People Deemed Clinically Extremely Vulnerable Prioritized for COVID-19 Vaccine
People at higher risk from COVID-19 due to existing medical conditions, such as various forms of cancer, transplant recipients and severe respiratory conditions, will be able to register for their COVID-19 vaccine beginning Monday, March 29, 2021. (These conditions are listed at the end of this Post.)
The accelerated timelines for B.C.’s COVID-19 immunization plan mean approximately 200,000 people in B.C. aged 16 years and older who are clinically extremely vulnerable (CEV) are eligible to receive their first dose of COVID-19 vaccine in the coming weeks. Some of the CEV population will have already been immunized as part of B.C.’s age-based vaccine program (currently 75 years and older).
“B.C. has made tremendous progress on our age-based vaccine program,” said Adrian Dix, Minister of Health. “Now, we are able to expand to those people who are at increased risk from COVID-19 due to underlying medical conditions or various medical treatments. Clinical experts have now determined those who have a high risk of severe illness from the virus and now have the vaccine supply to protect these most vulnerable people.”
Expert physicians and providers in cancer care, kidney diseases and other conditions causing compromised immunity worked with public health and international COVID-19 data to define B.C.’s updated CEV list to ensure those most at risk of severe illness from COVID-19 are prioritized first (see backgrounder).
Those people identified as CEV will receive a letter in the mail in the coming days with information on how to book an appointment, beginning March 29, 2021. People who receive this invitation letter must bring it with them to their vaccination appointment.
If people who believe they are in the CEV group have not received a letter by April 15, 2021, they can contact the provincial call centre or visit the get vaccinated provincial online registration and booking system, which is scheduled to launch on April 6, to confirm if they are on the CEV list. If they are not on the CEV list, they can reach out to their physician or nurse practitioner about their eligibility.
“Since day one of our immunization plan, we have set out to protect those who are most at risk to COVID-19,” said Dr. Penny Ballem, executive lead, B.C.’s immunization plan. “We used clinical evidence from around the world and clinical expertise and patient registries in B.C. to develop this list and look forward to taking another important step forward in our immunization plan.”
Dr. Bonnie Henry, B.C.’s provincial health officer, said: “Through this additional immunization, we are able to relieve a significant burden from those who are extremely clinically vulnerable to severe illness from COVID-19. This is another encouraging step forward for all of us as we continue to ramp up our immunization efforts.”
The CEV-based booking process will run parallel to the ongoing age-based booking schedule.
This schedule is being accelerated, starting with those born in 1945 able to book starting Wednesday, March 24. The revised health authority eligibility call-in schedule follows:
- age 76 (born in 1945) – Wednesday, March 24 at noon
- age 75 (born in 1946) – Thursday, March 25 at noon (Tuesday, March 23 for Interior Health, including Aboriginal persons born in 1966)
- age 74 (born in 1947) – Friday, March 26 at noon
- age 74+, and CEV population (must have invitation letter to book) – Monday, March 29 noon
For the full CEV list and criteria, visit: http://gov.bc.ca/cevCOVID
For technical immunization information, visit the BC Centre for Disease Control website:
For more information on what to expect when you go to get vaccinated for COVID-19, visit:
|Determining clinically extremely vulnerable populations: further information|
|Clinically extremely vulnerable (CEV) people will receive a letter to the address on their medical file associated with their Personal Health Number, notifying them and inviting them to book their vaccine appointment.|
Letters will be mailed out over the weeks of March 22 and 29, 2021. Some patients may also be contacted by their treatment clinic or their local health authority. Following an extensive process of assessing which populations to include in this group, the conditions identified below are CEV and therefore prioritized for vaccination.
The CEV populations were determined through the following approach:
CEV eligibility list:
People who have undergone a transplant:
People with specific cancers:
People with severe respiratory conditions: cystic fibrosis, severe chronic obstructive pulmonary disease (COPD), severe asthma:
People with rare blood diseases:
Other rare diseases:
People who have had their spleen removed (splenectomy):
People with diabetes who take insulin:
People with developmental disabilities that increase risk:
People on dialysis or with Stage 5 chronic kidney disease:
People who are pregnant and have heart disease:
People with neuromuscular/neurologic or muscle conditions who require respiratory support:
People whose immune system is affected by immunosuppression therapies they take, including people taking high dose steroids or other medicines known to suppress the immune system: