Please complete this 2-page consent form and bring it with you to your COVID-19 vaccine appointment.
Food City Pharmacy will offer FDA Emergency Use Authorized COVID-19 vaccines, as supply allows. Contact your local Food City Pharmacy concerning age restrictions and vaccine availability.
Links to Emergency Use Authorization Fact Sheets for Recipients and Caregivers can be found below.
Once you receive your COVID-19 vaccine at your local Food City Pharmacy, you may choose to participate in V-Safe.
V-safe is a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination. Through v-safe, you can quickly tell CDC if you have any side effects after getting the COVID-19 vaccine. Depending on your answers, someone from CDC may call to check on you. And v-safe will remind you to get your second COVID-19 vaccine dose if you need one.
Your participation in CDC’s v-safe makes a difference — it helps keep COVID-19 vaccines safe.
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