3rd Dose for Immunocompromised Individuals

Following recent announcements from the US Food and Drug Administration and the Centers for Disease Control and Prevention, certain immunocompromised individuals can begin receiving third doses of COVID-19 vaccine in Missouri.

A third dose of the PfizerNBioTech or Moderna vaccines may be administered to moderately to severely immunocompromised people due to a medical condition or combination of immunosuppressive medication or treatments including but not limited to the following:

• Immunocompromised due to solid organ transplant and taking immune-suppressing medications
• Immunocompromised due to active treatment for solid tumor and hematologic malignancies
• Immune compromised due to Receipt of CAR-T cell or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy)
• Moderate to severe primary immunodeficiency (eg., DiGeorge, Wiskott-Aldrich Syndromes)
• Immunocompromised due to Advanced or untreated HIV infection
• Immunocompromised due to “Active treatment with high-dose corticosteroids or other drugs that may suppress immune response: high dose corticosteroids (ie.,≥ 20 mg prednisone or equivalent per day), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, tumor-necrosis (TNF) blocker or other biologic agents that are immunosuppressive or immunomodulatory” 

This does not apply to those who received the Janssen/Johnson & Johnson vaccine.

Third doses are now available to all eligible individuals at our COVID-19 clinic at 1411 S. Commercial St. in Harrisonville. Call 816-380-8425 to schedule an appointment.

For the Moderna vaccine, an appointment is required.  For the Pfizer vaccine, appointments are preferred but walk-ins are accepted.

There must be at least 28 days between a 2nd and 3rd vaccine dose.  Please bring your COVID-19 vaccination card with you to confirm your vaccination dates.

Moderna and Pfizer Boosters

The Cass County Health Department is now offering booster shots for the Pfizer and Moderna Vaccine. The Centers for Disease Control and Prevention (CDC), the Missouri Department of Health and Senior Services (DHSS) have amended the state’s standing order for both Pfizer and Moderna COVID-19 vaccine administration for those who are eligible for a booster shot.

Missourians who received the Pfizer and Moderna vaccine can receive a booster shot at least 6 months after their 2nd dose based on CDC guidance:

• People 65 years and older and residents in long-term care settings should receive a booster

• People aged 18 years and older in long-term care settings

• People aged 50–64 years with underlying medical conditions 

• People aged 18–49 years with underlying medical conditions

• People aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional settings (e.g. frontline medical workers, teachers, and first responders) may receive a booster.

• state’s standing order for Pfizer-BioNTech COVID-19 vaccine administration 

• state’s standing order for Moderna COVID-19 vaccine administration

The list of medical conditions categorized as high-risk by the CDC is available here. 

The Cass County Health Department does not currently administer Janssen/Johnson & Johnson vaccines. 

Additional Information

• Booster doses for Moderna patients are  ½ of the original dose (.25mL)
• Doses 1 and 2 are given at least 28 days apart 
• Doses 2 and 3 are given at least 28 days apart for 3rd doses
• Booster doses are given 6 months after a 2nd dose

Mixing COVID-19 Vaccines

If the same vaccine that a patient received previously is not available, a mixed series of mRNA COVID-19 vaccine (Pfizer or Moderna) may be administered 

• Every effort shall be made to ensure completion of the vaccine series with the same product

• In situations where the vaccine given for the 1st dose cannot be determined or is no longer available, any available mRNA COVID-19 vaccine may be administered at a minimum interval of 28 days between doses

• It is preferable to delay the 2nd dose to receive the same product than to receive a mixed series using a different product

• If 2 doses of different mRNA COVID-19 vaccine products are administered, no additional doses of either product are recommended

  • Such patients are considered fully vaccinated against COVID-19 2 weeks after receipt of the second dose of an mRNA vaccine

Homebound Vaccinations

The Cass County Health Department can provide in-home COVID-19 vaccination by appointment to homebound Cass County residents.  Homebound persons include those that need the help of another person or medical equipment such as crutches, a walker, or a wheelchair to leave their home, or their medical provider believes that their health or illness could get worse if they leave their home, and they typically do not leave their home.

This service is only provided to those who need it and would not otherwise have access to vaccination.

Please call 816-380-8425 to schedule

State of Missouri Events

• Missouri Covid-19 Vaccine Navigator - https://covidvaccine.mo.gov/navigator/
  1. 1-877-435-8411
• Vaccine Finder - https://vaccinefinder.org/

Local Pharmacy Vaccinators

• CVS - website
  • 1-888-300-4419
    1. Belton
    2. Harrisonville
    3. Raymore
  • Hy-Vee - website
    1. Belton
       
• Price Chopper - website
  • May call 800-593-7948 if you are 60 and over
    1. Harrisonville
    2. Raymore
• Sam’s Club - website
  1. Raymore – 816-765-0600
     
• Walgreens - website
  1. Belton – 816-322-4177
  2. Harrisonville – 816-884-1891
  3. Raymore – 816-331-1410
• Walmart - website
  1. Harrisonville – 816-884-5635
  2. Raymore – 816-322-5455