Strategic Action Framework: Fall/Winter 2021 Vaccination

Page updated on Sep 10, 2021 at 9:04 AM

This document is congruent with Alexandria Health Department’s (AHD) Strategic Action Framework and is one of a series of frameworks outlining AHD’s COVID-19 Pandemic Response


Save lives and improve quality of life in Alexandria


  • Administer vaccine efficiently and safely to all eligible Alexandrians and essential workers.
  • Prevent deaths, hospitalizations, and infections due to COVID-19.
  • Mitigate the long-term social, economic, and health burden of COVID-19 in the community.
  • Provide vaccines through Alexandria Health Department’s (AHD’s) public health justice principles.

Key Context

  • This is a living document and changes will be made based on updates in public health’s understanding of COVID-19, updated Centers for Disease Control and Prevention (CDC) and Virginia Department of Health (VDH) guidance, and AHD resources and prioritizations. 
  • Individuals 12 years of age and older continue to seek initial vaccine doses.
  • Moderately to severely immunocompromised individuals are currently authorized for a 3rd dose of mRNA vaccine.
  • Authorization for mRNA vaccine booster shots for adults is expected within the next few weeks.
  • Authorization for COVID-19 vaccine for patients ages 5-11 is expected within the next few months.
  • Information about second doses of Johnson and Johnson vaccine will be forthcoming


Coordinate with vaccination partners to ensure vaccine is widely accessible for all populations .

  • Analyze the availability of vaccines through private infrastructure (pharmacies, clinics, and hospitals) and adjust the scope of health department distribution of vaccines accordingly to meet demand.
  • Identify and promote entities offering both COVID-19 vaccines and flu or childhood vaccines on the same day.
  • Predict the maximum expected demand for booster shots by week based on the interval after second mRNA dose and adjust capacity accordingly.
  • Coordinate with vaccination partners to ensure a wide geographic distribution of vaccine availability.
  • Develop tools and resources for the public to easily find a vaccine that works for their location and schedule.
  • Monitor vaccination data by demographics and geography to determine any gaps which need to be addressed.
  • Maintain mutual awareness of activities of other National Capitol Region jurisdictions.

Employ Point of Distribution (POD) plans to administer vaccines through large scale events .

  • Use easily accessible locations, including those by public transit.
  • Utilize large signage options to direct people to events.
  • Avoid unnecessarily long lines by using a combination of appointments and walk-ins with details available online at the page and through the AHD COVID-19 Hotline at 703.746.4988.
  • Scale up staffing through hiring with FEMA funding, deploying Medical Reserve Corps volunteers, reassigning AHD staff, and utilizing city employees and CERT volunteers.
  • Address language access needs through translated information and registration materials at the PODs, as well as interpretation services including ASL.
  • Select AHD POD locations with ADA-compliant entrances and processes to accommodate Alexandrians equitably.
  • Operate smaller PODs throughout the community as needed to reach individuals who may have barriers to accessing vaccines through other channels.
  • Continue implementing best practices for infection prevention during AHD PODs. 

Support moderately and severely immunocompromised residents with third dose information and vaccinations

  • Promote third doses through specific groups serving immunocompromised individuals, including medical practices, home care, and faith-based organizations.
  • Clearly communicate the timing differences in doses for the immunocompromised versus general population.
  • Monitor ongoing recommendations and guidance regarding additional doses. 

Empower the public to receive booster doses

  • Communicate the availability of booster doses through essential worker employers. 
  • Advise vaccine providers to send out notices of eligibility for booster doses based on when 2nd doses were given.
  • Inform people how to access their vaccine record in advance so they can calculate when they are due for a booster dose.
  • Encourage individuals to bring their vaccine record with them to their booster dose appointment.
  • Work with special settings such as long-term care facilities, correctional facilities, group homes, and senior housing to create a booster dose plan for their residents. 

Operationalize a plan specific to the pediatric population

  • Satisfy the majority of the demand for pediatric vaccinations through large AHD PODs and private pediatric provider clinics.
  • Explore options to administer pediatric vaccinations at schools during school hours for children who are not accessing vaccine through other channels.
  • Acquire the necessary materials for pediatric PODs including supplies like smaller needles and pediatric bandaids.
  • Provide a child friendly environment at PODs including distractions such as bubbles and stickers.
  • Utilize communication networks of schools and kid-focused community partners to disseminate relevant information. 

Implement a multi-channel, multilingual vaccine communications and outreach plan

  • Develop and distribute timely information to partners and the public regarding the COVID-19 vaccine and AHD’s distribution plans.
  • Ensure all materials and information are available in multiple languages and in an accessible, approachable tone.
  • Implement proactive media relations and a paid social media campaign including print, broadcast, social, and web based media platforms.
  • Ensure AHD staff are available to answer vaccine questions and appointment inquiries in a timely manner.
  • Use a targeted approach to communicate with historically marginalized and excluded populations.
  • Coordinate with community partners to deliver information through trusted messengers and in the field.
  • Conduct outreach through tabling at events and door-knocking campaigns which engage the public in conversations to provide information and address