Preventative Health




Stacy Medial Center is offering Pfizer COVID-19 vaccinations on-site at the workplace for employees working within Vernon City Limits. 


If you are interested in vaccinating your employees please follow the instructions below:




Attn: Freddie Agyin, MS, REHS


Subject: Pre-order COVID-19 Vaccinations

 a: Name of Employer

 b: Business Address

 c: Location where employee(s) work

 d: Industry Type  i.e. Food & Agriculture 

 d: Total number of employees

 e: Total number of employees desiring COVID-19 vaccination

 f: Telephone No.

 g: Name of contact

 h: Email xls list of employees requesting vaccination to:  

     Veronica Petrosyan-Scheduling


2: You will be contacted upon receipt of this letter of interest and your company will be prioritized in the vaccine queue per LAC guidelines.


3: You will be contacted at least 5 working days prior to scheduling vaccinations at your site. You will be required to distribute COVID-19 Vaccine EUA fact Sheets and COVID-19 Pre-vaccination screening forms to employees.  Following collection of completed COVID-19 Pre-vaccination screening forms from employees, you will login to our vaccine scheduling portal and pre-register each of your employees desiring vaccination, PRINT the appointment / consent form for each employee.


4: The day prior to vaccination we ask that you distribute the Vaccine appointment / consent from to each employee that commits to vaccination and report the number of doses required to Freddie Agyin, MS, REHS


5: On the day of vaccination we request that you dispatch 5 employees to the vaccination station every 15 minutes. The employees will be required to follow social distancing rules as they line up for vaccination.(It is important that we maintain the planned vaccination pace as the mixed vaccine is labile  and has a short shelf life). 


6: Following vaccination each employee will be asked to remain sitting in the post vaccination observation area for 15 minutes (30 minutes if they are at increased risk for anaphylaxis) prior to release back to their workstation.


7: The employee will automatically be rescheduled for their second dose of vaccine and the employees record of vaccination will automatically be filed with CAIR.


8: Site requirements:

  • Room to accommodate a Mercedes Sprinter Van
  • Room to accommodate a 10' x 15' tent
  • Room to accommodate a 7 fold-up chairs
  • 115V 15A outlet / extension cord


Alameda Industrial Medical Group is administering Pfizer COVID-19 vaccinations to essential workers in the Central Downtown Los Angeles Sector. If your "Food and Agriculture" essential workers would like to be vaccinated please instruct them to follow these simple instructions.


  • Print and review the Pfizer COVID-19 Vaccine EUA Fact Sheets
  • Print and Complete the COVID-19 Pre-Vaccination Screening Form
  • Contact Alameda Industrial Medical Group to obtain the Password required to access our appointment scheduling portal    Tel: 213.747.7667
  • Click on "Los Angeles Produce Market" (RED ICON BELOW)
  • Enter Password
  • Print Employee Consent and Employer Essential Worker Certification (Bring this to clinic on day of vaccination)
  • Enter "Scheduling Portal" and make appointment
  • Print Document and bring to clinic on day of appointment
  • Remember: We ask that you remain at the clinic for 15 minutes following your vaccination so that our HCP can observe you for  signs of anaphylaxis (severe allergic reaction)


Federal Law Requires that each individual participating in the STACY MEDICAL CENTER - CITY OF VERNON COVID-19 VACCINATION CLINIC review the Pfizer COVID-19 EUA fact sheet and complete the COVID-19 Pre-vaccination screening form.


The Pfizer-BioNTech COVID-19 vaccine in not a Biological Licensed Vaccine at this time and is considered experimental. For this reason we strongly recommend that employers do not mandate that employees take this vaccine as grounds to continue their employment.

Pfizer COVID-19 Vaccine EUA Fact Sheets

Pfizer COVID-19 Vaccine Information Fact Sheet For Recipients 9/21
VIFS Pfizer-BioNTech COVID-19 Vaccine_22
Adobe Acrobat Document 220.7 KB
Pfizer COVID-19 Vacuna EUA Hoja informativa para destinatarios 02/21
La traducción al español de la hoja informativa más actualizada (9/21) sobre la vacuna aún no está disponible. (VIFS Pfizer-BioNTech COVID-19 Vaccine_22Sep2021)
Pfizer COVID-19 Vaccine EUA Facts_s.pdf
Adobe Acrobat Document 205.9 KB
接受者和护理者须知 辉瑞-BioNTech2019 新冠肺炎疫苗用于 16 岁及以上人群的紧急使用授权 02/21
目前尚未提供最新(9/21)疫苗信息概况介绍的西班牙语翻译。(VIFS Pfizer-BioNTech COVID-19 Vaccine_22Sep2021)
Pfizer COVID-19 Vaccine EUA Facts_c.pdf
Adobe Acrobat Document 314.0 KB

COVID-19 Pre-Vaccination Screening Forms

CDC COVID-19 Pre-vaccination screening form
Adobe Acrobat Document 193.9 KB
Formulario de detección previa a la vacunación COVID-19 de los CDC
Adobe Acrobat Document 144.8 KB


Choosing to participate in the STACY MEDICAL CENTER - CITY OF VERNON COVID-19 VACCINATION CLINIC requires that the employer post these information sheets at the workplace.

Side effects following Pfizer COVID-19 Vaccination
This poster educates vaccine recipients on the side effects they may experience following COVID-19 Vaccination.
Adobe Acrobat Document 199.0 KB
Efectos secundarios tras la vacunación Pfizer COVID-19
Este cartel educa a los receptores de vacunas sobre los efectos secundarios que pueden experimentar después de la vacunación COVID-19
Adobe Acrobat Document 157.5 KB
This poster educates vaccine recipients on how to use their smart phone to report any unusual side effects they may experience following COVID-19 vaccination.
Adobe Acrobat Document 243.8 KB
V-Safe-Poster Spanish
This poster educates vaccine recipients on how to use their smart phone to report any unusual side effects they may experience following COVID-19 vaccination.
Adobe Acrobat Document 225.3 KB
V-Safe-Poster Chinese
This poster educates vaccine recipients on how to use their smart phone to report any unusual side effects they may experience following COVID-19 vaccination.
Adobe Acrobat Document 294.4 KB

                         Click To Access Vaccination Scheduling Portal


The COVID-19 vaccination program is partially funded by the Federal Government, the vaccine is provided to the public free of charge. The usual and customary charge to administer the vaccine includes scheduling of vaccination, review of vaccination consent, preparation and administration of vaccine, filing record of vaccination with CAIR and scheduling follow-up vaccination. Upon receipt of complete medical billing information from employer / employee, Stacy Medical Center / Alameda Industrial Medical Group will bill employees group health insurance carrier, CMS or an uninsured fund for the vaccine administration fee.