COVID-19 | Jan. 22, 2021

ALCOAST 023/21 - COVID-19 VACCINATION - UPDATE TO ANNUAL INFLUENZA (FLU) REQUIREMENTS DUE TO COVID-19

R 251118Z JAN 21
FM COMDT COGARD WASHINGTON DC
TO ALCOAST

UNCLAS FOUO
ALCOAST 023/21
SSIC 6230
SUBJ:  COVID-19 VACCINATION - UPDATE TO ANNUAL INFLUENZA (FLU)
REQUIREMENTS DUE TO COVID-19
A. Immunizations and Chemoprophylaxis for the Prevention of
Infectious Diseases, COMDTINST M6230.4 (series) 
B. Coast Guard Medical Manual, COMDTINST M6000.1 (series) 
C. Coast Guard Occupational Medicine Manual, COMDTINST M6260.32
(series) 
D. COMDT COGARD WASHINGTON DC 151700 DEC 20/ALCOAST 453/20
E. OIX N06000 COVID-19 VACCINATION PROGRM
F. COMDT COGARD WASHINGTON DC 231201 SEP 20/ALCOAST 356/20
1. Force health protection against COVID-19 continues to be a very
high priority for the Coast Guard. Vaccination against COVID-19 is
well underway for Coast Guard personnel IAW REFs (A) through (E).
2. Coast Guard clinics will continue to follow COVID-19 vaccination
administration guidelines from the Food and Drug Administration
(FDA) Emergency Use Authorization (EUA) and the Advisory Committee
on Immunization Practices (ACIP) guidelines for use as previously
stated in REFs (D) and (E).
3. Each dose of the COVID-19 vaccine must be administered alone,
with a minimum interval of 14 days before or after administration
of any other vaccines, including the flu vaccine.  
4. Clinics will prioritize COVID-19 vaccination over flu. Eligible
personnel will be offered the COVID-19 vaccination before the flu
vaccine. Only personnel who decline the COVID-19 vaccine will be
offered the flu vaccine if they have not already received it.
5. Under extenuating circumstances, healthcare providers and
patients can discuss co-administration of other vaccines, such as
required for post-exposure prophylaxis (e.g., rabies vaccine).  
Upon documented consultation with a healthcare provider and
evaluation of the risks and benefits of concomitant vaccination,
individuals may make an informed decision to receive COVID-19
vaccine concurrently or within 14 days of the administration of
other vaccines.
6. As an amendment to REF (F), Coast Guard personnel will have
until 1 May2021 to receive the flu vaccine for medical readiness.
7. POC: CAPT Paul T. Michaud, CVIC Incident Commander, at
Paul.T.Michaud@uscg.mil or (202) 475-5171.
8. VADM Michael F. McAllister, Deputy Commandant for Mission
Support (DCMS), sends.
9. Internet release is not authorized.