Refuerzo:

Si recibió la serie de vacunas Moderna:

Puede recibir una dosis de refuerzo de Janssen (Johnson & Johnson) o Pfizer 5 meses después de su segunda dosis o dosis adicional.

Si recibió la serie de vacunas de Pfizer:

Puede recibir una dosis de refuerzo de Janssen (Johnson & Johnson) o Pfizer 5 meses después de su segunda dosis o dosis adicional.
El refuerzo de Pfizer solo está disponible para personas mayores de 12 años.

Si recibió la vacuna Janssen (Johnson & Johnson):

Puede recibir una dosis de refuerzo de Janssen (Johnson & Johnson) o Pfizer 2 meses después de la vacunación.
El refuerzo de Janssen (Johnson & Johnson) solo está disponible para personas mayores de 18 años.

BOOSTER Shot:

If you received the Moderna vaccine series:

You can receive a booster dose of Janssen (Johnson & Johnson) or Pfizer 5 months after your second dose or additional dose.

If you received the Pfizer vaccine series:

You can receive a booster dose of Janssen (Johnson & Johnson) or Pfizer 5 months after your second dose or additional dose.
The Pfizer booster is only available for people who are 12 years of age and older.

If you received the Janssen (Johnson & Johnson) vaccination:

You can receive a booster dose of Janssen (Johnson & Johnson) or Pfizer 2 months after your vaccination.
The Janssen (Johnson & Johnson) booster is only available for people who are 18 years of age and older.

Si recibió la serie de vacunas de Pfizer:

• Puede recibir una dosis de refuerzo de Moderna, Janssen (Johnson & Johnson) o Pfizer 5 meses después de su segunda dosis o dosis adicional.
• El refuerzo de Pfizer solo está disponible para personas mayores de 12 años.

Si recibió la vacuna Janssen (Johnson & Johnson):
• Puede recibir una dosis de refuerzo de Moderna, Janssen (Johnson & Johnson) o Pfizer 2 meses después de la vacunación.
• El refuerzo de Janssen (Johnson & Johnson) solo está disponible para personas mayores de 18 años.

Pfizer (12-17) Additional Dose Qualifiers

Active cancer treatment for tumors or cancers of the blood
Organ transplant recipients who are taking medicine to suppress the immune system
Stem cell transplant recipients (within the last 2 years or taking immunosuppressive medications)
Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
Advanced or untreated HIV infection

Si recibió la vacuna Janssen (Johnson & Johnson):

• Puede recibir una dosis de refuerzo de Moderna, Janssen (Johnson & Johnson) o Pfizer 2 meses después de la vacunación.
• El refuerzo de Janssen (Johnson & Johnson) solo está disponible para personas mayores de 18 años.

Si recibió la serie de vacunas Moderna:

Puede recibir una dosis de refuerzo de Moderna, Janssen (Johnson & Johnson) o Pfizer 5 meses después de su segunda dosis o dosis adicional.
El refuerzo Moderna solo está disponible para personas mayores de 18 años.

Calificadores de dosis adicionales

Los estudios mostraron respuestas inmunitarias inadecuadas a solo dos dosis en personas con las siguientes condiciones:

Tratamiento oncológico activo para tumores o cánceres de la sangre
Receptores de trasplantes de órganos que toman medicamentos para inhibir el sistema inmunitario
Receptores de trasplantes de células madre (en los últimos 2 años o tomando medicamentos inmunosupresores)
Inmunodeficiencia primaria moderada o grave (como el síndrome de DiGeorge, el síndrome de Wiskott-Aldrich)
Infección avanzada o no tratada de VIH
Tratamiento activo con dosis altas de cortico-esteroides (p. ej., cortisona, prednisona) u otros medicamentos que pueden suprimir su respuesta inmunitaria.
Si tiene alguna pregunta sobre si debe recibir una dosis adicional, comuníquese con su proveedor de atención médica.

NOTA: Si no ha completado su serie de dos dosis, su dosis adicional se puede programar al recibir su segunda vacunación.

Qualifying Medical Condition

Cancer (current or in remission, including 9/11-related cancers);
Chronic kidney disease;
Pulmonary Disease, limited to, COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), pulmonary fibrosis, cystic fibrosis, tuberculosis, and 9/11 related pulmonary diseases;
Intellectual and Developmental Disabilities including Down
Syndrome;
Heart conditions, including but not limited to heart failure, coronary artery disease, cardiomyopathies, or hypertension (high blood pressure);
Immunocompromised state (weakened immune system) including but not limited to solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, use of other immune weakening medicines, or other causes;
Severe Obesity (BMI 40 kg/m2 or higher), Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2), Overweight (BMI of 25 kg/m2 or higher but < 30kg/m2);
Pregnant or recently pregnant;
Sickle cell disease or Thalassemia;
Type 1 or 2 diabetes mellitus;
Cerebrovascular disease (affects blood vessels and blood supply to the brain);
Neurologic conditions include but not limited to Alzheimer’s
Disease or dementia;
Liver disease limited to cirrhosis, non-alcoholic fatty liver disease, alcoholic liver disease, or autoimmune hepatitis;
Current or former smoker;
Substance use disorder,
Mental health disorders are limited to mood disorders including depression, schizophrenia spectrum disorders.

Qualifying Medical Condition

Cancer (current or in remission, including 9/11-related cancers);
Chronic kidney disease;
Pulmonary Disease, limited to, COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), pulmonary fibrosis, cystic fibrosis, tuberculosis, and 9/11 related pulmonary diseases;
Intellectual and Developmental Disabilities including Down
Syndrome;
Heart conditions, including but not limited to heart failure, coronary artery disease, cardiomyopathies, or hypertension (high blood pressure);
Immunocompromised state (weakened immune system) including but not limited to solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, use of other immune weakening medicines, or other causes;
Severe Obesity (BMI 40 kg/m2 or higher), Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2), Overweight (BMI of 25 kg/m2 or higher but < 30kg/m2);
Pregnant or recently pregnant;
Sickle cell disease or Thalassemia;
Type 1 or 2 diabetes mellitus;
Cerebrovascular disease (affects blood vessels and blood supply to the brain);
Neurologic conditions include but not limited to Alzheimer’s
Disease or dementia;
Liver disease limited to cirrhosis, non-alcoholic fatty liver disease, alcoholic liver disease, or autoimmune hepatitis;
Current or former smoker;
Substance use disorder,
Mental health disorders are limited to mood disorders including depression, schizophrenia spectrum disorders.

Additional Dose Qualifiers

Studies showed inadequate immune responses to only two doses in people with the following conditions:

Active cancer treatment for tumors or cancers of the blood
Organ transplant recipients who are taking medicine to suppress the immune system
Stem cell transplant recipients (within the last 2 years or taking immunosuppressive medications)
Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
Advanced or untreated HIV infection
Active treatment with high-dose corticosteroids (e.g. cortisone, prednisone) or other drugs that may suppress your immune response.
If you have a question about whether you should receive an additional dose, please contact your health care provider.

NOTE: If you have not completed your two-dose series, your additional dose can be scheduled at the completion of your second vaccination.

How to get started.

Finger Lakes Telehealth Network (FLTN), a division of Finger Lakes Community Health, can assist you in setting up telehealth services. By partnering with us, your organization will benefit from the decade of experience we’ve had with our patients, providers, and specialists.

Our Approach

Sirene Garcia, Director of Special Programs, and our team works with organizations like yours to evaluate your need for telehealth and help you build your capabilities.

We approach the design of a telehealth program in a specific and thorough manner taking into consideration your needs and budget. The typical process encompasses three areas that we call our three layer strategy for the successful development and implementation of telehealth, but please email us to get more specifics at Telehealth@LocalCommunityHealth.com

First Layer

In order to be successful, a strong foundation is necessary for a robust telehealth program. One of the first steps is ensuring that the appropriate level of broadband is available to serve all of the processes that an organization is utilizing. Those processes include electronic records systems, accounting systems, VOIP tele-communications services, video conferencing and other potential systems.

Second Layer

It is important to understand which video and peripheral equipment is best suited for each clinical or administrative application that you want to provide or participate in. For instance, equipment used for telepsychiatry will be less complex than that used to conduct a clinical exam via telemedicine. Additionally, in order to be HIPPA compliant, it is necessary to understand the various means of site to site connectivity and how they enable a strong level of security that protects the patient’s confidentiality. To learn more about the requirements for your telehealth services, email us at Telehealth@LocalCommunityHealth.com

Third Layer

Program design and implementation. This is the most critical element of implementing a successful telehealth program, and where you’ll spend the most time. The purpose of this work is to integrate telehealth into the daily clinical process. We recommend allowing 5-8 months for the development and implementation of telehealth visits. This is also where our expertise will help you the most. We’ve invested many years into the integration of telehealth technologies into our clinical practice, ensuring that we are using the appropriate equipment, developing work flows and telehealth etiquette, working with outside specialists, and building the infrastructure to track outcomes through data analytics. Additionally, we have helped many other provider practices build their own telehealth expertise.

As part of the program design and implementation phase, we will also do the following:

Develop a work plan that outlines the nuts and bolts of how to implement a telehealth program, including identifying roles and responsibilities during and after the telehealth visit.
Identify the procedures for staff to follow.
Help you work with health insurance to get reimbursed for your telehealth services.
Make sure providers are covered by malpractice insurance for telehealth services.
Provide guidance for IT to ensure that telehealth visits go smoothly and securely.
And finally, conduct mock practice calls to ensure that we’ve got everything in place and the first real visit will go well.

If you’re interested in designing a telehealth program for your organization or just have questions, don’t hesitate to email us and we’ll be happy to discuss. Telehealth@LocalCommunityHealth.com

Call the health center nearest you for an appointment today!

HEALTH CENTERS

Refuerzo:

Si recibió la serie de vacunas Moderna: