Ontario public health measures to respond to the Omicron variant
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Middlesex-London Health Unit

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COVID-19 Vaccine

Safe and effective vaccines will help protect us against COVID-19 and are a vital tool in our response to this pandemic. Please continue to follow public health guidance.


 

Children, Youth, and the COVID-19 Vaccine

Learn more →

Who is eligible for a booster dose / third dose of COVID-19 vaccine?

See the criteria →


Prioritizing the supply of adult Pfizer vaccine for those between the ages of 12 and 29

Starting Thursday, December 23, and due to the limited supply of the Pfizer-BioNTech Comirnaty® vaccine in Ontario, the Health Unit will be providing the Moderna Spikevax™ to clients over the age of 30. The Health Unit’s supply of adult Pfizer vaccine is being prioritized for those between the ages of 12 and 29. Learn more →

Where to Get Vaccinated

Mass Vaccination Clinics
Book an appointment online at www.covidvaccinelm.ca.

Book your appointment →

Pharmacies
To make an appointment, please contact the pharmacy directly.

Pharmacy locations →

Pop-Up COVID-19 Vaccination Clinics
The Middlesex-London Paramedic Service (MLPS) is operating a mobile COVID-19 booster clinic throughout Middlesex County in January.

See the schedule →

Children’s Hospital COVID-19 Vaccination Clinic
Clinic offers services for youth with needle anxiety, general anxiety that may require extra support, behavioural needs that may require extra time, and sensory needs that may require low stimulation, limited people and a private room.

Parents, caregivers and other household family members of children born in 2016 or earlier are welcome to be vaccinated at the same time. Please also book an appointment for those people on the same day. They will be seen close together if they arrive at the clinic at the same time.

To book an appointment, visit www.covidvaccinelm.ca, use option 1 ("Book/re-book an appointment"), select "Book a first dose" and select "Continue to book at Children's Hospital".


Proof of COVID-19 Vaccination

Proof of vaccination is now required to access certain businesses and settings such as restaurants, gyms and theatres. When entering these locations, you’ll need to show either a paper or digital copy of your enhanced vaccine receipt with QR code and identification. Individuals can download their enhanced certificate with QR code by visiting covid-19.ontario.ca/get-proof. Ontarians will need to also show a piece of identification with their name and date of birth along with their proof of vaccination. 

Businesses and organizations are required to use the Verify Ontario app in settings where proof of vaccination is required. 

Who is considered fully vaccinated within the Province of Ontario?

In Ontario, an individual is considered fully vaccinated if they have received:

  • The full series of a COVID-19 vaccine authorized by Health Canada
    • Two doses in any combination of AstraZeneca, Pfizer, or Moderna
      OR
    • One dose of Janssen (Johnson & Johnson)
  • One or two doses of a COVID-19 vaccine not authorized by Health Canada, followed by one dose of a COVID-19 mRNA vaccine authorized by Health Canada
  • Three doses of a COVID-19 vaccine not authorized by Health Canada

NOTE: In all cases, to be considered fully vaccinated it must be at least 14 days since the final dose of COVID-19 vaccine.

How to access your Ontario vaccine receipt

To access your enhanced vaccine certificate with QR code, please visit: covid-19.ontario.ca/get-proof.

NOTE: you will need your date of birth, postal code and health card information in order to access your enhanced vaccine certificate with QR code. 

If you don't have a green Ontario Health Card or used another form of identification (e.g. Driver’s License) at the time of vaccination, or if you have questions or concerns about your vaccine receipt, please call 226-289-3560 (9:00 a.m. to 5:00 p.m., Monday to Sunday). 

Alternatively, to have a enhanced vaccine certificate with QR code emailed or mailed to you, call the Provincial Vaccine Contact Centre at 1-833-943-3900.

Verify Ontario App

Businesses and organizations can now download the verification app, called Verify Ontario, to verify enhanced vaccine certificate with QR code. Available for iOS and Android devices. Learn more →

Resources


Pregnancy, Breastfeeding, and the COVID-19 Vaccine

Are you pregnant, planning on getting pregnant, or breastfeeding? It is important that you receive the COVID-19 vaccine. For individuals who are pregnant, it is recommended that you be vaccinated as soon as possible, at any stage of your pregnancy. The COVID-19 vaccine is safe and effective, even while pregnant or breastfeeding. There is also no evidence that the COVID-19 vaccine affects fertility in any way.

For more information, check out the Ministry of Health's Vaccination in Pregnancy & Breastfeeding Patient Decision-Making Tool or speak with your primary care provider.

 

 

COVID-19 Vaccine: Pregnancy, Breastfeeding & Reproductive Health Q&A Video

Watch the recorded video on Instagram

Vaccination in Pregnancy & Breastfeeding Decision-Making Tool

Download the Decision-Making Tool


About the COVID-19 vaccines

Which vaccines have been approved? Health Canada has approved the following COVID-19 vaccines:

National Advisory Committee on Immunization (NACI) 

The National Advisory Committee on Immunization (NACI) occassionally releases statements on COVID-19 vaccines. To read the most recent statements, visit: National Advisory Committee on Immunization (NACI): Statements and publications and expand "COVID-19" from the list of vaccines.


Guide to Vaccination for Youth Aged 12-17

Vaccines are a safe and effective way to protect yourself, your child, and your family from COVID-19. They are an important tool to help stop the spread of COVID-19 and help students and their families safely resume normal activities. This guide will help you and your 12 to 17 year old decide if COVID-19 vaccination is right for them.

Download PDF


How do the COVID-19 vaccines work?

mRNA Vaccine

Both the Pfizer-BioNTech Comirnaty and the Moderna Spikevax COVID-19 vaccines are mRNA vaccines. This means they use mRNA to teach the body’s cells how to make a protein which will cause your body to have an immune response and make antibodies. These antibodies then help fight an infection if the virus, which causes COVID-19, later enters the body. These vaccines do not use a live virus – they cannot give you COVID-19. Learn more →

Viral Vector-Based Vaccines

The Oxford-AstraZeneca and Janssen vaccines are viral vector-based vaccines. This means they use a harmless virus that doesn’t cause COVID-19 to act as a “vector.” When introduced to the body through the vaccine, this vector virus produces a protein that causes your body to have an immune response and make antibodies. These antibodies then help fight an infection if the virus, which causes COVID-19, later enters the body.


How are the COVID-19 vaccines given?

The COVID-19 vaccines are administered by an injection into your upper arm muscle.

Vaccine

Recommended Age Group

Number of Doses

Pfizer-BioNTech Comirnaty 5 years and older
*Note: anyone born in 2016 or earlier is currently eligible in Ontario

2 doses

Moderna Spikevax 12 years and older

2 doses

Oxford-AstraZeneca

On May 11, 2021, the Ontario Government paused administration of the Oxford AstraZeneca vaccine. Learn more →

18 years and older (as per Health Canada)7

30 years and older (as per NACI)9 

2 doses
Janssen 

18 years and older (as per Health Canada) 8

30 years and older (as per NACI) 10

1 dose

 


Are the COVID-19 vaccines effective?

All vaccines approved by Health Canada for use in Ontario are determined to be safe and effective through an independent, scientific, and thorough review of the research. 

For more information, read:


Are the COVID-19 vaccines safe?

All vaccines approved by Health Canada for use in Ontario are determined to be safe and effective through an independent, scientific, and thorough review of the research.

As with most vaccines, common side effects have been reported during their research trials. These side effects are likely to be moderate and resolve after a few days. Learn more →

Vaccine

Very common or common side effects

Uncommon side effects

(may affect up to 1 in 100 people)

Pfizer-BioNTech 3
  • Pain at injection site
  • Redness at injection site
  • Swelling at injection site
  • Tiredness
  • Headache
  • Muscle pain
  • Chills
  • Joint pain
  • Fever
  • Nausea
  • Enlarged lymph nodes
  • Feeling unwell
Moderna 5
  • Pain at injection site
  • Tiredness
  • Headache
  • Muscle ache and stiffness
  • Chills
  • Fever
  • Swelling or redness at the injection site
  • Nausea / Vomiting
  • Enlarged lymph nodes

 

Oxford-AstraZeneca 7

On May 11, 2021, the Government of Ontario paused administration of the Oxford AstraZeneca vaccine. Read more →

  • Tenderness, pain, warmth, redness, itching or swelling at injection site
  • Generally feeling unwell
  • Feeling tired (fatigue)
  • Chills or feeling feverish
  • Fever
  • Headache
  • Feeling sick (nausea)
  • Being sick (vomiting) or diarrhea
  • Joint pain or muscle ache
  • Pain in legs or arms
  • Flu-like symptoms, such as high temperature, sore throat, runny nose, coughs and chills
  • Sleepiness or feeling dizzy
  • Decreased appetite
  • Abdominal pain
  • Enlarged lymph nodes
  • Excessive sweating, itchy skin or rash
Janssen 8
  • Headache
  • Nausea
  • Muscle aches
  • Pain at injection site
  • Feeling very tired (fatigue)
  • Fever
  • Redness at injection site
  • Swelling at injection site
  • Chills
  • Joint pain
  • Rash
  • Muscle weakness
  • Arm or leg pain
  • Feeling weak
  • Feeling generally unwell

Important information: Adverse Reactions

In very rare situations, some people may experience serious symptoms or an adverse reaction. Learn more about the symptoms and when to go to the nearest emergency department or call 9-1-1: COVID-19 Vaccine Information Sheet.

When should I see a health care provider?
There have been a small number of reports of myocarditis and pericarditis (inflammation in different parts of the heart) following immunization with an mRNA vaccine. Most cases developed within one week of vaccination, have been mild and resolved quickly. Seek medical attention right away if you develop any of the following symptoms after vaccination:

  • Chest pain / feeling of pressure or tightness in your chest
  • Shortness of breath
  • Heart palpitations / irregular heartbeat

If you experience myocarditis or pericarditis after your first dose of an mRNA vaccine, speak with your health care provider or local public health unit for the most up-to-date recommendations regarding your second dose.

Update on the Oxford-AstraZeneca Vaccine

On May 11, 2021, the Government of Ontario paused administration of the Oxford AstraZeneca vaccine. Learn more →


Who should not get the COVID-19 vaccine?

You should not get the vaccine if you:

  • have ever had a severe allergic reaction (e.g. anaphylaxis) to a previous dose of the COVID-19 vaccine or any of its components or container
  • are younger than the approved age for the vaccine

You should delay getting the vaccine if you:

  • have symptoms of an acute or co-existing illness
  • have symptoms of COVID-19
  • have been advised to self-isolate due to a suspected or confirmed COVID-19 infection or close contact with someone who has COVID-19 – delay until your period of self-isolation is over
  • children born between 2010 and 2016 should delay getting the COVID-19 vaccine until 14 days before or after any other vaccine (e.g. flu vaccine)

For more information, please read COVID-19 Vaccine Information Sheet, COVID-19 Vaccine Information: For Youth (age 12-17), or COVID-19 Vaccine Information: For Children (age 5-11)

There are certain situations when you will need to talk to your primary healthcare provider before receiving the vaccine. These include if you:

  • are pregnant, think you may be pregnant or plan to become pregnant (you must state that you have spoken with your healthcare provider prior to receiving the COVID-19 vaccine)
  • have a history of anaphylaxis or immediate allergic reaction to any other vaccine or injectable therapy (you must provide documentation at the COVID-19 vaccination clinic from an allergist-immunologist that it would be okay to immunize you in a non-hospital setting)
  • are receiving immunosuppressing therapies such as stem cell therapy, chemotherapy, CAR-T therapy, immune checkpoint inhibitors, monoclonal antibodies (eg. Rituximab) and other targeted agents (such as CD4/6 inhibitors, PARP inhibitors etc). You must speak with your treating provider to ensure the timing of vaccine doses and therapies, and you must state that you have spoken to them prior to receiving the COVID-19 vaccine)

Remember to speak to the vaccinator (the person who will provide the vaccine to you) at the COVID-19 Immunization Clinic if you have discussed any of the issues mentioned above with your primary healthcare provider, or if you:

  • have had any problems following a previous vaccine
  • have any allergies
  • have a high fever or severe infection
  • have any serious illness
  • have an autoimmune condition
  • have a weakened immune system due to a medical condition or are taking medication that affects your immune system
  • have a bleeding disorder or are taking medication that could affect your blood clotting, if you bruise easily or are taking a blood-thinning medication
  • are pregnant, think you may be pregnant or plan to become pregnant
  • are breastfeeding

For more information, please read: COVID-19 Vaccination Recommendations for Special Populations.


More Information


Continue to follow public health guidance

Until COVID-19 vaccines are widely available and the majority of the population is vaccinated, it is vital that we all continue to follow local public health guidance. 

  • Limit interactions with others
  • Practice physical distancing
  • Wear a face covering while in enclosed places or where physical distancing cannot be maintained
  • Wash your hands frequently with soap and water for 15-20 seconds or use waterless hand sanitizer with 60% alcohol content
  • Cover your coughs and/or sneezes with your sleeve or cough into your elbow
  • Clean high-touch areas, such as doorknobs in public spaces, frequently
 
Date of creation: December 18, 2020
Last modified on: January 6, 2022

References

3BioNTech Manufacturing GmbH & Pfizer Canada ULC. (2020; revised 2021, November 19). COMIRNATY: COVID-19 mRNA vaccine, suspension for intramuscular injection [Product monograph]. Retrieved from
https://covid-vaccine.canada.ca/info/pdf/pfizer-biontech-covid-19-vaccine-pm1-en.pdf
4National Advisory Committee on Immunization. (2020, December 12). Recommendations on the use of COVID-19 vaccine(s). Retrieved from
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/december-12-2020.html
5Moderna Therapeutics Inc. (2020, December; revised 2021, November 12). SPIKEVAX™: Elasomeran mRNA vaccine Dispersion for intramuscular injection Multidose Vial, 100 mcg / 0.5mL Active Immunizing Agent [Product monograph]. Retrieved from
https://covid-vaccine.canada.ca/info/pdf/moderna-covid-19-vaccine-pm1.pdf
6National Advisory Committee on Immunization. (2021). Recommendations on the use of COVID-19 vaccines. Government of Canada. Retrieved from
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines.html
7Government of Canada. (2021). Details for: VAXZEVRIA - COVID-19. Retrieved from
https://covid-vaccine.canada.ca/info/astrazeneca-covid-19-vaccine-en.html
8Government of Canada. (2021). Details for: Janssen COVID-19 vaccine. Retrieved from
https://covid-vaccine.canada.ca/info/janssen-covid-19-vaccine-en.html
9National Advisory Committee on Immunization. (2021, April 23). Summary of updated vaccine statement of April 23, 2021. Government of Canada. Retrieved from
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/summary-updated-statement-april-23-2021.html
10National Advisory Committee on Immunization. (2021, May 3). Recommendations on the use of COVID-19 vaccines. Government of Canada. Retrieved from
https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/may-3-2021.html