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Dr. Scott Harris said hospitals "by and large are out" of vaccines and largely only have enough for required second doses.
A UAB doctor said the hospital could do more, if it had more vaccine.
Dr. Karen Landers said earlier plans for an online registration portal didn't come to fruition, but it could be online within two weeks.
"We will get shots in the arm and off the shelf. In the meantime, be patient," Ivey said.
An Alabama Department of Public Health spokesman said the federal government's inconsistent flow of vaccines makes planning difficult.
It will be some time before we can truly understand the death and destruction caused by COVID-19.
The move is the first such expansion since the state began administering vaccines last month.
Hospitals statewide continue to see record numbers of COVID-19 patients, as new cases mount and vaccine disbursement lags.
Alabama is one of eight states that have administered fewer than 1,000 doses per 100,000 as of Monday.