Community Pharmacy of Randolph

MODERNA COVID-19 VACCINE SIGN UP - RANDOLPH

Please review the available slots below and select your first dose.

You must be 18 or older to sign up for this vaccine.

PLEASE NOTE MODERNA IS A 2 SHOT SERIES - second doses are due 4 weeks after the first.

IF you are immune compromized you may be eligible for a third dose. Please call the pharmacy to verify.

At your appointment we will need to see your ID and current insurance.  If you are not insured we will need to collect your Driver's License number OR SSN.

You will also need your CDC card if this is your second or third dose.

THERE IS NO COST TO YOU FOR THE VACCINE.

Vaccines will be administered at the Community Pharmacy of Randolph located at 268 Water Street within Goggin's IGA, Randolph, Maine.  

Please arrive at your scheduled time and not early in order to prevent over crowding in the Pharmacy.  

Plan on staying for 15 to 30 minutes after your vaccine for observation so we can make sure you do not have a reaction.

Email [email protected] for any questions or concerns.  Thanks!

 

Vaccine Information Sheet is available via the link below:

https://www.modernatx.com/covid19vaccine-eua/eua-fact-sheet-recipients.pdf

Moderna’s Information Sheet as well as our Consent Form is located below.  If you are able, please print and fill out consent form and bring to your appointment.

 

Related files:

Created by:   Community Pharmacies
 
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