@mkhogan and @colleenyoung - thanks for including me in this discussion. We try to provide patients with important medical information as often as possible, but we want to be cautious about providing too much information by patient portal, as we want those messages to be important times when we need to contact you about your care. As you may know, our transplant programs strongly encourage transplant patients (pre and post) to have local care such as a primary care physician or equivalent. While we do talk with patients about vaccines and other preventative care, we rely on the patient's local doctors to manage all of those things. As primary care physicians, those preventative care measures are their specialty, while our specialty is your transplanted organ. Vaccines are important to keep you and your organ healthy, and we do strongly recommend them. I hope that helps. We are always open to ideas on how to better communicate with our patients. Keep them coming!