As per the Ontario Ministry of Health website, updated October 2025.

 

COVID-19 Vaccines

 

Because COVID-19 vaccinations need to be kept frozen, our office is unable to offer COVID-19 vaccinations. 

Click here to find out how and where to book COVID-19 vaccinations.

 

Ontario’s COVID-19 vaccine program has transitioned to an annual program in alignment with expert recommendations from the National Advisory Committee on Immunization (NACI).

Like Ontario’s flu program, everyone aged 6 months and older who lives, works or goes to school in Ontario will be eligible for COVID-19 vaccination each fall.

Co-administration

It is safe to receive the annual COVID-19 vaccine and flu shot, and the RSV vaccine for eligible older adults, at the same time.

Learn more about the flu and where to get your free flu shot.

Learn more about RSV immunization eligibility and where to get your RSV vaccine.

When you should get your fall dose

Everyone aged 6 months of age and older who lives, works or goes to school in Ontario may receive their COVID-19 vaccine dose(s) starting on October 27, 2025.

If you are a part of any of the following groups, you may receive your COVID-19 vaccine dose(s) and flu shot as soon as they become available in the fall (ahead of October 27, 2025):

  • specific populations at high-risk of infection
  • children 6 months to 4 years of age
  • individuals with significant exposure to birds or mammals through interactions with birds or mammals (such as poultry, livestock, slaughterhouse and processing plant workers, wildlife officers/researchers, and veterinarians)
  • those at increased risk of exposure or severe outcomes including:
    • residents in long-term care homes and other congregate living settings who are aged 17 years and under
    • pregnant individuals
    • individuals from First Nations, Métis and Inuit communities who are aged 54 years and under
    • members of racialized and other equity-denied communities
    • health-care workers and other care providers in facilities and community settings as per NACI

Specific populations at high-risk of infection

If you are included in the specific high-risk populations below, it is recommended that you receive a COVID-19 vaccine dose(s) as soon as it becomes available in the fall and should receive an additional dose in the spring. High-risk groups eligible for both fall and spring dose(s) include:

  • adults 65 years of age and older
    • National Advisory Committee on Immunization (NACI) recommends that those 80 years and older should receive an additional dose of vaccine while those 65 to 79 years of age may receive an additional dose of vaccine in the spring.
  • adult residents of long-term care homes and other congregate living settings for seniors
  • individuals 6 months of age and older who are moderately to severely immunocompromised (due to an underlying condition or treatment)
  • individuals 55 years and older who identify as First Nations, Inuit, or Métis and their non-Indigenous household members who are 55 years and older

People who are moderately to severely immunocompromised

People with the following conditions are considered to be moderately to severely immunocompromised and should receive both fall and spring doses:

  • solid tumour or hematologic malignancies or treatments for these conditions
  • solid-organ transplant and taking immunosuppressive therapy
  • hematopoietic stem cell transplant (HSCT) (within 2 years of transplantation or taking immunosuppression therapy)
  • immunocompromised due to chimeric antigen receptor (CAR) T cell therapy targeting lymphocytes
  • moderate to severe primary immunodeficiency with associated humoral and/or cell-mediated immunodeficiency or immune dysregulation
  • HIV with AIDS-defining illness or TB diagnosis in last 12 months before starting vaccine series, or severe immune compromise with CD4 ‹ 200 cells/µL or CD4<15%, or without HIV viral suppression
  • recent treatment with the following categories of immunosuppressive therapies:
    • anti-B cell therapies (monoclonal antibodies targeting CD19, CD20 and CD22)
    • high-dose systemic corticosteroids
    • alkylating agents
    • antimetabolites
    • tumor-necrosis factor (TNF) inhibitors
    • other biologic agents that are significantly immunosuppressive
  • chronic kidney disease on dialysis

Contact your health-care provider if you have received any of the following since your most recent COVID-19 vaccination(s):

  • a hematopoietic stem cell transplant
  • hematopoietic cell transplant (autologous or allogeneic)
  • a (CAR)-T-cell therapy

You may be recommended to be re-vaccinated due to loss of immunity following transplant or therapy.

COVID-19 vaccination timing

Learn more about completing your initial COVID-19 vaccine series and when you should get your COVID-19 vaccination based on if you:

Completing your initial series of COVID-19 vaccinations

Everyone who lives, works or goes to school in Ontario may start or complete their initial series in the fall. Specific high-risk populations may start or complete their initial series in the spring if needed.

What is needed for your initial series of vaccines designed to give a primary antibody response depends on your age and previous COVID-19 vaccinations. It is typically:

  • 1 dose for those aged 5 years and over
  • 2 doses for those aged 6 months to 4 years

As indicated by NACI, if you are considered to be moderately to severely immunocompromised, it is recommended that you receive additional dose(s) when completing your initial series.

A health-care provider can advise on the appropriate interval between doses.

If you are unsure if you have completed your initial series, you should discuss your COVID-19 vaccination history with a health-care provider or pharmacist, or contact the Provincial Vaccine Contact Centre at  1-833-943-3900.

If you’ve completed your initial series of COVID-19 vaccinations

If you already completed your initial series, it is recommended you receive an updated dose in the fall if it has been at least 3 months (84 days) since your last dose.

If you are part of the specific groups at high-risk of infection, an additional dose is also recommended in the spring.

If you’ve had a COVID-19 infection

If you are at increased risk of COVID-19 and have symptoms, you may be eligible for COVID-19 testing (including PCR and rapid antigen tests).

The guidelines below are for people who have recently tested positive for COVID-19 infection. All others should receive their COVID-19 vaccine according to provincial recommendations.

  • If you have completed your initial series, you should wait 3 months following a positive test.
  • If you have not started or are completing your initial series and you are:
    • not immunocompromised, you should wait 2 months (56 days) following a positive test
    • immunocompromised, you should wait 1–2 months (28-56 days) following a positive test

People with complex care needs should speak with a health care provider for more information on when to get their next dose following a COVID-19 infection.

If you are pregnant or breastfeeding

Pregnant or breastfeeding individuals should receive an annual COVID-19 vaccine to provide protection during pregnancy and to lower the risk of hospitalization for their newborn.

COVID-19 vaccines may be offered at any trimester and while breastfeeding. There have been no safety concerns with receiving a COVID-19 vaccine during pregnancy or lactation.

COVID-19 vaccination can help protect you from infection. Compared to non-pregnant individuals, COVID-19 infection in pregnancy is associated with:

  • increased risk of hospitalization
  • increased risk of preterm birth and low birth weight

Additional information is available at:

Where you can get vaccinated

Eligible people aged 6 months and older can book an appointment through:

COVID-19 vaccine administration for children 6 months to 4 years old may vary across pharmacies. Contact the pharmacy to confirm vaccine appointment availability if applicable. Public health units may also offer additional options for vaccination for children aged 6 months to 4 years old, such as walk-in clinics, which will not be on the COVID‑19 vaccination portal. For information on local options, please contact your local public health unit.

 

Other Important Information about COVID-19 immunization

 

Remember that although COVID-19 vaccines significantly reduce the chance of developing severe illness, it is still possible to become infected with COVID-19, especially if more than 6 months has elapsed since your last vaccine.

 

To book your vaccine click the link below:

https://covid-19.ontario.ca/book-vaccine/