To: All vaccinators and local health departments
From: California Department of Public Health
We thank you for your tremendous work to vaccinate Californians.
This bulletin is meant to update you on current guidance for distributing vaccine.
Vaccine Prioritization (as vaccine supply allows)
Currently vaccines may be distributed to populations identified in Phase 1A and Phase 1B, Tier 1.
Healthcare providers may use their clinical judgement to vaccinate individuals age 12-64 who are deemed to be at the very highest risk for morbidity and mortality from COVID-19 as a direct result of one or more of the following severe health conditions, and individuals in specified settings are eligible to be vaccinated due to increased risk, as specified in this provider bulletin:
Cancer, current with debilitated or immunocompromised state
Chronic kidney disease, stage 4 or above
Chronic pulmonary disease, oxygen dependent
Immunocompromised state (weakened immune system) from solid organ transplant
Sickle cell disease
Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension)
Severe obesity (Body Mass Index ≥ 40 kg/m2)
Type 2 diabetes mellitus with hemoglobin A1c level greater than 7.5%