Last week, the U.S. Food and Drug Administration (FDA) and Centers for Disease Control (CDC) amended the emergency use authorizations (EUAs) for both Pfizer and Moderna mRNA COVID-19 vaccines to allow for the use of an additional dose in patients with moderately to severely compromised immune systems. Currently, Denver Health is focusing efforts on this population.

Starting today Thursday, August 19th, 2021:

  • Patients with already existing appointments who we know to be or who identify as an immunocompromised and who had 2 doses of mRNA vaccine may receive a 3rd dose at their appointment if their second dose was >28 days ago.

    • Individuals are to receive the same mRNA vaccine as their first shots, but may receive the alternate if supplies are not available.

    • To give 3rd doses for the next week, you will need to manually order the appropriate vaccine – IMM204 (Dose 2 Moderna) or IMM205 (Dose 2 Pfizer), the person administering the vaccine will have to override warnings that the patient has already completed the series.

    • Patients will not see their administered third dose in Epic MyChart or on their AVS until after August 25th.

  • At this time, our urgent care centers currently only offer J&J, which is not part of the booster recommendations for immunocompromised patients

Starting mid-next week (August 26th, 2021 -anticipated date): patients can schedule a third dose via MyChart or the Appointment Center if they self-identify as immunocompromised, or are in our system as having a condition that falls under the CDC guidance of immunocompromised.

  • Denver Health is working with their electronic medical record vendor to allow for patients to schedule clinic appointments specifically for vaccination. We anticipate this to be available mid-next week.

  • We will be outreaching all of our patients that we can identify as falling in the moderate to severe immunocompromised categories, and who have received 2 doses of mRNA vaccines to invite them to schedule a 3rd dose.

Denver Health is also closely monitoring the potential approval from the FDA for booster shots for all Americans 8 months after they received full vaccination. As we await the announcement we want to notify staff that we intend to use or current open scheduling model through our ACS clinics to provide third doses to individuals.

Please continue to look out for communication updates on these important matters.

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