COVID Vaccination for
12-15 year-olds

This event for 1st dose only.  For 2nd dose you will have to schedule it with a different vaccine facility.

Pleasanton Campus

Saturday, May 15th

8am-11am; 12pm-3pm

Milpitas Campus

Sunday, May 16th

8am-11am; 12pm-3pm

Safeway Pharmacy is our service provider. Pfizer vaccine will be used.


  • Anyone aged 12-15 years old is eligible to get vaccinated.
  • First come first serve.

What to Bring to your Appointment:

  • Immunization Consent Form completed at site.
  • Driver’s License of the parent
  • Your Prescription Insurance Card if you have them (including Medicare or supplementary coverage)
  • Insurance is NOT required if you do not have it
  • Please have your teens to wear a short-sleeve shirt if possible
  • Please DO NOT COME TO YOUR APPOINTMENT if you or your teens are feeling unwell or experiencing COVID symptoms!

If your teens are not available on 5/15 & 5/16 or they need a second dose appointment, here are the websites for doing so:

This is NOT a vaccine waitl form.

Drop us a line if you have any questions​

This form is for general inquiries and is NOT a vaccine registration form.