When Can I Get the COVID-19 Vaccine?

Although the federal government is responsible for purchasing and allocating doses of the COVID-19 vaccine to each state, the states are responsible for determining how they’re going to distribute the vaccine and who gets it when.

The Centers for Disease Control and Prevention (CDC) released recommendations at the beginning of December 2020 that address which populations should get the vaccine first. Each state’s health department or COVID-19 task force was then required to submit its initial vaccination plans to the CDC. 

States were able to adjust the official recommendations based on their needs. The plans outline how the state will distribute the vaccine through a series of phases with the most critical and high-risk populations getting the vaccine first. 

However, due to the limited availability of vaccine doses, each state plan will be adjusted as time goes on and more doses become available. 

Here’s what we know so far about the vaccination phases in each state.

The Phased Vaccination Approach

States are mostly following the CDC’s recommendations. That means that each state will release doses in at least three phases with the first phase divided into sub-phases due to the limited number of doses available. 

Each phase may last a month or several months, again depending on the availability of the vaccine. 

If you would like to see how many vaccine courses are available by state and county and how many eligible people can be covered by the courses, you can check out this Vaccine Allocation Planner developed by Ariadne Labs and the Surgo Foundation. 

Additionally, as you look at the number of vaccination doses available at any given time, remember that the COVID-19 vaccines up for approval and distribution require two doses per person. “Vaccine course” refers to the full course of two doses, and “vaccine doses” refers to a single dose.

The following are general descriptions of the recommended phases for vaccine distribution on which states have based their plans.

Phase 1 of COVID-19 Vaccine Distribution

All state Phase 1s include health care workers who are at the highest risk for exposure to COVID-19. Phase 1s are divided into subsets or sub-phases to prioritize the highest-risk populations first.

The first population subset will be health care professionals working in inpatient or hospital settings, particularly emergency services and intensive and critical care units. In some states, this also includes long-term care facility staff and residents in either the first subset or one of the next.

The following subsets will typically include other health care workers not included in the first subset. 

Then, depending on your state, the end of Phase 1 will focus on vaccinating those who are at high-risk in the general population, such as certain essential workers, people over the age of 65 years old, or those with comorbidities that put them at high risk for severe COVID-19. 

Phase 2 of COVID-19 Vaccine Distribution

Phase 2 is where vaccination plans begin to vary much more widely. In general, this phase includes all remaining health care workers and any essential or at-risk workers or populations that weren’t already covered in Phase 2.

In some states, Phase 2 will also begin to vaccinate the general population.

Phase 3 of COVID-19 Vaccine Distribution

Phase 3 includes anyone who hasn’t been vaccinated yet from the previous phases and the general public. At this phase, officials expect vaccine doses to be much more widely available and accessible.

This phase is also where the CDC recommends that states begin the transition to having the COVID-19 vaccine become a regularly recommended vaccine, such as the flu shot.

Phase 4 of COVID-19 Vaccine Distribution

A few states have opted to expand their plan with a 4th Phase, which is generally a continuation of the end of Phase 3 when the general population can access the vaccine and the transition to a regular vaccination schedule begins. 

State Vaccination Plans

The COVID-19 pandemic is a dynamic and ongoing health issue. Therefore, expect regular new changes and updates to state vaccination plans for the foreseeable future.

Each state’s vaccination plan will change depending on federal and state recommendations, dosage availability, demand, and reassessments. Additionally, some states have currently only defined eligible populations for Phase 1 of their vaccination plan and have yet to release eligibility requirements and expectations for the following phases. 

Plans will be updated regularly as more vaccine doses become available.

Check your state’s specific plan regularly for updates. 

COVID-19 Vaccine Plan by State

Alabama COVID-19 Vaccine Plan

Alabama plans to distribute the vaccine in four phases.

Phase 1 includes all health care workers and is divided into three phases:

  • Phase 1A includes health care workers in inpatient and hospital settings who are high to medium risk for COVID-19.
  • Phase 1A subset includes health care workers in outpatient services.
  • Phase 1B includes people with two or more high-risk comorbidities, including seniors over the age of 65 years old.

Phase 2 includes K-12 school teachers and staff and people at increased risk who weren’t included in Phase 1.

Phase 3 includes essential workers with a moderate risk of exposure to COVID-19, young adults, children, and people who are pregnant (depending on vaccine availability for children and pregnant people).

Phase 4 includes everyone else.

Alaska COVID-19 Vaccine Plan

Alaska faces many unique challenges, including working with independent tribal organizations and reaching the many remote towns throughout the state, some of which only can be reached via plane or boat. Due to these challenges, its phases are not well defined past Phase 1.

Phase 1 includes all hospital front-line health care workers at high risk, long-term care facility residents and staff, emergency medical personnel, community health workers, and those required to perform vaccinations.

Arizona COVID-19 Vaccine Plan

Arizona plans to distribute the vaccine in three phases and has left it up to each of its county’s health departments to determine specific distribution plans in coordinating with the state health department. 

Maricopa County and Pima County are the largest counties in Arizona.

Phase 1 is divided into three phases:

  • Phase 1A includes health care workers at risk for exposure, emergency medical personnel, and long-term care facility staff and residents.
  • Phase 1B includes all other health care workers, adults living in long-term care settings, law enforcement, teachers, childcare workers, and essential workers.
  • Phase 1C includes people with a high risk of severe COVID-19, such as people 65 years of age or older and those with high-risk medical conditions.

Phase 2 includes the remainder of the populations in Phase 1 who didn’t get the vaccine yet, any additional high-risk or critical populations, and the general public.

Phase 3 includes anyone left from Phase 1 and Phase 2 and the general population.

Arkansas COVID-19 Vaccine Plan

Arkansas plans to distribute the vaccine in four phases.

Phase 1 is divided into three phases:

  • Phase 1A includes health care workers at the highest risk for exposure, long-term care facility residents, and then other health care workers and first responders. 
  • Phase 1B includes essential workers such as those who work in daycare, education, food industry, and correctional facilities, etc.
  • Phase 1C includes people who are at increased risk for severe COVID-19 illness and those who live in congregate settings. 

Phase 2 includes the general population.

Phase 3 includes everyone and a transition to making the vaccine a routine vaccination. 

California COVID-19 Vaccine Plan

California plans to distribute the vaccine in multiple phases to be determined. 

Phase 1 is divided into several sub-phases:

  • Phase 1A includes health care workers in high-risk settings and roles and the staff and residents of long-term care facilities and similar care settings. These populations are further divided into three tiers to determine which health care roles get priority first.

    As of January 7, 2021, California’s plan proceeded to make vaccinations available for all populations in Phase 1A, which includes  health care workers, public health field staff, primary care clinics, specialty clinics, laboratory workers, dental clinics, and pharmacy staff.

Colorado COVID-19 Vaccine Plan

Colorado plans to distribute the vaccine in three phases with a timeline based roughly on the season.

Phase 1 is during the winter season 2020-2021 and is divided into two sub-phases:

  • Phase 1A includes the highest-risk health care workers and individuals, specifically those who are in direct contact with COVID-19 patients and long-term care facility residents and staff.
  • Phase 1B includes moderate-risk health care workers and first responders. This includes health care workers with less direct contact with COVID-19 patients; home health, hospice, and dental workers; emergency and first responders, funeral services, and COVID-19 response personnel. 

Phase 2 is estimated to take place during the spring and includes higher-risk individuals and essential workers. This includes people age 65 years old and older, individuals with a chronic disease that puts them at high risk for severe COVID-19, workers who routinely interact directly with the public or who serve people who live in congregate or high-density settings, and those who received a placebo during COVID-19 vaccine trials.

Phase 3 is estimated to take place during the summer and includes the rest of the general public who are eligible for vaccination. 

The state has also left up Tribal vaccine distribution up to the individual Tribal authorities. 

Connecticut COVID-19 Vaccine Plan

Connecticut plans to distribute the vaccine in three phases that are divided up into a distribution timeline by estimated month.

Phase 1 is divided into multiple sub-phases  that includes health care workers, long-term care facility residents, and medical first responders:

  • Phase 1A does not include any health care workers who don’t have the risk of direct or indirect exposure to COVID-19 patients or positive materials. 

Phase 2 is estimated to run from January to May and includes essential workers, those who work and live in congregate settings, adults 65 years old and older, and high-risk individuals under the age of 65.

Phase 3 is estimated to run from June to December and includes those under the age of 18 and any remaining individuals over the age of 18 not covered in previous phases. 

Delaware COVID-19 Vaccine Plan

Delaware plans to distribute the vaccine in three phases.

Phase 1 is divided into multiple subphases:

  • Phase 1A includes long-term care facility residents and high-risk workers in health care or patient care settings (specifically workers who have direct patient contact) including hospitals, public health, emergency services, pharmacies, home health, or outpatient facilities.

Phase 2 includes other critical populations at high risk that aren’t included in Phase 1.

Phase 3 includes the general population not included in previous phases.

Washington DC COVID-19 Vaccine Plan

The District of Columbia plans to distribute the vaccine in multiple phases. 
Phase 1 is divided into multiple phases, and the plan is regularly updating dates for when they anticipate vaccinating certain groups. 
  • Phase 1A includes all workers in health care settings who are directly or indirectly exposed to infectious materials and unable to work remotely. 
  • The week of January 11 plans to vaccinate all residents who are 65 years of age or older.
  • The week of January 25 plans to vaccinate certain essential workers, including public safety workers, grocery store workers, PreK-12 workers, and childcare workers.
  • The week of February 1 plans to vaccinate all residents with chronic medical conditions and remaining essential workers.
 

Florida COVID-19 Vaccine Plan

Florida plans to distribute the vaccine in three phases.

Phase 1 focuses first on high-risk hospital-based health care workers at specific hospitals across the state and then on long-term care facility staff and residents and eventually first responders and essential workers.

Phase 2 will focus on distributing the vaccine to critical at-risk populations and begin the transition to vaccinating the general population.

Phase 3 will include the general public. 

Georgia COVID-19 Vaccine Plan

Georgia plans to distribute the vaccine in multiple phases to be determined.

Phase 1 is divided into three phases:

  • Phase 1A includes health care workers who have the potential for direct or indirect exposure to COVID-19 patients or infectious materials as well as long-term care facility residents.
  • Phase 1B includes essential workers not covered under the previous phase and individuals at a high risk of severe COVID-19, including all individuals 75 years of age and older and all individuals 65 years of age and older with high-risk comorbidities, including their caregivers. 
  • Phase 1C includes all individuals at high risk for severe COVID-19 that weren’t included in previous phases. This includes other essential workers and adults below the age of 65 who have high-risk comorbidities. 

Hawaii COVID-19 Vaccine Plan

Hawaii plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care personnel and first responders at very high risk for exposure to COVID-19 patients, including laboratory personnel at risk for exposure to positive infectious materials and morgue workers performing autopsies. The next priority population is health care personnel at high exposure risk, which includes health care delivery and support staff, medical transport workers, and mortuary workers who prepare bodies of those who died from potential or confirmed COVID-19.
  • Phase 1B includes individuals with comorbidity that puts them at higher risk for severe COVID-19 and adults who are 65 years old or older who live in congregate settings. 

Phase 2 is likely to be divided into three sub-phases:

  • Phase 2A includes K-12 teachers and staff, essential workers in high-risk settings, individuals with comorbidities that put them at moderate risk for severe COVID-19, individuals in homeless shelters or group homes, people in congregate living settings such as prisons, and adults who are 65 years or older who were not vaccinated in previous phases.
  • Phase 2B includes young adults, children (if a vaccine is approved for children), and essential workers who are not at increased risk for exposure and included in previous phases.
  • Phase 2C will focus on shifting vaccination to the general population. 

Phase 3 includes the general population.

Idaho COVID-19 Vaccine Plan

Idaho plans to distribute the vaccine in three phases to be determined.

Phase 1 is divided into two phases:

  • Phase 1A includes staff and residents of long-term care facilities and health care workers who provide direct care to COVID-19 patients. The state has a list of specific groups and the priority order they are expected to receive the vaccine. 
  • Phase 1B will likely include health care workers not included in the previous phase, including first and emergency responders, and essential workers, including preschool and K-12 staff and teachers, daycare workers, correctional and detention facility staff, food processing workers, grocery and convenience store workers, and the Idaho National Guard, and other essential workers who work directly with the public. 

Illinois COVID-19 Vaccine Plan

Illinois plans to distribute the vaccine in four phases.

Phase 1 is divided into three sub-phases:

  • Phase 1A includes health care workers and long-term care facility residents.
  • Phase 1B includes essential frontline workers and other groups to be determined.
  • Phase 1C includes adults who are 65 years old or older and adults with comorbidities that put them at high risk for severe COVID-19 and other groups to be determined.

Phase 2 includes essential workers and adults with comorbidities that put them at moderate risk for severe COVID-19 with other groups to be determined.

Phase 3 includes children (if approved) and young adults between the ages of 18 and 30 years old as well as other groups to be determined. 

Phase 4 includes the general population.

Indiana COVID-19 Vaccine Plan

Indiana plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care workers at risk for direct or indirect exposure to COVID-19 patients or infectious materials. This includes both clinical and non-clinical positions.
  • Phase 1B includes individuals with comorbidities that put them at high risk for severe COVID-19.

Phase 2 includes individuals who are at high risk for COVID-19 due to where they live or work and were not covered in previous phases. This includes individuals who live in congregate settings, such as correctional facilities or shelters, and essential workers where social distancing is not possible.

Phase 3 includes the general population. 

Iowa COVID-19 Vaccine Plan

Iowa plans to distribute the vaccine in three phases.

Phase 1 is divided into multiple sub-phases to be determined:

  • Phase 1A includes health care personnel in hospitals at high-risk for exposure and long-term care facility residents. 

Kansas COVID-19 Vaccine Plan

Kansas plans to distribute the vaccine in three phases. 

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care workers at risk for direct or indirect exposure to COVID-19 patients or infectious materials and are unable to work from home. 
  • Phase 1B includes individuals with comorbidities that put them at higher risk for severe COVID-19, individuals who are 65 years of age or older, other essential workers, and long-term care facility residents.

Kentucky COVID-19 Vaccine Plan

Kentucky plans to distribute the vaccine in four phases. The state plans to follow the framework guidelines released by the National Academies of Sciences, Engineering, and Medicine. 

Phase 1 is divided into two phases:

  • Phase 1A includes high-risk health care workers and first responders.
  • Phase 1B includes individuals with comorbidities that put them at higher risk for severe COVID-19 and older adults who live in congregate or overcrowded settings. 

Phase 2 includes K-12 teachers and staff, essential workers in high-risk settings, individuals with comorbidities that put them at moderate risk for severe COVID-19, people in homeless shelters or group homes, people in correctional facilities, and all older adults not included in the previous phase.

Phase 3 includes children (if a vaccine is approved for use by children), young adults, and workers in industries important to society who are not as high risk for exposure and not included in previous phases.

Phase 4 includes the general population. 

Louisiana COVID-19 Vaccine Plan

Louisiana plans to distribute the vaccine in four phases. Population groups in each phase will have equal priority. 

Phase 1 is divided into several sub-phases:

  • Phase 1A includes frontline health care workers and long-term care facility residents and staff.

Maine COVID-19 Vaccine Plan

Maine plans to distribute the vaccine in three phases. 

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care workers who provide direct patient care in high-risk settings and long-term care facility residents and staff.

Maryland COVID-19 Vaccine Plan

Maryland plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care workers, long-term care facility residents and staff, and first responders.
  • Phase 1B includes individuals who are at the highest risk of severe COVID-19.

Phase 2 includes essential workers in critical industries and individuals at moderate risk of severe COVID-19.

Phase 3 includes the general population. 

Massachusetts COVID-19 Vaccine Plan

Massachusetts plans to distribute the vaccine in three phases.

Phase 1 includes multiple high-risk populations in order of priority and is expected to take place from December to February:

  • Health care workers involved in providing direct patient care and direct care to COVID-19 patients
  • Long-term care facility residents and staff
  • Law enforcement and fire and emergency medical services
  • Those who live in congregate care settings, including correctional facilities and shelters
  • Home health care workers
  • Health care workers who work in non-COVID-facing care.

Phase 2 includes the following populations in order of priority and is expected to take place from February to April:

  • Individuals who have two or more comorbidities that put them at high risk for COVID-19 complications
  • Essential workers, including preschool and K-12 teachers and staff and those who work in grocery, transit, utility, food and agriculture, sanitation, public workers, and public health.
  • Adults who are 65 years of age or older
  • Individuals with one comorbidity. 

Phase 3 includes the general population and is expected to take place from April to June.

Michigan COVID-19 Vaccine Plan

Michigan plans to distribute the vaccine in two phases.

Phase 1 is divided into three sub-phases:

  • Phase 1A includes health care workers who have direct or indirect exposure to COVID-19 patients or infectious materials as well as long-term care facility residents. Phase 1A is further divided into three priority groups:
    • Priority One populations are divided into four groups:
      • Group A: Health care workers providing direct patient care in emergency medical services (including medical first responders)
      • Group B: Health care workers on general medical floors
      • Group C: Health care workers in emergency departments
      • Group D: Health care workers in intensive care units.
    • Priority Two populations are divided into two groups: 
      • Group A: Health care staff who provide direct care to large groups of vulnerable residents of settings including long-term care and skilled nursing facilities. This also includes home health workers with the highest-risk patients.
      • Group B: Residents of long-term care facilities. 
    • Priority Three populations are divided into three groups:
      • Group A: Health care workers who provide direct patient care and conduct high-risk procedures, such as dentists and those working in dialysis or endoscopy units.
      • Group B: Other health care workers who have direct patient contact, such as those working in outpatient or urgent care units.
      • Group C: Health care workers who have indirect patient care contact, such as those working in laboratories or pharmacies. 
  • Phase 1B includes essential workers in critical industries, such as non-hospital, non-public health laboratories, mortuary services, workers who have direct contact with children, and staff who work in congregate settings like correctional facilities or homeless shelters.
  • Phase 1C is divided into two priority groups:
    • Group A: Individuals who are 65 years of age or older.
    • Group B: Individuals between the ages of 16-64 with comorbidities that put them at high risk for severe COVID-19. 

Phase 2 includes the general population for those 16 years or older.

Minnesota COVID-19 Vaccine Plan

Minnesota plans to distribute the vaccine in multiple phases.

Phase 1 is divided into several sub-phases:

  • Phase 1A is further divided into three population priority groups:
    • First priority: Hospital personnel who provide direct care to COVID-19 patients, staff who work at skilled nursing facilities and nursing homes, emergency medical services personnel, and COVID-19 testers and vaccinators. 
    • Second priority: Hospital personnel who provide direct patient care or handle infectious materials not included in the previous group, staff who work at assisted living facilities or home health care services, urgent care settings, and dialysis centers.
    • Third priority: All remaining health care workers not included in previous groups. 

Mississippi COVID-19 Vaccine Plan

Mississippi plans to distribute the vaccine in three phases.

Phase 1 will begin with critical health care workers first.

Missouri COVID-19 Vaccine Plan

Missouri plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes long-term care facility residents and staff and health care workers who are at risk for direct or indirect exposure to COVID-19.
  • Phase 1B includes high-risk individuals between the ages of 18-64, individuals 65 years of age and older, first responders, and essential workers. This includes childcare workers, teachers and school staff, utility workers, critical manufacturing workers, and food and agriculture workers.

Phase 2 includes populations at increased risk for COVID-19, including those who reside in residential facilities or homeless shelters. 

Phase 3 includes the general population.

Montana COVID-19 Vaccine Plan

Montana plans to distribute the vaccine in three phases.

Phase 1 is expected to take place during the first two months after vaccine availability and is divided into several sub-phases:

  • Phase 1A includes high-risk health care workers and long-term care facility staff and residents.

Phase 2 is expected to take place three to six months after vaccine availability.

Phase 3 is expected to take place from six months onward after vaccine availability. 

Nebraska COVID-19 Vaccine Plan

Nebraska plans to distribute the vaccine in three phases.

Phase 1 is divided into three sub-phases and includes recommendations for prioritizing staff by week

  • Phase 1A includes health care personnel providing direct patient care or are regularly exposed to infectious materials as well as long-term care facility residents and staff.
  • Phase 1B includes first responders, those who work in education, food and agricultural workers, and those who work in utilities or transportation.
  • Phase 1C includes individuals who are 65 years of age or older, vulnerable populations (such as those who are disabled, homeless, etc.), and those who live in congregate settings (such as correctional facilities, colleges or universities, etc.)

Nevada COVID-19 Vaccine Plan

Nevada plans to distribute the vaccine in three phases. 

Phase 1 is divided into tiers that list high-risk populations in priority order:

  • Phase 1A includes Tier 1 populations:
    • Tier 1 includes critical infrastructure employees in the following priority order:
      • General Medical and Surgical Hospital
      • Long Term Care Facility Staff & Residents
      • Psychiatric and Substance Abuse Hospitals
      • Emergency Medical Services Personnel
      • Frontline Public Health Workforce & Volunteers
      • Laboratory Workers
      • Pharmacists and Pharmacy Technicians
      • Outpatient and Home Health Providers
      • Nevada Department of Corrections (NDOC) Staff
      • Law Enforcement and Public Safety
      • Deployed and mission-critical personnel who play an essential role in national security
      • State and Local Emergency Operations Managers/Staff
  • Phase 1B includes Tier 2 populations: 
    • Tier 2 includes additional critical infrastructure employees not covered in the first tier in the following priority order: 
      • Education and Childcare Staff
      • Nevada System of Higher Education (NSHE) Faculty
      • Essential Public Transportation
      • Agriculture and Food Processing
      • Essential Retail Workers
      • Logistics and Supply Chain
      • Utilities and Communications Infrastructure
      • NDOT and Local Emergency Road Personnel
      • Community Support (food banks, DETR, WIC)
      • Airport Operations
      • Depository Credit Institution Workforce
      • Mortuary Services
      • Remaining Public Health Workforce
      • Additional Critical Infrastructure
      • NDOC Inmates
  • Phase 1C includes Tier 3 and Tier 3 populations:
    • Tier 3 includes populations who are a higher risk of severe COVID-19 or at a higher risk of being infected by or transmitting the virus in the following priority order:
      • Transitional Housing for Released Offenders
      • Homeless
      • People with Underlying Health Conditions that are at Increased Risk for Severe
      • Illness from COVID-19
      • People with Underlying Health Conditions that may be at Increased Risk for
      • Severe Illness from COVID-19
      • Elderly Nevadans Age 65+ without Underlying Health Conditions 207,603
      • The remainder of NSHE Staff
    • Tier 4 includes all healthy adults between the ages of 18-64 years of age.

New Hampshire COVID-19 Vaccine Plan

New Hampshire plans to distribute the vaccine in four phases.

Phase 1 is divided into several sub-phases:

  • Phase 1A includes frontline health care workers and support staff who provide direct patient care, health care staff who have indirect or limited patient contact, residents of assisted living and skilled nursing facilities, and first responders, including fire and emergency medical services, law enforcement, and COVID-19 responders.
  • Phase 1B includes other adults in congregate settings, such as senior living complexes, as well as additional at-risk populations to be determined.

New Jersey COVID-19 Vaccine Plan

New Jersey plans to distribute the vaccine in two phases.

Phase 1 is divided into three categories:

  • Category 1A includes health care workers with direct or indirect exposure to COVID-19 patients or infectious materials as well as long-term care residents and staff.
  • Category 1B includes essential workers.
  • Category 1C includes adults 65 years of age or older and adults with comorbidities that put them at higher risk for severe COVID-19. 

Phase 2 will begin to vaccinate the general population. 

New Mexico COVID-19 Vaccine Plan

New Mexico plans to distribute the vaccine in two phases.

Phase 1 is divided into two subphases:

  • Phase 1A includes frontline health care workers in hospital settings.
  • Phase 1B includes other frontline health care workers, first responders, and staff and residents of nursing homes and long-term care facilities. 
  • Phase 1C sub-groups and on includes those living in congregate care facilities and other health care workers not covered in previous phases. 

Phase 2 will likely include older individuals, those with comorbidities, essential workers, and other vulnerable populations to be determined. 

New York COVID-19 Vaccine Plan

New York plans to distribute the vaccine in five phases. 

The state will also use a prioritization matrix to divide population groups into those who live and work in geographic areas with high COVID-19 prevalence, who will get first priority in the population group, and those who live and work in geographic areas with low COVID-19 prevalence. 

Phase 1 includes health care workers in patient care settings, with the top priority those who work in the intensive care unit, emergency departments, and emergency medical services. Also included are patient-facing long-term care facility workers and residents.

Phase 2 includes first responders, teachers and school staff, childcare providers, public health workers, public-facing essential frontline workers, other residents of long-term care facilities and congregate settings not included previously, as well as individuals with comorbidities that put them at high risk for severe COVID-19. 

Phase 3 includes individuals 65 years of age and older and individuals under the age of 65 with high-risk comorbidities. 

Phase 4 includes all other essential workers not included in previous phases.

Phase 5 includes healthy adults and children (if a vaccine is approved for pediatric use). 

North Carolina COVID-19 Vaccine Plan

North Carolina plans to distribute the vaccine in four phases. 

Phase 1 is divided into several sub-phases:

  • Phase 1A includes health care workers providing direct patient care to COVID-19 patients or those who are at high risk for exposure to COVID-19 due to their work duties. This phase also includes staff and residents of long-term care facilities. 
  • Phase 1B includes adults with two or more comorbidities that put them at high risk for severe COVID-19, frontline essential workers with two or more chronic conditions, and staff of correctional facilities and homeless shelters. 

Phase 2 includes essential frontline workers not included in the previous phase, adults who are 65 years of age or older, adults under 65 years old who have at least one comorbidity that puts them at higher risk for severe COVID-19.

Phase 3 includes college and university students, K-12 students, and workers in jobs critical to society but with a lower risk of exposure to COVID-19. 

Phase 4 includes the general population. 

North Dakota COVID-19 Vaccine Plan

North Dakota plans to distribute the vaccine in three phases. 

Phase 1 is divided into three sub-phases:

  • Phase 1A includes health care workers, workers and residents at long-term care facilities, and emergency medical services. This phase divides health care workers into tiers for prioritization
  • Phase 1B includes other essential workers, such as police, fire services, and teachers. 
  • Phase 1C includes individuals with underlying health conditions that put them at high risk for severe COVID-19, individuals 65 years of age and older, and those living and working in congregate settings, such as correctional facilities and shelters. 

Phase 2 includes the general population. 

Phase 3 includes the transition to widespread, routine vaccination. 

Ohio COVID-19 Vaccine Plan

Ohio plans to distribute the vaccine in four phases. 

Phase 1 is divided into sub-phases:

  • Phase 1A includes health care workers who provide care to COVID-19 patients, staff and residents of long-term care facilities, patients and staff at state psychiatric hospitals, residents of group homes or residential facilities for mental health disorders, residents and staff of veterans homes, and EMS responders. 

Phase 2 includes other specific critical populations to be determined.

Phases 3 and 4 include the general population. 

Oklahoma COVID-19 Vaccine Plan

Oklahoma plans to distribute the vaccine in four phases.

Phase 1 includes long-term care residents and staff, health care workers providing direct inpatient care to COVID-19 patients, public health staff involved in COVID-19 mitigation, and emergency medical technicians and paramedics. 

Phase 2 includes first responders, health care workers providing direct outpatient care to COVID-19 patients, adults who are 65 years old or older, adults of any age with comorbidities, teachers and staff in preschool and K-12 education, staff and residents of congregate living locations, and public health support staff.

Phase 3 includes teachers, staff, and residents in other educational settings and critical infrastructure personnel.

Phase 4 includes the general population. 

Oregon COVID-19 Vaccine Plan

Oregon plans to distribute the vaccine in four phases.

Phase 1 is divided into several sub-phases:

  • Phase 1A includes frontline health care workers who may be directly or indirectly exposed to COVID-19 patients or infectious materials as well as long-term care staff and residents. 

Pennsylvania COVID-19 Vaccine Plan

Pennsylvania plans to distribute the vaccine in three phases.

Phase 1 is divided into several sub-phases:

  • Phase 1A includes health care workers with priority going to those who provide care to COVID-19 patients as well as congregate-care facilities residents and staff, particularly long-term care and skilled nursing facilities. 
  • Phase 1B includes first responders, critical workers of essential business where social distancing or remote work isn’t possible, individuals with comorbidities that put them at a higher risk for severe COVID-19, individuals who are 65 years of age or older, and residents of congregate care facilities not included in the previous phase, such as correctional and rehabilitation facilities. 

Phase 2 includes essential workers not included in the previous phase, individuals with comorbidities that might put them at high risk for severe COVID-19, and residents of congregate settings like college dormitories, boarding schools, and military barracks. 

Phase 3 includes the general population. 

Rhode Island COVID-19 Vaccine Plan

Rhode Island plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes high-risk health care workers and first responders.
  • Phase 1B includes individuals with two or more comorbidities that put them at significant risk for severe COVID-19 and older adults in congregate living settings.

Phase 2 includes K-12 teachers and staff, childcare workers, critical workers in high-risk work settings, individuals with comorbidities that put them at moderate risk, residents and staff of homeless shelters or group homes, residents and staff of correctional or rehabilitation facilities, and all older adults.

Phase 3 includes children (if a vaccine is approved for pediatric use), young adults, and other essential workers not included in previous phases. This phase will also eventually include the general public. 

South Carolina COVID-19 Vaccine Plan

South Carolina plans to distribute the vaccine in three phases.

Phase 1 is divided into two sub-phases:

  • Phase 1A includes health care workers who may have direct or indirect exposure to COVID-19 patients or infectious materials. This phase also includes long-term care facility residents and staff. 
  • Phase 1B includes essential workers who are unable to socially distance at work or work remotely, individuals at increased risk for severe COVID-19, and individuals 65 years of age and older. 

South Dakota COVID-19 Vaccine Plan

South Dakota plans to distribute the vaccine in three phases.

Phase 1 is divided into five priority groups:

  • Group A includes frontline health care workers working in emergency departments, ICUs, COVID-19 units, or in general acute care. It also includes long-term care facility workers.
  • Group B includes long-term care facility residents, specifically assisted living and skilled nursing facilities.
  • Group C includes other health care workers, public health workers, EMS responders, law enforcement, and correctional officers.
  • Group D includes individuals with two or more comorbidities that put them at high risk for severe COVID-19, teachers and other school and college staff, individuals who are 65 years of age or older, residents in congregate living settings, and funeral service workers.
  • Group E includes fire service personnel and workers in critical infrastructure sectors, such as utilities, food services, food and agriculture, manufacturing, transportation, etc.

Tennessee COVID-19 Vaccine Plan

Tennessee plans to distribute the vaccine in four phases.

For each phase, those with first priority are those who are 65 years of age or older or have the following health conditions: cancer, chronic kidney disease, COPD, solid organ transplant, obesity, serious cardiac disease, sickle cell disease, and type 1 or type 2 diabetes. 

Phase 1 is divided into three sub-phases:

  • Phase 1A1 includes health care workers in inpatient and other settings with high exposure risks, home health staff, COVID-19 testing site staff, student health providers, long-term care facility staff and residents, and first responders with direct patient contact.
  • Phase 1A2 includes all other health care workers.
  • Phase 1B includes individuals with two or more comorbidities that put them at high risk for severe COVID-19. 

Phase 2 includes workers in critical infrastructure sectors, school and childcare workers, individuals with comorbidities that put them at moderate risk, individuals who are 65 years old or older, and residents and staff in congregate care settings or correctional facilities. 

Phase 3 includes children (if a vaccine is approved for pediatric use), young adults, and workers in important industries with a higher risk of exposure, such as universities, entertainment, or goods-producing sectors.

Phase 4 includes the general population. 

Texas COVID-19 Vaccine Plan

Texas plans to distribute the vaccine in multiple phases.

Phase 1 is divided into several sub-phases, and each sub-phase has a priority order for the populations included in its sub-phase:

  • Phase 1A includes high-risk health care workers.
    • Priority will first go to those working in hospital settings who work directly with COVID-19 patients; long-term care facility staff and residents; EMS providers; and home health care workers.
    • Second priority will then go to staff in outpatient care settings who care for symptomatic patients; staff providing direct care in freestanding emergency medical care facilities and urgent care clinics; community pharmacy staff who are patient-facing; people directly involved in administering COVID-19 testing and vaccinations; last responders who provide mortuary and death services to those who have died of COVID-19; and school nurses.
  • Phase 1B includes people who are 65 years old or older and people with at least one pre-existing medical condition that is considered high-risk for severe COVID-19.

Utah COVID-19 Vaccine Plan

Utah plans to distribute the vaccine in four phases that are divided up into a distribution timeline by estimated month.

Phase 1 is mid-December and includes health care personnel working in high-risk hospital units that care for the majority of COVID-19 patients.

Phase 2 runs from late December to January and includes in this order: the remaining health care workers in high-risk hospital settings, all other health care personnel, school staff, emergency and public health workers, and Tribal emergency and public health workers.

Phase 3 runs from February to March and includes long-term care staff and residents who haven’t yet been vaccinated and essential workers.

Phase 4 runs from March to July and will include in this order: 

  • Tribal Entities 
  • People 65 years of age and older 
  • Essential workers not included in Phase 3 (including childcare workers, personal care, airline workers, etc.)
  • High-risk racial and ethnic groups, those who work in food preparation, and people with underlying medical conditions
  • Other people at risk for COVID-19 or severe COVID-19 outcomes
  • Any other workers with a moderate risk level
  • Everyone else.

Vermont COVID-19 Vaccine Plan

Vermont plans to distribute the vaccine in multiple phases.

Phase 1 is divided into multiple subphases:

  • Phase 1A includes high-risk health care workers and long-term care facility residents. 

Virginia COVID-19 Vaccine Plan

Virginia plans to distribute the vaccine in multiple phases.

Phase 1 is divided into three sub-phases:

  • Phase 1A includes health care providers in high-risk settings and roles that are patient-facing, long-term care facility residents, and first responders.
  • Phase 2B includes essential workers.
  • Phase 1C includes high-risk adults.

Washington COVID-19 Vaccine Plan

Washington plans to distribute the vaccine in multiple phases.

Phase 1 includes multiple subphases:

  • Phase A1 includes workers in high-risk health care settings and high-risk first responders and the staff and residents of long-term care facilities or other community-based, congregate living settings where residents are 65 years of age and older.
  • Phase A2 includes all workers in health care settings.
  • Phase B1 is planned for January and  includes all people who are 70 years of age or older and all people who are 50 years of age or older who live in multi-generational households.
  • Phase B2 is planned for February and includes all high-risk critical workers who are 50 years of age or older and who work in congregate settings, such as in agriculture, food processing, grocery stores, K-12 education, child care, corrections, detention centers and prions, public transit, fire departments, and law enforcement.
  • Phase B3 is planned for March and includes people who are 16 years of age or older with two or more comorbidities.
  • Phase B4 is planned for April and includes all high-risk critical workers who are under the age of 50 years old.

Phases 2, 3, and 4 are planned for May through December.

West Virginia COVID-19 Vaccine Plan

West Virginia plans to distribute the vaccine in two phases. Each phase is divided into multiple subphases.

Phase 1 is divided into four sub-phases.

  • Phase 1A includes health care employees in high-risk hospital units and airway specialists; long-term care staff and residents; and pharmacy staff.
  • Phase 1B includes community infrastructure workers, emergency response workers, public health officials, and first responders.
  • Phase 1C includes other health care staff with priority for those 50 years old and older.
  • Phase 1D includes essential workers in critical sectors considered vital to state and government services, including utilities and transportation workers, education workers, and those involved in necessary government services. Again, the priority will be those 50 years old and older.

Phase 2 is divided into three sub-phases:

  • Phase 2A includes the general population prioritized by age, with those 80 years old and older first, then people 70 years old and older second, and then those people 60 years old and older last. This phase also includes those with pre-existing health problems and a physician’s order to get the vaccine.
  • Phase 2B includes other health care and critical workers who were not already vaccinated in Phases 1C and 1D.
  • Phase 2C includes everyone else.

Wisconsin COVID-19 Vaccine Plan

Wisconsin plans to distribute the vaccine in three phases.

Phase 1 includes health care personnel at high-risk for COVID-19 due to regularly treating or being exposed to COVID-19 patients; people 65 years of age or older or living at long-term care facilities; other essential workers.

Phase 2 includes all people in Phase 1 who haven’t yet received the vaccine and other critical populations to be determined based on vaccine availability.

 

Wyoming COVID-19 Vaccine Plan

Wyoming plans to distribute the vaccine in three phases.

Phase 1 is divided into two subsets:

  • Phase 1A includes high-risk health care professionals, Tribal health care professionals, frontline emergency responders, law enforcement, school nurses, long-term facility staff and residents, laboratory staff, pharmacy staff, and other health care facility staff. This first subset is divided into a further list of 17 sub-groups to determine priority order. 
  • Phase 1B includes populations at high-risk for severe COVID-19, such as people with underlying medical conditions that are considered high risk for severe COVID-19, people 65 years of age or older, and non-healthcare essential workers.

Phase 2 includes additional essential workers, people with underlying conditions, those who live in congregate settings, and those with limited access to services that provide vaccines. 

Phase 3 includes everyone else who is recommended to receive the vaccination. 

Michelle Paul

Michelle Paul is an RN Content Specialist at Clipboard Health. She has worked with a variety of patient demographics, ranging from young adults in foreign countries, to elderly residents in skilled nursing facilities, to healthy blood donors in her community. Her experience in content creation gives her a unique perspective on communication within the healthcare field.