Yes, the actual software runs at a single location. But apparently it's open enough that you could in principle run it in a distributed manner. As you can even cross-check the data and compute the same results deterministically, you could theoretically even do it as a blockchain, although it's unclear why you would. But you could, if there was value in P2Ping such a thing.
In that sense, Vitalik's point does land.
https://gizmodo.com/twitter-x-elon-musk-vaccine-bronny-james...
May be it’s the false sense of being decentralized that makes it like crypto?
Looking at that specific note, it's obvious that the note was extremely open to dispute and that's why it was voted down. You don't need to invoke the spectre of The Terrible Elon to explain that. The medical establishment has by their own admission created an endless torrent of false claims about vaccine safety, so it's something where you just aren't going to get bipartisan consensus about anything at all.
At least, that’s what the centralized authority says.
No one outside Twitter can verify that claim.