VaxQueue Application

The Shelby County Health Department receives limited quantities of COVID-19 vaccines from the State of Tennessee on a periodic basis. As such, there is no surplus of vaccine supply at this time. In the coming weeks and as larger vaccine quantities become available, we will offer surplus supply to individuals who join the Shelby County VaxQueue. Additionally, as we move through the vaccine phases (as determined by the State Health Department), we will notify those individuals in the VaxQueue who may qualify to register for an appointment.

All Fields Mandatory

First Name:

Last Name:

Email to Confirm Your Registration:

Cell Phone Number to Receive Text Alerts:

Please Select the Date of Birth:

Please Select up to Three Criteria that Apply to the Person Being Vaccinated. If you are unsure, do not select:

How Much Notice Will You Require to Get to a Vaccination Site:

Do You Have a Vaccine Preference:

Are you registering for:

First Dose

Second Dose

Do you have diagnosed “high risk” health concerns? (ex. Current cancer treatment, moderate-severe asthma, diabetes, heart conditions, sickle cell, immunocomprised, dementia, brain/blood/liver disease):

Home Zip Code:

Check here if Shelby County Government has permission to send Official messages via email or text message? (data rates may apply):