Tier 1C


By Miriam Raftery

March 13, 2021 (San Diego) – Starting Monday, March 15, people ages 16 and up in Tier 1C will be eligible to receive the COVID-19 vaccine, if they live or work in San Diego County and have certain serious health conditions. The County has sharply expanded the number of health conditions, disabilities, and illnesses on the list that put people at higher risk for COVID-19 serious illness.

In addition, the County has added homeless people and those in congregate living situations such as jails, mental health facilities, or detention centers to the list.

Below is the full list of everyone who is eligible for vaccinations, starting Monday:

Phase 1C – Effective March 15

Eligible High-Risk Medical Conditions and DisabilitiesEffective March 15

  • Cancer, current with weakened immune system­­
  • Chronic kidney disease, stage 4 or above
  • Chronic pulmonary disease, oxygen dependent
  • Down syndrome
  • Solid organ transplant, leading to a weakened immune system
  • Pregnancy
  • Sickle cell disease
  • Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (but not hypertension)
  • Severe obesity (Body Mass Index ≥ 40 kg/m2)
  • Type 2 diabetes mellitus with hemoglobin A1c level greater than 7.5%
  • Type 1 diabetes mellitus
  • Asthma (moderate-to-severe)
  • Cerebrovascular disease (affects blood vessels and blood supply to the brain)
  • Cystic fibrosis
  • Hypertension or high blood pressure
  • Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
  • Neurologic conditions, such as dementia
  • Liver disease
  • Overweight (BMI > 25 kg/m2, but < 30 kg/m2)
  • Obese (BMI > 30 kg/m2, but < 40 kg/m2)
  • Pulmonary fibrosis (having damaged or scarred lung tissues)
  • Thalassemia (a type of blood disorder)

In addition, people over age 16 can get the vaccine if, as a result of a developmental or other significant, high-risk disability, one or more of the following criteria applies**:

  • A COVID-19 infection is likely to result in severe life-threatening illness or death; OR
  • Acquiring COVID-19 will limit the individual’s ability to receive ongoing care or services vital to their well-being and survival; OR
  • Providing adequate and timely COVID care will be particularly challenging as a result of the individual’s disability.

Additional Eligible Groups - Effective March 15

  • Congregate residential settings, such as an incarceratio­n/detention facilities, homeless shelters, or behavioral health facilities
    • Includes people experiencing homelessness, who may transition into congregate settings at short notice­­­

The County is also continuing to vaccinate people n phases 1A and 1B: