COVID-19 Vaccine
 

COVID-19 Vaccine Eligibility Criteria





Eligibility Criteria

Third Doses


Updated - October 27, 2021

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

  • Residents of congregate elderly persons housing;
  • First Nations people living on reserve;
  • individuals who have only received a viral vector vaccine;
  • health care personnel who have direct contact with patients, residents or clients;
  • people who are moderately to severely immunocompromised due to a medical condition and/or treatment;
  • individuals who have received one or two doses of a vaccine that is not approved by Health Canada.
  • residents of all personal care homes; and
  • residents and staff of First Nation personal care homes.

People who are travelling who have specific vaccination requirements as per their destination, will need to visit a licensed physician to talk about the risks and benefits of vaccination.


Timing of the third dose

 

At least 28 days after the last dose of COVID-19 vaccine

6 months after the last dose of COVID-19 vaccine

First Nations people living on reserve

 

X

Individuals who have only received AstraZeneca or Janssen

 

X

Health care personnel

 

X

People who are moderately to severely immunocompromised

X

 

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

X

 

Residents of personal care homes

 

X

Residents and staff of First Nation personal care homes

 

X


Recommended vaccines for third dose

Choose an mRNA vaccine (Pfizer or Moderna) for all third doses. Generally, the third dose should be with the same mRNA vaccine as the previous dose (i.e., if you received Pfizer for your second dose, you should receive Pfizer for your third dose). If the same mRNA vaccine is not available or the second dose vaccine is unknown, another mRNA vaccine will be offered.

If you are immunocompromised, you should talk to your doctor about which mRNA vaccine (Pfizer or Moderna) is right for you. Your doctor can advise you based on the emerging evidence and taking into consideration your immunization and medical history as well as personal circumstances.

Individuals who received only viral vector vaccines (AstraZeneca or Janssen) should get either Pfizer OR Moderna for their additional dose.


How to access a third dose

 

All COVID-19 vaccine clinics

Medical Clinics

Community Pharmacies

For people who are moderately to severely immunocompromised

For examples, see page 28 of the 
Clinical Guidance

X
requires a prescription from a licensed physician

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

X
prescription not required but recommended

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

X
requires a prescription from a licensed physician

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

Health care personnel

X
at least 6 months after last dose

X
at least 6 months after last dose

X
at least 6 months after last dose

For people with two doses of Astra Zeneca or one dose of Janssen

X
at least 6 months after last dose

X
at least 6 months after last dose

X
at least 6 months after last dose




First and Second Doses

Anyone born on or before December 31, 2009 is eligible to be vaccinated. Anyone under 18 years of age should receive the Pfizer vaccine.

Second doses should be provided at least 28 days after the first.

For more information about where to get your vaccine, visit the Vaccine Shot Finder.




More information on immunocompromised people and third doses



For the purpose of receiving a third dose, people who are moderately to severely immunocompromised due to a medical condition and/or treatment include those who:

  • 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.   




Medical Exemptions


Updated - October 12, 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 are a very small number of people who can’t or shouldn’t be immunized. If you feel 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 medical specialist (physician) can request a medical exemption from the province, based on your medical history.

Exemptions can only be made by specialists who are:

  • registered with the College of Physicians and Surgeons of Manitoba; and,
  • certified by and in good standing with the Royal College of Physicians and Surgeons of Canada in the relevant specialty.

Individuals cannot submit their own requests for exemption.

Once an exemption is submitted, information about the exemption will be entered into the provincial immunization database, including whether the exemption is permanent or temporary.   

You will be able to request your digital or physical Manitoba immunization card approximately seven to 14 business days after your exemption is submitted. The card and the display shown after scanning the QR code will be identical to those currently used by fully immunized people. This will help protect your private health information, while also keeping a simple, consistent process for venues and events that must validate immunization status. 

For more information, visit: Province of Manitoba | For Residents.

Criteria:
Manitoba has developed 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.

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.