**DO NOT COMPLETE THIS FORM IF YOU ARE WANTING YOUR FIRST DOSE OF COVID VACCINE, YOU MAY WALK IN BETWEEN THE HOURS OF 2PM-6PM ON CLINIC DAY**
Moderna Bivalent Booster doses are available to those 18 years and older who have completed a primary series or a booster dose at least 2 months ago. If you recently were diagnosed with Covid, please consider waiting 3 months to receive the booster due to limited quantities of the vaccine.
After receiving the vaccine you will be expected to be observed for 15-30 minutes.
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