COVID-19 Vaccine Screening

Find out if you qualify to receive the COVID-19 vaccine in PA

Note: This screening tool, and the information provided herein, will be used for the sole purpose of determining eligibility for receiving a COVID-19 vaccination. Eligibility is based from prioritizations recommended by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (“ACIP”), which have been implemented in the Commonwealth’s COVID-19 Interim Vaccination Plan.

By completing this form, I understand that eligibility is subject to change as prioritization recommendations change during the COVID-19 vaccination program. I understand that as demand for COVID-19 vaccines currently exceeds supply, COVID-19 vaccine providers may not be able to immediately meet my request to receive the COVID-19 vaccination despite my eligibility. Additionally, COVID-19 vaccine providers may independently verify eligibility for receiving a COVID-19 vaccination.