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Vaccine hesitancy has always been a public health concern, and anti-vaccine campaigns that proliferate disinformation have gained traction across the US in the last 25 years. The demographics of resistance are varied, with health, religious, and, increasingly, political concerns cited as reasons. With the COVID-19 pandemic igniting the fastest development of vaccines to date, mis- and disinformation about them have become inflammatory, with campaigning allegedly including racial targeting. Through a primarily qualitative investigation, this study inductively examines a large online vaccine discussion space that invokes references to the unethical Tuskegee Syphilis Study to understand how tactics of racial targeting of Black Americans might appear publicly. We find that such targeting is entangled with a genuine discussion about medical racism and vaccine hesitancy. Across 12 distinct voices that address race, medical racism, and vaccines, we discuss how mis- and disinformation sit alongside accurate information in a “polyvocal” space.