Vaccine consent form invalidating for non-binary and trans people, Manitoban says

When Kai Solomon printed out their consent form to get a COVID-19 vaccine, their eyes focused on the portion of the form that asked for their sex.

And their heart sank.

Solomon found Manitoba's form hadfour boxes theycould pick fromwhen designating sex: male, female, intersex and unknown. Solomon, who is non-binary and uses they and them pronouns,didn't see themself reflected in any of those options.

"I felt very invalid. It was very defeating. It just felt like we didn't fitlike we didn't deserve the vaccine because we're not on the form," Solomon said.

On Wednesday, Dr. Joss Reimer, the medical lead of Manitoba's vaccine implementation task force, apologized totransgender Manitobans for"wrong, inappropriate and disrespectful" wording in the question about sex on the vaccine consent form.

"We should have done better before and we need to do better going forward, so I want to apologize for our error," she said.

WATCH | Dr. Joss Reimer apologizes to transgender Manitobans:

Dr. Joss Reimer apologizes to transgender Manitobans

3 years ago

Duration 0:22

Dr. Joss Reimer apologized for 'wrong, inappropriate and disrespectful' wording related to a question about gender on the COVID-19 vaccine consent form.

There are now three boxes that can picked when designating sex: male, female and X.

The X isn't much better, said Solomon and some other LGBTQManitobans.

"X isn't a gender and it's disrespectful," says Dieth Aquino, a non-binary Filipinx Manitoban.

"A first mistake is an accident. But once the same mistake happens again, it's not a mistake anymore, it's a decision ... that can bring harm and danger."

Charlie Eau, a community advocate with Trans Manitoba, says the group has been clear that it want to be a part of dialogue and engagement with the province and Shared Health to improve health outcomes for trans, non-binary and two-spirit people.

Part of the issue, Eau said, is that the province isn't clear about what information it needs and for what purpose.

Sex, or one's biological attributes, is different from gendersocially constructed sets of expectationsabout how people should look, act and think.Gender identity is how you feel inside and how you express your gender.

Government documents often use sex and gender interchangeably, not recognizing they're different.

Another issuewith the question on the form is that it doesn't provideappropriate options for trans and non-binary people, because it asks for sex, which could leave people selectingthe sex they were assigned at birth, rather than the gender they identify as now.

Some trans people have experienced barriers in accessing specific medicalservices and procedures because their health card gender marker doesn't match other documents.

People are worried the same thing will happen if their vaccine consent forms don't match their ID, Eau said.

Both Eau and Solomon say that if theprovince really needs that data, a simpler approach would beto just ask for gender and leave a blank space for people to fill inwhat fitsbest.

More negative experiences

The consent form was only the start of atransphobic experience in getting a vaccine, some Manitobans say.

Eau said they were repeatedly misgendered referred to using pronouns that don't accurately portray their identity and therewere nosingle-stall bathrooms available at the vaccination supersitewhen they were there.

Corinne Mason, who identifies as queer,saidwhen they arrived for theirvaccine with the sex portion of their consent formblank, someone assumed they are female and filled it in for them.

"I saw it as a barrier," Mason said, worrying that the traumatizing experiences oftrans, non-binary and two-spirit people will contribute to vaccine hesitancy in the community.

"If you have trans people who are being misgendered ornot knowing how to fill in the form, or the form makes them feelexcluded or ignored or obscured ... then you have those peoplesharing that experience with other trans and non-binarypeople," Mason said.

Eau has the same fears, but also wants to protect people from negative, triggering experiences.

"I want people to get vaccinated, but I also don't want people to be retraumatized when they go. Having 12 people misgenderyou when you haven't left the house in a year is really upsetting," they said.

"It has to be better when I go back for my second [vaccination dose]because what I experienced was transphobia."