Inclusion Criteria:  Adults (>18 years of age) patients who have received care at the participating sites Emergency Department and have not yet received a COVID-19 vaccine  Exclusion Criteria:  major trauma patients patients transferred from another hospital, chronic care facility, nursing home or hospice, patients unable to participate in an interview because of intoxication, altered mental status or critical illness incarcerated patients patients on psychiatric holds patients who have received a COVID-19 vaccine