I know several people who were told by the VA that they got the Jab or they could not use the VA.
Whether that is overall VA policy or where they are at, I don’t know. One is in Colorado and one in Kentucky.
Not at my local VA(Reno NV). One doc mentioned to me I was overdue for it. I said not interested. He started to write down “refused” and I told him I preferred “declined”. Looked it up later on line and he did put down declined. I was a little surprised. But no refusal of service. Yet.