COVID-19 Vaccine Consent Form

Please provide your information as completely as you can. All information will be kept confidential. 

Fact Sheet For Recipients and Caregivers

This is a Fact Sheet For Recipients And Caregivers that covers the Emergency Use Authorization (EUA) of the Moderna COVID-19 Vaccine to prevent Coronavirus Disease 2019 (COVID-19) in individuals 18 years of age and older.