When you contact the Erie County Health Department or Firelands Regional Health System for the COVID-19 vaccine, your appointment date and time is reserved for you!

To schedule at ECHD, call 567-867-5174

For more information on scheduling at Firelands Regional Health System, visit or call 419-557-6555

Do you need an additional COVID-19 vaccine dose?

The Centers for Disease Control and Prevention (CDC) recommends an additional dose of messenger RNA (mRNA) COVID-19 vaccine for certain people who have weakened immune systems caused by medical conditions or therapies. This additional dose is meant to strengthen immune response in recipients who may have had insufficient response to the initial two-dose regimen.


The additional dose recommendation applies to people with moderate to severe immunosuppression who are at heightened risk for serious outcomes from COVID-19. It is estimated that less than 3% of the U.S. population falls into this category. The chart below may be used to determine if you should receive an additional Covid vaccine dose.


One additional dose is recommended for eligible recipients who have already received two doses of the Moderna or Pfizer mRNA COVID-19 vaccine. It is recommended that the additional dose be given at least four weeks (28 days) after the recipient’s last (second) dose of vaccine.


Due to insufficient data, the recommendation for an additional dose does not apply to recipients of the single-dose viral vector Johnson & Johnson COVID-19 vaccine. The CDC and the U.S. Food and Drug Administration are working to provide guidance on this issue.


Conditions and treatments that may cause moderate to severe immune compromise include, but are not limited to:

  • Active treatment for a solid-tumor cancer or a blood, bone marrow, or lymph cancer

  • Receipt of a solid organ transplant and use of related immunosuppressive drugs

  • Receipt within the past two years of a CAR-T-cell transplant or taking related immunosuppressive drugs

  • Receipt within the past two years of a hematopoietic stem cell (bone marrow) transplant or taking related immunosuppressive drugs

  • Moderate or severe primary immunodeficiency

  • Advanced or untreated HIV

  • Active treatment with any of the following:

    • High-dose corticosteroids

    • Alkylating agents

    • Antimetabolites

    • Transplant-related immunosuppressive drugs

    • Chemotherapy treatments classified as severely immunosuppressive

    • Tumor necrosis factor (TNF) blockers

    • A biologic agent that is immunosuppressive or immunomodulatory


If you are unsure whether you should receive an additional dose, contact your doctor for guidance. 


People who are immunocompromised are more likely to get severely ill from COVID-19 and are at higher risk for prolonged infection and shedding of the virus that causes COVID-19. They also are more likely to transmit the virus to household contacts. Immunocompromised people, including those who receive an additional, third mRNA vaccine dose, may have reduced immune response to vaccine and should continue to follow prevention measures; wear a mask, practice social distancing of at least 6 feet, and avoid gathering in crowds. Close contacts of immunocompromised people are strongly encouraged to get vaccinated against COVID-19.


Erie County COVID-19 Vaccine Scheduling

Erie County Community Health Center: To schedule an appointment at the Erie County Health Department and Community Health Center, please call 567-867-5174

Firelands Regional Health System: For more information on scheduling at Firelands Regional Health System, visit or call 419-557-6555

Use the tool below to search for additional vaccine providers in Erie County. 


Need transportation to your COVID-19 Vaccine Appointment? 

Sandusky Transit is offering free rides to vaccination locations throughout Erie County. You can plan your trip at by entering the address of the vaccine administration location in our Trip Planner tool. Sandusky Transit also offers door-to-door service if you do not live by a bus line. Call 419-627-0740 at least 48 hours in advance of your appointment to schedule a trip on Dial-A-Ride.

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