COVID-19 Vaccination Available for Clinically Extremely Vulnerable (16 years and older)

Apr 23, 2021

Western Health is now inviting individuals identified as clinically extremely vulnerable to book appointments for COVID-19 vaccination.  Please see a list of clinically extremely vulnerable groups below or here

All clinically extremely vulnerable patients should complete the following checklist prior to booking an appointment:

  • Read the COVID-19 vaccine information on their specific condition(s) here.
  • Based on the information provided identify the best time to book their vaccine appointment.
  • Monitor how they are feeling leading up to their vaccination appointment. Ie. Is anything new or getting worse compared to how they usually feel?
  • Make sure they are feeling their usual self on the day of their vaccine appointment.
  • Talk to their doctor if they have any questions.

To book an appointment at one of the available clinics:

  • Please click the following link or copy and paste the link into the address bar of an internet browser (Google Chrome is the preferred browser). https://portal.healthmyself.net/nlwesternhealth/forms/lgA 
  • Complete the eligibility questionnaire and consent.
  • Select and book a vaccine appointment at their preferred clinic location.


If anyone is experiencing difficultly booking their appointment, please click here for the how-to video, or contact 1-833-703-5470 between 8 a.m. and 8 p.m. Individuals will know when the clinics are full when there are no longer any available appointment slots available in the online system. If an appointment is no longer available in the community/clinic of choice, more clinics will be available in the future. However, people should continue to check Western Health’s website as we are continuing to add clinics weekly.

Clinically Extremely Vulnerable include:

  • Solid organ transplant recipients.
  • People with specific cancers:

-People on active/recently completed cytotoxic chemotherapy (within last 12 months) or having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors, PARP inhibitors or CDK4/6 inhibitors;

o  People with cancers of the blood or bone marrow such as leukemia, lymphoma and multiple myeloma at any stage of treatment;

o  People with lung cancers;

o  Patients on treatment with monoclonal antibodies or immune therapy;

o  People who have had bone marrow or stem cell transplants in the last six months or who are still taking immunosuppression drugs; and

o  Patients on treatment with different anti-cancer hormonal medications (e.g. breast and prostate cancers)

• Respiratory patients:

o   All patients on chronic oxygen therapy (regardless of disease);

o   All patients greater than 16 years of age with cystic fibrosis;

o   All patients with interstitial lung disease (e.g. idiopathic pulmonary fibrosis, CTD-ILD, etc.);

o   Patients with pulmonary hypertension (PH) requiring PH-specific therapy;

o   Any asthma or chronic obstructive pulmonary disease (COPD) patient with a severe exacerbation in the previous year (resulting in emergency room visit or admission); and

o   Any patient with severe lung disease based on PFT (FVC or FEV1 or TLC <50 per cent).

  • People with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease);
  • People on immunosuppression therapies sufficient to significantly increase risk of infection (biologic modifiers, steroid use ≥20mg/day for ≥14 days, AZT, cyclophosphamide);
  • People who have had their spleen removed;
  • Those over 16 years of age with significant intellectual or developmental disabilities;
  • Adults on dialysis or stage 5 kidney disease;
  • Women who are pregnant with significant heart disease, congenital or acquired; and
  • People with significant neuromuscular conditions requiring respiratory support.

You should not schedule an appointment for a vaccine if you are experiencing symptoms of COVID-19. Instead, complete a COVID-19 Assessment and referral by clicking here.

While waiting for your opportunity for vaccination, and after vaccination, it is important for everyone to continue to follow public health guidance to protect yourself, your loved ones, and your communities including:

  • Wearing a mask in public
  • Washing your hands frequently
  • Respecting public health guidance on gatherings, travel and quarantine
  • Completing the online self-assessment at?www.811healthline.ca or calling 811 if you are experiencing one or more symptoms of COVID-19 to arrange testing.

Western Health will continue to communicate as additional vaccine information becomes available and more clinics are set up. For more information on COVID-19 vaccines, please visit Health Canada. For up-to-date information on the COVID-19 pandemic, please visit www.gov.nl.ca/covid-19.