COVID-19 Vaccine
 

COVID-19 Vaccine Eligibility Criteria

Last updated September 22, 2021




Eligibility Criteria


Last updated: September 15, 2021

Anyone born on or before December 31, 2009 is eligible to receive the Pfizer vaccine. Anyone 18 years or older is eligible to receive the Pfizer or Moderna vaccine. Second doses should be provided at least 28 days after the first.


NEW - September 20, 2021

Third doses of an mRNA vaccine will be available to:

  • people who are moderately to severely immunocompromised due to a medical condition and/or treatment;
  • individuals who wish to receive a third dose for travel purposes; and
  • individuals who have received one or two doses of a vaccine that is not approved by Health Canada.
  • residents and staff of First Nation personal care homes

Third doses will become available in October for residents of all personal care homes.





Third Doses


NEW - September 20, 2021

Third doses are recommended only for very specific circumstances in Manitoba at this time, and are not recommended as boosters for the general population.

Third doses are available for:

  • people who are moderately to severely immunocompromised due to a medical condition and/or treatment;
  • individuals who require to receive a third dose for travel purposes; and
  • individuals who have received one or two doses of a vaccine that is not approved by Health Canada; and
  • residents and staff of First Nation personal care homes
  • are receiving active chemotherapy (or immunotherapy) for cancer;
  • have received a solid organ transplant and are currently receiving chemotherapy or other immunosuppressive therapy;
  • were born with moderate or severe dysfunction of their immune system;
  • are living with untreated or advanced HIV-AIDS; or
  • are taking certain medications that severely affect the immune system.  

The following people should talk to their doctor about the risks and benefits of an additional dose:

  • receiving hemodialysis or peritoneal dialysis;
  • on the list to receive a solid organ transplant; or
  • have a ventricular assist device.   

People who are immunocompromised can be immunized by their health care provider.

Individuals who would like to receive a third dose for travel purposes must be vaccinated by their health care provider and go through an informed consent process or present a prescription to a pharmacist.

Individuals who wish to receive a third dose for travel purposes should have specific travel plans to a country that requires people to be fully immunized with two doses of the same vaccine. Individuals who have already received two doses of the same mRNA vaccine should not request a third dose for travel purposes.

Additional doses for people who have previously been vaccinated with vaccines not approved by Health Canada can be administered at supersites, pop-ups or mobile clinics, or by a health care provider.

How to access a third dose

 

Supersites, pop-up clinics, mobile clinics

Medical Clinics

Community Pharmacies

For people who are moderately to severely immunocompromised

For examples, see page 28 of the Clinical Guidance

 

x
Note: If your physician is not administering the vaccine, request documentation to share with another physician or pharmacist.

x

For people who are travelling who have specific travel requirements, as per their destination

 

x

x
requires a prescription from a licensed physician

For people who have received one or two doses of a vaccine that is not approved by Health Canada

x

x

x


Note: The third dose should be an mRNA vaccine (unless contraindicated) administered 28 days after the last dose of any COVID-19 vaccine. The decision on whether Pfizer or Moderna should be provided should be made by the provider and informed by the person’s medical and immunization history.




Medical Exemptions


Updated - September 22, 2021

For the vast majority of people, the COVID-19 vaccine is a safe and effective way to protect themselves and others against the virus.

However, there is a very small number of people who can’t or shouldn’t be immunized. If you feel that you may qualify for a medical exemption based on the criteria listed below, the first step is to schedule an appointment with your own health care provider and/or your specialist. 

They will review the exemption criteria with you to determine if you may qualify. Only a specialist physician can request a medical exemption from the province, based on your medical history. Individuals cannot submit their own requests for exemption.

The process for health care providers to make referrals for exemptions is expected to be in place in the coming week.

The province is also developing a way to ensure individuals with a valid medical exemption are able to access the same benefits as those with an immunization card. This work is expected to be completed in the coming weeks.

Criteria:

Manitoba is developing a medical exemption process for people in one of three situations, who: 

  • had a severe reaction after the first dose of a COVID-19 vaccine (e.g. myocarditis, Guillain-Barré syndrome);
  • are receiving treatment that affects their ability to mount an immune response, meaning vaccination must be timed carefully with their treatment schedule (e.g. receiving immunocompromising treatment after a transplant, certain types of cancer treatments); or
  • had a severe allergy or anaphylactic reaction to a previous dose of a COVID-19 vaccine or its components that cannot be managed by the Health Sciences Centre Allergy Clinic.

More detailed information about these medical situations.




Consent Forms


You will need to fill out and print a consent form for your vaccine. This will ensure any changes in your health status can be reviewed before your second dose; providers will have the most up-to-date information in case you are getting a different vaccine health; andprofessionals can review if you had an allergic reactions to a previous dose of the vaccine.

Filling out the form in advance will also make it faster for you to get your vaccine. Click here to fill out and print the consent forms.




More Information


AstraZeneca/COVISHIELD
If your first dose was AstraZeneca, it’s recommended that you book an mRNA (Pfizer or Moderna) vaccine for your next dose. If you cannot receive an mRNA for any reason, you may book an AstraZeneca shot at one of the medical clinics or pharmacies serving as a regional hub instead.  Find the one nearest you here: ProtectMB.ca

Dose Intervals
The minimum time between doses should be 28 days. While not required, it is recommended to wait at least 8 weeks after receiving a 1st dose of AstraZeneca/COVIDSHIELD before receiving a 2nd dose of any vaccine.

Immunization Records
To get your second or third shot, you will need to know when you received your first dose of COVID-19 vaccine and the type of vaccine you received - Pfizer, Moderna or AstraZeneca/COVISHIELD. If you do not recall this information and you have a Manitoba Health card, go to: sharedhealthmb.ca/covid19/test-results/ to access this information.  If your immunization record is incomplete or incorrect, or you received a first dose outside of Manitoba, fill in this e-form to submit your information.

NEW - September 15, 2021: Individuals who receive a dose of an mRNA vaccine following one or two doses of a vaccine not approved by Health Canada, but approved by the World Health Organization, will be considered fully immunized. Individuals can have their immunization record updated to include vaccines not approved by Health Canada at https://manitoba.ca/covid19/vaccine/immunizationrecord/residents.html#immunization-records.

Transportation Support
If you are a senior or have mobility issues and need help getting to your appointment at a clinic or pharmacy, call 211 for available transportation options in your area.

Vaccine Finder Map
Check this interactive map for the most convenient location for you to get your vaccine.  Walk-ins are available at many locations, and you can also book your appointment online or by calling 1-844-MAN-VACC (1-844-626-8222).




More detailed information on Medical Exemptions

The province outlined three medical situations where a person may be eligible for a medical exemption to vaccination. Below is a more detailed list of health conditions or situations that fit within those broader categories, and it has been shared with health care professionals to help guide their patient assessments:

  • diagnosed with myocarditis or pericarditis within seven days of an mRNA COVID-19 vaccine, confirmed by a licensed cardiologist;
  • diagnosed with Guillain-Barré syndrome within 42 days of COVID-19 vaccination, confirmed by a licensed neurologist;
  • experienced a serious adverse event following immunization after a dose of COVID-19 vaccine where a licensed provincial medical officer of health has recommended against further vaccination, confirmed by a licensed provincial medical officer of health;
  • acute diagnosis of vaccine-induced immune thrombotic thrombocytopenia confirmed by a CancerCare Manitoba (CCMB) hematologist, where another viral vector COVID-19 vaccine should not be provided but an mRNA COVID-19 vaccine may be feasible, approved by a CCMB hematologist;
  • CAR-T therapy for cancer within the last three months, confirmed by a CCMB hematologist or oncologist;
  • stem cell transplant within the last three months, confirmed by a CCMB hematologist  or oncologist;
  • solid organ transplant recipients, including those who within two weeks of transplant or one month post-transplant, confirmed by the licensed specialist supervising the transplant;
  • actively receiving anti-cancer drug therapy, which may mean there is a benefit to deferring vaccination to a later date, though this should be weighed against the risks of the person being infected by COVID-19, as directed by a CCMB oncologist or hematologist;
  • taking one or more of the following medications within the last six months: alemtuzumab, anti-thymocyte globulin (ATG)/thymoglobulin, basiliximab, blinatumomab, obinatuzuamb, ocrelizumab, ofatumumab, cyclophosphamide or rituximab which may mean there is a benefit to deferring vaccination to a later date, though this should be weighed against the risks of the person being infected by COVID-19, as directed by a CCMB oncologist or hematologist; or
  • severe allergy or anaphylactic reaction to a previous dose of a COVID-19 vaccine or any of its components that cannot be mitigated, confirmed by a licensed allergist at the Health Sciences Centre Allergy Clinic.