VACCINATION INTEREST FORM
If you are interested in receiving the COVID-19 vaccine, please complete this form:
Completing this form does NOT register you to get the vaccine.
Frederick County is currently vaccinating: 1A and people 75 years and older who live or work in Frederick County.
1A includes: first responders (career, volunteer, and commercial EMS professionals, firefighters, police officers, corrections officers and 911 dispatchers), nursing home residents and staff, front line judiciary staff, and all healthcare providers who are licensed, registered, and certified in Maryland who live or work in Frederick County.
Due to our limited amount of vaccine and Governor Hogan’s request that we prioritize our senior populations first, at this time we are still only vaccinating people in 1B who are 75 years and older.
Maryland residents who are 75 years and older; Marylanders in assisted living, independent living, developmental disabilities/behavioral health group homes, and other congregate facilities; high-risk incarcerated individuals; continuity of government vaccinations; and education, including K-12 teachers, support staff, and child care providers.
For more information about the Maryland Vaccination Plan, go to https://coronavirus.maryland.gov/pages/vaccine.
Thank you for your participation in our survey on vaccine interest! Our English survey received 20,580 results and our Spanish survey received 269. Over 50% of people who responded said that they were planning on getting the vaccine as soon as it became available to them. Of those respondents who said they weren’t sure or were not planning on getting the vaccine immediate, the most common concerns were about safety and side effects. There were thousands of comments written in, and we will use the information from the survey to help develop our messaging to make sure we’re answering the questions that you have asked.
More information about the survey results can be found here: