COVID-19 Information Page

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Update: Sept. 20, 2021: Starting Monday, Sept. 13 we will be offering two COVID-19 vaccines, Pfizer (12 & up) and Moderna (18 & up). COVID-19 shots are available by appointment or walk-ins on Thursdays and Fridays. Pfizer 10am-11:30am and 1pm-4pm & Moderna 8am-11:30am and 1pm-4pm.   We will be unable to provide the COVID vaccine if we do not have two nurses available.  We apologize for this inconvenience in advance.

 We do ask if you are experiencing any COVID-19 symptoms that you DO NOT come into the building. Please call first or go back to your car and call us at 573-783-2747.

We still do full walk-in services, but appointments are preferred, which includes but not limited to pregnancy test, STI testing, blood draws/labs, injections, & immunizations: Flu(starting Oct 1), Shingles, childhood, etc.


Madison County Health Dept Does NOT Do

COVID-19 Testing


-Madison Medical Center- 573-783-3341(Hospital)

Please call your Primary Care Physician or call ahead to the Convenient Care 

call 573-783-4111 option 7 or 8 or Call your Primary Care Physician. Currently testing 1:00 PM to 3:00 PM Monday-Friday


-Beyer Medical- 573-783-8875 Must have an appointment


-EBO Med (Fredericktown)-Rapid COVID Testing, Call for appointment 573-561-5051 


-Walgreens-Farmington 573-756-6421

Go to link to see locations and set up time to get tested

-CVS-Farmington 573-701-0639  Ironton-573-546-0421

-ENT & Allergy of SE Missouri- Farmington 573-756-8888

501 W Pine St

Mon-Thurs. 8AM-4:30PM, Fri. 8AM-3PM Please bring ID, Insurance Card, & Face Mask No appointments necessary, Please Park on right side of building

-Midwest Convenient Care- Farmington 573-454-2466 

550 Maple Valley Dr. Farmington Business Hours Mon-Fri 8am-8pm  Sat & Sun 9am-2pm

-Great Mines Health Center- Farmington 573-664-1221 508 W Pine St. Farmington

Tuesdays only 11am-1pm Appointment required

-Iron County Medical Center-573-546-6792  Iron County Medical Center has rapid COVID-19 testing available. Orders from a primary care provider are preferred but not necessary. PCR testing is also available. An order is required before scheduling. All testing are done Monday through Friday between 9 am and 3 pm by appointment only.


-Check for newly added free MO DHSS Testing Sites:








Madison County COVID Cases

To Date: Tuesday, October 19, 2021

4-New Positive Cases

24-Active Cases

County Verified Data is available at:

  1. Select "COVID-19 Dashboard"

  2. Select "View Public Health Data"

  3. Scroll down and select "County for COVID cases"

  4. Scroll down and select "Vaccine for vaccination status data" 


A Monthly report of COVID cases and vaccination status will be provided from the MO Department of Health Dashboard data.

***Madison County Health Department ONLY counts lab tested positive cases. If there is a person or persons living in a home with another lab confirmed positive case they are not counted as a positive case unless we receive a positive lab result for that individual(s).



 Effective August 1, 2021

All Missourians are advised to engage in social distancing, wear a mask in accordance with recommended guidance, use proper hygiene and hand washing techniques, and avoid contact with symptomatic individuals.


ISOLATION:** Only for confirmed positive/probable cases**Used to separate those who have COVID from other who do not. People who are in isolation should stay home until it's safe for them to be around others. IN the home, anyone sick or infected should separate themselves from others by staying in a specific "sick room" or area and using a separate bathroom.



  1. Isolation should start the day the patient reports symptoms started. Isolation should continue for 10 days following symptoms onset. ​

  2. To be released from isolation after 10 days, the patient should be fever free for at least 24 hrs. without use of fever reducing medications. 

  3. Symptoms should be improved


  1. Isolation timeframe begins the day of the first positive test and continues for 10 days following the positive test. 

CLOSE CONTACT: Is defined as someone who was within 6' of an infected person(known positive) for at least 15 minutes during a 24 hr period, starting from 2 days before illness onset (for asymptomatic patients, 2 days prior to positive specimen collection). The following are also considered close contacts: In home caretaker, someone the positive case had direct physical contact with (hugged/kissed), someone who shared a drink or eating utensils, someone who was exposed to respiratory droplets of the infected person.

ATHLETICS: Person who have participated in sports with a positive case are not automatically considered a close contact. Sports such as Soft/Base Ball, Football, Volleyball, Basketball, etc. must be reviewed on the 15 minutes or more and less than 6' feet before determining if the potential contact is placed in quarantine.

PUBLIC TRANSPORTAION: All public transportation are required to wear a mask at all times per Federal CDC mandate. To be considered a close contact with all wearing a mask is less than 3 feet apart and 15 minutes or more of direct contact. 

FULLY VACCINATED PERSON: Regardless of vaccination status, if the contact person meets any of the areas of close contact, they will need to be quarantined. 

PREVIOUS POSITIVE CASE: If someone is identified as a direct contact and it has been less than 90 days that they were positive for COVID, then quarantine is NOT recommended. If the exposure is beyond 90 days of the person having the virus, then they should be placed in quarantine. 




QUARANTINE:**Used for close contact of Positive/Probable Cases**-Is used to keep someone who might have been exposed to COVID away from others. Close contacts are encouraged to stay home and maintain social distance (at least 6') from others. They should also monitor themselves for symptoms of COVID. Quarantined people can work IF they are not symptomatic, take the proper precautions such as wearing a mask/wash hands, follow social distancing guidelines and it is cleared by the employer. If a quarantined person becomes symptomatic they should no longer be allowed to work.

Students who are quarantined must stay home and maintain social distance (at least 6') from others. The parent/guardian should also monitor them for symptoms of COVID and if this occurs should consult with doctor.


  1. HOUSEHOLD CONTACTS-10 days  If the close contact resides in the house with the positive person the quarantine timeframe is 10 days beyond the last contact with the positive person. If the close contact is able to completely separate and avoid close contact with the positive case , the 10-day timeframe starts when the last close contact with the positive case occurred. 

        If the close contact cannot separate from positive then the 10-              day quarantine begins when the isolation period is over for the            positive person. (So, a quarantined person could remain in                    quarantine for a total of 20 days)   

    2. NON-HOUSEHOLD CONTACTS-10 DAYS: If the non-household                member who was in close contact with the positive case and                  will not have any contact with the positive case, their                                quarantine  timeframe is 10 days after the contact with the                    positive case.

     3.  VACCINATED CONTACTS: If the close contact is fully vaccinated,             the person should still quarantine due to breakthrough cases               that can happen. Follow the same guidelines of quarantine. 

     4.  EXCLUSION FROM SCHOOL & SCHOOL ACTIVITIES: students              and school district employees who are positive will be excluded            from school for at least 10 days from the onset of symptoms or              10 days from their test date if asymptomatic. NOTE: You                         CANNOT test out of isolation. 

           Students who are quarantined from a close contact of a                         positive person will be excluded from school and                                       school activities for 10 days.

           School District employees who are in quarantine may work                     under the essential worker protocols.


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State & County Vaccine Doses Given



Who Is Considered Immunosuppressed and/or Immunocompromised?


As you may have heard, the FDA has expanded the Pfizer and Moderna COVID-19 vaccine Early Use Authorization for the purpose of improving protection for many of the immunosuppressed and/or immunocompromised patients.


A potential issue with immunosuppression is that responses to vaccines, including the COVID-19 vaccine, may be reduced. While several studies have shown that the majority of people with rheumatic diseases on immunosuppression do respond well to the COVID-19 vaccine, their response may not as strong as those not on immunosuppression. As a result, a third dose of an mRNA (Pfizer or Moderna) vaccine has the strong potential to increase your immunity.


A booster/third dose of the PfizerNBioTech or Moderna vaccines may be administered to moderately to severely immunocompromised people due to a medical condition or combination of immunosuppressive medication or treatments including but not limited to the following:


-Immunocompromised due to solid organ transplant and taking immune suppressing medications

-Immunocompromised due to active treatment for solid tumor and hematologic malignancies

-Immune compromised due to Receipt of CAR-T cell or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy)

-Moderate to severe primary immunodeficiency (eg., DiGeorge, Wiskott-Aldrich Syndromes)

-Immunocompromised due to Advanced or untreated HIV infection

-Immunocompromised due to “Active treatment with high-dose corticosteroids or other drugs that may suppress immune response: high dose corticosteroids (ie.,≥ 20 mg prednisone or equivalent per day), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, tumor-necrosis (TNF) blocker or other biologic agents that are immunosuppressive or immunomodulatory”

Who is eligible, and when can I get the additional shot?


If you 1) completed the Pfizer or Moderna series of vaccines and are at least 28 days after the 2nd dose, AND 2) if you are on ANY of the following medications listed below, you are eligible starting Saturday, August 13, 2021 to receive Booster/3rd dose:


Prednisone (20 mg/day or greater)

Methotrexate (Trextall, Rheumatrex, Rasuvo, Otrexup)

Sulfasalazine (Azulfidine)

Leflunomide (Arava)

Azathioprine (Imuran)

Mycophenolate mofetil (Cellcept) or mycophenolic acid (Myfortic)

Tofacitinib (Xeljanz)

Baricitinib (Olumiant)

Upadacitinib (Rinvoq)

Injectables/IV drugs

Etanercept (Enbrel)

Adalimumab (Humira, Hulio, Abrilada, Hadlima)

Infliximab (Remicade, Inflectra, Avsola)

Certolizumab pegol (Cimzia)

Golimumab (Simponi)

Tocilizumab (Actemra)

Sarilumab (Kevzara)

Secukinumab (Cosentyx)

Ixekizumab (Taltz)

Abatacept (Orencia)

Rituximab (Rituxan, Riabni, Ruxience)

Ocrelizumab (Ocrevus)

Belimumab (Benlysta)


Please note that if you have received the Johnson & Johnson (J&J) vaccine, additional guidance will come out regarding what to do about an additional dose. At this time, if you have received the J&J vaccine, you are not currently eligible for an additional shot.

Where can I get my booster shot?

If you met in the criteria above to receive the booster dose please call Madison County Health Department at 573-783-2747 or your primary physician and ask to talk to one of the nurses and they will determine and answer any of your questions. In line with federal guidelines, Missouri will use a self-attestation model for people who are moderately to severely immunocompromised. Individuals will not be required to provide documentation of their health status, and they can get third doses at all venues where first and second doses are available. There is no need to get an antibody test to see if you have immunity from your initial round of vaccination.


Which booster shot should I get?

The booster vaccine should be the same brand as your initial vaccine (currently only Pfizer and Moderna are approved for booster). If you received Pfizer initially, you should get Pfizer for the booster. If you received Moderna initially, you should get Moderna for the booster. If you cannot find a vaccine provider with your manufacturer, you may be able to receive your 3rd dose from the other manufacturer.


Additional information regarding this guidance can be found on the CDC website at


Interim clinical considerations for use of COVID-19 vaccines can be found at


Missouri’s revised standing orders can be found at

COVID-19 Info Video Corner


coronavirus info

The Missouri DHSS Novel Coronavirus Information hotline is 1-877-435-8411. For the latest information on the COVID-19 "Coronavirus" click on the pictures/links below.


Madison County MO


Things to Consider

Dated February 2021


How to deal with Anxiety of the Covid-19

Are you feeling anxiety or stress over the Coronavirus? Click on the picture below for some tips to help you through this. 


Take the Show Me Strong Pledge


Missourians are strong, resilient and ready to get back to business. The backbone of a healthy economic recovery depends on everyone’s willingness to help control the spread of COVID-19.

The Show Me Strong Pledge is a voluntary commitment to take a few simple steps that will aid in protecting the well-being of all Missourians.