Virginia ranks last among all states in vaccine doses used out of those distributed. CHATHAM, Va. â Over the weekend, the Pittsylvania-Danville Health District announced an online pre-registration portal for local residents to initiate the process of receiving the vaccine that immunizes against COVID-19. Since Friday, Chatham residents have voiced concern over a reported problem with the system that hinders certain elderly, medically vulnerable patients from receiving their dose. What local residents are calling an "error" in the Health District's methodology revolves around a patient survey that is prompted at pre-registration. The survey does not provide a field to express pre-existing medical conditions or other health-related urgencies that would help prioritize certain patients over the age of 65. These are the patients who qualify for Phase 1b vaccination, which has been underway since Jan. 18 in Danville and Pittsylvania County.