COVID-19 Vaccine Phases
The County of San Diego is following federal and state guidelines for priority groups. The County is also working with the community to make sure the vaccine is distributed equitably. The County's COVID-19 Vaccine Clinical Advisory Group will provide additional regional guidance based on federal and state guidance.
Distribution of COVID-19 vaccine will be done in phases. These phases are broadly determined by the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) based on their work and taking into account phases per the National Academies of Sciences. The ACIP advises the CDC on vaccine recommendations.
Since the phases are broad and vaccines allocations are limited, more detailed Tiers are determined by California's Drafting Guidelines Workgroup, which are then shared with the State's Community Vaccine Advisory Committee. This State committee has representation from over 70 organizations and meetings are livestreamed for anyone to watch.
For more information about how the phases are being implemented in
California, click here.
- CA Department of Consumer Affairs - Notice Regarding COVID-19 Vaccine Administration
- Additional Clarification on CDPH Phase 1A Settings and Healthcare Workers
Who Can Get Vaccinated NOW
As of 02/27/21, the County of San Diego is only
vaccinating people who live or work in San Diego County AND
are in Phase 1A or Phase 1B (includes persons age 65 and older).
Phase 1A-Tier 1 Vaccinating NOW*
- Staff working in acute care, psychiatric, and correctional facility hospitals+
- Staff working in skilled nursing
facilities, assisted living facilities, and similar settings
- Also includes residents in these long-term care settings
- Paramedics, EMTs, and other staff providing emergency medical services
- Staff working in dialysis centers
- Staff working in behavioral health
- Also includes residents in these behavioral health residential facilities
Phase 1A-Tier 2 Vaccinating NOW*
- Staff providing intermediate care, for persons who need non-continuous nursing supervision, and supportive care
- Staff providing in home health-care and in-home supportive services
- Community health workers, including promotores
- Public Health field staff
- Staff working in primary care clinics
- Staff working in Federally Qualified Health Centers
- Staff working in Rural Health Centers
- Staff working in correctional facility clinics
- Staff working in urgent care clinics
- Staff working in behavioral health
non-residential or outpatient facilities
- Also includes residents in these behavioral health non-residential or outpatient facilities
Phase 1B Vaccinating NOW*
- Persons 16-64 years old with one or more of the following
- Cancer, current with debilitated or immunocompromised state
- Chronic kidney disease, stage 4 or above
- Chronic pulmonary disease, oxygen dependent
- Down syndrome
- Immunocompromised state (weakened immune system) from solid organ transplant
- Sickle cell disease
- Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension)
- Severe obesity (Body Mass Index ≥ 40 kg/m2)
- Type 2 diabetes mellitus with hemoglobin A1c level greater than 7.5%
- If as a result of a developmental or other severe high-risk
disability one or more of the following applies:
- The individual is likely to develop severe life-threatening illness or death from COVID-19 infection
- Acquiring COVID-19 will limit the individual’s ability to receive ongoing care or services vital to their well-being and survival
- Providing adequate and timely COVID-19 care will be particularly challenging as a result of the individual’s disability
- General population over 16 years of age
*Based upon phases determined by Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) and tiers approved by CDPH. Subject to change pending vaccine supply and local recommendations.
+No correctional facility hospitals exist within San Diego County.
++Laboratory workers must either work in a CLIA licensed laboratory or be conducting research with SARS-CoV-2.