Register now for our
COVID-19 Vaccination wait list

Read the instructions and complete the form below and one of our staff members will contact you to book an appointment. A valid email will be required to complete this process. All current pharmacy administered vaccine eligibility rules apply.

Please fill out the following information for online reservation of the COVID-19 AstraZeneca/COVISHIELD Vaccine. Eligibility criteria is subject to change frequently so please check here for up to date information.

As part of the piloted roll-out of the AstraZeneca / Covishield, Manitobans aged 55 to 64 years with a high-risk condition or anyone aged 65 and up who is not easily able to attend a super-site.

Anyone who is ALREADY eligible for the Pfizer/Moderna COVID-19 vaccine (such as health care workers) and is aged 55 to 64 is also eligible to receive AstraZeneca/ Covishield COVID-19 vaccine.

However, anyone who has already received a dose of the Pfizer or Moderna mRNA vaccines must use the same product for their second dose, and should not receive the AstraZeneca/Covishield vaccine.

People with high-risk conditions (as determined by their doctor or pharmacist) will be prioritized, with those who have a condition in Priority List 1 being offered immunization before those with a condition in Priority List 2.

Instructions

A question with an indigo bar on the left indicates the field is required and needs an answer to continue.

Covid Vaccine Required Questions

Priority 1 Conditions, Please Check all that apply:

Priority 2 Conditions, Please Check all that apply: