Latest update on COVID Vaccine

COVID vaccination has been proven to be safe and extremely effective at reducing illness, hospitalization, ICU admission and death.

Please get vaccinated to protect yourself, your family and your community.

Get COVID-19 vaccine updates in your inbox!  Sign up for the COVID-19 vaccination update e-subscription for regular news on the vaccine roll-out.

Please do not call our office regarding the COVID vaccine. We need to keep our phone lines free for patients with immediate medical needs. Your best resource is the Ottawa Public Health website (link below). 

We recommend taking the first vaccine offered to you.

Individuals 18+ are eligible to book a fourth dose (2nd booster) appointment if the recommended interval of 5 months has passed since their third dose.

Starting July 28th, COVID vaccines for children 6 months – 5 yrs old can be booked online.

https://covid-19.ontario.ca/book-vaccine/

Bivalent Vaccine

On September 12, the Province of Ontario announced that bivalent COVID-19 boosters, by Moderna, will be available for those 18 years of age and older. This follows recent approval from Health Canada and aligns with the National Advisory Committee on Immunization (NACI) recommendations on the use of bivalent Omicron-containing mRNA COVID-19 vaccines.

Recommendations for COVID-19 boosters

As per provincial guidance and guidance from NACI: 

  • All older adults and people with underlying illness are strongly recommended to access a COVID-19 booster dose this fall regardless of the number of booster doses previously received.
  • All other individuals 12 years and older are encouraged to consider a COVID-19 booster dose this fall regardless of the number of booster doses previously received.
  • Individuals are recommended to receive the bivalent booster at an interval of at least six months from their previous dose but can receive a booster with informed consent, as long as it has been at least 3 months (84 days) from their last dose. An interval of at least 3 months from last COVID infection is also recommended.
  • Bivalent COVID-19 booster doses can be given at the same time as the influenza vaccine, or at any interval before or after another vaccine

Patients who are Pregnant / Breastfeeding

COVID-19 vaccination for those pregnant, breastfeeding. The National Advisory Committee on Immunization has updated its guidance for COVID-19 vaccination for pregnant or breastfeeding individuals, to recommend that, regardless of the number of previous doses received: 

  • Pregnant individuals should be offered a fall COVID-19 booster dose at any stage of pregnancy (strongly recommended by NACI)
  • Breastfeeding individuals who are at increased risk of severe illness from COVID-19 should be offered a fall COVID-19 booster dose 
  • Breastfeeding individuals may be offered a fall COVID-19 booster dose

4th dose COVID Vaccine

The chief medical officer of health announced this week people 18 years of age and older are eligible for a second booster dose (i.e. fourth dose) of the COVID-19 vaccine. Fourth doses can be given five months after an individual’s third dose or three months following a COVID-19 infection. Most individuals between the ages of 18 and 59 will continue to have strong protection more than six months after their third dose and can decide whether to get a fourth dose at this time based on their personal circumstances. A new Covid vaccine is expected to be available this Fall.

Ottawa Public Health recommends that high-risk individuals get their second booster dose as soon as possible: 

Individuals who received their initial booster between 84 days (3 months) and 140 days (5 months) ago, must call the Provincial booking line at 1-833-943-3900, between 8 am and 8 pm, to make an appointment. 

Individuals who meet the eligibility criteria can book their fourth dose appointment through the COVID-19 vaccination portal, by calling the Provincial Vaccine Contact Centre at 1-833-943-3900 or check local pharmacies to find pharmacy locations that provide the booster dose. Since drop-in availability will be limited, residents are encouraged to make an appointment at community vaccine clinics. Some primary care physicians are also providing booster doses.
https://www.ottawapublichealth.ca/en/public-health-topics/covid-19-vaccine.aspx#Who-can-receive-their-fourth-dose

Vaccine for children 6 months to 5 years

The Moderna Spikevax (25 microgram dose) mRNA COVID-19 vaccine is the first COVID19 vaccine authorized in Canada for use in pediatric populations under the age of 5 years. Moderna Spikevax (25 mcg) was approved for children 6 months to 5 years of age on July 14, 2022 by  Health Canada.

https://www.ottawapublichealth.ca/en/public-health-topics/covid-19-vaccination-and-children.aspx

The National Advisory Community on Immunization (NACI) has issued recommendations on the use of Moderna Spikevax COVID-19 vaccine in children 6 months to 5 years of age, which includes the following information:

  • Clinical trial findings show that a Moderna Spikevax 25 mcg dose primary series produces an immune response in children 6 month to 5 years of age equivalent to the immune response seen in young adults 18 to 25 years of age who receive the 100 mcg dose primary series.
  • Overall, the safety profile of Moderna Spikevax (25 mcg) vaccine was consistent with the known safety and reactogenicity profile of the 50 mcg and 100 mcg Spikevax formulations authorized for use in older age groups.
  • The recommended vaccine schedule is a two-dose primary series with an interval of at least 8 weeks.
  • Children 6 months to 5 years of age who are considered moderately to severely immunocompromised may be immunized with a primary series of three doses of the Moderna Spikevax vaccine, with an interval of 4 to 8 weeks between doses.

Community Clinics

  • Drop ins are welcome at all community clinics to everyone eligible for a first dose, second dose and booster dose of the COVID-19 vaccine. We have lots of availability!

Century Public School 8 Redpine Drive

  • Tuesday to Thursday: 12:45 pm to 7:10 pm
  • Friday and Saturday: 9:45 am to 4:10 pm

Tom Brown Arena 141 Bayview Rd

  • Tuesday September 20, 2022: 12:45 pm to 7:10 pm

Kanata Recreation Complex 110 Charlie Rogers Place

  • Tuesday to Thursday: 12:45 pm to 7:10 pm
  • Friday and Saturday: 9:45 am to 4:10 pm

Orleans Ruddy Family YMCA-YWCA 265 Centrum Blvd

  • Tuesday to Thursday: 12:45 pm to 7:10 pm
  • Friday and Saturday: 9:45 am to 4:10 pm

Novavax COVID Vaccine

As of April 14th, the Novavax Nuvaxovid COVID-19 vaccine will be available through Ottawa Public Health to individuals who meet the following criteria:

  • 18 years of age or older
  • Live, work, or attend school in Ottawa
  • Not able to receive an mRNA vaccine due to contraindications, OR are not willingto receive an mRNA vaccine

Patients must pre-register to receive the Novavax Nuvaxovid vaccine from Ottawa Public Health. General information and the form to register for a Novavax appointment is available here: Frequently asked questions about COVID-19 vaccination

NACI recommends that Novavax Nuvaxovid may be offered to individuals in the authorized age group, without contraindications to the vaccine, who are not able or willing to receive an mRNA COVID-19 vaccine. The recommended interval between dose 1 and dose 2 is 8 weeks. Novavax Nuvaxovid may also be used in a mixed primary series with mRNA vaccines or as a booster dose for individuals not able to receive an mRNA vaccine due to contraindications, or not willing to receive an mRNA vaccine.

Neighbourhood Vaccination Hubs

Public health neighbourhood vaccination hubs are vaccination locations with Public Health Nurses available to answer questions, provide COVID-19 vaccine information, and COVID-19 vaccinations. Vaccination hubs are intended for those living in the surrounding area to receive a first, second or booster dose of COVID-19 vaccine, including for those aged five to 11. No appointment is needed to receive a vaccine or to speak with a Public Health nurse about COVID-19 vaccines.

PLEASE NOTE: Masks are required at all Ottawa Public Health Vaccination clinics.

Listing of Vaccination Hubs: https://www.ottawapublichealth.ca/

COVID vaccine booking:

https://covid19.ontariohealth.ca

Listing of Vaccination Hubs: https://www.ottawapublichealth.ca/

Johnson & Johnson Vaccine

Individuals need to complete the following form to pre-register to receive the Johnson & Johnson COVID-19 vaccine: https://secureforms.ottawapublichealth.ca/vaccines/janssen/Request-Janssen-Vaccine

Eligibility for the Johnson & Johnson  vaccine at Ottawa Public Health clinics includes those who live, work or attend school in Ottawa AND have either never previously received a COVID-19 vaccine, or who had a reaction to a previous dose of COVID-19 vaccine where it has been recommended by a physician or Nurse Practitioner to receive a non-mRNA based COVID-19 vaccine for further doses.

Third dose Eligibility

*** Starting Monday, December 20 at 8 am, individuals aged 18 and over (born in 2003 or earlier) will be eligible to schedule a third dose (booster) appointment if at least 3 months (84 days) have passed since their last dose. This aligns with the recent provincial announcement on expanded eligibility and provides Ottawa residents with an extra layer of protection against COVID-19 and its variants.

Ottawa residents who meet the criteria are encouraged to reach out to local pharmacies using the provincial pharmacy locator to find those that provide the booster dose, or book an appointment through the provincial COVID-19 vaccination portal or by calling the Provincial Vaccine Contact Centre at 1-833-943-3900.

Vaccine for Children Ages 5-11

*** As of November 23, Ottawa residents are able to book vaccine appointments for five to 11-year-olds (born 2016 or earlier) through the provincial booking system. These appointments will be at one of Ottawa Public Health’s seven community clinics.

Other options for vaccinating five to 11-year-olds include:

  • Neighbourhood vaccination hubs (see below)
  • Pharmacies – over 100 locations across the city are starting to offer vaccines to this age group; find the nearest participating pharmacy for appointment hours and locations 
  • CHEO – the hospital offers vaccinations to children with medically complex needs
  • First Nations, Inuit and Métis community members – Wabano Centre for Aboriginal Health will host a clinic at the Richelieu-Vanier Community Centre in partnership with Ottawa Public Health
  • Inuit community members – Akausivik Inuit Family Health Team is providing vaccinations for Inuit youth; call 613-740-0999 for more information or to book an appointment
  • Primary care – primary care physicians will be reaching out directly to their patients if they are offering COVID-19 pediatric vaccines in their offices – IF AND WHEN OUR CLINIC HAS THE COVID VACCINE, WE WILL LET OUR PATIENTS KNOW!

Common patient questions about vaccinating children:

  • Vaccine efficacy is high (90.7%) against symptomatic COVID in the preliminary clinical trial data and there were no serious safety concerns and no cases of myocarditis or pericarditis. 
  • The risk for myocarditis is expected to be significantly lower in 5-11 year cohort given the lower dosage (10ug), longer interval between doses (8 weeks) and what we understand about a lower predisposition of myocarditis in younger children. More information on myocarditis post-vaccination in this UWaterloo two-pager
  •  A 14-day interval between the COVID vaccine and other vaccines is recommended by NACI as a precaution to better monitor for adverse events; however, it is recognized that this may not always be feasible. 
  • Children who are turning 12 this year (2021) are recommended to get the adult dose (30ug). A child who is 11 should get the pediatric dose rather than wait weeks or months to become eligible for the adult dose. If they receive the first (pediatric) dose and turn 12 ahead of their second dose, they may then receive the adult dose, although a pediatric second dose can also complete the series. 
  • Dosing for the vaccine is based on age, not weight, and antibody response of the 10ug in children five to 11 years old was equivalent to the 30ug dose in older children.
  • A reminder that short-term menstrual cycle changes have been reported but fertility and hormone levels are not affected by vaccines. See vaccine myths and facts from the SOGC.

Useful resources:

Kids Come First Health Team vaccination clinics

CHEO is working with its Kids Come First Health Team partners, including Ottawa Public Health, physicians and families to help vaccinate as many children as possible.

Individuals served:

The Kids Come First Health Team will be holding vaccination clinics at CHEO for children 5-11 who cannot attend a community vaccination clinic. Reasons a child may have difficulty receiving their vaccination in the community include:

  • being immunocompromised
  • having medical complexities or technology dependency that make it difficult to attend a clinic in the community (e.g. tracheostomy, ventilator, uncontrolled seizure disorder)
  • having a condition that makes it challenging to be in crowded spaces (e.g. anxiety, autism)
  • other medical reasons that are not listed above, but make it challenging for the child to be vaccinated in the community

The clinic will be open to eligible children and their household members.

If your 5-11 year old child meets the criteria above, we encourage you to pre-register for their COVID-19 vaccine through the Kids Come First Health Team’s upcoming vaccination clinics.

Please note, that pre-registration does not mean you are booking an appointment.

Vax Facts

Not really sure about the COVID-19 vaccine, or the information you’ve seen?

No problem — our new VaxFacts Clinic is here to connect you with qualified SHN doctors who understand you may have questions or concerns, or just want to learn more.

You can book an appointment to do a call with one of our expert doctors. They are ready to talk, listen and help you get the most accurate information.

www.shn.ca/vaxfacts/

COVID-19 Vaccine Consult Service through Sick Kids:

https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult/

Myths and Facts about COVID-19 Vaccine in Pregnancy:

https://sogc.org/common/Uploaded%20files/Covid%20Information/FAQ_Myth-Fact_17Sept2021.pdf

Ottawa Public Health:

https://www.ottawapublichealth.ca/

COVID Vaccine Pharmacy locations:

https://covid-19.ontario.ca/vaccine-locations


VACCINE EXEMPTIONS:

Generally speaking, there are very few acceptable medical exemptions to the COVID-19 vaccination and exemptions to the mRNA covid vaccines almost exclusively fall into two categories at this time:

  • an allergist/immunologist-confirmed severe allergy or anaphylactic reaction to a previous dose of a COVID-19 vaccine or to any of its components that cannot be mitigated;
  • a diagnosed episode of myocarditis/pericarditis after receipt of an mRNA vaccine.

VACCINE SAFETY:

This is data from approximately 1.7M people in Israel recently published. You can see that getting infected (orange) puts you at higher risk of arrhythmias, kidney injury, blood clots (deep vein thrombosis and pulmonary embolism), heart inflammation (myocarditis and pericarditis), heart attacks (myocardial infarction), and brain bleeds (intracranial hemorrhage). Vaccines DO increase your risk of shingles (herpes zoster infection) and lymph node swelling.


Information on vaccines: