To:

- Departments of Health of provinces;
- National Institute of Hygiene and Epidemiology, Institut Pasteur;
- Department of Health, Ministry of Public Security
- Army Medical Department, General Department of Logistics, Ministry of National Defense;
(hereinafter referred to as “units”)

Over the past period of time, the Ministry of Health has continuously updated and issued documents on guidelines for vaccination against COVID-19 for subjects according to the instructions of the manufacturer, the recommendations of the Advisory Council about the use of vaccines of the Ministry of Health, recommendations of international organizations. To implement the direction of Deputy Prime Minister Vu Duc Dam at the meeting on June 20, 2022; facilitate the process of organization of vaccination against COVID-19 for the subjects according to guidelines that have been provided, the Ministry of Health requests

I. Departments of Health of provinces

a) Continue to urgently deploy additional doses, booster doses (3rd doses) of COVID-19 vaccines for persons aged 18 years and older, administer 2 doses to children from 5 to under 12 years old in August 2022, ensure safety and efficiency.

b) Urgently organize vaccination against COVID-19 with the 4^th doses for persons aged 18 and older who are subject to vaccination.

c) Develop a plan and organize vaccination against COVID-19 with the 3^rd doses for children from 12 to 17 years old.

II. Vaccination against COVID-19 for persons aged 18 and older

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- Subjects: persons aged 18 and older:

+ The persons are considered to be moderately or severely immunocompromised, including persons who are receiving active cancer treatment for tumors or cancers of the blood; persons who are received an organ transplant and taking medicine to suppress the immune system; persons who are received chimeric antigen receptor (CAR)-T-cell therapy (a treatment to help your immune system attach to and kill cancer cells) or received a stem cell transplant (within the last 2 years); persons with advanced or untreated HIV infection; persons who have moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome); persons who are receiving active treatment with high-dose corticosteroids or other drugs that may suppress their immune response.

+ The persons have received the full basic doses of Sinopharm (Vero cell) vaccine or Sputnik V vaccine.

- Type of vaccines: the same type as the basic doses or an mRNA vaccine; or the AstraZeneca vaccine for persons who have received the full basic dose of Sinopharm vaccine (Vero cell).

- Interval: an additional dose shall be administered within 28 days to three months after the last dose of the basic doses.

- Dosage: according to the manufacturer's instructions for use approved by the Ministry of Health.

- The persons who have been infected with COVID-19 shall be vaccinated immediately after recovering and completing medical isolation as required.

2. First booster dose (3^rd dose) (not considered an additional dose)

- Subjects: persons aged 18 and older who have received the full basic doses (one, two or three according to the type of vaccine and the additional dose if any).

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- Interval: an booster dose shall be administered at least three months after the last dose of the basic doses.

- Dosage: according to the manufacturer's instructions for use approved by the Ministry of Health. Moderna: 0,25ml (1/2 basic dose).

- The persons who have been infected with COVID-19 shall be vaccinated immediately after recovering and completing medical isolation as required.

3. Second booster dose (4^th dose)

- Subjects: persons aged 50 and over; persons aged 18 years and over with moderate to severe immunodeficiency; persons aged 18 years and older who are in high-risk groups for exposure to COVID-19 including health workers, frontline officials (police forces, armed forces, teachers, persons working in the transportation sector, persons providing essential services, persons working at tourist service establishments, shopping malls, supermarkets, markets), workers and persons working in industrial parks.

- Type of vaccines: mRNA vaccine (Pfizer or Moderna vaccine); AstraZeneca; or the same type of vaccine as the third dose (the first booster dose);

- Interval: at least four months after the third dose (the first booster dose)

- The persons who have been infected with COVID-19 after the 3^rd dose shall be vaccinated 3 months after COVID-19 infection and ensure an interval of at least 4 months after the 3^rd dose.

III. Booster dose (3rd dose) for persons from 12 to 17 years old.

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- Type of vaccines: Pfizer vaccine approved by the Ministry of Health

- Dosage: 0.3 ml dose, similar to the basic dose of the persons aged 12 and older

- Interval: at least five months after the last dose of the basic doses (2^nd dose)

- The persons who have been infected with COVID-19 shall be vaccinated 3 months after COVID-19 infection and ensure an interval of at least 5 months after the last dose of the basic doses

IV. Vaccination against COVID-19 for children aged 5 to 12

- Type of vaccines: the same type as vaccine approved by the Ministry of Health Dosage: according to the corresponding age. The interval between doses shall follow instructions of the manufacturer and the National Institute of Hygiene and Epidemiology, in which:

+ Pfizer vaccine: children aged 5 to 12

+ Modema vaccine: children aged 6 to 12

- The children aged 5 to 12 who have been infected with COVID-19 shall be vaccinated 3 months after COVID-19 infection

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For your information and compliance./.

PP. MINISTER
DEPUTY MINISTER




Do Xuan Tuyen