Are you feeling ill or do you have any COVID-19 or Flu like symptoms such as: fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea?


Yes
No




In the past 14 days, have you traveled to a restricted state, territory, or country; or had close contact with someone with a lab confirmed case of COVID-19?

If yes, you are advised to self-quarantine for 14 days per recommendation of the Center for Disease Control (CDC) and the New York State Department of Health. Please schedule your flu vaccine for the 2020-2021 influenza season for a date outside the recommended 14-day window. Click here for list of state/territories with restricted NYS COVID-19 Travel Advisory


Yes
No