They aren't the same. Libertarianism is centered on allowing you to do what you want as long as it doesn't affect others. It's not a right if it harms someone else. A choice about your body can't kill your neighbor's kids. A libertarian who skips the vaccine should voluntarily become a hermit.
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This is a fantasy which has no intersection with reality anywhere.
It also ignores how humans work.
Vaccination is one thing, being trans is another.