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A freezer to store the Pfizer-BioNTech COVID-19 vaccine is seen at a clinic for vaccinating Vatican employees, residents and retirees in the atrium of the Paul VI audience hall at the Vatican in this photo released Jan. 13, 2021. A variety of sanctions have been issued by the head of the commission governing Vatican City State for citizens, residents and personnel who fail to follow current COVID-19 measures. The sanctions cover employees who refuse vaccination. (CNS/Vatican Media)