COVID-19

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Coastal Health & Wellness offers COVID-19 vaccinations to established patients ages 5 and older.

Effective April 5, 2022 Coastal Health & Wellness uninsured patients will be billed a $14 administrative fee for COVID-19 vaccines.

The Health Resources and Services Administration (HRSA) recently announced the Uninsured Program (UIP) stopped accepting claims for COVID-19 testing, treatment and vaccines, due to lack of funds. That means Coastal Health & Wellness will no longer be reimbursed for uninsured individuals receiving those COVID-19 services. Effective April 5, Coastal Health & Wellness uninsured patients will be billed a $14 administrative fee for COVID-19 vaccines.

The Galveston County Health District continues to offer free COVID-19 vaccines at its immunizations clinic, located at 9850 Emmett F. Lowry Expressway, Suite B104 in Texas City, and at community outreach events. For more information on the health district's vaccine clinic and upcoming outreach events, please visit COVID-19 Vaccines.

Uninsured Coastal Health & Wellness patients may qualify for healthcare coverage under:

COVIDtests.gov (order COVID-19 rapid tests and have them shipped to your home)
Healthcare marketplace enrollment
Medicaid

For more information, please call us at 409.938.2234.

CHILDREN AND TEENS AGES 6 MONTHS – 17 YEARS

COVID-19 vaccine dosage is based on age on the day of vaccination, not on size or weight. Children get a smaller dose of COVID-19 vaccine than teens and adults.

Pfizer-BioNTech

6 months - 4 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3-8 weeks after first dose
- Third dose (updated bivalent primary series) – Pfizer-BioNTech updated bivalent booster, at least 8 weeks after second dose
- Up to date – 2 weeks after third dose; there is not a recommendation for an updated bivalent Pfizer-BioNtech booster for this age group

5 - 11 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3-8 weeks after first dose
- Third dose (updated bivalent booster) – At least 2 months after second dose or last booster, children ages 5 years can only get a Pfizer-BioNTech booster, and children ages 6-11 years can get a Pfizer-BioNTech or Moderna booster.
- Up to date – Immediately after you have received the most recent booster recommended for you

12 - 17 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3-8 weeks after first dose
- Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second dose or last booster
- Up to date – Immediately after you have received the most recent booster recommended for you

Moderna

6 months - 5 years
- First dose (primary series) – Moderna
- Second dose (primary series) – Moderna, 4-8 weeks after first dose
- Third dose (updated bivalent booster) – At least 2 months after second Moderna dose, children ages 6 months – 4 years can only get a Moderna booster, and children ages 5 years can get a Pfizer-BioNTech or Moderna updated booster.
- Up to date – Immediately after you have received the most recent booster recommended for you

6 - 17 years
- First dose (primary series) – Moderna
- Second dose (primary series) – Moderna, 4-8 weeks after first dose
- Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after primary series dose
- Up to date – Immediately after receiving an updated bivalent booster

Novavax

12-17 years
- Novavax is not authorized as a booster dose at this time.
- First dose (primary series) – Novavax
- Second dose (primary series) – Novavax, 3-8 weeks after first dose
- Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second primary series dose
- Up to date – Immediately after you have received the most recent booster recommended for you

ADULTS AGES 18 YEARS AND OLDER

Pfizer-BioNTech

First dose (primary series) – Pfizer-BioNTech
Second dose (primary series) – Pfizer-BioNTech, 3-8 weeks after first dose
Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second primary series dose or last booster
Up to date – Immediately after you have received the most recent booster recommended for you

Moderna

First dose (primary series) – Moderna
Second dose (primary series) – Moderna, 4-8 weeks after first dose
Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second primary series dose or last booster
Up to date – Immediately after you have received the most recent booster recommended for you

Novavax

First dose (primary series) – Novavax
Second dose (primary series) – Novavax, 3-8 weeks after first dose
Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second primary series dose. A monovalent Novavax booster is available in limited situations.
Up to date – Immediately after you have received the most recent booster recommended for you

Johnson and Johnson’s Janssen

First dose (primary series) – J&J/ Janseen
Second dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second primary series dose. A monovalent J&J/Janssen booster is available in limited situations.
Up to date – Immediately after you have received the most recent booster recommended for you

CHILDREN AGES 6 MONTHS – 17 YEARS WHO ARE MODERATELY OR SEVERELY IMMUNOCOMPROMISED

Pfizer-BioNTech

6 months – 4 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3 weeks after first dose
- Third dose (updated bivalent primary series) – Pfizer-BioNTech updated bivalent primary series, at least 8 weeks after second dose
- Up to date – 2 weeks after third primary dose; there is not a recommendation for an updated bivalent Pfizer-BioNtech booster for this age group

5 – 11 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3 weeks after first dose
- Third dose (primary series) – Pfizer-BioNTech, at least 4 weeks after second dose
- Fourth dose (updated bivalent booster) – At least two months after third dose. Children ages 5 years can only get a Pfizer-BioNTech booster, and children ages 6-11 years can get a Pfizer-BioNTech or Moderna booster.
- Up to date – Immediately after the most recent booster recommended for you

12-17 years
- First dose (primary series) – Pfizer-BioNTech
- Second dose (primary series) – Pfizer-BioNTech, 3 weeks after first dose
- Third dose (primary series) – Pfizer-BioNTech, at least 4 weeks after second dose
- Fourth dose (updated bivalent booster) – Pfizer-BioNTech, at least two months after third dose or last booster
- Up to date – Immediately after the most recent booster recommended for you

Moderna

6 months – 5 years
- First dose (primary series) – Moderna
- Second dose (primary series) – Moderna, 4 weeks after first dose
- Third dose (primary series) – Moderna, at least 4 weeks after second dose
- Fourth dose (updated bivalent booster) - At least two months after second dose, children ages 6 months – 4 years can only get a Moderna updated bivalent booster, and children ages 5 years can get a Pfizer-BioNTech or Moderna updated bivalent booster.
- Up to date – Immediately after you have received an updated bivalent booster

6 – 11 years
- First dose (primary series) – Moderna
- Second dose (primary series) – Moderna, 4 weeks after first dose
- Third dose (primary series) – Moderna, at least 4 weeks after second dose
- Fourth dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least two months after third dose or last booster
- Up to date – Immediately after the most recent booster recommended for you

12 – 17 years
- First dose (primary series) – Moderna
- Second dose (primary series) – Moderna, 4 weeks after first dose
- Third dose (primary series) – Moderna, at least 4 weeks after second dose
- Fourth dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least two months after third dose or last booster
- Up to date – Immediately after the most recent booster recommended for you

Novavax

12-17 years
- First dose (primary series) – Novavax
- Second dose (primary series) – Novavax, 3 weeks after first dose
- Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second dose
- Up to date – Immediately after the most recent booster recommended for you

ADULTS AGES 18 AND OLDER WHO ARE MODERATELY TO SEVERELY IMMUNOCOMPROMISED

Pfizer-BioNTech

First dose (primary series) – Pfizer-BioNTech
Second dose (primary series) – Pfizer-BioNTech, 3 weeks after first dose
Third dose (primary series) – Pfizer-BioNTech, at least 4 weeks after second dose
Fourth dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least two months after third dose
Up to date – Immediately after the most recent booster recommended for you

Moderna

First dose (primary series) – Moderna
Second dose (primary series) – Moderna, 4 weeks after first dose
Third dose (primary series) – Moderna, at least 4 weeks after second dose
Fourth dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least two months after third dose
Up to date – Immediately after the most recent booster recommended for you

Novavax

First dose (primary series) – Novavax
Second dose (primary series) – Novavax, 3 weeks after first dose
Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second dose. A monovalent Novavax booster is available in limited situations.
Up to date – Immediately after the most recent booster recommended for you

Johnson & Johnson’s Janssen

First dose (primary series) – J&J/ Janssen
Second dose (additional dose) – At least 4 weeks after first dose and should be Pfizer-BioNTech or Moderna
Third dose (updated bivalent booster) – Pfizer-BioNTech or Moderna, at least 2 months after second dose or last booster. A monovalent J&J/Janssen booster is available in limited situations.
Up to date – Immediately after you have received the most recent booster recommended for you

Mixing COVID-19 vaccine products

Primary Series

CDC does not recommend mixing products for your primary series doses. If you received Pfizer-BioNTech, Moderna or Novavax for the first dose of your primary series, you should get the same product for all following primary series doses.

Mixing boosters

Children ages 6 months–4 years should get the same product for all their primary series and booster, if eligible.

However, children who only completed two doses of Pfizer-BioNTech COVID-19 vaccines should get the Pfizer-BioNTech updated (bivalent) vaccine as the third dose in their primary series.

Children ages 6 months–4 years who completed the two-dose Moderna primary series should get an updated (bivalent) Moderna booster.

Children ages 5 who completed the Pfizer-BioNTech primary series should only get the updated (bivalent) Pfizer-BioNTech booster.

Children ages 5 who completed the Moderna primary series can get a different product for their updated (bivalent) booster than they got for their primary series.

People ages 6 years and older can get a different product for their updated (bivalent) booster than they got for their primary series or last booster.

Galveston County Health District

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Beach Water Advisories

COVID-19

Coastal Health & Wellness offers COVID-19 vaccinations to established patients ages 5 and older.

Effective April 5, 2022 Coastal Health & Wellness uninsured patients will be billed a $14 administrative fee for COVID-19 vaccines.

Pfizer-BioNTech

Moderna

Novavax

Pfizer-BioNTech

Moderna

Novavax

Johnson and Johnson’s Janssen

Pfizer-BioNTech

Moderna

Novavax

Pfizer-BioNTech

Moderna

Novavax

Johnson & Johnson’s Janssen

Primary Series

Mixing boosters