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I'll be getting my third Pfizer early next month. I'm going to see my mom for Christmas.
The guidance now states (as of Nov 19th I think) that anyone 18+ may get the additional booster if it's been 6 months for Pf/Mod or 2 months for J&J, which makes sense because a lot of places around here (mostly pharmacies) weren't exactly being strict anyway from what I've been told. As long as your timing on your shot series is good, I think most places were happy to vax those who wanted it.
My blood disorder is mostly mild and doesn't require any sort of ongoing treatment, but it does affect my blood cell production which causes chronic mild anemia and does make me a bit more likely to get sick in some cases. But my dx was in childhood so I'd be hard pressed to provide any sort of proof now. Several doctors have monitored my bloodwork over the years because of it, but none of them reconfirmed the dx.
So I'm happy for the new guidance because now I don't have to worry about whether or not I'd get the one pharmacist who insists on proof of a qualifying pre-existing condition.
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