Table 1.

Case Description

Case information
Patient age, race, gender	56, Black, male
Chief complaint	Requesting new prescription lenses
Medical history	• Former heavy smoker • High cholesterol • Family history of cancer • Up to date on routine vaccines • No allergies
Social history	• Works in nursing home • Lives with wife of 25 years • Father of four grown children
COVID-19 experience and vaccine reluctance	• Had a difficult year with COVID, family member almost died • Works in nursing home, has seen how bad it can be • Willing to discuss vaccine if prompted, but not interested because: ○ Believes it to be dangerous ○ Concerned about its quick development ○ Has heard of Tuskegee experiment ○ Does not trust the government’s involvement
Challenge to resident	• Discuss the COVID vaccine—indications, risks, and benefits • Negotiate a plan with patient