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Why visitors vaccinated in Denmark are struggling to get an EU Covid-19 certificate

People vaccinated against Covid-19 during short, temporary stays in Denmark are currently issued with documentation incompatible with the EU Digital Covid Certificate.

Why visitors vaccinated in Denmark are struggling to get an EU Covid-19 certificate
Non-residents vaccinated against Covid-19 in Denmark are issued with a paper certificate without the QR code which connects it to the EU's digital pass. File photo: Olivier MORIN / AFP

People who are vaccinated during temporary stays in Denmark are issued paper vaccination certificates without the QR codes that automatically link them to the EU’s Digital Covid Certificate.

The issue affects people without a personal registration (CPR) number, who are thereby unable to access the Danish Coronapas app or health platform sundhed.dk. That could include people staying in the country for limited periods, for example to visit loved ones.

Regional health authorities offer vaccination to people in Denmark on short term stays without registration of residency, if they have a foreign address but health insurance in Denmark; or if they reside temporarily in Denmark and don’t have insurance. Instructions for how to access vaccination can be found on the regional authorities’ websites, like this one for South Denmark.

In the absence of a digital login to the Danish health system, people vaccinated while in the country temporarily are instead given a paper vaccination certificate. But the certificate does not include the QR code compatible with the EU system, which not only allows for smooth travel within the EU but also allows entry to bars and restaurants and cultural sites in the many countries that have extended the use of their Covid health passes.

“I am not a resident of Denmark, but stayed with my husband (who is a resident) in the country for nearly three months over the summer during which time I received both vaccines. I’m now not able to get proof of this that is linked with a QR code to vaccination records,” Laura, a reader of The Local, said.

“I tried to get a paper Covid certificate from sundhed.dk but they couldn’t issue me one without a yellow health card. They told me I had to go in person to a vaccination centre and that they could issue me a certificate for travel. The vaccination centre could issue me a certificate but it didn’t have the required QR code to link it into the EU digital Covid certificate system,” Laura explained.

“I need this document to travel, to visit family, and for work. I feel trapped even though I have taken all the required precautions to keep myself and others safe,” she said.

Sundhed.dk is the public health information platform at which vaccination certificates can normally be accessed and downloaded, along with the Coronapas app. To do so, it is necessary to log in using identification issued to anyone with legal residence in Denmark.

“To be able to see a Coronapas at Sundhed.dk you must have a Nem-ID [secure digital identity issued to Danish residents, ed.] and that’s not the case here,” Sundhed.dk told The Local via email in reference to documentation for people vaccinated during temporary stays for which no residence permit was needed.

“We refer foreigners who need documentation to the place where they were vaccinated,” they confirmed.

READ ALSO: Applying for residency in Denmark: Why you might need health insurance during processing period

Three of Denmark’s five healthcare administrations – Zealand, Central Jutland and North Jutland – told The Local that their centres do not issue a QR code on the paper vaccination certificates given to people vaccinated whilst on a visit to the country.

“All residents in the EU and Schengen countries can be issued a European coronapas (the EU’s digital Covid certificate) that documents that they have been vaccinated,” Region Zealand’s senior medical advisor for vaccination and head of department Søren W. Rasmussen said in a written comment.

“If a foreigner was vaccinated in Denmark while that person was on a temporary stay here, but does not have a CPR number, that person should have a vaccination certificate issued at the place of vaccination.

“The vaccination card is a yellow card and was previously (also) used for people with CPR numbers before the electronic vaccination card was introduced in Denmark,” Rasmussen explained.

That card does not include a QR code to automatically connect it with the European system, however.

A press officer for Region North Jutland told The Local that adding QR codes to the paper certificates “has been discussed, but so far the task has not been prioritised ahead of others which also need attending to”.

Another region, South Denmark, noted that the vaccination certificates were a “national solution” and therefore not developed regionally, but by the Danish Health Data Authority (Sundhedsdatastyrelsen).

In an email, the Danish Health Data Authority told The Local it was working to address the issue but currently had no timescale for its resolution.

“We aware are of the issue and are therefore investigating when we will have a solution ready,” the agency said, adding that it did not have a set date for this at the time of writing.

Although some EU countries accept paper vaccination certificates without a QR code – notably for people travelling from the United States – it is unclear whether documentation issued in the EU, but without a code will be uniformly accepted at borders.

Even if a vaccination certificate without a QR code is accepted by EU countries at borders, not having the code could cause issues elsewhere. Many European countries have restrictions in place – similar to Denmark’s recently-lifted coronapas rules – requiring the health pass to be presented to access restaurants, bars, museums or other public places.

The EU states that its Digital Covid Certificate “takes the form of a QR code, which can be electronic (on your smartphone or tablet, for instance) or printed and scanned when travelling.”

The certificate – with QR code – is “valid in all EU countries”, the union states.

Some countries, such as France, meanwhile allow you to upload your paper certificate and get it exchanged for a QR code, which can then be accessed on France’s version of the EU digital pass.

However, the French government website which facilitates this is designed for non-EU travellers such as American tourists, rather than people vaccinated within the EU. It also requires you to have booked travel to France (or be in France). 

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HEALTH

Can you get a covid vaccine in Denmark if you’re not in the at-risk groups?

If you’re not in one of the ‘high risk’ categories, a covid booster can be hard to come by in Denmark.

Can you get a covid vaccine in Denmark if you’re not in the at-risk groups?

A growing body of research indicates that keeping your covid vaccination up to date decreases your risk of long covid—a range of cardiovascular, neurological and respiratory symptoms that can be debilitating. But accessing the vaccine booster is not straightforward in Denmark if you are not within one of the ‘risk groups’ for the national annual booster scheme.

Ahead of winter 2023, the Danish government made a significant change to its covid vaccination policy. From November 2022 until October 2023, anyone who wanted to get vaccinated could do so at the government vaccination centres for a modest fee.

But in October 2023, the Danish government said it was bowing out of the elective booster game, since “vaccines will be sold on the private market under normal market conditions,” the Danish Health Ministry (Sundhedsministeriet) wrote.

READ ALSO: Covid-19 no longer given special status in Denmark

But it seems pharmacies and private clinics didn’t step in to fill the void the way the Danish government expected—although public health websites linked out to the Apotek pharmacy chain as a resource for voluntary covid vaccination, Apotek pharmacy confirmed to the Local Denmark via email that they did not offer paid covid vaccines this year.

As of February 5th, the only option for a voluntary covid booster in the Greater Copenhagen metropolitan area is through Copenhagen Medical, a private clinic in Sankt Annæ Plads near Nyhavn that offers a range of travel vaccines and tests. The Pfizer booster costs 920 kroner.

Other companies offer paid vaccinations, but the closest clinics are at least 30 km away (for instance, the Danske Lægers Vaccinations Service offers paid covid vaccines at their Roskilde and Hillerød locations).

The public covid vaccine campaign ended on January 15th, by when 1.1 million people had received a Covid vaccine during the 2023-2024 season in Denmark, according to the State Serum Institute, Denmark’s infectious disease agency.

SSI told the Local that it is unable to determine how many of those were through the public vaccination programme and how many were paid for at private clinics.

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