San Francisco Expands Eligibility for the COVID-19 Vaccine

AP Photo/Jae C. Hong

Starting Monday, March 15, San Francisco will begin vaccinating individuals 16 to 64 with disabilities or other health conditions putting them at high risk of serious illness or death from COVID-19.

Despite the state guidance of prioritization planning, vaccines still remain in short supply. Healthcare providers are advised to prioritize second doses in the coming weeks, meaning appointments for first vaccine doses are limited and everyone eligible may not be able to get an appointment immediately.

“Getting vaccinations to people with disabilities and who have severe underlying conditions, and people who are in congregate settings, is an important part of our efforts to save lives and protect our most vulnerable residents,” Said Mayor London Breed in a statement.

According to SF government, you can get the COVID-19 vaccine if you have any of the following conditions.

Health conditions:

  • Cancer, active
  • Chronic kidney disease
  • Severe chronic pulmonary disease, including COPD or those who are oxygen dependent
  • Down syndrome
  • Immune compromise from blood, bone marrow, or solid organ transplant; immune deficiencies; HIV; use of corticosteroids; or use of other immune weakening medicines
  • Pregnancy
  • Sickle cell disease
  • Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension)
  • Obesity (BMI greater than 30)
  • Diabetes


  • Developmental
  • Medical
  • Physical
  • Sensory
  • Behavioral health, including severe mental health or substance abuse disorders

Living situation:

  • People experiencing homelessness are eligible for the COVID-19 vaccine.
  • People living or working in congregate living settings, which include:
    • Correctional facilities
    • Homeless shelters
    • Other congregate residential care or treatment facilities

Proof of eligibility:

Proving your eligibility depends on where you are getting vaccinated.

  • With your own healthcare provider
    • Your healthcare provider can see your medical records. They will be able to determine your eligibility.
  • A vaccine site not associated with your healthcare provider
    • The vaccine provider will not be able to see your medical records. You may be asked to fill out an attestation form for your eligibility.

“This is a great step in protecting members of our community who are at higher risk of contracting or dying from COVID-19,” said Dr. Grant Colfax, Director of Health. “Many of those with underlying health conditions and disabilities or who are in congregate living settings have had to endure greater isolation this past year for fear of becoming gravely ill from COVID-19 and vaccinating this population is a critical step in protecting our city.

“With our robust ecosystem of high-volume sites, neighborhood sites, pharmacies, and mobile vaccination teams, we can ensure that there is an accessible option for every person eligible to receive the vaccine.” Continued Colfax, “And with the addition of the Johnson & Johnson vaccine to the City’s supply, people can get protection from severe illness and death from COVID-19 after just one dose and without needing to worry about the logistics of making and keeping a second-dose appointment.”

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