COVID-19 Vaccine Updates - Harry S. Truman Memorial Veterans’ Hospital
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Harry S. Truman Memorial Veterans’ Hospital


COVID-19 Vaccine Updates

Image; Truman VA logo with COVID-19 Vaccine Update

Should you get a third dose of COVID-19 vaccine?

Thursday, August 19, 2021

Truman VA is now offering Pfizer and Janssen vaccines on a walk-in basis at the vaccine clinic in Columbia. This includes third doses of Pfizer vaccines for immune compromised Veterans, as defined by the CDC.

Veterans who do not meet the CDC definition of an immune compromised person are not advised to receive a third dose at this time. Veterans may self-attest to meeting one of the six criteria defined by the CDC to be considered immune compromised.

Truman VA’s Community Based Outpatient Clinic (CBOC) locations are offering Moderna and Janssen vaccines at most locations. Qualified veterans may schedule a third dose at a CBOC location to receive a Moderna third dose.

Veterans who initially received the Janssen vaccine are not advised to receive an additional dose at this time. We are still waiting for guidance on booster shots, which are separate from third doses.

This information is subject to change. Your healthcare team at Truman VA is continually working to stay up to date with the latest information and guidance from the federal government and researchers.


Q: Who is considered by the CDC to be immune compromised?

A: As of August 19, 2021, the CDC is currently recommending the following conditions:

  • Active treatment for solid tumor and hematologic malignancies
  • Receipt of solid-organ transplant and taking immunosuppressive therapy
  • Receipt of CAR-T-cell or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy)
  • Moderate or severe primary immunodeficiency (e.g., DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV infection
  • Active treatment with high-dose corticosteroids (i.e., ≥20mg prednisone or equivalent per day), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, tumor-necrosis (TNF) blockers, and other biologic agents that are immunosuppressive or immunomodulatory.

Q: Is a prescription or order required for a third dose?

A: No.

Q: Can a patient self-report that they are immunocompromised?

A: Yes. Nurses will go through the list above to confirm the patient self-reports one of the six categories.

Q: Can Pfizer and Moderna be mix and matched for the third dose?

A: The CDC recommends using the same vaccine for the third dose. If the same vaccine cannot be used, we will mix-and-match for the thrid dose only. There is no third dose for the Janssen vaccine.

Q: Are we doing spouses and family third doses?

A: Yes.

Q: When will you be offering booster shots?

A: Booster shots, which are separate from third doses, will be offered later. Official guidance has not been finalized on booster shots, so we ask that you check back often for updates.


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