My DD1 has been to the ER twice, once when she was about 16 mo old for seizures due to high fever from the flu and once about a year ago for stitches in her ear from an injury at the park. For the record she was vaxed up to 4 months and then I stopped. And we have ZERO intentions of giving any more to her, or any to our DD2. We live in Texas also.
For the first ER visit I believe when they asked we said no, but I dont remember for sure if we were even asked. Obviously if I dont remember it, it must not have been a very relevant experience. They looked her over, pronounced her as having the flu and said that some kids get seizures with high fevers and sent us on our way. I was nursing my two week old DD2 at the time, and we sat in the ER with all these sick people and she never got sick (yea for nursing!!) The second visit was when she was about 2 1/2 and my mom had her and my DD2 for the weekend (we were traveling for my husbands business) and supposedly while at the park she somehow fell and ripped her ear lobe open and needed to be rushed to the ER. Let me tell you, that is a frightening call! I say supposedly because to this day I really dont know what happened, my mom looked away to catch the younger one on the slide and then the older one started crying and was bleeding. I cant imagine what she could have cut herself on (my DH believes someone actually bit her, as that has happened before) who knows. (for the record I trust my mom and her explanation 100%) but it is just hard to believe she could cut her ear... Anyways, my mom was the one who had to take her to the ER for stitches, and she asked about her tetnus vax. I said if the wound was bleeding there was 99% likelihood that she would not get anything. But the big fear was, we had no clue how she got her ear ripped open. She said the doctors never even asked, which actually kind of surprised me since it was an open would, everything I had heard or experienced was 'get a shot'.
I guess for me it would depend on the situation, I have no problem being honest about our choices. But then again when I have gotten a combative response, I usually shut them down pretty fast. I know people who have lied, but they have since changed their minds. ie. I have know people who 'forged' shot records to avoid the hassles. But they have since realized they prefer to be upfront and honest and not live in fear of their choices, and actually have not ever had an issue since being completely honest if the question arises.