counties shifted gears immediately, among them Orange County, which said anyone 65 or older could book an appointment at the vaccination site it opened this week at Disneyland. But the scheduling website was quickly overwhelmed, making finding a shot seem like trying to score Taylor Swift concert tickets.

Neighboring Los Angeles County, however, stuck with its strict priority rules, and said that vaccines there would continue to be available only to health care workers.

The dueling approaches illustrate the tension across the country between two competing imperatives: getting as many doses as possible out quickly, and getting those who are at the

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