based hand sanitizer.
Avoid enclosed, poorly ventilated spaces and crowded places.
Stay home when you are sick.

Can I receive the COVID-19 vaccine at the same time as another vaccine?

Yes. COVID-19 vaccines may be administered at the same time, or at any time before or after non-COVID-19 vaccines.

Can my employer set up a vaccine clinic at the workplace?

To increase the province’s booster vaccination capacity, some business groups and large corporate employers may consider opening workplace and community vaccine clinics.

To learn about the criteria and for more information, visit COVID-19 Help for Business or call the Ontario Together Contact Centre at 1-888-777-0554.

Medical and safety information

What is medical exemption?

In rare instances where the risks of COVID-19 vaccine administration outweigh the benefits, a medical exemption may be warranted. This occurs in consultation with your health care provider.
Generally, few actual contraindications to COVID-19 vaccines qualify as medial exemptions, and most individuals can safely receive COVID-19 vaccines.
As directed by the Ministry of Health and as of January 10, 2022, settings will no longer accept physician notes or vaccine trial forms as valid medical exemptions.
Consult your health care provider (physician or nurse practitioner) to assess your need for a medical exemption. If the health care provider determines there is a need, they will submit information directly to the Health Department for review.
Exemptions will only be accepted from practitioners licenced to practice in Ontario.
If you have an existing medical exemption contact your health care provider as re-submission is required to obtain a QR code.
Your consent is required for the collection, use and disclosure of your personal health information with the Health Department.
Learn more about medical exemptions, including who qualifies.

Is there a link between the COVID-19 vaccine and myocarditis and pericarditis?

In Canada, and internationally, there have been reports of pericarditis (inflammation of the tissue surrounding the heart) and myocarditis (inflammation of the heart muscle) following vaccination with a COVID-19 mRNA vaccine (Pfizer or Moderna). Cases of myocarditis and/or pericarditis occur more often in individuals under 30 years of age, more often in males, and more often after a second dose. A higher rate of cases has been reported following Moderna vaccine. Most cases have been mild with quick recovery, normally with anti-inflammatory medication.

On December 15, the province of Ontario issued a preferential recommendation of the use of Pfizer vaccine for individuals ages 18 to 29 years old.

Individuals who received Moderna for their first dose can safely take the Pfizer vaccine for their second dose. Mixing vaccines is safe and effective, and full vaccination with two doses of the mRNA vaccine offers the greatest protection you can have against COVID-19 and the Delta variant.

Should individuals aged 18 to 29-years old wish to receive Moderna they can continue to do so with informed consent.
Severe side effects are rare. Seek medical attention right away if you develop any of these symptoms after receiving an mRNA vaccine:

Chest pain, pressure, or tightness
Shortness of breath
Feelings of having a fast beating, fluttering, or pounding heart

Is the vaccine safe?

Health Canada’s independent drug authorization process is known worldwide for its high standards and demanding reviews. Decisions to authorize vaccines for use in Canada are based only on scientific and medical evidence demonstrating that vaccines are safe and effective. These stringent requirements have not changed for the approval of COVID-19 vaccines in Canada.

Check out this video about vaccine safety in Canada.

You may be interested in Do they check vaccine safety after the vaccine has been approved? and How was Health Canada able to approve the COVID-19 vaccine so quickly?

Is the vaccine checked for safety after it has been approved?

Yes, in Canada there is ongoing monitoring and reporting of every vaccine given. If a reaction occurs after getting a vaccine that is not one of the normal side effects, an adverse event following immunization (AEFI) form is completed by your health care provider. The AEFI form will detail what vaccine was received, when it was received, the reaction that occurred and how long it took the reaction to appear after the vaccine was given.

Check out the COVID-19 Vaccine Safety in Canada website to see the AEFI reports to date.

Can the COVID-19 vaccine cause a COVID-19 infection?

No. The COVID-19 vaccines do not use a live virus, so getting the infection from the vaccine is impossible. The COVID-19 vaccines cannot cause a COVID-19 infection.

Can I get the vaccine if I am immunocompromised?

Since all Health Canada authorized COVID-19 vaccines are not live vaccines, they are considered safe in autoimmune conditions and immunocompromised persons (due to disease or treatment), however there is limited data on efficacy.

Individuals who were immunocompromised due to disease or treatment were excluded from some of the Phase III trials for COVID-19 vaccines available at present and those with autoimmune conditions had very small representation.

These individuals are eligible to receive a third dose following a discussion with their health care provider.

Can I get the vaccine if I am pregnant and/or breastfeeding?

Although pregnant and breastfeeding people were not a part of clinical trials for any of the vaccines, real world evidence shows that mRNA vaccines (Moderna or Pfizer) are safe for this population. A review following vaccination of over 35,000 pregnant women in the United States demonstrated that these women developed strong immunity without safety issues.

The National Advisory Committee on Immunization (NACI) strongly recommends that pregnant or breastfeeding individuals receive a complete mRNA vaccine series.

See the COVID-19 Vaccine Pregnancy Information Sheet for more information about vaccination during pregnancy and while breastfeeding.

There is no need to avoid pregnancy following vaccination with mRNA vaccines.

Can I get vaccinated if I have had previous allergic reactions?

If you have a history of significant allergic reactions and/or anaphylaxis to any food, drug, venom, latex, or other allergens not related to mRNA vaccines, you can be vaccinated with and will be asked to wait 30 minutes for observation after you receive your vaccine.
If you have allergy issues such as allergic rhinitis, asthma or eczema, you can be vaccinated, and will be asked to wait 15-30 minutes after your vaccine for observation.
If you have had an allergic reaction and/or anaphylaxis that occurred after a vaccine, an investigation will need to be done by your local health department. If you have a history of a reaction to a vaccine outside of the normal side effects, please phone the Durham Health Connection Line to have them initiate an investigation.
If you have had an allergic reaction including anaphylaxis to a previous dose of a COVID-19 mRNA vaccine or to any of its components, you should not receive any mRNA COVID-19 vaccine in a general vaccine clinic. An investigation will need to be completed by your local health department. If you experienced an allergic reaction including anaphylaxis, please phone the Durham Health Connection Line to have them initiate an investigation.

The components include polyethylene glycol and, due to potential cross-reactivity, polysorbate.

Are there any precautions myself or my family should take?

Delay vaccination if you:
- have a fever, or
- are sick with COVID-19 symptoms, or
- were diagnosed with myocarditis or pericarditis following mRNA vaccination.
If you are on blood thinner medication, a smaller needle will be used, and you will need to apply pressure for longer after getting the vaccine to reduce bruising.

As a precautionary measure, individuals who were diagnosed with myocarditis/pericarditis after a previous dose of an mRNA COVID-19 vaccine should wait to receive their second dose until more information is available. The National Advisory Committee on Immunization (NACI), Public Health Ontario (PHO) and the Ministry of Health continue to follow this closely and will update this recommendation as more evidence becomes available.

Do I need the vaccine if I already tested positive for COVID-19?

Yes. Individuals who previously tested positive for COVID-19 are encouraged to get the vaccine if they are no longer symptomatic and meet other eligibility criteria.

Reinfections with COVID-19 are possible, it is important to protect yourself by getting the vaccine.

If a person develops an adverse reaction to a vaccine, what should they do?

Seek medical attention if you have trouble breathing, develop hives, or develop swelling of the face and throat. As with all vaccines, vaccine side effects will continue to be monitored as people receive the vaccine.

If you develop a reaction to the vaccine, contact your health care provider who will report the side effect directly to public health. Public health will keep track of the reported side effects to make sure the vaccine continues to be safe.

Who should not get the vaccine

Individuals with a severe allergy (anaphylaxis) to any previous COVID-19 vaccine(s) or any part of its packaging.
- Polyethylene glycol (PEG) is in both vaccines. It can also be found in laxatives, makeup, skin care products, personal lubricants, toothpastes, and some contact lenses. It is also in cough syrup and in some food and drinks. If you are unsure of the ingredients you are allergic to, talk to a health care provider.
- Polysorbate 80 is found in both viral vector-based vaccines (AstraZeneca and Janssen). Polysorbate 80 can also be found in medical preparations (vitamin oils, tablets, and anticancer agents), cosmetics.
Individuals who are not in the authorized age group should not be offered the vaccine.
Individuals who are ill with COVID-19 symptoms should wait until they are feeling better.
Individuals who are unwell for reasons other than COVID-19 should wait until they are feeling better.

The following individuals should discuss the vaccine with their health care provider for further assessment:

Individuals who are immunosuppressed due to disease or treatment.
Individuals with an autoimmune condition.

Vaccine approval and clinical trial (testing) information

How was Health Canada able to approve the COVID-19 vaccine so quickly?

Creating a new vaccine can take years. The COVID-19 vaccine happened so quickly for many reasons including:

advances in science and technology,
international collaboration among scientists, health professionals, researchers, industry and governments; and
increased funding to find a vaccine.

Health Canada developed a fast-track review process to assess COVID-19 vaccines. Vaccine manufacturers were able to submit research and new evidence for review by Health Canada as it becomes available and throughout clinic trials. Previously, all clinical trials had to be completed prior to applying for Health Canada approval. Health Canada has implemented greater scientific resources, so reviews are completed in a timely manner without compromising any standards for vaccine use in Canada.

Vaccines are only approved once evidence shows that COVID-19 vaccines are safe, effective, of good quality and that the benefits outweigh any risks.

Check out this video for more information about how the COVID-19 vaccine was developed.

Who were the mRNA vaccines tested on?

The clinical trials included over 70,000 people; 43,448 people were included in the Pfizer trials; 30,000 people were included in the Moderna vaccine trials.

Approximately 42 per cent of global participants have racially and ethnically diverse backgrounds.

Clinical trials include a wide variety of people to be sure the evidence will support the diverse needs of our population. There are some groups of people who were not included in the clinical trials, including people who are pregnant or breast/chestfeeding, people under the age of 16, or people who have weaker immune systems. Vaccine clinical trials typically start with healthier people and, if successful, go on to other at-risk populations. This can take additional time to decide if a vaccine is effective but is very important as these people are at greater risk of adverse COVID-19 impacts.

The vaccine trials included people over the age of 65 and the vaccine was found to be safe and effective in this age group.

Who were the viral vector-based vaccines tested on?

The clinical trials included over 55,000 people; 44,325 people were included in the Janssen trials; 11,636 people were included in the AstraZeneca vaccine trials.

Approximately 20 per cent of global participants in the AstraZeneca trials and 40 per cent of global participants in the Janssen trials have racially and ethnically diverse backgrounds;

The majority of the people in the clinical trials were under the age of 65 and healthy. There are some groups of people who were not included in the clinical trials, including people who are pregnant or breastfeeding, people under the age of 18, or people who have weaker immune systems. Vaccine clinical trials typically start with healthier people and, if successful, go on to other at-risk populations. This can take additional time to decide if a vaccine is effective but is very important as these people are at greater risk of adverse COVID-19 impacts.

How to find trustworthy information on the Internet

Are you overwhelmed about all of the COVID-19 vaccine information on the Internet?

It is normal to feel nervous about new things. The Internet is filled with all sorts of information and you want to do what is best for you and your family. It is important that you review information that is trustworthy, science-based and updated on a regular basis.

Here are some points to consider to ensure that a website has credible, trustworthy, non-biased, science-based information:

Who are the authors of the website? Can you trust them? How can I contact them?

Look for information on the website to find out more about the organization and how to contact them. It’s best not to use information from a site if you can’t tell who is responsible for the content. Health information should be endorsed by a trustworthy health agency or professional organization. Experts should be identified using their credentials (e.g. degrees, current positions etc.).

Has the site been developed by a reputable leader such as a government organization, professional association, or respected non-profit organization?

Some special interest groups publish information that isn’t based on evidence, or that focuses on the organization’s opinion of an issue.

Is the information credible? Does the information seem reasonable?

Credible information is based on up-to-date evidence that comes from proper research. Unless you have special training in ‘research methods’, it can be hard to tell if health information is based on proper research. Look for the following when trying to find credible information:

Is the information current?
The website should clearly show when the information was posted, reviewed or last updated. The dates can often be found at the bottom of the page.
Is there evidence to support the advice?
Even an expert opinion is still just a point of view unless it’s supported by evidence. The site should provide references and sources for evidence such as articles from trustworthy medical journals or texts or include reports or statistics.
Is the information peer reviewed?
Peer reviewed means that it has been reviewed by other experts in the field. The site should specify the type of peer review (for example, a board or committee of experts that is not in a conflict of interest). Websites that are not peer reviewed may have unproven claims that seem too good to be true. Unfortunately, when something seems too good to be true, it usually is.
Does the site explain or provide references?
The website should be specific about the source of any information by providing a list of references, studies or articles.

Is the information presented in a professional way using clear and easy-to-understand language?

Be wary of information that is based on the experiences of a few individuals who may not have professional expertise in that specific area.

What are some credible resources?

Who can I speak to for more information?

Scarborough Health Network
Sick Kids
Vaccine Confidence Line (available at the Provincial Vaccine Contact Centre)
1-833-943-3900 (TTY for people who are deaf, hearing-impaired or speech-impaired: 1-866-797-0007)

Debunking the myths about the COVID-19 vaccines

Myths vs facts

Myth: COVID vaccination is unnecessary. COVID isn’t even that serious and everyone is blowing it out of proportion.

Fact: COVID-19 is in your community and it’s causing serious illness and in some cases death. Unvaccinated people are more likely to be hospitalized and enter the ICU. The best protection is getting the vaccine.

Myth: The COVID-19 vaccines can give you COVID-19

Fact: None of the COVID-19 vaccines approved for use in Canada use the live virus that causes COVID-19. The vaccines work by teaching the immune system how to recognize and fight the "spike proteins" found on the COVID-19 virus. Sometimes this process can cause symptoms, such as fever. These symptoms are a sign of the immune response to vaccine. These symptoms are minor and resolve in a few days. Most people who get the vaccine continue to go about their daily activities as usual.

After getting the COVID-19 vaccine, it takes about two weeks to build immunity. It is possible that someone could become infected with the COVID-19 virus before or just after getting the vaccine and get sick. This happens because the vaccine has not had enough time to provide protection in the body.

Myth: COVID-19 vaccines can alter your DNA

Fact: COVID-19 vaccines do not alter your DNA. mRNA vaccines do not affect or interact with DNA and mRNA is destroyed by cells once the body has finished using its instructions.

Myth: The messenger RNA technology used to make the COVID-19 vaccines is brand new

Fact: mRNA technology has been around and studied for over two decades, it is not new technology but is a new platform for vaccines.

Myth: The COVID-19 vaccines were developed quickly, and safety corners were cut

Fact: The COVID-19 vaccines were developed quickly. This is because of advances in science and technology, international collaboration among scientists, health professionals, researchers, industry and governments, and increased funding to find a vaccine.

Health Canada developed a fast-track review process to assess COVID-19 vaccines. Vaccine manufacturers are able to submit research and new evidence for review by Health Canada as it becomes available and throughout clinic trials. Previously, all clinical trials had to be completed prior to applying for Health Canada approval. Health Canada has implemented greater scientific resources, so reviews are completed in a timely manner without compromising any standards for vaccine use in Canada.

Vaccines are only approved once evidence shows that the vaccine is safe, effective, of good quality and that the benefits outweigh any risks; the COVID-19 vaccine is not an exception to this important rule.

Myth: The COVID-19 vaccines were developed with or contains controversial substances

Fact: The first two COVID-19 vaccines authorized for use in Canada contain mRNA and other, normal vaccine ingredients, such as fats (which protect the mRNA), salts, as well as a small amount of sugar. These COVID-19 vaccines were not developed using fetal tissue, and they do not contain any material, such as implants, microchips or tracking devices. The Pfizer-BioNTech and Moderna vaccines do not contain gelatin or pork products.

Myth: The side effects from the COVID-19 vaccines are dangerous

Fact: The most frequent side effects are pain at the injection site, feeling tired and headache. Some people also feel muscle pain, chills, joint pain and fever. These symptoms are mild to moderate and go away a few days after getting the vaccine. These side effects are similar to those of the seasonal influenza vaccine.

Myth: There are no ongoing safety checks of the COVID-19 vaccines

Fact: In Canada there is ongoing monitoring and reporting of every vaccine given. If a reaction occurs after getting a vaccine that is not one of the normal side effects, an adverse event following immunization (AEFI) form is completed by your health care provider. The AEFI form will detail what vaccine was received, when it was received, the reaction that occurred and how long it took the reaction to appear after the vaccine was given.

Myth: The COVID-19 vaccines can cause Bell’s palsy

Fact: During the clinical trials for both the Pfizer-BioNTech and Moderna COVID-19 vaccines, seven cases of Bell’s palsy were reported weeks after receiving the vaccine. More than 70,000 people were involved in the two clinical trials. The frequency of these cases is no greater than the frequency of Bell’s palsy in the general population.

Myth: I’ve already had the COVID-19 virus, I don’t need a vaccine.

Fact: Reinfection with COVID-19 may be possible. If you were infected with COVID-19 in the past, it is still recommended you get the COVID-19 vaccine. It is not known if people who were sick with COVID-19 have antibodies and are protected from re-infection.

Myth: Getting the COVID-19 vaccine if I am immunocompromised is harmful

Fact: Immunocompromised individuals were not a part of clinical trials for either of the vaccines. This means no research was done on this population so there is no safety information available. The National Advisory Committee on Immunization (NACI) recommends you speak with your health care provider to determine if the benefits of the vaccine outweigh the potential risks.

Myth: COVID-19 vaccines are worse than getting COVID-19

Fact: The COVID-19 vaccine is safe and effective.

With any medication, the COVID-19 vaccine can have side effects but most of them are mild and short term, not serious or dangerous. Some people who receive the vaccine experience pain where they were injected, body aches, headache or fever lasting a day or two. These side effects are a sign of the immune response to vaccine. These symptoms are minor and resolve in a few days. Most people who get the vaccine continue to go about their daily activities as usual.

Becoming infected with the COVID-19 virus can lead to a variety of symptoms ranging from mild to severe. The most common symptoms of COVID-19 are fever, dry cough, and tiredness. Other symptoms that are less common and may affect some patients include loss of taste or smell, aches and pains, headache, sore throat, nasal congestion, red eyes, diarrhea, or a skin rash. Complications from COVID-19 can include serious conditions, like pneumonia or kidney failure and, in some cases, death.

Myth: When I get the COVID-19 vaccine I can stop wearing my mask and taking COVID-19 precautions

Fact: Until we have more of the population immunized against COVID-19 you will be required to continue to follow public health measures such as wearing a mask, practising physical distancing, avoiding gathering and limiting travel.

At this time, we know the COVID-19 vaccine helps to fight off COVID-19 if you come into contact with it, but we do not know if you are able to pass it to others.

COVID-19 Vaccines

Who is eligible to receive the vaccine?

First dose

Second dose

Third dose

Third dose primary series and fourth dose

Re-vaccination

COVID-19 vaccination for children 5 to 11

Youth

Cancel or rebook a vaccine appointment

Provincial GO-VAXX COVID-19 clinic program

Community immunization clinics for individuals 12 and older

Frequently asked questions about community immunization clinics

Pharmacy program and health care providers

Health care providers

Pharmacies

Homebound mobile immunization for eligible clients

Make a referral for the COVID-19 vaccine to be given at home

Vaccine receipts and out of province vaccinations

What does "fully vaccinated" mean in Ontario?

How to obtain your COVID-19 vaccine receipt

Using proof of vaccine receipts

Frequently asked questions about COVID-19 vaccines

Debunking the myths about the COVID-19 vaccines

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