This document is a COVID-19 pandemic report from the Coastal Bend COVID Task Force in Texas dated January 22, 2021. It summarizes the current state of the COVID-19 outbreak in the Coastal Bend region, finding an increasing transmission rate above 1, continuing rise in new cases, hospitalizations, and fatalities. Recommendations include staying vigilant with measures like social distancing, face coverings, and limiting multi-household gatherings. Vaccination is also encouraged for those eligible.