Through the FDA’s Emergency Use Authorizations, the first COVID-19 vaccines have been authorized for use in the United States. COVID-19 vaccines are allocated to the County of Marin by the State of California. The Marin Public Health will receive some of that vaccine directly and will also facilitate allocation of vaccine to specific healthcare facilities according to the prioritization requirements set by the federal and state government.
This webpage contains information that is intended for medical providers. On this page, you will find information regarding:
- Overview of Distribution Plan
- Enrolling to provide vaccine to staff and patients
- Safety Monitoring Systems
- Staying in Contact with MHP
On December 22, Marin Public Health issued a Public Health Advisory regarding the distribution of the COVID-19 vaccine. Marin County Public Health is distributing limited weekly allocations of vaccine to priority groups as recommended by the Advisory Committee on Immunization Practices (ACIP) and California Department of Public Health (CDPH).
We are currently in Phase 1a of allocation, which prioritizes persons at highest risk of exposure to SARS-CoV-2 in direct health care in inpatient or long-term care settings. Due to limited vaccine supply, Marin County Public Health is sub-prioritizing by tiers and is currently vaccinating Tier 1. The supply of vaccine will determine the timing of moving through tiers. We anticipate moving through Tier 3 before the end of January, supplies allowing.
The tiers within Phase 1a are described below:
Tier 1 - Currently Underway
- Acute care hospital staff
- Staff at skilled nursing facilities, residential care facilities for older or medically vulnerable individuals
- Paramedics, EMTs and others providing emergency medical services
Tier 2 - Currently Underway
- Intermediate care facilities with non-continuous nursing and supportive care
- Home health care and in-home supportive services
- Community health workers
- Primary care clinics, correctional facility clinics, and urgent care clinics
Tier 3 - Currently Underway
- Specialty clinics
- Laboratory workers
- Dental / oral health clinics
- Pharmacy staff not working in settings at higher tiers
- Facilities and agencies falling into Tier 1 have been engaged and are currently implementing vaccine distribution plans.
- For healthcare providers not affiliated with facilities in Tier 1, no action is required at this time to secure a space in the prioritization order.
- Plans are underway to communicate with and distribute the vaccine to those providing care in Tier 2 and Tier 3 settings, including outpatient clinics.
- Medical practices in Tier 2 and Tier 3 that are seeking to administer the vaccine to their staff, and eventually their patients, will be required to enroll in the COVIDReadi/CalVax system as a COVID Vaccination Facility
View our current Distribution Model on our COVID-19 Vaccine Distribution webpage.
Interested in providing COVID-19 vaccine to staff and patients?
- CDPH is in the process of developing resources to help providers plan for COVID-19 vaccination: View preliminary resources.
- Healthcare providers who are credentialed/licensed in Marin County can begin preparing now to provide COVID-19 vaccines to their staff and patients in the upcoming phases.
- Healthcare providers who would like to receive a direct allocation of vaccine are required to be enrolled in the California COVID-19 Vaccination Program known as COVIDReadi. This includes the ability to receive and store the minimum shipment set by the product distributor and meet the reporting requirements for vaccine administration and inventory.
- To understand the full requirements please review the quick start guide of the information needed for online enrollment can be found here.
- Note that enrollment must be done online when then COVIDReadi website goes live in early 2021, not through the PDF form.
- Enrolling in COVIDReadi does not guarantee your facility will be allocated vaccine.
- Questions about enrollment? Providers can email email@example.com or call (833) 502-1245. Call center hours are, Monday through Friday from 9 am to 5 pm. In addition, licensed/credentialed Marin County providers are encouraged to stay in touch with Marin Public Health for updates.
Existing Safety Monitoring Systems for COVID-19 Vaccine
Vaccine Adverse Event Reporting System (VAERS)
Reporting of Suspected Vaccine Reactions or Errors Vaccine Adverse Event Reporting System (VAERS) collects information about reactions and possible side effects that occur after vaccine is administered. Providers and patients receiving vaccination can report vaccinations to the VAERS system
A new smartphone-based, after-vaccination health checker for people who receive COVID-19 vaccines. V-SAFE will use text messaging and web surveys from CDC to check in with vaccine recipients for health problems following COVID-19 vaccination. The system also will provide telephone follow up to anyone who reports medically significant (important) adverse events.
Vaccine Safety Datalink
The Vaccine Safety Datalink (VSD) is a collaboration between CDC's Immunization Safety Office and nine healthcare organizations. This active surveillance system monitors electronic health data on vaccination and medical illnesses diagnosed in various healthcare settings and conducts vaccine safety studies based on questions or concerns raised from medical literature and findings from VAERS monitoring.
Clinical Immunization Safety Assessment Project
If you are a healthcare provider with a vaccine safety question about a specific patient residing in the US, you can contact the CDC's Clinical Immunization Safety Assessment (CISA) Project at CISAeval@cdc.gov to request a case evaluation. This service is provided free of charge. Click here for more information.
CISA is a national network of vaccine safety experts from CDC's Immunization Safety Office and seven medical research centers. This project conducts clinical research, assesses complex events following vaccination, and provides consultations to U.S. healthcare providers and public health partners.
Healthcare providers or health departments in the United States can request a consultation from CISA for a complex COVID-19 vaccine safety question that is:
- about an individual patient residing in the United States or vaccine safety issue and
- not readily addressed by Centers for Disease Control and Prevention (CDC) or Advisory Committee on Immunization Practices (ACIP) guidelines.
CISA consultations can be requested by calling CDC-INFO at 800-CDC-INFO (800-232-4636) or using the CDC-INFO webform. Please indicate that the request is for a CISA evaluation. The request will be forwarded to the CISA Project clinicians for review.