The Serious Health Conditions That Qualify Californians Under 65 for COVID Vaccinations

On February 12, the California Department of Public Health announced that health care providers could soon vaccinate people ages 16-64 who suffer from a number of health conditions. This decision, which takes effect March 15, will add a number of millions of people to the number of people eligible for vaccinations in California.

– Cancer, currently with weakened or immunocompromised condition
– Chronic kidney disease, stage 4 or higher
– Chronic lung disease, dependent on oxygen
– Down syndrome
– Immuno-compromised state (weakened immune system) due to solid organ transplantation
– Pregnancy
– Sickle cell disease
– Heart conditions, such as heart failure, coronary artery disease or cardiomyopathy (excludes hypertension)
– Severe obesity (Body Mass Index ≥ 40 kg / m2)
Type 2 diabetes mellitus with a hemoglobin A1c level greater than 7.5%

Outside of these conditions, the CDPH states that other people may be eligible for vaccinations if one or more of the following apply as a result of a developmental or other severe high-risk disability:

– The individual is likely to develop serious life-threatening illness or death due to COVID-19 infection
The acquisition of COVID-19 limits the individual’s ability to receive ongoing care or services that are essential to their well-being and survival.
Providing adequate and timely COVID care will be particularly challenging due to the individual’s disability

Although the list contains very serious conditions, there are several life-threatening conditions that are not on the list, although, as indicated by Mercury News, it has been linked to worse outcomes in COVID-19 patients. Among those not included are: cystic fibrosis, dementia, hypertension, type 1 diabetes and some rare genetic diseases.


The announcement by the state expands the groups that have already been approved to be vaccinated against COVID-19. Those already in Phase 1A – health care workers and long-term caregivers – and Phase 1B – individuals 65 and older, workers in education and child care, emergency services, agriculture and food, have been approved.

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