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Do you have your Covid-19 vaccine? Now cancel your additional appointments

Pharmacies and health officials are asking Americans who received their Covid-19 vaccines: Cancel the remaining photos you have reserved.

As vaccine eligibility expands and more places offer photos, many people sign up for multiple appointments and don’t give up on those they don’t need. The resulting influx of absenteeism forces vaccine providers, from pharmacies to municipal clinics, to find last-minute replacements so that doses are not lost.

In North Carolina, a county health director walks door to door to find participants in missed slots. A retailer in the Midwest closed his waiting list and instructed employees to remove people who had made multiple appointments. Posts from health departments are increasingly seen on social media, offering photos of anyone who may show up at the vaccine site.

“It creates a crazy dash at the end of the day,”

; said Reinard Washington, deputy health director of the Mecklenburg County Health Department in North Carolina. Up to 10% of people do not show up at county-run vaccination sites – or hundreds of doses a week – in part because they do not cancel multiple appointments.

A CVS worker is waiting to check on people to get Covid-19 vaccines.


Gabriela Bascar / Bloomberg News

Appointments remain difficult to achieve in many parts of the country, although the overall supply of vaccines and the rate of inoculation are improving. Some people make multiple reservations in hopes of getting vaccinated sooner or sometimes because they don’t receive or see confirmation emails, according to community pharmacies and vaccination sites. Others receive photos of pop-up vaccination events before scheduled appointments and do not notify providers.

There is no specific system for tracking wasted doses in the United States. Typically, local and government officials say demand is high enough that non-arrival actions do not lead to vaccines being thrown away, although vaccine providers say they sometimes fail to find those who have taken all the thaws in time to use them safely.


How did you find the vaccine appointment process? Join the conversation below.

Dr. Washington and his colleagues knocked on doors and walked into a local grocery store looking for people who wanted to be vaccinated for not showing up. When his team recently had leftover doses during a church vaccination, they went to a construction site across the street and offered them to workers there.

Mecklenburg County officials are urging residents to cancel additional meetings and simplified the process of canceling their website earlier this year, Dr Washington said, adding that they are now over-arranging about 10% or more to ensure that there is no dose loss

Pharmacies claim that repeated reservations and subsequent absences can slow down the vaccination process by creating more work for their staff. Many have hired and trained Covid-19 vaccination administration staff in recent months, devoting more working hours to vaccinations and setting up hotlines to help customers with questions.

President Biden announced on Tuesday that he was extending the deadline from May 1 to April 19, in which states should make all adults in the United States eligible for Covid-19 vaccines. Photo: Kevin Lamarck / Reuters

CVS Health Corp.

there is a set of practices to avoid dose loss due to non-appearance, the company said. Vaccines are not withdrawn from the vial until patients arrive for their appointments and, if doses remain, the pharmacy searches patient profiles to find potential users. If that fails, the chain offers photos of employees.

In the Weis markets Inc.,

pharmacy employees should look for other store employees or customers to get pictures if people don’t show up 15 to 20 minutes after their appointment, said Jonathan Weiss, the company’s chief executive. “There are people who play us, scheduling meetings with three to four suppliers,” Mr. Weiss said. “It’s cruel and vile.”

Although it is difficult to determine the exact factors behind the absenteeism, pharmacies and some health officials say they are looking for the ends of their appointment lists to anticipate the problem. Charlie Hartig, chief executive of Hartig Drug Stores in the Midwest, said his chain had temporarily closed its waiting list to remove duplicates and got rid of nearly 40 percent of the names after a reference to immunization laws.

However, waiting lists remain a key way for people to make appointments. Lori Volok Charlton, who lives in Westland, Michigan, is on a waiting list, including some retail pharmacies, after failing to find openings within about an hour of her home. Last week, she called from a mass vaccination site in Detroit and received her shot, just in time to return to work at an insurance agency.

“It’s hard to stop or control the enthusiasm of the general public to find the vaccine.”

– Lori Raya, Chief Marketing Officer at SpartanNash

Many people turned to social media to complain that they could not cancel appointments, either because they could not contact anyone on vaccine sites, or because the online planning systems they had booked, however, did not allow it.

Albertsons Cos. Other retailers also say their scheduling systems detect duplicates and ask customers to cancel or not allow more than one meeting at the same email address. However, pharmacy staff will check with customers to see if there are any other concerns about appointments such as typos.

“It’s hard to stop or control the enthusiasm of the general public to find the vaccine,” said Lori Raya, SpartanNash. Co.

Chief Marketing and Marketing Director, who manages the pharmacy business. SpartanNash said it had been successful with opening time intervals about four days before vaccine appointments, as the limited time frame does not allow much room for people to play with schedules.

In Detroit, one of the largest vaccine operations in severely affected Michigan has had hundreds of absences since its inauguration last week. Approximately 15% of booked matches are not shown in the first days when the site of a football stadium in the center was opened. That day, although the site fired fewer shots than it had capacity, no doses were wasted, government officials said. Since then, organizers have begun overbooking appointments to ensure that as many people as possible are vaccinated.

CVS and Walgreens Boots-Alliance Inc.,

the largest drugstores in the country, which together administered more than 20% of the vaccine doses in the country, have centralized appointment reservation systems that are not interconnected or with state and local systems.

Walgreens said the demand for vaccines is high enough for pharmacies to find people taking missed appointments. The company said graphics problems need to be largely resolved when vaccine supplies are large enough for all of the chain’s 9,000 locations to take pictures.

Pharmacies and healthcare professionals are mixed on whether greater eligibility would limit multiple appointments or increase them. In Arizona’s Coconino County, which extended eligibility for all people aged 18 and over about two weeks ago, numerous bookings were more challenging in February, said Kim Musselman, the county’s director of health and humanitarian services. She and her colleagues turned to social media and urged residents not to keep vaccine appointments.

They also introduced a waiting list for additional doses about three weeks ago and began contacting people on the list earlier in the day.

“We understand the concern about getting a vaccine,” she said.

Corrections and amplifications
Numerous reservations were a bigger challenge in February in Arizona’s Coconino County. An earlier version of this article incorrectly called it Coconico County. (Corrected April 7)

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