Nurse friend of ours works in an ICU. SW Virginia is a 'hotbed' according to our governor, and their ICU traffic has increased a lot- but from drug overdoses and reactions, not COVID.
Hard pass on the vaccine. I've never taken a flu shot, nor did I opt for yellow fever or Japanese encephalitis vaccines, etc. etc. when traveling. I'm a mostly fit 31-year-old, why treat or pre-treat something that's likely not to kill me anyway?