As the coronavirus disease 2019 (COVID-19) pandemic continues globally, protecting the health of vulnerable people with epilepsy (PWE) remains a priority. Many people with tuberous sclerosis complex (TSC) reside in long-term care facilities (LTCFs), which are high risk settings for infection with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and severe COVID-19 [1]. Pre-existing respiratory disease is associated with an increased risk of severe COVID-19, which may be relevant to those with lymphangioleiomyomatosis (LAM), a progressive cystic lung disease infrequently seen in women with TSC [2]. </p