COVID-19 updates
Booster Doses Approved for Moderna, Johnson & Johnson COVID-19 Vaccines, Interim Guidance for Pfizer COVID-19 Vaccine for Ages 5-11; Updated Vaccine Ordering Guide & Current Case Data 
October 22, 2021

Booster Doses Approved for Moderna, Johnson & Johnson COVID-19 Vaccines

Eligible Ohioans who received the Moderna and Johnson & Johnson COVID-19 vaccines are now able to receive booster doses, and may choose any approved COVID-19 vaccine for their booster dose. Booster doses are now available for certain populations who have received all three COVID-19 vaccines authorized or approved in the United States. 


The Centers for Disease Control and Prevention has reviewed authorizations from the U.S. Food and Drug Administration earlier this week and recommended the following:


Moderna Booster Dose

People who received the Moderna vaccine for their primary vaccine series can now receive a booster dose.


For individuals who received a Pfizer-BioNTech or Moderna COVID-19 vaccine, the following groups are eligible for a booster shot at least six months after their initial series:

  • 65 years and older.
  • Age 18 and older who live in long-term care settings.
  • Age 18 and older who have underlying medical conditions.
  • Age 18 and older who work or live in high-risk settings.

The Moderna booster dose is NOT the same dosage given for the primary series (0.5 mL). The booster dose is a half-dose (0.25 mL), and providers will need to draw the appropriate dosage for boosters. Additional ancillary supplies will be provided.


Johnson & Johnson Booster Dose

Booster doses are authorized for all recipients of the single-dose Johnson & Johnson/Janssen COVID-19 vaccine. Anyone age 18 or older who received a Johnson & Johnson vaccine can get a booster dose at least two months following the initial dose.


The Johnson & Johnson booster dose is the same dosage as the first dose.


Mix-and-Match Doses

Eligible individuals may choose which vaccine they receive as a booster dose. Some people may have a preference for the vaccine type that they originally received and others, may prefer to get a different booster.


This mix-and-match approach applies only to booster doses. The primary series of the two-dose mRNA vaccines must be from the same product.


Next Steps

The CDC is expected to issue more detailed clinical considerations around booster doses, including guidance on weighing individual risks and benefits and mix-and-match booster doses. The Ohio Department of Health (ODH) will review these final recommendations and share important updates as soon as they become available.


Ohio COVID-19 vaccine providers can begin offering booster doses as soon as practical. Eligible booster recipients will be asked to attest they have one of the qualifying conditions, but specific proof will not be required. ODH is advising that it may take eligible Ohioans 2-3 weeks to get their booster dose, and is emphasizing that there will be many opportunities to receive these boosters in their local community, whether they walk in to get their third dose or make an appointment with a nearby provider. Ohioans will be able to schedule an appointment online at or by phone at 1-833-427-5634.


Updated Resources:

Interim Guidance for Pfizer COVID-19 Vaccine for Ages 5-11; Updated Vaccine Ordering Guide

In anticipation of COVID-19 vaccinations for children ages 5-11 beginning as quickly as possible after the federal review and authorization process is complete, the Ohio Department of Health (ODH) is sharing Interim Provider Guidance for Pfizer-BioNTech COVID-19 Vaccines for Children Ages 5-11.


The Pfizer-BioNTech COVID-19 vaccine for children ages 5-11 will be a new product configuration with new packaging, new preparation, and a new national drug code (NDC). The current product for adults and adolescents should not be used in children.


The interim guidance, which will be updated following further action and recommendations by the U.S. Food & Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) and their advisory panels, is intended to help Ohio COVID-19 Vaccine Providers plan for the rollout of the Pfizer pediatric formulation in the coming weeks.


The interim guidance document includes preliminary information about:

  • Packaging and dosage
  • Storage and Handling
  • Pediatric considerations
  • Ordering
  • Data Reporting
  • Messaging

Next Steps

The following key steps in the federal review process are anticipated during the next couple weeks:

  • The U.S. Food and Drug Administration’s (FDA’s) Vaccines and Related Biological Products Advisory Committee (VRBPAC) is scheduled to meet on this topic Oct. 26.
  • The Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices (ACIP) is scheduled to meet Nov. 2-3.
  • Providers should be ready to vaccinate children 5-11 years old shortly thereafter, pending FDA authorization and CDC recommendations.

Ordering Webinar

Providers who were unable to attend the Oct. 19 webinar about ordering pediatric COVID-19 vaccine can view the presentation COVID-19 Vaccine: Pediatric Vaccine Overview and How to Order Doses Through VOMS.


The Ohio Department of Health COVID-19 Provider website is a hub for a variety of resources for vaccine providers. Vaccine providers with questions may call the ODH Provider Call Center at 1-844-9ODHVAX (1-844-963-4829) between 8 a.m. and 7 p.m. Mondays through Fridays or email .

Current Case Data

In-depth COVID-19 data for Ohio:

Ohio's central scheduling system:

Ohio mass vaccination information:

All vaccine providers:

More vaccine information:


Video of the most recent updates, including versions with foreign language translation, can be viewed on The Ohio Channel's YouTube page


For more information on Ohio's response to COVID-19, visit or call 1-833-4-ASK-ODH.

The Ohio Department of Health (ODH) is leading Ohio’s pandemic response. If you have questions or concerns about their programs, please use the links below. SMBO will continue to share information from ODH as it is received. 

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