Covid-19 Booster Dose Vaccination Consent Form for Pfizer/BioNTech (Comirnaty)

We are now offering the Comirnaty Omicron XBB.1.5  (30 micrograms/dose) dispersion for injection COVID-19 mRNA Vaccine (nucleoside modified) for eligible Adults and Adolescents from 12 years of age in Rosscarbery Pharmacy. Please phone us to see if you are eligible for a vaccine.

If you have not been contacted by Rosscarbery Pharmacy with a date for your vaccination OR you would like to be added for our waiting list, CALL 083-4397126. 

Before filling out this consent form, you MUST read the following information regarding Comirnaty Omicron XBB.1.5 30 micrograms/dose dispersion for injection Covid-19 mRNA Vaccine (nucleoside modified). 

Package leaflet: Information for the user: Comirnaty Origin Omicron XBB.1.5 30micrograms/dose dispersion for injection Adults and adolescents from 12 years COVID-19 mRNA Vaccine (nucleoside modified)  (pages 493-502)

Comirnaty (Pfizer/ BioNTech) vaccine for children and young people aged 12 to 15 Important information for parents and guardians

Important information on your COVID vaccines for people at higher risk from Covid-19

 HSE Information on Covid-19 vaccines for people aged 16 and over