40th Ward Alderman Andre Vasquez, Jewel-Osco, Chicago Parks District & Swedish Hospital are partnering to vaccinate 40th Ward residents!

First Dose: MARCH 25TH 9AM-4PM

Second Dose: APRIL 15TH 9AM-4PM

@ RIVER PARK FIELDHOUSE

About this Event

40th Ward Alderman Andre Vasquez, Jewel-Osco, Chicago Parks District and Swedish Hospital are partnering to bring the Pfizer vaccine to those in PHASE 1B+*(description below) within the 40th Ward, prioritizing older adults (65+) and teachers. Sign up for an appointment for your first dose of the Pfizer vaccine. Your second dose of the Pfizer vaccine will be 4/15/21 at the same location. Please only register if you can receive both the FIRST AND SECOND DOSES AT THE LOCATION AND DATES PROVIDED.

Please read the following carefully:

Pfizer COVID Vaccine Fact Sheet

Albertsons Notice of Privacy Practices

v-safe after vaccination checker

You will need to bring a copy of the most current version of each of the below documents to the appointment:

1. Proof of address (utility bill, lease agreement, drivers license, state ID, voter registration card)

2. Picture ID (Passport, drivers license, state ID, City Key)

3. Insurance information (Group name, Member name): All populations in Illinois can receive the vaccine regardless of insurance coverage or immigration status, including individuals who are undocumented

4. Completed Informed Consent Form- Spanish, English

*Phase 1b+:

Phase 1B Eligible Individuals

• Age 65 or older

• Frontline essential worker (Below are example of frontline workers within the eligible categories for Phase 1b, Part 1.)

1. First responders: Fire, law enforcement, 911 worker, security personnel, school officer

2. Education: K-12 teacher, school administrator, student support staff, student aide, day care worker and center-based child care provider, home visiting provider, early intervention therapists, Head Start/Early Head Start provider, Preschool for All provider

3. Food and agriculture: Processing plants, veterinary health, livestock services, animal care

4. Manufacturing: Industrial production of goods for distribution to retail, wholesale, or other manufactures

5. Corrections workers and incarcerated individuals: Correctional officer and staff, jail officer and staff, juvenile facility staff, a worker providing in-person support or services, incarcerated individuals

6. U.S. Postal Service worker

7. Public transit worker: Flight crew, bus driver, train conductor, taxi driver, para-transit driver, in-person support, ride sharing service driver

8. Grocery store worker: Bagger, cashier, stocker, pickup, customer service

9. Shelters and adult day care staff: Homeless shelter, women's shelter, adult day/drop-in program, sheltered workshop

Phase 1 B + Eligible Individuals

Persons who identify with the following:

• Obesity

• Diabetes

• Pulmonary Diseases

• Smoking

• Heart Conditions

• Chronic Kidney Disease

• Cancer

• Solid Organ Transplant

• Sickle Cell Disease

• Pregnancy

• Persons with a Disability** (Not otherwise covered in previous categories.)

** For this purpose, persons with a disability is defined as a “person who is, and who is expected to indefinitely continue to be, subject to any of the following five types of disabilities: physical disability, developmental disability, visual disability, hearing disability,or mental disability.” This definition is aligned with Illinois Statute: 15 ILCS 335/4a.

Reach out to the 40th Ward Office with any questions!

Email: info@40thward.org

Phone: (773) 654-1867