Employer Reporting Forms
Click the button below to register and schedule your appointment.
Appointments Preferred. Walk‐ins Accepted
Based on Vaccine Availability.
Which vaccine do you wish to schedule?
Based on your age, please fill out the appropriate form below and bring it with you on the day of your appointment. Blank forms are available onsite if you are unable to print it at home.
Standard COVID-19 Vaccine Administration Record (Age 12 or Older)
Child COVID-19 Vaccination Form (Age 5 to 11 years old)
Can COVID-19 vaccines cause variants?
The Macomb County Health Department provides COVID-19 vaccinations in alignment with guidelines approved by the Centers for Disease Control and Prevention (CDC).
COVID-19 Vaccination Recommendations for the General Population
In late 2020 and early 2021, the FDA issued Emergency Use Authorizations to Pfizer-BioNTech, Moderna and Johnson & Johnson for emergency use of vaccines for the prevention of the Coronavirus Disease 2019. The FDA has since granted full approval to Pfizer for use of its vaccine in individuals over the age of 16, with an EUA covering individuals aged 12 to 15, and an additional EUA for individuals aged 5-11. Moderna and Johnson & Johnson are both covered by EUA for individuals aged 18 and older.