Administration of COVID-19 vaccines to as many Californians as possible is critical to control the pandemic. Based on evidence of safety and efficacy, the U.S. Food and Drug Administration (FDA) has now reduced the minimum age for its Emergency Use Authorization of Pfizer COVID-19 vaccine from 16 years of age down to 12 years.
In an ongoing clinical trial, two doses of this vaccine given three weeks apart has been shown to prevent illness, hospitalization, or death from COVID-19. The duration of protection against COVID-19 is currently unknown. More information on the risks and benefits of the Pfizer vaccine can be found on the Pfizer COVID-19 Vaccine Benefits and Risks Fact Sheet.
Persons younger than 18 years must have parental or guardian consent given by a legally authorized representative (parent or guardian). An emancipated minor may consent for him/herself. Currently, only the Pfizer vaccine has received Emergency Use Authorization for people under 18.
To learn more about risks, benefits, and side effects of the Pfizer vaccine, check the CDPH website Get the Facts on Vaccines (ca.gov) and/or read the U.S. Food and Drug Administration's Fact Sheet for Recipients and Caregivers.
Download the Sample Consent Form:
Editable Word Doc template
Fillable PDF form
Spanish: Fillable PDF form
Originally Published May 13, 2021