sounds like an excuse, it’s a little creepy that certain parties have such a stake in vaccines being extremely trustworthy, as if there’s something wrong with it being a different case per each individual’s health/risk status, they should be saying “talk to your doctor” rather than “everyone get the vaccine when it’s your turn”
A patient’s medical record isn’t useful when the only groups being advised not to take vaccines are children and people with past allergic reactions to vaccines. A doctor has no more information in this regard than the health regulators.
Just like everything in medicine it’s all risk management. If the risk of suffering damage from covid is lower than the risk of damage from a vaccine then you don’t need the vaccine. A doctor will know your proper risk assessment.