When Juan Carlos Guerra got the call on Jan. 12 that his county would receive 300 COVID-19 vaccine doses the following day, he went straight to work.

Guerra, the top elected official in rural Jim Hogg County, Texas, got together with local school superintendent Susana Garza, who was helping him lead vaccination planning. They called hundreds of vaccine-eligible residents to schedule appointments, in stark contrast to big cities, where locals report struggling through maddening online registration processes.

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