In this early draft, we describe a decentralized, app-based approach to COVID-19 vaccine distribution that facilitates zero knowledge verification, dynamic vaccine scheduling, continuous symptoms reporting, access to aggregate analytics based on population trends and more. To ensure equity, our solution is developed to work with limited internet access as well. In addition, we describe the six critical functions that we believe last mile vaccination management platforms must perform, examine existing vaccine management systems, and present a model for privacy-focused, individual-centric solutions.