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COVID-19 Status Update for 01/26/2021

Marin County COVID-19 Status Update for January 26 includes a COVID-19 update to the board of supervisors; four upcoming webinars to help increase vaccine education; and updated COVID-19 data

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COVID-19 Vaccine Distribution



On this page, you will find:

Current Status:

UPDATED 1/21/21:  Marin Public Health and local health care partners are prioritizing people age 75 & older as the next group for vaccination as part of Phase 1B.  There is a growing list of vaccine providers in Marin County and as supply allows, those providers will begin offering vaccines to Marin residents 75 & older (in addition to vaccinating remaining Phase 1A-eligible health care workers and residents of long-term care facilities).

Marin County Public Health has created a vaccine "interest form" for all Marin residents.  If you live in Marin County and are interested in receiving the COVID-19 vaccine, you can sign-up to be notified when you’re eligible, based on the State vaccine priority list.


Where and how will I be vaccinated?

Where and how you will be vaccinated will depend on your place within the vaccine distribution framework and the available supply at the time you become eligible. Currently, vaccines are offered at community vaccine sties.  Later in 2021, when vaccines are more widely available, Marin residents will be able to be vaccinated at doctors offices, clinics and pharmacies.

Remember, vaccine production is slowly increasing in the United States and Marin County is provided with only small amounts of vaccine each week. There may be vaccine shortages for several months before everyone who wants a vaccine can get one.


When is MY turn to get vaccinated?

The general public should have access to the vaccine by Spring 2021, but others may prioritized to receive the vaccine earlier.  There are four factors that the California Department of Public Health considers when prioritizing groups for vaccination:

  • Age
  • Medical History
  • Home Environment
  • Occupation

Additional considerations are given to individuals who:

  • Have higher risk for severe disease or death (due to age or other factors)
  • Are unable to work at home
  • Live or work in geographic areas that have been highly impacted
  • Are most likely to spread disease to other workers or to the public

Below, please review the current distribution model to see if you fit within any priority groups.  If you do not see your occupation listed, you default to the Phase/Tier that represents your age and health history.  Remember, vaccine production is slowly increasing in the United States. There may be vaccine shortages for several months before everyone who wants a vaccine can get one. Sign-up for our interest form and be notified of when you're eligible to receive the vaccine.


Distribution Model

Vaccine production is slowly increasing in the United States. There may be vaccine shortages for several months before everyone who wants a vaccine can get one.  During this time of limited vaccine supply, Marin Public Health will distribute the vaccine in phases to ensure those most at risk of exposure to COVID-19 or at highest risk of complications due to COVID-19 are vaccinated first. Marin County is also prioritizing vulnerable populations and communities that had high COVID-19 illness.

The chart below models the order in which people will become eligible to get vaccinated based on criteria developed by the Centers for Disease Control & Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) and the California Department of Public Health (CDPH). This is a "working model" that is subject to change from day-to-day based on additional recommendations and definitions from CDC and CDPH. Timelines are tentative and are determined based on vaccine supply allocations from CDPH. 


  • Green circles show groups that have been, or are being, offered vaccine
  • Red squares show groups that are waiting to be offered vaccine
Phase 1A (Mid-December through late January*)


Tier 1 - Vaccinating now

  • Health care personnel at Acute Care Facilities (e.g., Hospitals)
  • Paramedics, EMTs and others providing emergency medical services
  • Skilled Nursing Facilities
  • Memory Care - Residential Care Facilities for the Elderly
  • Residential Care Facilities for Elderly
  • Dialysis Centers
  • Adult Resident Facilities
  • Social Rehabilitation Facilities
  • Enhanced Behavioral Support Homes for Adults
  • Hospice Personnel
  • Residential Care Facilities for Chronically Ill

Tier 2 - Vaccinating now

  • Intermediate care facilities, for persons who need non-continuous nursing supervision and supportive care
  • Federally Qualified Health Centers
  • Home health care and in-home supportive services (IHSS)
  • Community health workers, including promotoras (including those involved with testing or supportive services to persons with suspected or confirmed COVID-19)
  • Urgent Care Clinics
  • Primary Care Clinics (Private Practice)
  • Correctional facility clinics
  • Public Health field staff who have face to face contact with patients/public (e.g. during testing, contact tracing, outbreak investigations)

Tier 3 - Vaccinating now

  • Specialty clinics
  • Dental / Oral health clinics
  • Pharmacy staff not working in settings in higher tiers
  • Laboratory workers
  • Veterinarians
  • Mental Health Providers
  • Chiropractors
  • COVID-19 Testing
  • Occupational Health
  • Optometry Clinics
  • Physical Therapists/Occupational Therapists (if not working in settings at higher tiers)
  • School and University Health Centers
  • Speech Therapists
  • Surgery Centers

Vaccination options for healthcare workers in Phase 1A (all tiers):

  • Healthcare workers who work for hospitals in Marin County are being vaccinated by their employers.
  • Healthcare workers and residents of skilled nursing facilities (SNFs) are being vaccinated onsite by the facility staff, Marin Public Health or by staff from CVS thorough a federal pharmacy program. 
  • Healthcare workers and residents of other long-term care facilities with congregate living, such as assisted living, will be vaccinated onsite by staff from CVS thorough a federal pharmacy program, OR at a special vaccination site.
  • Public Health is vaccinating other healthcare workers in at special vaccination sites.


Phase 1B (Starting late January*)

Tier 1

  • Older Adults:
    • People 75 & over
    • People 65 to 74
  • Those at risk of exposure at work in the following sectors:
    • Education
    • Childcare
    • Food and Agriculture workers
    • Emergency Services

Tier 2

  • Those at risk of exposure at work in the following sectors:
    • Transportation and Logistics
    • Industrial, commercial, residential and sheltering facilities and services
    • Critical manufacturing
  • Congregate settings with outbreak risk:
    • Incarcerated (jails and prisons)
    • Individuals experiencing homelessness

Vaccination options for Phase 1B eligible groups:

Phase 1C (Starting late February or early March*)

Tier 1

  • Individuals 50 - 64 years of age
  • Individuals 16 - 49 years of age with an underlying health condition or disability which increases their risk of severe COVID-19 illness and/or death
  • Those at risk of exposure at work in the following sectors:
    - Water and Waste Management
    - Defense
    - Energy
    - Chemical and hazardous materials
    - Communication and IT
    - Financial services
    - Government operations / Community-based essential functions
Phase 2** (Late Spring 2021*)
  • People with health conditions that put them at moderately higher risk (examples to be defined soon)
  • Any remaining Phase 1A, 1B, or 1C populations
Phase 3** (Summer 2021*)
  • Younger adults and children (general population)
  • Any remaining Phase 1 or 2 populations

Phases 1A, 1B, and 1C are determined by CDC Advisory Committee on Immunization Practices (ACIP) and approved by California Department of Public Health (Sources: CDPH's Drafting Guidelines WorkgroupPhase 1A guidelines; Phases 1B & 1C guidelines).
* Phase timelines are estimates as of January 14, 2021 and are subject to change based on vaccine supply.
** Phases 2 and 3 are subject to change.


Vaccine Pace Across California

The California Department of Public Health has convened a Drafting Guidelines Workgroup which is leveraging national prioritization frameworks and reviewing data regarding occupational exposure and COVID-19 risk to prioritize sectors across phases and tiered population groups. All California counties will follow these guidelines in administering vaccine.  However, given the number of people falling into the various tiers in a specific county, the uptake of those in the priority group in getting vaccinated, and the logistics and timeline for use of the vaccine so that no doses go to waste, counties may be in different tiers in administering vaccine to their population.


Federal, State and Local Roles

Federal agencies will decide:

  • Which vaccines are approved for use in United States (FDA)
  • How much vaccine will be allocated to each state (CDC)
  • Overall framework for who gets vaccine at each phase of the rollout (CDC)
  • Ongoing research, monitoring, and oversight (NIH, FDA, CDC)

California Department of Public Health (CDPH) will decide:

  • Which vaccine(s) will be used in CA
  • How much vaccine will be allocated to each local health jurisdiction/county
  • State-specific framework for who will get vaccine when (per federal guidelines)
  • Which data systems will be used across the state to monitor vaccine distribution and uptake
  • Ongoing data collection, monitoring and oversight

Marin Public Health will:

  • Coordinate local infrastructure for vaccine storage, distribution, & administration
  • Promote efficient, transparent and equitable distribution across local communities
  • Conduct ongoing data reporting and monitoring


What should I do while I wait to be vaccinated?

    1. Follow the prevention guidelines you’ve heard about since the pandemic started. You should cover your mouth and nose with a face covering whenever you are around others. Avoid close contact with other people outside your household, especially if they could be sick. Practice physical distancing and wash your hands often. And note: you still have to follow these steps after you get both doses of vaccine.
    2. Connect with us. Sign up for Marin Public Health's COVID-19 Status Update Newsletter and/or get more information by visiting the COVID-19 vaccine website.

This webpage will be updated frequently with information pertaining to vaccination priority areas as resources become available to allow for expansion of categorical groups.