October 26, 2022
Local COVID-19 Vaccine Status Report
Visit our Health Statistics and Reports for the Local COVID-19 Vaccine Status Report.
Who is Eligible for Prophylactic Therapy (Evusheld) in Ontario
Evusheld is a prophylactic monoclonal antibody therapy authorized by Health Canada in April 2022 for the prevention of COVID-19 in certain immunocompromised adults and children 12 years of age and older. This therapy is used to prevent infection (prior to a high risk exposure or infection).
Evusheld can be considered for the following people at the highest risk of having an inadequate response to vaccination, upon discussion of the risks and benefits:
- Solid organ transplant recipients
- Stem cell transplant recipients
- CAR-T cell therapy recipients
- Other hematologic cancer patients undergoing treatment
- People receiving anti-B-cell therapy (e.g., rituximab) (new as of October 2022)
- People with significant primary immunodeficiency (new as of October 2022)
Evusheld is not recommended for immunocompromised patients beyond these groups.
To be eligible for treatment, patients must:
- Be at least 12 years old
- Weigh at least 40 kg
- Not have a current COVID-19 infection
- Not have a recent COVID-19 exposure
Before receiving Evusheld, eligible individuals should be screened to ensure they are not currently symptomatic, infected with COVID-19 and have no recent high-risk exposure to a confirmed or probable case of COVID-19. PCR, rapid antigen, and antibody testing are not required prior to receiving this therapy.
For more details see this handout on Evusheld.
Who is Eligible for a Vaccine
- The new Moderna and Pfizer bivalent vaccines have been approved by Health Canada and are available at our community clinics for anyone 12+.
- As of July 28, 2022, anyone 6 months+ is eligible for COVID-19 vaccines in Ontario.
- Parents and caregivers of children aged six months to under five years are able to book appointments for the paediatric COVID-19 vaccine through our Vaccine Call Centre only at 1-844-369-1234 Monday to Friday 8:30am to 4:00pm (NOT through the online booking system at this time).
- Anyone 6 months+ is eligible for COVID-19 vaccines in Ontario. There are two vaccines available now for this age group, Infant Pfizer (3 dose series) or Pediatric Moderna (two dose series). These vaccines are not interchangeable for this age group.
- For Pediatric Moderna, the second doses for this age group are recommended at 8 weeks after the first dose for optimal protection. You can choose a shorter interval with informed consent.
- For Infant Pfizer, there are three doses with a recommended interval of 56 days (8 weeks) between doses 1, 2 and 3.
- Anyone 5+ is now eligible for a booster dose of COVID-19 vaccine.
- All children and youth ages 5-17 are now eligible for a booster dose 6 months (168 days) after their primary series of 2 doses. 12-17 year olds are eligible for the new Pfizer bivalent vaccine. This vaccine will be prioritized for this age group.
- Adults (age 18+) are eligible for a fall booster dose a minimum of 3 months (84 days) after their previous dose although it is recommended to get this booster 6 months after as this longer interval gives a better immune response. There is also a requirement to wait at least 3 months since their last COVID-19 infection. If you are immunocompromised you should get your booster 3 months (84 days) after your last dose.
- See the Boosters tab below for more information for the Fall booster vaccines and the Vaccine Interval Guide for more details on when to get your next dose depending on your age and vulnerability.
Fall COVID Booster
Based on recommendations from Canada’s National Advisory Committee on Immunizations, Ontario is recommending fall boosters of COVID-19 vaccine for all Ontarians 5 years and older. Fall booster doses can be either mRNA vaccine (Pfizer or Moderna) or Novovax if mRNA is not an option.
The Moderna bivalent vaccine is approved for booster doses for those 12+. Booster doses are strongly recommended for continued protection against severe disease/hospitalization. COVID vaccine boosters are to be a minimum of 3 months after your last dose AND at least 3 months since your last COVID-19 infection, but it is recommended that you get it 6 months from your previous dose or after your infection. This longer interval will provide a better boost to your immune system unless you are immunocompromised, in which case an interval of 3 months (84 days) is recommended.
This new bivalent mRNA vaccine includes protection against Omicron variants of COVID so will help boost protection against the sub-variants that are circulating. This bivalent vaccine is for boosters ONLY. There is no preferential recommendation between the Moderna and Pfizer bivalent vaccines as both will provide elevated protection against the current variants so the best choice is to get the one that is available to you. Brand choice will be based on availability and as only Pfizer is approved for those 12-17 this group will be prioritized for this vaccine. If you require your primary series these will be administered using one of the other vaccines (original Pfizer/Moderna mRNA or Novavax). See the updated COVID Vaccine Guidance here.
If you are eligible for a booster dose of COVID-19 Vaccine in Ontario, you can book an appointment or walk-in (as clinic capacity allows) to any of our clinics to receive it, check with your health care provider or a participating pharmacy. Vaccine supply will be restricted between September 12-25 and therefore walk-ins will be very limited.
By receiving additional doses of COVID vaccine, it enhances the protection from the previous doses and is particularly important for:
- Individuals with underlying chronic diseases where infection with COVID could cause more serious disease
- Individuals who live with or have regular contact with people with chronic health conditions or who are immune compromised
- Individuals who work with in settings with people with chronic health conditions or who are immune compromised; and
- Individuals who might be in situations where there is a higher risk of COVID infection being present.
- High risk populations are recommended to get the booster earlier, at a minimum of 3 months, rather than waiting for the recommended 6 months (e.g., those age 65+, people with health conditions/medications that make them more vulnerable, indigenous and people living in congregate living settings)
Boosters are part of ensuring your COVID-19 vaccines are up to date. See this Vaccine Interval Guide for more details on when to get your next dose depending on your age and vulnerability.
People with moderate to severe immunosuppression are recommended to have a 3 dose primary vaccine series, plus a booster (boosters only for those age 5+). Immunosuppressed individuals can access their booster doses through their health care provider. The recommended timing for ages 18+ is 56 days between dose 2 and 3, three months (84 days) between dose 3 and additional boosters, or at a minimum interval of three months (84 days) or 3 months after a COVID infection. For children and youth ages 5-17 boosters are recommended at 6 months.
If unable to access it from a health care provider, the Health Unit can provide it at a clinic. You can also check with a pharmacy to see if they can provide it. Here is the list of those eligible due to immunosuppression:
- Individuals receiving dialysis (hemodialysis or peritoneal dialysis)
- Individuals receiving active treatment (e.g., chemotherapy, targeted therapies, immunotherapy) for solid tumour or hematologic malignancies.
- 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.
- Individuals receiving active treatment with the following categories of immunosuppressive therapies: anti-B cell therapies2 (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.
Note: The province is recommending re-vaccination with a new COVID-19 vaccine primary series post-transplantation for individuals who receive hematopoietic stem cell transplants (HSCT), hematopoietic cell transplants (HCT) (autologous or allogeneic), and recipients of CAR-T-cell therapy, due to the loss of immunity following therapy or transplant. Contact your health care provider about getting the vaccine if you fit into one of these groups.
For further details, including more detailed lists of immunosuppressive medications, see pages 8–12 of this document from the Ministry of Health on COVID-19 Vaccine Third Dose Recommendations.
How to Get a Vaccine
NOTICE! As of July 28, 2022 children 6 months to 5 years of age can receive the new lower dose Moderna (2 dose) and Pfizer (3 dose) vaccine. Booking for this age group must be done through our Vaccine Call Centre only at 1-844-369-1234 Monday to Friday 8:30am to 4:00pm (NOT through the online booking system at this time). If you are unable to contact our local Vaccine Call Centre due to accessibility issues (e.g., Deaf or hard of hearing), please email us at [email protected] or send us a private message on social media with your email. Parents or legal guardians of children aged six months to under five years need to provide informed consent on behalf of the child before or at the time of the appointment. This means that they must understand what the vaccine involves (for example, how it is administered), why it is recommended, and the potential risks and benefits. For more information for this age group see the Children Under 5 Tab above.
For boosters, please ensure you are eligible based on the criteria above and timing (minimum of 84 days from second dose for adults/168 days for youth) before booking or attending a vaccine clinic. Those who are not eligible will be turned away.
- Use the Leeds, Grenville and Lanark online booking portal *Note – Leeds, Grenville and Lanark clinics are not in the Provincial booking system.
- Please use a different email for each person you are booking as using the same email for multiple people can cause problems in the system. If you have trouble or are unable to do this call the Vaccine Call Centre at the number below.
- If you are unable to book on the portal – you can call our local Vaccine Call Centre at 1-844-369-1234 Monday to Friday 8:30am to 4:00pm.
- Walk-ins may be available at most clinics if capacity allows. You may be asked to come back at a later time based on clinic capacity.
- Here is the list of clinic locations, dates and times.
- Check for a participating pharmacy near you. Pharmacies may have either Pfizer or Moderna and can provide first, second or third doses to those eligible.
- Pharmacies are working with the Province to continue to provide COVID-19 vaccines to the community. These vaccinations are separate from our Health Unit’s vaccination roll-out. Please call the pharmacy directly to book.
Health Care Providers
- Check directly with your doctor or nurse practitioner to see if they can offer COVID-19 vaccines (including boosters).
- Appointments can be cancelled by clicking the cancellation link in the confirmation email you received when booking your appointment. If you need assistance in cancelling your appointment, please call our call centre at 1-844-369-1234 (open Monday to Friday from 8:30am–4:00pm).
- Please be sure to CANCEL any appointments you no longer need.
The new Moderna bivalent vaccine is approved for 18+ at this time (12+ for immunocompromised individuals), see eligibility information above. It is an mRNA vaccine and is for booster doses ONLY.
Health Unit clinics use mRNA vaccines – either Pfizer or Moderna for people aged 6 months+ depending on age and availability of the vaccine. Only the Pfizer/Comirnaty vaccine is currently approved for ages 5-11. While both Moderna/Spikevax and Pfizer/Comirnaty are approved for ages 12+, Ontario recommends Pfizer for age 12 to 29. The mRNA vaccines are interchangeable – regardless of what you received for your previous doses.
The Novavax Nuvaxovid COVID-19 vaccine is approved for use in Canada for adults age 18 and older. It is a two dose vaccine that uses a manufactured spike protein combined with an adjunct to amplify your immune system response. It provides good protection against COVID-19 and can be used in cases where the mRNA vaccines are contraindicated. You can book an appointment to receive Novavax (for your primary series or a booster dose if eligible) at any of our clinics either by phone at 1-844-369-1234 or by using the Pomelo online booking portal, or via walk-in as capacity allows.
Canadian made Medicago Covifenz is a plant based COVID-19 vaccine that has also been recently approved by Health Canada for use by adults age 18–64. It is also a two dose vaccine with a minimum 21 day interval. Guidelines for use of this vaccine have not been made yet by NACI. This vaccine is not currently available, we are awaiting an update from the Province on this vaccine. For more information on its ingredients and effectiveness – see the Health Canada page about Medicago Covifenz.
Ask friends or if they have had their vaccine or booked an appointment. Please consider helping these individuals to book their appointments, as some may not have online access or be comfortable booking online appointments.
For those who are not mobile, the Health Unit, in partnership with the Lanark County Paramedic Service and the Leeds and Grenville Emergency Medical Services can arrange for in home COVID-19 vaccine administration. If you are not mobile and need a referral to this community paramedicine program, you can contact your case manager, health care provider or the Health Unit (1-800-660-5853).
For those who are mobile – but need assistance with transportation, community partners are offering safe, non-shared, transportation to and from vaccine appointments. Fees are based on distance traveled and subsidies may be available if needed.
Leeds and Grenville
New! Public transit service to popular employment areas from Brockville to Cardinal along County Road 2.
Run Times: 8:30am-4:30pm Monday to Friday
Areas Served: Brockville, Augusta, Prescott and Edwardsburgh Cardinal
Tickets: Can be purchased ahead of time or when boarding the bus (exact change only). One way $5, Book of 10 tickets $20.
For further details and to see where to purchase tickets go to https://riverroute.ca/tickets/
Lanark County and Smiths Falls
For Lanark County and Smiths Falls – see the options below:
Lanark County Transportation Services to COVID-19 Vaccine Appointments
- only members of the same household will be transported together in a vehicle
- hours of operation may be adjusted depending on vaccine clinic hours
Lanark Transportation Association
Contact: 1-877-445-5777 or 613-264-8256
Criteria: No restrictions, Wheelchair accessible vehicles
Areas Served: Lanark County, Town of Smiths Falls, Neighbouring municipalities when accessible transportation is required.
Hours of Operation: 6:00am–6:00pm, 7 days a week
Price: $10.00–$15.00, Subsidy may be available upon request.
Contact: Lisa Ryan, 613-256-1031 extension 262
Criteria: Seniors and Disabled persons able to get in and out of a vehicle, Wheelchair transport available.
Areas Served: Almonte, Carleton Place
Hours of Operation: 8:00am–4:00pm, Monday to Friday
Price: $8.00–$20.00, Wheelchair transport $30.00–$45.00, Subsidy may be available upon request.
Community Home Support Lanark County
Criteria: Seniors and disabled adults requiring minimal assistance (cane, walker, etc.,) and able to get in and out of a vehicle, No wheelchairs, Services may change as vaccine rollout moves forward.
Areas Served: Perth, Smiths Falls, Lanark, Carleton Place
Hours of Operation: 8:30am–4:00pm, 7 days a week
Price: $10.00–$54.00, Subsidy may be available upon request.
Vaccine Consent – Complete Prior to Your Visit
Please read the information sheet and consent form prior to your appointment. If you are able to, print off and bring your completed COVID-19 Vaccine Screening and Consent Form to your COVID-19 vaccine appointment. It’s also helpful to bring your email booking confirmation to your appointment (printed version or on your phone).
Visit our COVID-19 Protection and Vaccines page for further information:
- Proof of COVID-19 vaccination in order to enter certain indoor public settings
- Proof of vaccine receipts
- Entering vaccine records into the provincial system
- After vaccination restrictions
- Clinic feedback
- Overall vaccine rollout plan
- Information about vaccines
- Vaccine Support for Workplaces
- Frequently asked questions