At this time, The Midland County Health Department is giving booster doses for those who received the 1st two doses of Pfizer vaccine > 6 months ago that self-attest to one or more of the following indications:
• people 65 years and older and residents in long-term care settings should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,
• people aged 50–64 years with underlying medical conditions should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series,
• people aged 18–49 years with underlying medical conditions may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks, and
• people aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks.
Qualifying Medical Conditions in Adults
Chronic kidney disease
Chronic lung diseases, including COPD (chronic obstructive pulmonary disease), asthma (moderate-tosevere), interstitial lung disease, cystic fibrosis, and pulmonary hypertension
Chronic lung diseases may include:
• Asthma, if it’s moderate to severe
• Chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis
• Having damaged or scarred lung tissue such as interstitial lung disease (including idiopathic pulmonary fibrosis)
• Cystic fibrosis, with or without lung or other solid organ transplant • Pulmonary hypertension (high blood pressure in the lungs)
Dementia or other neurological conditions
Diabetes (type 1 or type 2)
Heart conditions (such as heart failure, coronary artery disease, cardiomyopathies or hypertension) Having heart conditions such as heart failure, coronary artery disease, cardiomyopathies, and possibly high blood pressure (hypertension)
Immunocompromised state (weakened immune system) – Note: Those with Moderate & Severe Immunosupression receive a 3rd dose as part of the initial series at least 28 days after the Pfizer or Moderna COVID-19 vaccine
Many conditions and treatments can cause a person to be immunocompromised or have a weakened immune system. Primary immunodeficiency is caused by genetic defects that can be inherited. Prolonged use of corticosteroids or other immune weakening medicines can lead to secondary or acquired immunodeficiency.
Precautions: People who have a condition or are taking medications that weaken their immune system may not be fully protected even if they are fully vaccinated. They should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask, until advised otherwise by their healthcare provider.
Liver disease (chronic liver disease, such as alcohol-related liver disease, nonalcoholic fatty liver disease, and especially cirrhosis, or scarring of the liver)
Overweight and obesity
Overweight (defined as a body mass index (BMI) > 25 kg/m2 but < 30 kg/m2 ), obesity (BMI ≥30 kg/m2 but < 40 kg/m2 ), or severe obesity (BMI of ≥40 kg/m2 ), can make you more likely to get severely ill from COVID-19. The risk of severe COVID-19 illness increases sharply with elevated BMI.
Pregnancy Pregnant and recently pregnant people (for at least 42 days following end of pregnancy) are more likely to get severely ill from COVID-19 compared with non-pregnant people.
Sickle cell disease or thalassemia Smoking, current or former
Solid organ or blood stem cell transplant
Having had a solid organ or blood stem cell transplant, which includes bone marrow transplants, can make you more likely to get severely ill from COVID-19.
Stroke or cerebrovascular disease
Substance use disorders (such as alcohol, opioid, or cocaine use disorder)
Occupations at increased risk for COVID-19 exposure and transmission include front line essential workers and health care workers as previously detailed by the CDC*
• First responders (healthcare workers, firefighters, police, congregate care staff)
• Education staff (teachers, support staff, daycare workers)
• Food and agriculture workers
• Manufacturing workers
• Corrections workers
• U.S. Postal Service workers
• Public transit workers
• Grocery store workers
*List could be updated in the future
Midland County Health Department will continue to vaccinate anyone that is in need of a first dose, second dose, third dose (for those that are moderately to severely immunosuppressed who have had 2 doses of Pfizer or Moderna COVID-19 vaccine), or a booster dose. You may schedule a first or second dose appointment on our website at, County of Midland, Michigan > Health Department > COVID Vaccine Information. Tuesday clinics will be held 10:00-4:30, and can be scheduled online or you may walk in. For the month of October we are holding clinics on Fridays, 10:00-2:00. We encourage an appointment for Fridays but will accommodate walk ins as available. We are working on getting our online schedule link up for third doses and booster doses. In the meantime, if you would like to schedule an appointment for Tuesday or Friday you can call 989-832-6672 and we will be happy to assist you with this.
We will also be offering Covid vaccines at all of our flu clinics. We are able to do first, second, third (Pfizer or Moderna for those who are moderately to severely immunosuppressed) and booster doses of Pfizer. The dates and times are:
Wednesday Oct 6th 10am-5pm @ Holiday Inn Conference Center-810 Cinema Dr.
Thursday Oct 7th 10am-5pm @ Jerome Twp. Fire Dept-680 W Saginaw Rd.
Both vaccines but DRIVE THRU ONLY
Wednesday Oct 13th 10am-5pm @ Holiday Inn Conference Center-810 Cinema Dr.
Wednesday Oct 20th 10am-5pm @ Homer Twp. Fire Dept.- 222 S. Homer Rd.
Wednesday Nov 3rd 10am-5pm @ Holiday Inn Conference Center-810 Cinema Dr.
Wednesday Nov 17th 10am-5pm @ Homer Twp. Fire Dept.- 222 S. Homer Rd.
Please remember, the 3rd dose applies to those moderately or severely immunosuppressed who have had 2 doses of Pfizer or Moderna COVID-19 vaccine. The booster dose only applies if you received the Pfizer vaccine for your first 2 doses.