How Phase 1b will work

More than 4,500 accredited general practices will participate in Australia’s COVID-19 rollout.

Across the country, more than 130 Commonwealth Vaccination Clinics (CVCs) and over 300 Aboriginal Community Controlled Health Service (ACCHS) sites will also support the rollout from the commencement of Phase 1b.

State and territory Pfizer and AstraZeneca vaccination clinics will also increase from Phase 1b.

From 3 May, people aged 50 years and over will be able to access AstraZeneca vaccinations via CVCs and state and territory clinics. From 17 May people aged 50 years and over will be able to make appointments for the AstraZeneca vaccine at participating general practices.

Pfizer hubs will continue to operate for people aged under 50 years.

Who can be vaccinated under Phase 1b?

National Cabinet has agreed that, in line with the advice of the Australian Technical Advisory Group on Immunisation (ATAGI) the Pfizer vaccine will be prioritised for people under 50 years of age across all phases. The AstraZeneca vaccine will be prioritised for people aged 50 years and over.

People eligible for vaccination under Phase 1b are:

  • Healthcare workers currently employed and not included in Phase 1a
  • Household contacts of quarantine and border workers
  • Critical and high risk workers who are currently employed
  • Elderly people aged 80 and over
  • Elderly people aged 70 and over
  • Aboriginal and Torres Strait Islander people aged 50 years and over
  • Adults with an underlying medical condition or significant disability

Healthcare Workers

Who Vaccine Where Requirements

People working in health care including doctors, nurses and midwives, allied health professionals, dental practitioners

People aged 50 years and over – AstraZeneca

People aged under 50 years – Pfizer

AstraZeneca: general practices, CVCs, ACCHS and state and territory operated AstraZeneca clinics.

Pfizer: state and territory-operated Pfizer clinics

Proof of occupation (ID card or letter from employer) will be required to demonstrate eligibility.

Where this evidence is not available, individuals may complete an Eligibility Declaration Form.

All public and private hospital staff

Healthcare workers in private practice

Community pharmacy staff

All healthcare workers providing in-home and community disability and aged care, including centre-based care

Workers who regularly engage in person with those receiving aged care or those with a disability in phase 1a or 1b, including aged care assessment workforce, those conducting regulatory activities and advocacy services

All healthcare workers in clinical settings, including students on placement

Onsite administrative staff in healthcare settings

Cleaners, kitchen staff and other ancillary staff in healthcare settings

Household contacts of quarantine and border workers

Who Vaccine Where Requirements
Household contacts (those living in the same primary residence) of quarantine and border workers, noting the ongoing greatest risk in Australia is in relation to border entry and hotel quarantine

People aged 50 years and over – AstraZeneca

People aged under 50 Years – Pfizer

AstraZeneca: general practices, CVCs, ACCHS and state and territory operated AstraZeneca clinics.

Pfizer: state and territory-operated Pfizer clinics

Proof of occupation (ID card or letter from employer) from the worker, along with evidence to demonstrate the household contact lives at the same residential address as the worker will be required to demonstrate eligibility.

Where this evidence is not available, the household contact may complete an Eligibility Declaration Form.

Critical and High Risk Workers

Who Vaccine Where Requirements

Emergency services personnel, including frontline police officers, fire and rescue personnel, corrective services officers

People aged 50 years and over – AstraZeneca

People aged under 50 Years – Pfizer

AstraZeneca: general practices, CVCs, ACCHS and state and territory operated AstraZeneca clinics.

Pfizer: state and territory-operated Pfizer clinics

Defence to provide for ADF

Proof of occupation (ID card, letter from employer or Eligibility Declaration Form) will be required to demonstrate eligibility

Rural Fire Service and State Emergency Service volunteers

Active Australian Defence Force personnel

Australian Government officials about to be deployed or currently deployed overseas on official government business

Workers involved in manufacture of AstraZeneca vaccine and distribution/delivery of COVID-19 vaccines

Workers at licensed meat processing businesses where they are directly involved in the manufacturing and distribution process, where the work is in a cold environment and where workers are unable to maintain distancing requirements.

Included: 

  • Abattoir workers, including attending veterinarians
  • Workers in boning rooms
  • Smallgoods manufacturers
  • Cold chain transport workforce
  • Seafood processing

Excluded: 

  • Retail workers including butcher shops, fishmongers
  • Primary production workers, including fishing
  • Clerical workers

Elderly people

Who Vaccine Where Requirements

People aged 80 and over

AstraZeneca

General practices, CVCs and ACCHS and state and territory operated AstraZeneca clinics

All standard forms of identification (drivers licence, passport) will be accepted.

For individuals attending their usual GP, the clinic’s records may be relied upon as evidence.

Other forms of accepted evidence include:

  • My Health Record
  • Government issued documents with date of birth (e.g. Centrelink, Medicare, Department of Veterans Affairs)

People aged 70 and over

Aboriginal and Torres Strait Islander people

Who Vaccine Where Requirements

Aboriginal and Torres Strait Islander people aged 50 and over

AstraZeneca

General practices, CVCs and ACCHS and state and territory operated AstraZeneca clinics

Self-identification as an Aboriginal and/or Torres Strait Islander at the time of vaccination, which may be verbal

For age requirements:

All standard forms of identification (drivers licence, passport) will be accepted.

For individuals attending their usual GP, the clinic's records may be relied upon as evidence.

Other forms of accepted evidence include:

  • My Health Record
  • Government issued documents with date of birth (e.g. Centrelink, Medicare, Department of Veterans Affairs)

Note: Aboriginal and Torres Strait Islander people aged under 50 will also fall under Phase 1b where they meet other Phase 1b criteria. For example, an Aboriginal and Torres Strait Islander person aged under 50 who is a critical or high risk worker may be eligible under Phase 1b.

Adults with a specified underlying medical condition

Who Vaccine Where Requirements

Adults with a specified underlying medical condition

People aged 50 years and over – AstraZeneca

People aged under 50 years – Pfizer

AstraZeneca: general practices, CVCss, ACCHS and state and territory operated AstraZeneca clinics.

Pfizer: state and territory-operated Pfizer clinics.

For individuals, attending their usual GP, the clinic's records may be relied upon as evidence.

MyHealth Record

A referral from GP or treating specialist.

Alternative medical records, including:

  • A printout of an individual's medical history as recorded in clinical records
  • A printout of an individual's chronic disease care plan or a discharge summary from a hospital
  • A valid script or medication prescribed to treat one or more of the relevant medical conditions.

Where none of these are available, individuals may complete an Eligibility Declaration Form.

Other eligible individuals

Included Vaccine Where Requirements

Carers (paid and unpaid) of: 

People aged 50 years and over – AstraZeneca

People aged under 50 years – Pfizer

AstraZeneca: general practices, CVCss, ACCHS and state and territory operated AstraZeneca clinics.

Pfizer: state and territory-operated Pfizer clinics.

Carers documentation or proof of occupation (ID card or letter from employer/centre-based support provider).

Where none of these are available, including family members or others who can provide significant care, individuals may complete an Eligibility Declaration Form.

Disability and aged care support volunteers who provide support to people in their homes, respite care, educational, employment, leisure and/or residential settings, including those providing transport and advocacy services.

People with a disability or with age-related conditions (e.g. early onset dementia) attending centre-based services (e.g. day programs, respite care, supported employment).

Note: The following groups of people are not included in Phase 1b:

  • family members of people with disability who are not carers
  • carers of adults not eligible under Phases 1a or 1b

Specified underlying medical conditions

This is the list of specified underlying medical conditions for Phase 1b.

It is relevant for:

Conditions Notes

Immunocompromising conditions

Haematological diseases or cancers

Including leukaemia, lymphoma or myeloma resulting in immunocompromise

Recommend discussion with specialist regarding optimal timing of vaccination

Solid organ transplant recipients who are on immune suppressive therapy

Recommend discussion with specialist regarding optimal timing of vaccination

Bone marrow transplant recipients or chimeric antigen receptor T-cell (CAR-T) therapy recipients or those with graft host disease

Recommend discussion with specialist regarding optimal timing of vaccination

Non-haematological cancer

Diagnosed within the past 5 years or on chemotherapy, radiotherapy, immunotherapy or targeted anti-cancer therapy (active treatment or recently completed) or with advanced disease regardless of treatment 

Adult survivors of childhood cancers

Nil

Chronic inflammatory conditions requiring medical treatments

Including: systemic lupus erythematosus, rheumatoid arthritis, Crohn’s disease, ulcerative colitis, and similar who are being treated with disease modifying anti-rheumatic drugs (DMARDs) or immune-suppressive or immunomodulatory therapies.

Generally not inclusive of people living with osteoarthritis, fibromyalgia, myalgic encephalomyelitis/chronic fatigue syndrome or similar non-immunocompromising inflammatory conditions.

Primary or acquired immunodeficiency

Including congenital causes of immunodeficiency and HIV/AIDS

Other underlying conditions

Chronic renal (kidney) failure with a eGFR of <44mL/min

Does not include mild-moderate chronic kidney disease

Heart disease

Including ischaemic heart disease, valvular heart disease, cardiomyopathies and pulmonary hypertension

Chronic lung disease

Including chronic obstructive pulmonary disease, cystic fibrosis, interstitial lung disease.

Does not include Mild or moderate asthma

Diabetes

Nil

Severe obesity with a body mass index (BMI) ≥ 40kg/m2

Nil

Chronic liver disease

Nil

Chronic neurological conditions

Including stroke, dementia, multiple sclerosis, motor neurone disease, Parkinson’s disease, cerebral palsy. Generally not inclusive of migraine or cluster headaches Generally not inclusive of migraine or cluster headaches

Poorly controlled blood pressure (defined as two or more pharmacologic agents for blood pressure control, regardless of readings)

Nil

Those living with significant disability requiring frequent assistance with activities of daily living

Including Down syndrome, muscular dystrophy, traumatic brain and spinal cord injury, severe intellectual disability

Those with severe mental health conditions

Including schizophrenia and bi-polar disorder

Last updated: 
5 May 2021

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