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Eswatini Ministry of Health
Vaccine Registration - COVID-19
Fields marked with an
*
are required
First Name
*
Last Name
*
National ID
Birthdate
Gender
*
Male
Female
Primary Phone
*
Secondary Phone
*
Inkhundla
*
Dvokodvweni
Gege
Gilgal
Hhukwini
Hlane
Hosea
Khubuta
Kukhanyeni
Kumethula
Kwaluseni
Lamgabhi
Lobamba
Lobamba Lomdzala
Lomahasha
Lubuli
Ludzeludze
Lugongolweni
Madlangempisi
Mafutseni
Mahlangatja
Mangcongco
Manzini North
Manzini South
Maphalaleni
Maseyisini
Matsanjeni North
Matsanjeni South
Mayiwane
Mbabane East
Mbabane West
Mhlambanyatsi
Mhlangatane
Mhlume
Mkhiweni
Motshane
Mpolonjeni
Mtfongwaneni
Mtsambama
Ndzingeni
Ngudzeni
Ngwempisi
Nhlambeni
Nkhaba
Nkilongo
Nkomiyahlaba
Nkwene
Ntfonjeni
Ntondozi
Phondo
Piggs Peak
Sandleni
Shiselweni 1
Shiselweni 2
Sigwe
Siphocosini
Siphofaneni
Sithobela
Somntongo
Timphisini
Zombodze
Do you work in the healthcare sector?
*
Yes
No
Which of the following is closest to your position?
*
Active Case Finder/TB Screening Officer
Biomed/Maintenance Technician
Community Health Volunteer
Dietary
Health Data Clerk/Officer
Dentist/Hygienist
EMT/Paramedics
Environmental Health Officer
Epidemiology
Expert Clients
Health Accountant
Health Driver
Health Orderly/Cleaner/Labourer
Health Stores Officers
HMIS Staff
Hospital Administrator/Manager
HTS Counsellor
Laboratory/Phlebotomy
Medical Imaging
Medical Practitioner/Medical Doctor
Medical Technician
Mentor Mother
Nurse
Occupational Therapy
Pharmacy
Physiotherapy
Program Manager/Officer
Psychology/Psychosocial Support
Research
Rural Health Motivator
Secretary/Administration
Security
Speech and Language Therapy
Where do you work?
*
2nd Street Medical Services
Adventist Development and Relieve Agency (ADRA)
AHF Lamvelase
AHF Matsapha
AHF Mbabane
AHF Nhlangano
AHF Piggs Peak
AMICAALL
Amitofo Care Centre Clinic
AMPATH Laboratory
Anchor Clinic
Baphiwe Clinic
Baylor RFM
Bethany Clinic
Bethesda Clinic
Bhahwini
Bhalekane Correctional Services Clinic
Bhalekane Nazarene Clinic
Bhekinkosi Nazarene Clinic
Bholi Clinic
Bhudla
Clicks (Bhunu Mall)
Big Bend Correctional Services Clinic
Biomed
Bulandzeni Clinic
Bulembu Clinic (Havelock)
Bulunga Nazarene Clinic
Cabrini Health Care
Cadbury Clinic
Cana Alliance Clinic
Carers Corner Clinic
Central Laboratory
Central Medical Stores (CMS)
Centromed Pharmaceutical
CHAPS Eswatini
CHAPS Soka City Clinic
Cheshire Homes Clinic
Children's Clinic (Dr Rukundo)
Chisty Health Services
Clicks Clinics (Swazi Plaza Outlet)
Clicks Clinics (The Gables outlet)
Clicks Manzini
Clicks Nhlangano
Clinical & Diagnostic Development Pty
Community and Textile Clinic
Corner plaza Health Clinic
Criminal Lunatic Clinic
Dr B.B. and R.S. Gama Clinic
Dr E Booyens & Partners Clinic
Dr J.W Stephens Rooms Clinic
Dr. Maseko Dental Clinic
Dr. Min Clinic
Dr. Mnisi Clinic
Dr. N.T Ntiwane Clinic
Dr. Rockley's Dental services
Dr. Sarugaser Clinic
Dr. Vilakati
Dr. Wasswa David B
Dr. Wasswa Dentist
Dr. Agarwal's Eye Hospital
Dr. J. Gazi Surgery
Dr. Projo
Dvokolwako Health Centre
Dwaleni Clinic
Dwalile Clinic
Ear Nose Throat Clinic
Ebenezer Clinic
EDCU
EFFTIT
EFTTIT 2
Egebeni
EGPAF
EHLS ICAP
Ekufikeni Clinic
Ekululameni Rehabilitation Centre
Ekuphileni Clinic
El Rofi Medical Centre
Elihle College of Emergency Care
Emkhuzweni Cluster & Mbabane Cluster
Emkhuzweni Health Centre
Emmanuel Specialist Clinic
ENAP
ENAP VMMC
ENBTS
Endzingeni Nazarene Clinic
ENHI
ENHI Community Department
Environmental Health Science (Port Health)
EPI National Office
EPR
Eswatini Health Laboratory Services Mbabane
Eswatini Hospice at Home
Eswatini Medical & Dental Council
Etetsembisweni Clinic
Eye Clinique
Eye Clinique
Ezindwendweni Clinic
Ezulwini Clinic (Gables)
Ezulwini Satelite Clinic
Faculty Health
Faith Community Nursing
Family Care Clinics
Family Life Association Clinic (Manzini)
Family Life Association Clinic (Mbabane)
Fashion International Clinic
FEI Systems
FHI360
Filter Clinic
FLAS
Fresenius Medical Care
FTM 2 Clinic
FTM Clinic
FTM JJ1 Clinic
Garrison (St Georges Barracks) Clinic
Gebeni Clinic
Gege Clinic
Georgetown University
GGH
GHSC-PSM Chemonics
Giant Factory Clinic
Gilgal Clinic
Giving Life Clinic (Mill Site)
Good Shepherd College
Good Shepherd Hospital
Good Shepherd Public Health Unit
Gucuka Clinic
Health Care Swazican Clinic
Health Care Swaziland-Occupational Clinic
HealthPlus 4 Men
Herefords Clinic
Hhukwini Clinic
Hillside Clinic
His Majesty's Correctional Services
HIV Care & Treatment
Hlane Clinic
Hlathikhulu Government hospital
Hlathikhulu Public Health Unit
Hlatikhulu Community Clinic
Hlatsi PHU
Hluthi Clinic
HMIS
Holistic Care (Homoeophathy and Physiotherapy Clinic)
HOOP
Hope House Manzini
Horo Clinic
Hospice at Home Clinic
I - Site Optometrist
ICAP
IDMHI
Ikwezi Joy Clinic
Illovo Sugar Hospital
JCI (Mphelandzaba) Clinic
Jericho Clinic
Jhpiego
Jikan'lambu Medical Centre
Juris Garment Factory Clinic
Ka Mfishane Clinic
Ka Phunga Clinic
Ka Phunga Nazarene Clinic
Ka Zondwako Clinic
Kabhudla Clinic
Kagogo Mamba Private Clinic
Kamfishane Clinic
Kasumi Factory
Khuphuka Clinic
King Sobhuza II Public Health Unit
KM111
Kudvumisa Foundation
Kufikeni Clinic
Kwaluseni Clinic
Kwong Kwang Clinic
Lactalis Eswatini
Lamvelase Clinic (Zombodze)
Lamvelase Help Centre - AMICALL
Lancent Laboratories Mbabane
Lancet Laboratories Manzini
Lavumisa Clinic
Lavumisa Wellness Centre (Northstar Alliance)
Lihananandza (AHF) Clinic
Limkokwing University Clinic
Linamandla Medical Centre
Linkmed Pharmacy
Litsemba Letfu Men's Clinic
LNV Physiotherapy
Lobamba Clinic
Lomahasha Clinic
Lubombo Environmental Health Department (KMIII)
Lubombo Oral Health Services
Lubombo Referral Hospital
Lubombo Referral Hospital Home Care
Lubuli Clinic
Lulama Health Care Clinic
Lushikishini Clinic
Luve Clinic
Luyengo Clinic
Mafutseni Nazarene Clinic
Magubheleni Clinic
Maguga Clinic
Mahlandle Clinic
Mahlangatsha (Sibovu) Clinic
Mahwalala Red Cross Clinic
Makhosi X-Ray
Malandzela Nazarene Clinic
Malindza Refugee Clinic
Malkerns Correctional
Malkerns Juvenile School Clinic
Mall Med Family Clinic
Maloma Colliery Clinic
Maloyi Catholic Clinic
Mambane Clinic
Mangcogco Clinic
Mangweni Clinic
Mankayane Correctional Services Clinic
Mankayane government hospital
Mankayane public Health unit
Manyeveni Nazarene Clinic
Manzana Clinic
Manzini City Council Clinic
Manzini Filter Clinic
Manzini Health Care Clinic (Dr. Mathunjwa)
Manzini Private Clinic (Imphilo)
Manzini Surgery and Maternity Clinic
Manzini True Community Centre
Maphalaleni Clinic
Mashobeni Clinic
Matata Clinic
Mathangeni Church of Christ Clinic
Matsanjeni Chesire Home
Matsanjeni Health Centre
Matsapha Comprehensive Health Care (MSF)
Matsapha Correctional Services Clinic
Mavuso COVID Centre
Mawelawela Women Correctional Services Clinic
Mbabane City Council - Nkwalini Clinic
Mbabane City Council Clinic
Mbabane Clinic
Mbabane Government Hospital
Mbabane Government Phalala Fund Office
Mbabane KDC MGH
Mbabane Male Wellness Clinic
Mbabane Mens Clinic
Mbabane Public Health Unit
Mbangweni Army Barracks Clinic
Mbikwakhe Alliance Clinic
Mbikwakhe Clinic
Mbuluzi Army Barracks Clinic
Mdumo Oral Health Care (Mbabane)
Mdzimba U.S.D.F. Clinic
Medisun Clinic
Mgazini Nazarene Clinic
Mhlambanyatsi Clinic
Mhlosheni Clinic
Mhlume Medical Services
Mkhaya Clinic (Manzini)
Mkhitsini Clinic
Mkhiwa Clinic
Mkhulamini Clinic
Mkhuzweni Health Centre
ML Physiotherapists
Mliba Nazarene Clinic
Mlindazwe Army Barracks Clinic
MM Services (Dr KAVUMBURA)
MOH
MOH COAG
MOH COVID19 Case Management
MOH Door to Door
MOH Health Promotions
MOH Health Services
MOH HQ
MOH LISTEN Project
MOH Mankayane Environmental Health Office
MOH Public Health Emergency Operations Centre
MOH School Health
MOH SID
Mother Care Clinic (Dr Subira)
Moti Clinic
Motshane Clinic
Mpaka High Care Clinic
Mpolonjeni Clinic
Mpuluzi Clinic
MSF Community Fixed Site
MSF Swiss
Mshingishingini Nazarene Clinic
MT Dental Services (Checkers)
MT Dental Services (Town Centre)
MT Souza Clinic
Muna Health Life Clinic
Musi Clinic
Mzipha Clinic
National Baptist Clinic
National Cancer Control Program
National Health Research and Innovation Department
National Molecular Reference Laboratory
National Psychiatric Hospital
National TB Control Programme
National TB hospital
Nature
Ncabaneni Clinic
NCD Programme
Ndvwabangeni Nazarene Clinic
Ndzevane Community Clinic
Ndzingeni Nazarene Clinic
New Haven Clinic
New Start Clinic
New Thulwane Clinic
New Village Clinic
New Village Nazarene Clinic
Ngculwini Nazarene Clinic
Ngomane Clinic
Ngonini Estate Clinic
Ngowane Clinic
Ngwavuma Army Barracks Clinic
Ngwenya Roadside Wellness Centre
Nhlambeni Clinic
Nhlangano Correctional Services Clinic
Nhlangano Health Centre
Nhlangano PHU
Nhlangunjani Clinic
Nhletjeni Clinic
Nhletsheni
NHO
Nkalashane Clinic
Nkhaba Clinic
Nkhabave Clinic
Nkonjwa Clinic
Nkwene Clinic
Nsalitje Clinic
Nsalitshe Clinic
Nsingizini Army Barracks Clinic
Ntfonjeni Clinic
Ntintiza Clinic
Ntshanini Clinic
Nyonyane Clinic
Occupational Health Eswatini
Olos Clinic
Oral Health Services
Our Lady of Sorrows Clinic
Peak Nazarene Clinic
Phalala Fund
Philani Clinic (Manzini)
Philani Clinic (Matsapha)
Philani Clinic (Shiselweni)
Phocweni U.S.D.F Clinic
Phumelela Clinic
Physio Med
Pigg's Peak Nazarene Clinic
Piggs Peak Correctional Services Clinic
Piggs Peak Government hospital
Piggs Peak Public Health Unit
Police Clinic
Port Health Lavumisa
Port Health Lomahasha
Port Health Mananga
Port Health Matsamo
Port Health Matsapha Airport
Port Health Ngwenya
Preety Daya Physiotherapy Matsapha
Private Practice
PSHACC
PSI
PSI Bholi Clinic
Public Health Department
Public Health Emergency Operations Centre
Quality Management Program
Raleigh Fitkin Memorial hospital
Rapid Response Team Manzini
Regina Mundi Clinic
Regional Health Office Hhohho
Regional Health Office Lubombo
Regional Health Office Manzini
Regional Health Office Mbabane
Regional Health Office Nhlangano
Regional Health Office Shiselweni
REPS
RESC Medical Services Lusoti Clinic
RESC Medical Services Mhlume Clinic
RESC Medical Services Ngomane Clinic
RESC Medical Services Simunye Clinic
ResQ Med Africa
RHM Program
Royal Swazi Spa Clinic
S & P Health Care Centre
Salvation Army Clinic
SANU
Sappi Health Centre
Satellite Clinic
Sbonginkhosi Medical Centre
Scutt Jubilee Clinic
Shewula Nazarene Clinic
Shiselweni Regional Health Office
Port Health Mahamba
Shiselweni School Health
Sidwashini Correctional Services Clinic
Sigangeni Clinic
Sigcaweni Nazarene Clinic
Sigcineni Clinic
Sigombeni Red Cross Clinic
Sikhandimpilo Clinic
Silele Red Cross Clinic
Simply Aid Medical Services
Simunye Clinic
Sinceni Clinic
Siphiwo Clinic
Siphocosini Clinic
Siphofaneni Clinic
Siteki Nazarene Clinic
Siteki Environmental Health
Siteki Public Health Unit
Siteki VCT (AMICAALL HTC Centre)
Sithembinkosi Clinic
Sithobela Rural Health Centre
Sitsatsaweni Nazarene Clinic
Siyaphila Buhleni Clinic
Smart Clinic (Dr Lukoj)
Smile Centre Clinic
Smile Clinic DENTAL ELEMENTS
Smile Easy Dental Clinic (Dr Mndzebele)
SMP Dental Clinic
SOPREC Physiotherapy
SOS Clinic (Sidwashini)
SOS Clinic (Ekutfokomeni Clinic)
SOS Clinic (Nhlangano)
Sound Health Pharmacy
Southern Star Clinic
Spears Health Services
Spintex Clinic
SRHU
St Florence Clinic
St George Barracks
St Jullianas Clinic
St Mary's Clinic
St Theresa's Clinic
Strong Teeth Family Dental Care
SWABHA
SWADENT Dental Services
Swakor Medical Centre
SWAPOL
Swazi Eye Services
Swazi Medical Service
Swaziland Beverages Clinic
Swaziland Meat Industries Clinic
Swaziland Security
Swazipharm
TSN X-ray and Scan
Tabankulu Estates Clinic
Tambuti Estate Clinic
TB Centre
Texray Factory
Tfokotani Clinic
The AIDS Information & Support Centre
The Children's Centre of Excellence (Baylor Clinic)
The Dental Surgery
The Lane Surgery (Dr A.T Dlamini) Clinic
The Luke Commission
The Medic Group Matsapha
Thembumenzi/ Women and Men Clinic
Tikhuba Clinic
Torga Optical
Tsambokhulu Clinic
Tshaneni Health Care Clinic
Ubombo Sugar Hospital
UEDF Mbuluzi School of infantry
UN WFP
UNESWA Kwaluseni Campus Clinic
UNESWA Luyengo Campus Clinic
UNESWA Mbabane Campus Clinic
UNESWSA Mbabane Campus
Uniform Warehouse
Union Washing Clinic
Unitrans Clinic
URC
URC DOD
US Embassy
UTECH Clinic
Vision Care
Vision Care Optometrist (Manzini)
Vision Care Optometrist (Mbabane)
Vision Care Optometrist Ezulwini
Vulamehlo Nazarene Clinic
Vusweni Clinic
Vuvulane Clinic
Waterford Clinic
Wellness Centre Clinic
WHO
Women and Children Hosptial
World Vision
Ykk Clinic
Young Heroes
Young Person Correctional Facility
Zakhele Remand Centre Clinic
Zombodze Clinic
Zondwako Clinic
Other
Other workplace
*
What is the highest level of education completed?
*
Primary school
Secondary school
High school
Tertiary (College/University)
No education
Place of Residence
*
Email
Do you have any of the following comorbidities? Select all that apply
*
Asthma
Cancer
Diabetes
Heart Disease
High blood pressure
HIV
Kidney Disease
Nervous system condition
Pregnancy
TB
Obesity
Other respiratory condition
Other
None of the above
Other comorbidities
*
Are you or could you be pregnant?
*
Yes
No
Are you planning to become pregnant?
*
Yes
No
Are you breastfeeding
*
Yes
No
In the past two weeks, have you tested positive for COVID-19?
*
Yes
No
Have you ever had severe allergic / anaphylactic reaction to any vaccine?
*
Yes
No
Do you have a bleeding disorder or are you on a blood thinner?
*
Yes
No
Have you received a COVID-19 vaccine previously?
*
Yes
No
Have you had any vaccinations in the past 14 days?
*
Yes
No
Preferred SMS Language
*
English
Siswati
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