SELECT * FROM BPS_Patients p WHERE StatusText = 'Active' AND DOB < DATEADD(Year, -50, GETDATE()) --Older than 50 years. AND INTERNALID IN ( SELECT INTERNALID FROM ( SELECT asi.INTERNALID, asi.GIVENDATE FROM IMMUNISATIONS asi WHERE asi.RECORDSTATUS = 1 AND asi.VACCINEID IN ( SELECT vac.VACCINEID FROM BPSDrugs..VACCINES vac INNER JOIN BPSDrugs..VACCINE_DISEASE vd ON vd.VACCINEID = vac.VACCINEID WHERE vd.DISEASECODE = 34 AND vd.RecordStatus = 1 ) AND asi.INTERNALID IN ( SELECT INTERNALID -- include patients that have had at least 2 doses FROM IMMUNISATIONS WHERE RECORDSTATUS = 1 AND VACCINEID IN ( SELECT vac.VACCINEID FROM BPSDrugs..VACCINES vac INNER JOIN BPSDrugs..VACCINE_DISEASE vd ON vd.VACCINEID = vac.VACCINEID WHERE vd.DISEASECODE = 34 AND vd.RecordStatus = 1 ) GROUP BY INTERNALID HAVING COUNT(INTERNALID) = 2 ) AND asi.GIVENDATE < DATEADD(Month, -4, GETDATE()) --Adjust number of months ago (Only change number). ) PIm ) ORDER BY Surname, Firstname; --Patients over 50 who had 2nd COVID shot more than 4 months ago, but have not had 3rd shot.