COVID-19 Information


Last updated October 13, 2022

The CDC recently updated guidance for individuals exposed to COVID-19 as well as for those who contract COVID-19. Please keep this information in mind now that school is back in session! The guidance is as follows:

  • Following exposure, regardless of vaccination status, the recommendation is to wear a high-quality mask around others for 10 days and seek testing on day 5. Seek testing sooner if you develop symptoms. The day of exposure is considered day zero.
  • If you are COVID-positive, regardless of vaccination status, you should stay home and isolate away from others for at least 5 days. This includes those in your household to the greatest extent possible. You are likely most infectious during these first 5 days. Wear a high-quality mask if you do have to be around others.
  • If after 5 days, you are fever-free for 24 hours without the use of medication and your symptoms are improving (or you never had symptoms), you may end isolation after day 5. Continue to wear a high-quality mask around others through day 10.
  • If you experienced moderate illness (shortness of breath or difficulty breathing), isolate for the full 10 days.
  • If you were hospitalized while infected with COVID-19 or you have a weakened immune system, consult your healthcare provider before ending isolation. A viral test before ending isolation may be recommended.
  • You should also isolate if you suspect you have COVID-19, but are waiting for test results.
  • Regardless of when you end isolation, avoid being around people who are more likely to get very sick from COVID-19 until at least day 11.
  • If your symptoms worsen or return after ending isolation, restart isolation at day zero (0).
  • Talk with your healthcare provider if you have questions about your symptoms or when to end isolation.

Back-to-school often results in greater transmission of infectious diseases. It can be difficult to differentiate between COVID-19 and other common illnesses. Contact Littleton Urgent Care for COVID-19 testing at 603-444-9294.

CDC recommends COVID-19 primary series vaccines for everyone ages 6 months and older, and COVID-19 boosters for everyone ages 5 years and older, if eligible.

How to Schedule a Vaccine or Booster Shot (if eligible)

  • Age 5 and over: Contact Littleton Urgent Care at 603-444-9294. Bring a valid photo ID and current COVID-19 Vaccination Card to your appointment.
  • Age 6 months to 5 years: Contact North Country Primary Care – RHC at LRH at 603-444-7070 (Mon. -Fri., 8:00 AM – 4:00 PM)
  • If you are at LRH for an appointment and are interested in receiving a COVID-19 vaccine, please speak with a member of your care team.


Novavax Vaccine Available

The Novavax COVID-19 vaccine is available at Littleton Regional Healthcare.

Novavax COVID-19 Vaccine at Littleton Regional Healthcare Recommended for people 18 years and older, the vaccine is a 2-dose series, given 3–8 weeks apart. Currently, the Novavax COVID-19 vaccine is not authorized for use as a booster dose. Novavax is a traditional protein component vaccine type similar to most previously utilized vaccines. Contact your primary care provider for more information or call Littleton Urgent Care at 603-444-9294 to schedule an appointment to receive a Novavax vaccine.


Bivalent COVID-19 Booster Available

Bivalent (NEW) COVID-19 boosters are now available through Littleton Urgent Care – call 603-444-9294 to schedule an appointment!

  • Bivalent COVID-19 Boosters are available at Littleton Regional HealthcareBivalent COVID-19 booster vaccines are recommended for persons 12 years of age and older (Pfizer) and 18 years of age (Moderna) who have completed their primary COVID-19 vaccination series. A single bivalent vaccine booster, including for those who received any monovalent boosters after their primary vaccination series, is recommended.
  • Bivalent booster vaccines were formulated to provide protection against the original strain of COVID-19 as well as the most recently circulating Omicron strains of COVID-19. The new bivalent boosters offer superior protection against Omicron strains and likely provide broader protection against future variants, compared to the previously used monovalent COVID-19 boosters.
  • Bivalent boosters should be administered at least 2 months after the completion of your primary COVID-19 vaccination series or at least 2 months after the most recent monovalent booster dose. You should wait at least 2 months before receiving a bivalent booster dose following a COVID-19 infection. This time frame is recommended to maximize immune protection and minimize side effects.
  • Bivalent vaccine boosters are expected to be extended to younger age groups in the coming weeks.


At this time, COVID-19 vaccines are still being administered free of charge.

The timing of subsequent COVID-19 vaccine doses depends on the vaccine you receive. The timing and eligibility of booster doses depend on the vaccine you receive, your age, and other pertinent health conditions. See the charts below for guidance or view Stay Up to Date with Your COVID-19 Vaccines.

Current Visitor Policy

  • As of March 7, 2022, Littleton Regional Healthcare has resumed its standard visitor policy with no restrictions.
  • What to Expect When You Arrive at LRH

    Masks are still required to be worn at all times while in our facility, including offsite practice locations, for anyone over the age of 2.

Safety & Screening

Please be aware that COVID-related screening at two of our entrances has changed effective Thursday, October 13th:

  • The screener and screening checkpoint outside of the Emergency Department/Main Entrance will remain in place. Please stop at this mandatory checkpoint, allow the screener to ask you the necessary questions, answer the questions completely and honestly, and then proceed to the appropriate area. 
  • For the Medical Office Building and Littleton Urgent Care Entrances – we will no longer be staffing these entry points with a screener. Please stop at the screening checkpoint, review the sign before you, and follow the displayed instructions. If you answer YES to either of the presented questions, DO NOT continue into the building. Instead, use the provided phone to contact our triage clinician for further instructions. If you answer NO to both questions, you can continue into the building.

With these changes, we are counting on our patients and visitors to be truthful and responsible. It takes all of us to keep those around us protected. We are relying on you to help keep others safe by not entering our facility if you are experiencing symptoms of COVID-19, are COVID-positive, or were recently exposed to COVID-19.

The Mandatory Screening Checkpoint for the Main Entrance/Emergency Department is staffed 24/7.

  • To make arrangements for testing, please contact Littleton Urgent Care at 603-444-9294. Urgent Care is open for testing 7 days a week, 8 AM to 8 PM.
  • An appointment is required to receive testing.
  • Please bring insurance information and your current COVID-19 Vaccination Card with you for testing.
  • Masks are required to receive testing. We ask that you remain in your vehicle while waiting and during sample collection or until instructed otherwise by a staff member.
  • Please note, that as demand for COVID-19 testing fluctuates, we will continue to transition testing services between our drive-up site and Littleton Urgent Care as needed. COVID-19 vaccines will continue to be administered through Littleton Urgent Care until further notice.

Costs & Insurance

Most health insurance providers will cover the cost of testing for symptomatic patients or asymptomatic patients with concern for exposure. We encourage you to contact your health insurance to determine whether your specific plan will cover the cost of testing. Uninsured NH patients may be eligible for the NH Easy Testing Program. Please provide your insurance information at the time of testing and/or when planning for testing.

Test Results

If you test positive for COVID-19, you will receive detailed instructions about your home care. If you have received positive test results and do not have a primary care provider, please call us at 603-444-9294 so we can help you manage your care.

Information provided by the CDC

COVID-19 information from the Centers for Disease Control and Prevention (CDC), can be found by visiting Coronavirus Disease 2019 (COVID-19). Resources include Cases and Data, Long COVID or Post-COVID Conditions, Travel, Boosters, and Quarantine & Isolation.

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