In case you need an ethicist's input: it's not only acceptable but, I'd argue, obligatory to say what you need to say to get a COVID vaccine. We have duties of care to each other, and particular duties of solidarity to those the regime wants dead, which supersede situational duties of truthfulness.
You can also pull out a pack of cigarettes from your purse or pocket when retrieving your ID or insurance card. No need to explain further.
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