Schedule an Appointment

Schedule an Appointment

South End Pharmacy | 1401 Albright Rd, Rock Hill, SC 29730 | (803) 366-3784

Appointment Information
Reason for Visit *

Johnson & Johnson COVID-19 Vaccination Moderna COVID-19 Vaccination - First Dose Moderna COVID-19 Vaccination - Second Dose I do not have a preference of which COVID-19 vaccine I recieve.
When did you receive your first dose? *

Month Day Year
Date
The second dose of the Moderna COVID-19 vaccine must be scheduled 28 days after receiving the first dose. When selecting your appointment date, please schedule 28 days from {whenDid50}.
Select An Appointment Time *
Upon submitting this form, you will be redirected to a COVID-19 vaccination consent form. To make the vaccination process as efficient as possible, please complete this form before your scheduled appointment time.

Personal Information
Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Age *
The only COVID-19 vaccine that is approved for individuals under the age of 18 is the Pfizer vaccine. At this time, South End Pharmacy is only vaccinating with the Moderna and Johnson & Johnson/Janssen COVID-19 vaccines.
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Before submitting this form, please confirm that you are eligible to receive a COVID-19 vaccine in the state of South Carolina. For more information, review South Carolina's distribution phases by clicking here.
*

I have reviewed South Carolina's distribution phases and, as of today's date, I am eligible for a COVID-19 vaccine.
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