Boosters

Third Doses

CDC is now recommending third doses for people who are severely immunocompromised and who received an mRNA vaccine more than 28 days ago. People who have received the Johnson & Johnson vaccine are not recommended to receive a booster shot at this time. 

You must meet the criteria below to receive a third dose.  The vaccines are still highly effective against COVID-19 disease, hospitalization, and death, especially in those who do not have conditions that cause them to be moderately-to-severely immunocompromised. 

Who is Eligible?

  • People who are moderately-to-severely immunocompromised. This includes people who have: 
    • Been receiving active cancer treatment for tumors or cancers of the blood
    • Received an organ transplant and are taking medicine to suppress the immune system
    • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
    • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
    • Advanced or untreated HIV infection
    • Active treatment with high-dose corticosteroids or other drugs that may suppress your immune respons

--- AND ---

  • People who have received an mRNA vaccine (Moderna or Pfizer/BioNTech) more than 28 days ago
    • Boosters are not recommended after the Johnson & Johnson vaccine at this time 

*** Both criteria must be met to be eligible for a third dose

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html 

Boosters

Johnson & Johnson Recipients

CDC now recommends that people who received the Johnson & Johnson vaccine more than 2 months ago get a booster shot. Recipients can receive either the full-dose Johnson & Johnson vaccine, full-dose  Pfizer vaccine, or half-dose Moderna vaccine as their booster.  

Moderna and Pfizer Recipients

CDC now recommends that people who received the Pfizer vaccine more than 6 months ago get a booster if they meet the following criteria: 

  • Received the second dose of the Pfizer/BioNTech vaccine more than 6 months ago
  • Are over 65 years old
  • OR are ages 50-64 with an underlying medical condition
  • OR are over 18 years of age and living in a long-term care setting

If you meet the following criteria, you may receive a booster of the Pfizer vaccine:

  • Received the second dose of the Pfizer/BioNTech vaccine more than 6 months ago
  • Are 18-49 years old with underlying medical conditions
  • OR are at increased risk for occupational exposure

Recipients can receive either the full-dose Pfizer vaccine, full-dose Johnson & Johnson vaccine, or half-dose Moderna vaccine as their booster.

What is an "Underlying Condition?"

CDC lists the following as underlying conditions that increase risk for severe COVID-19 infection: 

  • Cancer
  • Cerebrovascular disease or history of stroke
  • Chronic Kidney Disease
  • Chronic Lung Disease, including COPD, moderate-to-severe asthma, interstitial lung disease, cystic fibrosis, and pulmonary hypertension
  • Dementia or other neurological conditions
  • Diabetes Type 1 or 2
  • Down Syndrome
  • Heart Disease
  • HIV Infection
  • Liver Disease
  • Obesity
  • Pregnancy
  • Sickle Cell Disease
  • Smoking (Current or former)
  • Substance use disorders
  • Thalassemia 

Who is at "increased risk for occupational exposure?"

CDC lists the following as jobs that increase risk of exposure to COVID-19: 

  • First responders (e.g., healthcare workers, firefighters, police, congregate care staff)
  • Education staff (e.g., teachers, support staff, daycare workers)
  • Food and agriculture workers
  • Manufacturing workers
  • Corrections workers
  • U.S. Postal Service workers
  • Public transit workers
  • Grocery store workers

How do I get a booster or  third dose?

First, talk to your doctor to see if you qualify and if they recommend that you get a second dose of the vaccine. This decision should be made with guidance from your healthcare team. You must meet the criteria listed above to receive a booster.  

Once you have discussed this decision with your care team and determine that you meet the criteria, you may receive a booster. The City of Middletown will be offering boosters at all clinics starting on 8/17. Please visit the Find a Vaccine page to view our clinics. Other organizations may also offer boosters as well. Call or check their websites for information. You may also talk with your healthcare provider or doctor's office to get information about where to get a booster shot. A list of all vaccine clinics in the Middletown area can be found on the Find a Vaccine page. 

CDC now allows "mixing-and-matching " booster doses. Switching to a different vaccine is allowed. You may receive any booster you feel comfortable receiving. 

What if I am not Eligible? 

All three vaccines are still highly effective against all known variants in the US and Connecticut, and still offer good protection against COVID-19 infection for people who are not included in the eligibility categories above. Even better, the vaccines have been shown to be even more effective against hospitalization and deaths. Being fully vaccinated is still the best way to protect yourself from getting severely sick from COVID-19, and the data shows that the majority of people do not require a booster shot at this time to have strong protection against illness, and especially hospitalization and death. 


To protect yourself from COVID-19: 

  • Wear a mask in public spaces
  • Avoid crowded public areas, especially indoors
  • Move social events outside and ask others to mask up, especially if unvaccinated
  • Practice good hand and environmental hygiene
  • Encourage your unvaccinated friends and family to become vaccinated. The more people in our community that are vaccinated, the harder it will be for COVID-19 to spread

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html