COVID Vaccine Appointments at Tufts

Tufts University is partnering with Pelmeds, a Massachusetts based pharmacy, to host the vaccination clinics. Your information will be shared with Pelmeds in order for them to administer the vaccine. The Commonwealth of Massachusetts requires that this information be reported to them after you are vaccinated. If you do not wish to have this information shared with Pelmeds and the Commonwealth of Massachusetts, you should not complete this registration.

You must enter the following data to schedule a vaccine appointment. All required fields are marked with an *.

*Email Address (Tufts email preferred for Tufts students, faculty and staff)

Empl ID or Student ID (for Tufts students, faculty, staff)

*First Name

Middle Name

*Last Name

*Birthdate

*Gender

Female

Male

Transgender

Unknown/undifferentiated

Ethnicity

Hispanic or Latino

not Hispanic or Latino

Unknown

Phone (XXX) XXX-XXXX

*Mailing Address - Please enter a valid US address

Country

Street

City

Region

Postal Code