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* Last Name

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* First Name

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* Date of Birth

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* Contact Information

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* Has it been or will soon be 8 months since your second dose of the Covid-19 Vaccine?

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* Which Covid-19 Vaccine did you receive?

It is likely that people who received a J&J COVID-19 vaccine will need a booster dose. Because the J&J vaccine wasn’t given in the United States until 70 days after the first mRNA vaccine doses (Pfizer-BioNTech and Moderna), the data needed to make this decision is not available yet. The CDC will keep the public informed with a timely plan for J&J/Janssen booster shots. 

Completing this survey does not mean you will be immediately scheduled for an appointment. Rather, we are preparing for future vaccine clinic needs.

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