More than a quarter of all monkeypox cases in the US – 1,341 – are from New York state, with the majority coming from New York City. Furthermore, the US leads the world in confirmed cases – nearly 5,000 as of Friday, according to the federal Centers for Disease Control and Prevention.

Many have been clamoring to get a scarce number of available vaccination appointments. But getting vaccinated has proven to be a confusing process even for those who are eligible – namely, men who have sex with men and have multiple partners.

Daniel Enderle, 31, came to the clinic after hearing from a friend about available vaccine appointments.

Enderle hoped to get a shot by walking in for an appointment, but was turned away and referred by staff to the city health department’s online appointment portal.