Since COVID-19 vaccinations have been produced and permitted to be administered to children, an extremely hot topic in family court has been whether the court will enter an order permitting a parent to have the parties' child receive the COVID-19 vaccination over the other parent's objection. The decision of whether to allow a child to receive any vaccination is a legal custody decision. When the parties reach an impasse regarding a legal custody decision, the trial court is the tie breaker. The recent case LLB v. TRB, ___ A.3d ___, 2022 Pa. Super. 161 (September 21, 2022) is the first reported appellate case addressing the COVID-19 vaccine in the child custody context.