COVID-19 Vaccination Record Card

Submit your COVID-19 Vaccination Record Card.

If you have received your COVID-19 vaccination series or the first shot of Pfizer or Moderna, please upload a copy of your vaccination card. If not, please ensure that you receive the first of a two-shot series or the one-shot J&J vaccination and upload a copy of your vaccination card by Sunday, December 5th.

Acceptable forms of proof include:

Option 1: Covid-19 Vaccination Record Card (issued by the Department of Health and Human Services Centers for Disease Control & Prevention or WHO Yellow Card1) which includes:

Name of person vaccinated

Type of vaccine provided

Date first and last dose administered

Date of birth


-- OR --

Option 2: Documentation of vaccination from a healthcare provider; must show:

Name of person vaccinated

Type of vaccine provided

Date first and last dose administered

Date of birth

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!

Want to upload another? Click here.
Oops! Something went wrong while submitting the form.

If you are unsure if you should submit or have any other questions, please reach out directly to your Nomad Navigator or to navigators@nomadhealth.com.