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COVID-19 Vaccination Consent Form

COVID-19 vaccines are approved for different age groups.

The Pfizer vaccine has been approved for age 12 and older. Moderna and Janssen (Johnson & Johnson) vaccines are approved for age 18 or older.

For residents ages 12 or 17 to receive the Pfizer vaccine, they must either bring a parent or guardian to the vaccination site or provide a copy of the consent form signed by a parent or guardian.

Download the consent form here (print and sign):

The Centers for Disease Control and Prevention (CDC) has provided information about the Emergency Use Authorization (EUA) for the COVID-19 vaccines: